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psnet.ahrq.gov/node/866111/psn-pdf
June 12, 2024 - Does nurse use of a standardized flowsheet to document
communication with advanced providers provide a
mechanism to detect pulse oximetry failures? A
retrospective study of electronic health record data.
June 12, 2024
Gleason KT, Tran A, Fawzy A, et al. Does nurse use of a standardized flowsheet to document
commu…
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psnet.ahrq.gov/node/41325/psn-pdf
October 06, 2016 - How reliable are clinical systems in the UK NHS? A study
of seven NHS organisations.
October 6, 2016
Burnett S, Franklin BD, Moorthy K, et al. How reliable are clinical systems in the UK NHS? A study of
seven NHS organisations. BMJ Qual Saf. 2012;21(6):466-72. doi:10.1136/bmjqs-2011-000442.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/73371/psn-pdf
June 09, 2021 - Reducing failures in daily medical practice: healthcare
failure mode and effect analysis combined with computer
simulation.
June 9, 2021
Leeftink AG, Visser J, de Laat JM, et al. Reducing failures in daily medical practice: healthcare failure mode
and effect analysis combined with computer simulation. Ergonomics. …
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psnet.ahrq.gov/node/44646/psn-pdf
November 11, 2015 - The hidden costs of reconciling surgical sponge counts.
November 11, 2015
Steelman VM, Schaapveld AG, Perkhounkova Y, et al. The Hidden Costs of Reconciling Surgical Sponge
Counts. AORN J. 2015;102(5):498-506. doi:10.1016/j.aorn.2015.09.002.
https://psnet.ahrq.gov/issue/hidden-costs-reconciling-surgical-sponge-coun…
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psnet.ahrq.gov/node/36279/psn-pdf
May 27, 2011 - Evaluation of laboratory monitoring alerts within a
computerized physician order entry system for
medication orders.
May 27, 2011
Palen TE, Raebel MA, Lyons E, et al. Evaluation of laboratory monitoring alerts within a computerized
physician order entry system for medication orders. Am J Manag Care. 2006;12(7):389…
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psnet.ahrq.gov/node/866349/psn-pdf
July 24, 2024 - A multifaceted risk management program to improve the
reporting rate of patient safety incidents in primary care:
a cluster-randomised controlled trial.
July 24, 2024
Chanelière M, Buchet-Poyau K, Keriel-Gascou M, et al. A multifaceted risk management program to
improve the reporting rate of patient safety inciden…
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psnet.ahrq.gov/node/45473/psn-pdf
April 24, 2018 - Navigating a ship with a broken compass: evaluating
standard algorithms to measure patient safety.
April 24, 2018
Hefner JL, Huerta T, McAlearney AS, et al. Navigating a ship with a broken compass: evaluating standard
algorithms to measure patient safety. J Am Med Inform Assoc. 2017;24(2):310-315.
doi:10.1093/jami…
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psnet.ahrq.gov/node/50871/psn-pdf
February 05, 2020 - Association of low-dose whole-body computed
tomography with missed injury diagnoses and radiation
exposure in patients with blunt multiple trauma.
February 5, 2020
Stengel D, Mutze S, Güthoff C, et al. Association of Low-Dose Whole-Body Computed Tomography With
Missed Injury Diagnoses and Radiation Exposure in Pat…
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psnet.ahrq.gov/node/74698/psn-pdf
January 26, 2022 - How gender shapes interprofessional teamwork in the
operating room: a qualitative secondary analysis.
January 26, 2022
Etherington C, Kitto S, Burns JK, et al. How gender shapes interprofessional teamwork in the operating
room: a qualitative secondary analysis. BMC Health Serv Res. 2021;21(1):1357. doi:10.1186/s129…
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psnet.ahrq.gov/node/44699/psn-pdf
December 16, 2015 - Suicide attempts after emergency room visits: the effect
of patient safety goals.
December 16, 2015
Robst J. Suicide Attempts After Emergency Room Visits: The Effect of Patient Safety Goals. Psych Q.
