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psnet.ahrq.gov/node/45920/psn-pdf
May 05, 2017 - Examining the nature of interprofessional interventions
designed to promote patient safety: a narrative review.
May 5, 2017
Reeves ST, Clark E, Lawton S, et al. Examining the nature of interprofessional interventions designed to
promote patient safety: a narrative review. International Journal for Quality in Health…
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psnet.ahrq.gov/node/60892/psn-pdf
September 09, 2020 - Applying thematic synthesis to interpretation and
commentary in epidemiological studies: identifying what
contributes to successful interventions to promote hand
hygiene in patient care.
September 9, 2020
Drey N, Gould D, Purssell E, et al. Applying thematic synthesis to interpretation and commentary in
epidemiol…
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psnet.ahrq.gov/node/855096/psn-pdf
November 08, 2023 - Systematic workup of transfusion reactions reveals
passive co-reporting of handling errors.
November 8, 2023
Nitsche E, Dreßler J, Henschler R. Systematic workup of transfusion reactions reveals passive co-reporting
of handling errors. J Blood Med. 2023;14:435-443. doi:10.2147/jbm.s411188.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/860722/psn-pdf
January 17, 2024 - Ten years of incident reports on in-hospital cardiac arrest
- Are they useful for improvements?
January 17, 2024
Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements?
Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525.
https://psnet.ahrq.gov/issue/ten-y…
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psnet.ahrq.gov/node/60681/psn-pdf
January 01, 2022 - Failure to rescue deteriorating patients: a systematic
review of root causes and improvement strategies.
July 16, 2020
Burke JR, Downey C, Almoudaris AM. Failure to rescue deteriorating patients: a systematic review of root
causes and improvement strategies. J Patient Saf. 2022;18(1):e140-e155.
doi:10.1097/pts.000…
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psnet.ahrq.gov/node/60188/psn-pdf
January 01, 2021 - Uncertain diagnoses in a children's hospital: patient
characteristics and outcomes.
April 1, 2020
Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics
and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058.
https://psnet.ahrq.gov/issue/uncertai…
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psnet.ahrq.gov/node/35540/psn-pdf
August 05, 2009 - Lost in translation: challenges and opportunities in
physician-to-physician communication during patient
handoffs.
August 5, 2009
Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to-
physician communication during patient handoffs. Acad Med. 2005;80(12):1094-9.
…
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psnet.ahrq.gov/node/45299/psn-pdf
July 20, 2016 - Reducing readmission at an academic medical center:
results of a pharmacy-facilitated discharge counseling
and medication reconciliation program.
July 20, 2016
Zemaitis CT, Morris G, Cabie M, et al. Reducing Readmission at an Academic Medical Center: Results of a
Pharmacy-Facilitated Discharge Counseling and Medic…
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psnet.ahrq.gov/node/74028/psn-pdf
November 03, 2021 - Survey of nurses' experiences applying The Joint
Commission's medication management titration
standards.
November 3, 2021
Davidson JE, Doran N, Petty A, et al. Survey of nurses' experiences applying The Joint Commission's
medication management titration standards. Am J Crit Care. 2021;30(5):365-374.
doi:10.4037/a…
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psnet.ahrq.gov/node/37113/psn-pdf
March 24, 2011 - Mature rapid response system and potentially avoidable
cardiopulmonary arrests in hospital.
March 24, 2011
Galhotra S, DeVita MA, Simmons RL, et al. Mature rapid response system and potentially avoidable
cardiopulmonary arrests in hospital. Qual Saf Health Care. 2007;16(4):260-265.
https://psnet.ahrq.gov/issue/mat…
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psnet.ahrq.gov/node/34916/psn-pdf
March 09, 2009 - Using a claims data-based sentinel system to improve
compliance with clinical guidelines: results of a
randomized prospective study.
