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psnet.ahrq.gov/node/42517/psn-pdf
October 04, 2013 - The impact of rapid response team on outcome of
patients transferred from the ward to the ICU: a single-
center study.
October 4, 2013
Karpman C, Keegan MT, Jensen J, et al. The impact of rapid response team on outcome of patients
transferred from the ward to the ICU: a single-center study. Crit Care Med. 2013;41(…
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psnet.ahrq.gov/node/73366/psn-pdf
June 09, 2021 - Medicine self-administration errors in the older adult
population: a systematic review.
June 9, 2021
Aldila F, Walpola RL. Medicine self-administration errors in the older adult population: a systematic review.
Res Social Adm Pharm. 2021;17(11):1877-1886. doi:10.1016/j.sapharm.2021.03.008.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/865593/psn-pdf
April 17, 2024 - An integrative systematic review of promoting patient
safety within prehospital emergency medical services by
paramedics: a role theory perspective.
April 17, 2024
Strandås M, Vizcaya-Moreno M, Ingstad K, et al. An integrative systematic review of promoting patient
safety within prehospital emergency medical servi…
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psnet.ahrq.gov/node/46088/psn-pdf
May 24, 2017 - Innovative use of the electronic health record to support
harm reduction efforts.
May 24, 2017
Hyman D, Neiman J, Rannie M, et al. Innovative Use of the Electronic Health Record to Support Harm
Reduction Efforts. Pediatrics. 2017;139(5). doi:10.1542/peds.2015-3410.
https://psnet.ahrq.gov/issue/innovative-use-elect…
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psnet.ahrq.gov/node/854823/psn-pdf
October 25, 2023 - Safety of office-based lens surgery: U.S. multicenter
study
October 25, 2023
Kugler LJ, Kapeles MJ, Durrie DS. Safety of office-based lens surgery: U.S. multicenter study. J Cataract
Refract Surg. 2023;49(9):907-911. doi:10.1097/j.jcrs.0000000000001231.
https://psnet.ahrq.gov/issue/safety-office-based-lens-surgery…
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psnet.ahrq.gov/node/73439/psn-pdf
June 30, 2021 - Nurses as 'second victims' to their patients' suicidal
attempts: a mixed-method study.
June 30, 2021
Amit Aharon A, Fariba M, Shoshana F, et al. Nurses as ‘second victims’ to their patients’ suicidal attempts:
a mixed?method study. J Clin Nurs. 2021;30(21-22):3290-3300. doi:10.1111/jocn.15839.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/864863/psn-pdf
March 20, 2024 - All in Her Head. The Truth and Lies Early Medicine Taught
Us About Women's Bodies and Why It Matters Today.
March 20, 2024
New York, NY: Harper Wave; 2024. ISBN: 9780063293014.
https://psnet.ahrq.gov/issue/all-her-head-truth-and-lies-early-medicine-taught-us-about-womens-bodies-
and-why-it-matters
Gender bias is …
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psnet.ahrq.gov/node/45217/psn-pdf
June 15, 2016 - Drug-related harms in hospitalized Medicare
beneficiaries: results from the Healthcare Cost and
Utilization Project, 2000–2008.
June 15, 2016
Shamliyan TA, Kane RL. Drug-Related Harms in Hospitalized Medicare Beneficiaries: Results From the
Healthcare Cost and Utilization Project, 2000-2008. J Patient Saf. 2016;12…
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psnet.ahrq.gov/node/45563/psn-pdf
October 19, 2016 - Using a change model to reduce the risk of surgical site
infection.
October 19, 2016
Burden M. Using a change model to reduce the risk of surgical site infection. Br J Nurs. 2016;25(17):949-
955.
https://psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection
Surgical site infections can resul…
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psnet.ahrq.gov/node/47858/psn-pdf
July 10, 2019 - Modification of potentially inappropriate prescribing
following fall-related hospitalizations in older adults.
July 10, 2019
Walsh ME, Boland F, Moriarty F, et al. Modification of potentially inappropriate prescribing following fall-
related hospitalizations in older adults. Drugs Aging. 2019;36(5):461-470. doi:10.…
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psnet.ahrq.gov/node/39638/psn-pdf
July 02, 2014 - Teaching quality improvement and patient safety to
trainees: a systematic review.
