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psnet.ahrq.gov/node/43703/psn-pdf
December 19, 2014 - Examining the validity of AHRQ's Patient Safety
Indicators (PSIs): is variation in PSI composite score
related to hospital organizational factors?
December 19, 2014
Shin MH, Sullivan JL, Rosen AK, et al. Examining the validity of AHRQ's patient safety indicators (PSIs): is
variation in PSI composite score related …
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psnet.ahrq.gov/node/836785/psn-pdf
March 23, 2022 - Impact of CancelRx on discontinuation of controlled
substance prescriptions: an interrupted time series
analysis.
March 23, 2022
Watterson TL, Stone JA, Gilson A, et al. Impact of CancelRx on discontinuation of controlled substance
prescriptions: an interrupted time series analysis. BMC Med Inform Decis Mak. 2022;…
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psnet.ahrq.gov/node/849605/psn-pdf
May 31, 2023 - Identification of patient safety threats in a post-intensive
care clinic.
May 31, 2023
Karlic KJ, Valley TS, Cagino LM, et al. Identification of patient safety threats in a post-intensive care clinic.
Am J Med Qual. 2023;38(3):117-121. doi:10.1097/jmq.0000000000000118.
https://psnet.ahrq.gov/issue/identification-p…
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psnet.ahrq.gov/node/44069/psn-pdf
October 08, 2016 - An anesthesia preinduction checklist to improve
information exchange, knowledge of critical information,
perception of safety, and possibly perception of
teamwork in anesthesia teams.
October 8, 2016
Tscholl DW, Weiss M, Kolbe M, et al. An Anesthesia Preinduction Checklist to Improve Information
Exchange, Knowled…
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psnet.ahrq.gov/node/35542/psn-pdf
March 29, 2010 - The costs associated with adverse drug events among
older adults in the ambulatory setting.
March 29, 2010
Field T, Gilman BH, Subramanian S, et al. The costs associated with adverse drug events among older
adults in the ambulatory setting. Med Care. 2005;43(12):1171-1176.
https://psnet.ahrq.gov/issue/costs-associ…
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psnet.ahrq.gov/node/73353/psn-pdf
June 02, 2021 - Enhancing high alert medication knowledge among
pharmacy, nursing, and medical staff.
June 2, 2021
Sullivan KM, Le PL, Ditoro MJ, et al. Enhancing high alert medication knowledge among pharmacy,
nursing, and medical staff. J Patient Saf. 2021;17(4):311-315. doi:10.1097/pts.0b013e3182878113.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/45559/psn-pdf
November 09, 2016 - Differentiating between detrimental and beneficial
interruptions: a mixed-methods study.
November 9, 2016
Myers RA, McCarthy MC, Whitlatch A, et al. Differentiating between detrimental and beneficial
interruptions: a mixed-methods study. BMJ Qual Saf. 2016;25(11):881-888. doi:10.1136/bmjqs-2015-
004401.
https://p…
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psnet.ahrq.gov/node/47525/psn-pdf
October 31, 2018 - Peer training using cognitive rehearsal to promote a
culture of safety in health care.
October 31, 2018
Roberts T, Hanna K, Hurley S, et al. Peer Training Using Cognitive Rehearsal to Promote a Culture of
Safety in Health Care. Nurse Educ. 2018;43(5):262-266. doi:10.1097/NNE.0000000000000478.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/842425/psn-pdf
January 11, 2023 - Examination of impact of after-hours admissions on
hospital resource use, patient outcomes, and costs.
January 11, 2023
Skead C, Thompson LH, Kuk H, et al. Examination of impact of after-hours admissions on hospital
resource use, patient outcomes, and costs. Crit Care Res Pract. 2022;2022:4815734.
doi:10.1155/2022…
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psnet.ahrq.gov/node/36276/psn-pdf
October 21, 2010 - Effects of nursing rounds on patients' call light use,
satisfaction, and safety.
October 21, 2010
Meade CM, Bursell AL, Ketelsen L. Effects of nursing rounds: on patients' call light use, satisfaction, and
safety. Am J Nurs. 2006;106(9):58-71.
https://psnet.ahrq.gov/issue/effects-nursing-rounds-patients-call-light…
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psnet.ahrq.gov/node/34687/psn-pdf
February 10, 2011 - The costs of adverse drug events in hospitalized patients.
