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psnet.ahrq.gov/node/862133/psn-pdf
February 07, 2024 - Longer work experience and age associated with safety
attitudes in operating room nurses: an online cross-
sectional study.
February 7, 2024
Nyberg A, Olofsson B, Fagerdahl A, et al. Longer work experience and age associated with safety attitudes
in operating room nurses: an online cross-sectional study. BMJ Open …
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psnet.ahrq.gov/node/44092/psn-pdf
November 16, 2015 - Does lean management improve patient safety culture?
An extensive evaluation of safety culture in a
radiotherapy institute.
November 16, 2015
Simons P, Houben R, Vlayen A, et al. Does lean management improve patient safety culture? An extensive
evaluation of safety culture in a radiotherapy institute. Eur J Oncol …
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psnet.ahrq.gov/node/74723/psn-pdf
February 02, 2022 - The MedSafer study-electronic decision support for
deprescribing in hospitalized older adults: a cluster
randomized clinical trial.
February 2, 2022
McDonald EG, Wu PE, Rashidi B, et al. The MedSafer study-electronic decision support for deprescribing
in hospitalized older adults: a cluster randomized clinical tri…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide149.html
October 01, 2014 - 149. Treatment Recommendations: Medications-Varenicline (continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Dosage
Start varenicline one week before the quit date at 0.5 mg once daily for 3 days followed by 0.5 mg twice daily for 4 days followed by 1 mg…
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psnet.ahrq.gov/node/73088/psn-pdf
March 31, 2021 - Nurses’ perspectives on the impact of management
approaches on the blame culture in health-care
organizations.
March 31, 2021
Okpala P. Nurses’ perspectives on the impact of management approaches on the blame culture in health-
care organizations. Int J Healthc Manage. 2020;13(sup1):199-205. doi:10.1080/20479700.2…
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psnet.ahrq.gov/node/866158/psn-pdf
June 19, 2024 - Anesthesia-related closed claims in free-standing
ambulatory surgery centers.
June 19, 2024
Pimentel MPT, Chung S, Ross JM, et al. Anesthesia-related closed claims in free-standing ambulatory
surgery centers. Anesth Analg. 2024;139(3):521-531. doi:10.1213/ane.0000000000006700.
https://psnet.ahrq.gov/issue/anesthes…
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psnet.ahrq.gov/node/36280/psn-pdf
May 27, 2011 - Types of unintended consequences related to
computerized provider order entry.
May 27, 2011
Campbell EM, Sittig DF, Ash JS, et al. Types of unintended consequences related to computerized
provider order entry. J Am Med Inform Assoc. 2006;13(5):547-56.
https://psnet.ahrq.gov/issue/types-unintended-consequences-rela…
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psnet.ahrq.gov/node/34703/psn-pdf
December 24, 2008 - An alternative strategy for studying adverse events in
medical care.
December 24, 2008
Andrews LB, Stocking C, Krizek T, et al. An alternative strategy for studying adverse events in medical
care. Lancet. 1997;349(9048):309-13.
https://psnet.ahrq.gov/issue/alternative-strategy-studying-adverse-events-medical-care
…
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psnet.ahrq.gov/node/837026/psn-pdf
May 04, 2022 - Drug-related problems and polypharmacy in nursing
home residents: a cross-sectional study.
May 4, 2022
Díez R, Cadenas R, Susperregui J, et al. Drug-related problems and polypharmacy in nursing home
residents: a cross-sectional study. Int J Environ Res Public Health. 2022;19(7):4313.
doi:10.3390/ijerph19074313.
h…
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psnet.ahrq.gov/node/46000/psn-pdf
April 26, 2017 - Diagnostic error in the emergency department: follow up
of patients with minor trauma in the outpatient clinic.
April 26, 2017
Moonen P-J, Mercelina L, Boer W, et al. Diagnostic error in the Emergency Department: follow up of
patients with minor trauma in the outpatient clinic. Scand J Trauma Resusc Emerg Med. 2017…
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psnet.ahrq.gov/node/44322/psn-pdf
June 21, 2016 - Emotional harm from disrespect: the neglected
preventable harm.
