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psnet.ahrq.gov/node/845071/psn-pdf
February 22, 2023 - Speaking up as an extension of socio-cultural dynamics
in hospital settings: a study of staff experiences of
speaking up across seven hospitals.
February 22, 2023
Pavithra A, Mannion R, Sunderland N, et al. Speaking up as an extension of socio-cultural dynamics
in hospital settings: a study of staff experiences of…
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psnet.ahrq.gov/node/74002/psn-pdf
October 27, 2021 - EMS non-conveyance: a safe practice to decrease ED
crowding or a threat to patient safety?
October 27, 2021
Paulin J, Kurola J, Koivisto M, et al. EMS non-conveyance: A safe practice to decrease ED crowding or a
threat to patient safety? BMC Emerg Med. 2021;21(1):115. doi:10.1186/s12873-021-00508-1.
https://psnet.…
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psnet.ahrq.gov/node/73281/psn-pdf
May 19, 2021 - Measuring safety in older adult care homes: a scoping
review of the international literature.
May 19, 2021
Rand S, Smith N, Jones K, et al. Measuring safety in older adult care homes: a scoping review of the
international literature. BMJ Open. 2021;11(3):e043206. doi:10.1136/bmjopen-2020-043206.
https://psnet.ahrq…
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psnet.ahrq.gov/node/73184/psn-pdf
April 28, 2021 - Interprofessional training and communication practices
among clinicians in the postoperative ICU handoff.
April 28, 2021
Massa S, Wu J, Wang C, et al. Interprofessional training and communication practices among clinicians in
the postoperative ICU handoff. Jt Comm J Qual Patient Saf. 2021;47(4):242-249.
doi:10.101…
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psnet.ahrq.gov/node/837034/psn-pdf
May 04, 2022 - Understanding the link between burnout and sub-optimal
care: why should healthcare education be interested in
employee silence?
May 4, 2022
Montgomery A, Lainidi O. Understanding the link between burnout and sub-optimal care: why should
healthcare education be interested in employee silence? Front Psychiatry. 2022…
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psnet.ahrq.gov/node/865703/psn-pdf
May 01, 2024 - Co-worker unprofessional behaviour and patient safety
risks: an analysis of co-worker reports across eight
Australian hospitals.
May 1, 2024
McMullan RD, Churruca K, Hibbert P, et al. Co-worker unprofessional behaviour and patient safety risks:
an analysis of co-worker reports across eight Australian hospitals. In…
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digital.ahrq.gov/principal-investigator/hartung-daniel
January 01, 2023 - Hartung, Daniel
Prescription Drug Monitoring Program Integration in the Electronic Health Record - Final Report
Citation
Hartung D. Prescription Drug Monitoring Program Integration in the Electronic Health Record – Final Report. (Prepared by Oregon State University under Grant…
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psnet.ahrq.gov/node/837145/psn-pdf
May 18, 2022 - Observational evidence of the prevalence and association
of polypharmacy and drug administration errors in
hospitalized adult patients.
May 18, 2022
Savva G, Papastavrou E, Charalambous A, et al. Observational evidence of the prevalence and
association of polypharmacy and drug administration errors in hospitalized…
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psnet.ahrq.gov/node/34888/psn-pdf
March 11, 2019 - "I wish I had seen this test result earlier!": dissatisfaction
with test result management systems in primary care.
March 11, 2019
Poon EG, Gandhi TK, Sequist TD, et al. "I wish I had seen this test result earlier!": Dissatisfaction with test
result management systems in primary care. Arch Intern Med. 2004;164(20):…
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psnet.ahrq.gov/node/837663/psn-pdf
July 13, 2022 - Long-term risk of overdose or mental health crisis after
opioid dose tapering.
July 13, 2022
Fenton JJ, Magnan E, Tseregounis IE, et al. Long-term risk of overdose or mental health crisis after opioid
dose tapering. JAMA Netw Open. 2022;5(6):e2216726. doi:10.1001/jamanetworkopen.2022.16726.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/60725/psn-pdf
July 29, 2020 - The tradeoffs between safety and alert fatigue: data from
a national evaluation of hospital medication-related
clinical decision support.