February 10, 2011
Bates DW, Spell N, Cullen DJ, et al. The costs of adverse drug events in hospitalized patients. Adverse
Drug Events Prevention Study Group. JAMA. 1997;277(4):307-11.
https://psnet.ahrq.gov/issue/costs-adverse-drug-events-hospitalized-patie…
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psnet.ahrq.gov/node/60281/psn-pdf
April 29, 2020 - How can task shifting put patient safety at risk? A
qualitative study of experiences among general
practitioners in Norway.
April 29, 2020
Malterud K, Aamland A, Fosse A. How can task shifting put patient safety at risk? A qualitative study of
experiences among general practitioners in Norway. Scand J Prim Health …
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psnet.ahrq.gov/node/851460/psn-pdf
July 19, 2023 - Patient perceptions and experiences with medication-
related activities in the emergency department: a
qualitative study.
July 19, 2023
Zahl-Holmstad B, Garcia BH, Johnsgård T, et al. Patient perceptions and experiences with medication-
related activities in the emergency department: a qualitative study. BMJ Open …
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psnet.ahrq.gov/node/842773/psn-pdf
January 01, 2009 - Dissemination of Lean methods to improve Pap testing
quality and patient safety.
April 8, 2008
Raab SS, Andrew-JaJa C, Grzybicki DM, et al. Dissemination of Lean methods to improve Pap testing
quality and patient safety. J Low Genit Tract Dis. 2009;12(2):103-110. doi:10.1097/lgt.0b013e31815ae9a1.
https://psnet.ahr…
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psnet.ahrq.gov/node/46601/psn-pdf
January 25, 2018 - Night-time communication at Stanford University
Hospital: perceptions, reality and solutions.
January 25, 2018
Sun AJ, Wang L, Go M, et al. Night-time communication at Stanford University Hospital: perceptions, reality
and solutions. BMJ Qual Saf. 2018;27(2):156-162. doi:10.1136/bmjqs-2017-006727.
https://psnet.ah…
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psnet.ahrq.gov/node/60336/psn-pdf
May 13, 2020 - Selecting Safe and Easier to Use Products for Healthcare
Using Human Factors Specification and Checklists.
May 13, 2020
Buckinghamshire, UK. Clinical Human Factors Group. April 2020.
https://psnet.ahrq.gov/issue/selecting-safe-and-easier-use-products-healthcare-using-human-factors-
specification-and
Poor eq…
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psnet.ahrq.gov/node/73320/psn-pdf
May 26, 2021 - What are the implications for patient safety and
experience of a major healthcare IT breakdown? A
qualitative study.
May 26, 2021
Scantlebury A, Sheard L, Fedell C, et al. What are the implications for patient safety and experience of a
major healthcare IT breakdown? A qualitative study. Digit Health. 2021;7:20552…
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psnet.ahrq.gov/node/50738/psn-pdf
January 01, 2020 - Effectiveness of interventions to improve adverse drug
reaction reporting by healthcare professionals over the
last decade: A systematic review
December 11, 2019
Li R, Zaidi STR, Chen T, et al. Effectiveness of interventions to improve adverse drug reaction reporting by
healthcare professionals over the last decad…
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psnet.ahrq.gov/node/46891/psn-pdf
December 21, 2018 - Day of discharge does not impact hospital readmission
after major cardiac surgery.
December 21, 2018
Sanaiha Y, Ou R, Ramos G, et al. Day of Discharge Does Not Impact Hospital Readmission After Major
Cardiac Surgery. Ann Thorac Surg. 2018;106(6):1767-1773. doi:10.1016/j.athoracsur.2018.07.031.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/44120/psn-pdf
November 06, 2015 - Designing highly reliable adverse-event detection
systems to predict subsequent claims.
November 6, 2015
Helmchen LA, Burke ME, Wojtusiak J. Designing highly reliable adverse-event detection systems to predict
subsequent claims. J Healthc Risk Manag. 2015;34(4):7-17. doi:10.1002/jhrm.21167.
https://psnet.ahrq.gov/…