June 21, 2016
Sokol-Hessner L, Folcarelli P, Sands KEF. Emotional harm from disrespect: the neglected preventable
harm. BMJ Qual Saf. 2015;24(9):550-3. doi:10.1136/bmjqs-2015-004034.
https://psnet.ahrq.gov/issue/emotional-harm-disrespect-neglected-pre…
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psnet.ahrq.gov/node/43131/psn-pdf
December 12, 2014 - Nurse staffing and education and hospital mortality in
nine European countries: a retrospective observational
study.
December 12, 2014
Aiken LH, Sloane DM, Bruyneel L, et al. Nurse staffing and education and hospital mortality in nine
European countries: a retrospective observational study. Lancet. 2014;383(9931):…
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psnet.ahrq.gov/node/46571/psn-pdf
October 25, 2017 - Incorporating nursing complexity in reimbursement
coding systems: the potential impact on missed care.
October 25, 2017
Sasso L, Bagnasco A, Aleo G, et al. Incorporating nursing complexity in reimbursement coding systems:
the potential impact on missed care. BMJ Qual Saf. 2017;26(11):929-932. doi:10.1136/bmjqs-2017…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-pda.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Patent Ductus Arteriosus
Patent Ductus Arteriosus
Characteristics
■ A persistent open connection beyond 3 months of age between the pulmonary artery and the
aorta with blood flow from the aorta to the pulmonary artery.
■ An open ductus may lead to:
– Congestive heart…
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psnet.ahrq.gov/node/60340/psn-pdf
May 20, 2020 - Association between cancer-specific adverse event
triggers and mortality: a validation study.
May 20, 2020
Weingart SN, Nelson J, Koethe B, et al. Association between cancer?specific adverse event triggers and
mortality: A validation study. Cancer Med. 2020;9(12):4447-4459. doi:10.1002/cam4.3033.
https://psnet.ahr…
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psnet.ahrq.gov/node/845636/psn-pdf
March 08, 2023 - The effects of leadership for self-worth, inclusion, trust,
and psychological safety on medical error reporting.
March 8, 2023
Brimhall KC, Tsai C-Y, Eckardt R, et al. The effects of leadership for self-worth, inclusion, trust, and
psychological safety on medical error reporting. Health Care Manage Rev. 2023;48(2):…
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psnet.ahrq.gov/node/73291/psn-pdf
May 19, 2021 - How can never event data be used to reflect or improve
hospital safety performance?
May 19, 2021
Olivarius?McAllister J, Pandit M, Sykes A, et al. How can never event data be used to reflect or improve
hospital safety performance? Anaesthesia. 2021;76(12):1616-1624. doi:10.1111/anae.15476.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/866733/psn-pdf
September 18, 2024 - A coproduced family reporting intervention to improve
safety surveillance and reduce disparities.
September 18, 2024
Khan A, Baird JD, Mauskar S, et al. A coproduced family reporting intervention to improve safety
surveillance and reduce disparities. Pediatrics. 2024;154(4):e2023065245. doi:10.1542/peds.2023-065245…
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psnet.ahrq.gov/node/43581/psn-pdf
December 26, 2014 - Moving beyond misuse and diversion: the urgent need to
consider the role of iatrogenic addiction in the current
opioid epidemic.
December 26, 2014
Beauchamp GA, Winstanley EL, Ryan SA, et al. Moving beyond misuse and diversion: the urgent need to
consider the role of iatrogenic addiction in the current opioid epid…
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psnet.ahrq.gov/node/37569/psn-pdf
March 21, 2017 - How often are potential patient safety events present on
admission?
March 21, 2017
Houchens RL, Elixhauser A, Romano PS. How often are potential patient safety events present on
admission? Jt Comm J Qual Patient Saf. 2008;34(3):154-63.
https://psnet.ahrq.gov/issue/how-often-are-potential-patient-safety-events-pres…