2015;86(4):497-504. doi:10.1007/s11126-015-9345-7.
https://psnet.ahrq.gov/issue/suicide-attempts-after-emergency-ro…
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psnet.ahrq.gov/node/74126/psn-pdf
December 01, 2021 - Effect of automated unit dose dispensing with barcode
scanning on medication administration errors: an
uncontrolled before-and-after study.
December 1, 2021
Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of automated unit dose dispensing with barcode
scanning on medication administration errors: an uncont…
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psnet.ahrq.gov/node/841771/psn-pdf
December 21, 2022 - How safe do dying people feel at home? Patients'
perception of safety while receiving specialist community
palliative care.
December 21, 2022
Pedrosa Carrasco AJ, Bezmenov A, Sibelius U, et al. How safe do dying people feel at home? Patients'
perception of safety while receiving specialist community palliative car…
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psnet.ahrq.gov/node/41860/psn-pdf
November 28, 2012 - Stakeholder perspectives on handovers between hospital
staff and general practitioners: an evaluation through the
microsystems lens.
November 28, 2012
Göbel B, Zwart DLM, Hesselink G, et al. Stakeholder perspectives on handovers between hospital staff and
general practitioners: an evaluation through the microsyste…
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psnet.ahrq.gov/node/60342/psn-pdf
May 20, 2020 - Occurrence, prevention, and management of the
psychological effects of emerging virus outbreaks on
healthcare workers: rapid review and meta-analysis.
May 20, 2020
Kisely S, Warren N, McMahon L, et al. Occurrence, prevention, and management of the psychological
effects of emerging virus outbreaks on healthcare wor…
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psnet.ahrq.gov/node/837311/psn-pdf
June 01, 2022 - Effects of healthcare organization actions and policies
related to COVID-19 on perceived organizational support
among U.S. internists: a national study.
June 1, 2022
Sonis J, Pathman DE, Read S, et al. Effects of healthcare organization actions and policies related to
COVID-19 on perceived organizational support a…
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psnet.ahrq.gov/node/42882/psn-pdf
November 23, 2016 - Structuring patient and family involvement in medical
error event disclosure and analysis.
November 23, 2016
Etchegaray J, Ottosen M, Burress L, et al. Structuring patient and family involvement in medical error event
disclosure and analysis. Health Aff (Millwood). 2014;33(1):46-52. doi:10.1377/hlthaff.2013.0831.
…
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psnet.ahrq.gov/node/42047/psn-pdf
March 18, 2013 - Do you have to re-examine to reconsider your diagnosis?
Checklists and cardiac exam.
March 18, 2013
Sibbald M, de Bruin A, Cavalcanti RB, et al. Do you have to re-examine to reconsider your diagnosis?
Checklists and cardiac exam. BMJ Qual Saf. 2013;22(4):333-8. doi:10.1136/bmjqs-2012-001537.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/44626/psn-pdf
November 04, 2015 - "SWARMing" to improve patient care: a novel approach to
root cause analysis.
November 4, 2015
Li J, Boulanger B, Norton J, et al. "SWARMing" to Improve Patient Care: A Novel Approach to Root Cause
Analysis. Jt Comm J Qual Patient Saf. 2015;41(11):494-501.
https://psnet.ahrq.gov/issue/swarming-improve-patient-care-…
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psnet.ahrq.gov/node/39598/psn-pdf
September 20, 2011 - A July spike in fatal medication errors: a possible effect
of new medical residents.
September 20, 2011
Phillips DP, Barker GEC. A July spike in fatal medication errors: a possible effect of new medical residents.
J Gen Intern Med. 2010;25(8):774-9. doi:10.1007/s11606-010-1356-3.
https://psnet.ahrq.gov/issue/july-…
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psnet.ahrq.gov/node/60321/psn-pdf
May 13, 2020 - Safely practicing in a new environment: a qualitative
study to inform physician onboarding practices.
May 13, 2020
Lagoo J, Berry WR, Henrich N, et al. Safely practicing in a new environment: a qualitative study to inform
physician onboarding practices. Jt Comm J Qual Patient Saf. 2020;46(6):314-320.
doi:10.1016/j…