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psnet.ahrq.gov/node/838243/psn-pdf
October 05, 2022 - Evaluation of medication incidents in a long-term care
facility using electronic medication administration
records and barcode technology.
October 5, 2022
Fuller AEC, Guirguis LM, Sadowski CA, et al. Evaluation of medication incidents in a long-term care facility
using electronic medication administration records …
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psnet.ahrq.gov/node/837138/psn-pdf
May 18, 2022 - Association of diagnostic stewardship for blood cultures
in critically ill children with culture rates, antibiotic use,
and patient outcomes: results of the Bright STAR
Collaborative.
May 18, 2022
Woods-Hill CZ, Colantuoni EA, Koontz DW, et al. Association of diagnostic stewardship for blood cultures
in criticall…
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psnet.ahrq.gov/node/867225/psn-pdf
December 04, 2024 - Characterization of interventions to reduce the frequency
of critical medication doses missed or delayed during
perioperative and unit-to-unit patient transfers.
December 4, 2024
Cole E, Duncan R, Grucz T, et al. Characterization of interventions to reduce the frequency of critical
medication doses missed or delay…
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psnet.ahrq.gov/node/846707/psn-pdf
March 29, 2023 - Effect of patient safety education interventions on patient
safety culture of health care professionals: systematic
review and meta-analysis.
March 29, 2023
Agbar F, Zhang S, Wu Y, et al. Effect of patient safety education interventions on patient safety culture of
health care professionals: Systematic review and …
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psnet.ahrq.gov/node/37562/psn-pdf
June 14, 2011 - Effectiveness and efficiency of root cause analysis in
medicine.
June 14, 2011
Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687.
doi:10.1001/jama.299.6.685.
https://psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine
Application of root c…
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psnet.ahrq.gov/node/38485/psn-pdf
June 23, 2017 - Impact of a comprehensive patient safety strategy on
obstetric adverse events.
June 23, 2017
Pettker CM, Thung SF, Norwitz ER, et al. Impact of a comprehensive patient safety strategy on obstetric
adverse events. Am J Obstet Gynecol. 2009;200(5):492.e1-8. doi:10.1016/j.ajog.2009.01.022.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/45709/psn-pdf
September 01, 2018 - Integrated approach to reduce perinatal adverse events:
standardized processes, interdisciplinary teamwork
training, and performance feedback.
September 1, 2018
Riley W, Begun JW, Meredith L, et al. Integrated Approach to Reduce Perinatal Adverse Events:
Standardized Processes, Interdisciplinary Teamwork Training,…
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psnet.ahrq.gov/node/867444/psn-pdf
January 08, 2025 - Medication errors and error chains involving high-alert
medications in a paediatric hospital setting: a qualitative
analysis of self-reported medication safety incidents.
January 8, 2025
Kuitunen S, Saksa M, Holmström A-R. Medication errors and error chains involving high-alert medications
in a paediatric hospital…
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psnet.ahrq.gov/node/867448/psn-pdf
January 08, 2025 - Patient safety in general practice during COVID-19: a
descriptive analysis in 38 countries (PRICOV-19).
January 8, 2025
Van Poel E, Vanden Bussche P, Collins C, et al. Patient safety in general practice during COVID-19: a
descriptive analysis in 38 countries (PRICOV-19). Fam Pract. 2025;42(2):cmae059.
doi:10.1093/…
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psnet.ahrq.gov/node/867440/psn-pdf
January 08, 2025 - How can specialist investigation agencies inform system-
wide learning for patient safety? A qualitative study of
perspectives on the early years of the English Healthcare
Safety Investigation Branch.
January 8, 2025
Crompton A, Waring J, Macrae C, et al. How can specialist investigation agencies inform system-wid…
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psnet.ahrq.gov/node/866902/psn-pdf
October 09, 2024 - Why do acute healthcare staff behave unprofessionally
towards each other and how can these behaviours be
reduced? A realist review.
October 9, 2024
Aunger JA, Abrams R, Westbrook JI, et al. Why do acute healthcare staff behave unprofessionally towards
each other and how can these behaviours be reduced? A realist r…
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psnet.ahrq.gov/node/46897/psn-pdf
October 13, 2018 - An assessment of the impact of just culture on quality
and safety in US hospitals.
October 13, 2018
Edwards MT. An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. Am J
Med Qual. 2018;33(5):502-508. doi:10.1177/1062860618768057.
https://psnet.ahrq.gov/issue/assessment-impact-just-cul…
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psnet.ahrq.gov/node/857454/psn-pdf
January 01, 2024 - Identifying and mapping measures of medication safety
during transfer of care in a digital era: a scoping literature
review.
December 6, 2023
Leon C, Hogan H, Jani YH. Identifying and mapping measures of medication safety during transfer of care
in a digital era: a scoping literature review. BMJ Qual Saf. 2024;33(…
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psnet.ahrq.gov/node/46163/psn-pdf
December 06, 2017 - Defining the critical role of nurses in diagnostic error
prevention: a conceptual framework and a call to action.
December 6, 2017
Gleason KT, Davidson PM, Tanner EK, et al. Defining the critical role of nurses in diagnostic error
prevention: a conceptual framework and a call to action. Diagnosis (Berl). 2017;4(4):…
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psnet.ahrq.gov/node/73090/psn-pdf
March 31, 2021 - Learning from safety incidents in high reliability
organizations: a systematic review of learning tools that
could be adapted and used in healthcare.
March 31, 2021
Serou N, Sahota LM, Husband AK, et al. Learning from safety incidents in high-reliability organizations: a
systematic review of learning tools that co…
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psnet.ahrq.gov/node/73486/psn-pdf
July 14, 2021 - ACGME 2011 duty hours restrictions and their effects on
surgical residency training and patients outcomes: a
systematic review.
July 14, 2021
Awan M, Zagales I, McKenney M, et al. ACGME 2011 duty hours restrictions and their effects on surgical
residency training and patients outcomes: a systematic review. J Surg …
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psnet.ahrq.gov/node/50773/psn-pdf
January 08, 2020 - Effect of cognitive aids on adherence to best practice in
the treatment of deteriorating surgical patients: a
randomized clinical trial in a simulation setting.
January 8, 2020
Koers L, van Haperen M, Meijer CGF, et al. Effect of Cognitive Aids on Adherence to Best Practice in the
Treatment of Deteriorating Surgic…
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psnet.ahrq.gov/node/866189/psn-pdf
June 26, 2024 - Listen to me, I really am sick! Patient and family
narratives of clinical deterioration before and during rapid
response system intervention.
June 26, 2024
Bucknall TK, Guinane J, McCormack B, et al. Listen to me, I really am sick! Patient and family narratives of
clinical deterioration before and during rapid res…
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psnet.ahrq.gov/node/36518/psn-pdf
March 28, 2011 - Nurses' attitudes to a medical emergency team service in
a teaching hospital.
March 28, 2011
Jones D, Baldwin I, McIntyre T, et al. Nurses' attitudes to a medical emergency team service in a teaching
hospital. Qual Saf Health Care. 2006;15(6):427-32.
https://psnet.ahrq.gov/issue/nurses-attitudes-medical-emergency-…
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psnet.ahrq.gov/node/60853/psn-pdf
August 26, 2020 - Medication dosing safety for pediatric patients:
recognizing gaps, safety threats, and best practices in the
emergency medical services setting. A position statement
and resource document from NAEMSP.
August 26, 2020
Cicero MX, Adelgais K, Hoyle JD, et al. Medication dosing safety for pediatric patients: recognizi…