July 29, 2020
Co Z, Holmgren AJ, Classen DC, et al. The tradeoffs between safety and alert fatigue: data from a national
evaluation of hospital medication-related clinical decis…
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psnet.ahrq.gov/node/60793/psn-pdf
August 12, 2020 - Is there a link between nursing home reported quality and
COVID-19 cases? Evidence from California skilled nursing
facilities.
August 12, 2020
He M, Li Y, Fang F. Is There a link between nursing home reported quality and COVID-19 cases? Evidence
from California skilled nursing facilities. J Am Med Dir Assoc. 2020;…
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psnet.ahrq.gov/node/837025/psn-pdf
May 04, 2022 - Central venous catheter guidewire retention: lessons
from England's never event database.
May 4, 2022
Mariyaselvam MZA, Patel V, Young HE, et al. Central venous catheter guidewire retention: lessons from
England's never event database. J Patient Saf. 2022;18(2):e387-e392.
doi:10.1097/pts.0000000000000826.
https:/…
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psnet.ahrq.gov/node/73915/psn-pdf
October 06, 2021 - Responses of physicians to an objective safety and
quality knowledge test: a cross-sectional study.
October 6, 2021
Burke HB, King HB. Responses of physicians to an objective safety and quality knowledge test: a cross-
sectional study. BMJ Open. 2021;11(9):e040779. doi:10.1136/bmjopen-2020-040779.
https://psnet.ah…
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psnet.ahrq.gov/node/853431/psn-pdf
September 13, 2023 - Diagnostic errors in uncommon conditions: a systematic
review of case reports of diagnostic errors.
September 13, 2023
Harada Y, Watari T, Nagano H, et al. Diagnostic errors in uncommon conditions: a systematic review of
case reports of diagnostic errors. Diagnosis (Berl). 2023;10(4):329-336. doi:10.1515/dx-2023-00…
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psnet.ahrq.gov/node/73562/psn-pdf
August 04, 2021 - Medication safety in mental health hospitals: a mixed-
methods analysis of incidents reported to the National
Reporting and Learning System.
August 4, 2021
Alshehri GH, Keers RN, Carson-Stevens A, et al. Medication safety in mental health hospitals: a mixed-
methods analysis of incidents reported to the National R…
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psnet.ahrq.gov/node/38193/psn-pdf
November 05, 2008 - Hospital financial condition and the quality of patient
care.
November 5, 2008
Bazzoli GJ, Chen H-F, Zhao M, et al. Hospital financial condition and the quality of patient care. Health
Econ. 2008;17(8):977-995.
https://psnet.ahrq.gov/issue/hospital-financial-condition-and-quality-patient-care
This AHRQ-funded stu…
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psnet.ahrq.gov/node/866818/psn-pdf
September 25, 2024 - Academic half day improves resident perception of
education without compromising patient safety.
September 25, 2024
Spence MC, Sugarman A, Uong A, et al. Academic half day improves resident perception of education
without compromising patient safety. Acad Pediatr. 2024;24(6):1010-1016. doi:10.1016/j.acap.2024.02.00…
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psnet.ahrq.gov/node/41719/psn-pdf
November 27, 2012 - A systematic review of the effectiveness, compliance, and
critical factors for implementation of safety checklists in
surgery.
November 27, 2012
Borchard A, Schwappach DLB, Barbir A, et al. A systematic review of the effectiveness, compliance, and
critical factors for implementation of safety checklists in surgery…
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psnet.ahrq.gov/node/50889/psn-pdf
February 12, 2020 - Unscheduled radiologic examination orders in the
electronic health record: a novel resource for targeting
ambulatory diagnostic errors in radiology.
February 12, 2020
Lacson R, Healey MJ, Cochon LR, et al. Unscheduled Radiologic Examination Orders in the Electronic
Health Record: A Novel Resource for Targeting Amb…