July 2, 2014
Wong BM, Etchells E, Kuper A, et al. Teaching quality improvement and patient safety to trainees: a
systematic review. Acad Med. 2010;85(9):1425-39. doi:10.1097/ACM.0b013e3181e2d0c6.
https://psnet.ahrq.gov/issue/teaching…
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psnet.ahrq.gov/node/45974/psn-pdf
May 03, 2017 - Effects of workload, work complexity, and repeated alerts
on alert fatigue in a clinical decision support system.
May 3, 2017
Ancker JS, Edwards A, Nosal S, et al. Effects of workload, work complexity, and repeated alerts on alert
fatigue in a clinical decision support system. BMC Med Inform Decis Mak. 2017;17(1):3…
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psnet.ahrq.gov/node/838309/psn-pdf
October 12, 2022 - Duplicate medication order errors: safety gaps and
recommendations for improvement.
October 12, 2022
Bocknek L, Kim T, Spaar P, et al. Duplicate medication order errors: safety gaps and recommendations for
improvement. Patient Safety. 2022;4(3):39-47. doi:10.33940/data/2022.9.6.
https://psnet.ahrq.gov/issue/duplic…
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psnet.ahrq.gov/node/47987/psn-pdf
May 08, 2019 - Association between night-time surgery and occurrence
of intraoperative adverse events and postoperative
pulmonary complications.
May 8, 2019
Cortegiani A, Gregoretti C, Neto AS, et al; LAS VEGAS Investigators, PROVE Network, Clinical Trial
Network of the European Society of Anaesthesiology. Br J Anaesth. 2019;122…
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psnet.ahrq.gov/node/47989/psn-pdf
August 14, 2019 - Ambulatory safety nets to reduce missed and delayed
diagnoses of cancer.
August 14, 2019
Emani S, Sequist TD, Lacson R, et al. Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
of Cancer. Jt Comm J Qual Patient Saf. 2019;45(8):552-557. doi:10.1016/j.jcjq.2019.05.010.
https://psnet.ahrq.gov/issue/ambula…
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psnet.ahrq.gov/node/73659/psn-pdf
September 01, 2021 - Using a patient safety/quality improvement model to
assess telehealth for psychiatry and behavioral health
services among special populations during COVID-19 and
beyond.
September 1, 2021
Li L, Childs AW. J Psychiatr Pract. 2021;27(4):245-253.
https://psnet.ahrq.gov/issue/using-patient-safetyquality-improvement-m…
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psnet.ahrq.gov/node/853612/psn-pdf
September 20, 2023 - Pharmacy e-prescription dispensing before and after
CancelRx implementation.
September 20, 2023
Pitts SI, Olson S, Yanek LR, et al. Pharmacy e-prescription dispensing before and after CancelRx
implementation. JAMA Intern Med. 2023;183(10):1120-1126. doi:10.1001/jamainternmed.2023.4192.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/837059/psn-pdf
May 11, 2022 - Anti-black racism as a chronic condition.
May 11, 2022
Sederstrom N, Lasege T. Anti-black racism as a chronic condition. Hastings Cent Rep. 2022;52(S1):s24-
s29. doi:10.1002/hast.1364.
https://psnet.ahrq.gov/issue/anti-black-racism-chronic-condition
Racial bias and systemic racism in healthcare are increasingly se…
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psnet.ahrq.gov/node/46428/psn-pdf
November 01, 2017 - Translating staff experience into organisational
improvement: the HEADS-UP stepped wedge, cluster
controlled, non-randomised trial.
November 1, 2017
Pannick S, Athanasiou T, Long SJ, et al. Translating staff experience into organisational improvement: the
HEADS-UP stepped wedge, cluster controlled, non-randomised …
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psnet.ahrq.gov/node/843412/psn-pdf
February 01, 2023 - Patient and hospital characteristics associated with
delayed diagnosis of appendicitis.
February 1, 2023
Reyes AM, Royan R, Feinglass J, et al. Patient and hospital characteristics associated with delayed
diagnosis of appendicitis. JAMA Surg. 2023;158(3):e227055. doi:10.1001/jamasurg.2022.7055.
https://psnet.ahrq.…