March 9, 2009
Javitt JC, Steinberg G, Locke T, et al. Using a claims data-based sentinel system to improve compliance
with clinical guidelines: results of a randomized prospective st…
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psnet.ahrq.gov/node/838917/psn-pdf
October 26, 2022 - The e-Autopsy/e-Biopsy: a systematic chart review to
increase safety and diagnostic accuracy.
October 26, 2022
Kanter MH, Ghobadi A, Lurvey LD, et al. The e-Autopsy/e-Biopsy: a systematic chart review to increase
safety and diagnostic accuracy. Diagnosis (Berl). 2022;9(4):430-436. doi:10.1515/dx-2022-0083.
https:/…
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psnet.ahrq.gov/node/38144/psn-pdf
October 15, 2008 - Do faculty and resident physicians discuss their medical
errors?
October 15, 2008
Kaldjian LC, Forman-Hoffman VL, Jones EW, et al. Do faculty and resident physicians discuss their
medical errors? J Med Ethics. 2008;34(10):717-22. doi:10.1136/jme.2007.023713.
https://psnet.ahrq.gov/issue/do-faculty-and-resident-phy…
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psnet.ahrq.gov/node/45106/psn-pdf
August 16, 2017 - The 'go-between' study: a simulation study comparing the
'Traffic Lights' and 'SBAR' tools as a means of
communication between anaesthetic staff.
August 16, 2017
MacDougall-Davis SR, Kettley L, Cook TM. The 'go-between' study: a simulation study comparing the
'Traffic Lights' and 'SBAR' tools as a means of communi…
-
psnet.ahrq.gov/node/47883/psn-pdf
May 29, 2019 - Patient Safety in Obstetrics and Gynecology.
May 29, 2019
Gluck PA, ed. Obstet Gynecol Clin North Am. 2019;46:H1-H8, 199-398.
https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-gynecology
Obstetrics is a high-risk practice that concurrently manages the safety of mothers and newborns. Articles in
this speci…
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psnet.ahrq.gov/node/42238/psn-pdf
July 02, 2014 - Teaching medical error disclosure to physicians-in-
training: a scoping review.
July 2, 2014
Stroud L, Wong BM, Hollenberg E, et al. Teaching medical error disclosure to physicians-in-training: a
scoping review. Acad Med. 2013;88(6):884-92. doi:10.1097/ACM.0b013e31828f898f.
https://psnet.ahrq.gov/issue/teaching-me…
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psnet.ahrq.gov/node/859343/psn-pdf
December 20, 2023 - Reducing retained foreign objects in the operating room:
a quality improvement initiative.
December 20, 2023
Keane OA, Chambers C, Brady CM, et al. Reducing retained foreign objects in the operating room: a
quality improvement initiative. J Am Coll Surg. 2023;237(6):864-872. doi:10.1097/xcs.0000000000000847.
https…
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psnet.ahrq.gov/node/37348/psn-pdf
March 28, 2012 - Impact of duty hours restrictions on quality of care and
clinical outcomes.
March 28, 2012
Bhavsar J, Montgomery D, Li J, et al. Impact of duty hours restrictions on quality of care and clinical
outcomes. Am J Med. 2007;120(11):968-74.
https://psnet.ahrq.gov/issue/impact-duty-hours-restrictions-quality-care-and-cl…
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psnet.ahrq.gov/node/47374/psn-pdf
April 07, 2019 - Developing a conceptual framework for patient safety
culture in emergency department: a review of the
literature.
April 7, 2019
Alshyyab MA, FitzGerald G, Dingle K, et al. Developing a conceptual framework for patient safety culture in
emergency department: A review of the literature. Int J Health Plann Manage. 20…
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psnet.ahrq.gov/node/41245/psn-pdf
March 29, 2012 - The occurrence of wrong-site surgery self-reported by
candidates for certification by the American Board of
Orthopaedic Surgery.
March 29, 2012
James MA, Seiler JG, Harrast JJ, et al. The occurrence of wrong-site surgery self-reported by candidates
for certification by the American Board of Orthopaedic Surgery. J …