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psnet.ahrq.gov/node/843086/psn-pdf
January 25, 2023 - Work environment and operational failures associated
with nurse outcomes, patient safety, and patient
satisfaction.
January 25, 2023
Riman KA, Harrison JM, Sloane DM, et al. Work environment and operational failures associated with
nurse outcomes, patient safety, and patient satisfaction. Nurs Res. 2023;72(1):20-2…
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psnet.ahrq.gov/node/852450/psn-pdf
August 16, 2023 - Incidence and severity of medication reconciliation
discrepancies in trauma patients.
August 16, 2023
Dunbar EG, Massey AC, Lee YL, et al. Incidence and severity of medication reconciliation discrepancies in
trauma patients. Am Surg. 2023;89(7):3272-3274. doi:10.1177/00031348231161686.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/60518/psn-pdf
May 27, 2020 - Infection Control Deficiencies Were Widespread and
Persistent in Nursing Homes Prior to COVID-19 Pandemic.
May 27, 2020
Washington, DC: United States Government Accountability Office; May 20, 2020. Publication GAO-20-
576R.
https://psnet.ahrq.gov/issue/infection-control-deficiencies-were-widespre…
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psnet.ahrq.gov/node/60175/psn-pdf
April 01, 2020 - ACR Recommendations for the use of Chest Radiography
and Computed Tomography (CT) for Suspected COVID-19
Infection.
April 1, 2020
American College of Radiology. March 11, 2020.
https://psnet.ahrq.gov/issue/acr-recommendations-use-chest-radiography-and-computed-tomography-ct-
suspected-covid-19
As COVID-19 s…
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psnet.ahrq.gov/node/837892/psn-pdf
January 01, 2023 - Teamwork before and during COVID-19: the good, the
same, and the ugly….
August 24, 2022
Rehder KJ, Adair KC, Eckert E, et al. Teamwork before and during COVID-19: the good, the same, and the
ugly…. J Patient Saf. 2023;19(1):36-41. doi:10.1097/pts.0000000000001070.
https://psnet.ahrq.gov/issue/teamwork-and-during-c…
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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…
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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/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/858174/psn-pdf
December 13, 2023 - Anaesthesia clinicians' perception of safety, workload,
anxiety, and stress in a remote hybrid suite compared
with the operating room.
December 13, 2023
Schroeck H, Whitty MA, Martinez-Camblor P, et al. Anaesthesia clinicians' perception of safety, workload,
anxiety, and stress in a remote hybrid suite compared wi…
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psnet.ahrq.gov/node/865520/psn-pdf
April 10, 2024 - The prevalence of incivility in hospitals and the effects of
incivility on patient safety culture and outcomes: a
systematic review and meta-analysis.
April 10, 2024
Freedman B, Li WW, Liang Z, et al. The prevalence of incivility in hospitals and the effects of incivility on
patient safety culture and outcomes: a …
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psnet.ahrq.gov/node/861289/psn-pdf
January 01, 2025 - Assessing the impact of an electronic chemotherapy
order verification checklist on pharmacist reported errors
in oncology infusion centers of a health-system.
January 24, 2024
Wat SK (S), Wesolowski B, Cierniak K, et al. Assessing the impact of an electronic chemotherapy order
verification checklist on pharmacist …
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psnet.ahrq.gov/node/837423/psn-pdf
June 15, 2022 - Evaluation and comparison of errors on nursing notes
created by online and offline speech recognition
technology and handwritten: an interventional study.
June 15, 2022
Peivandi S, Ahmadian L, Farokhzadian J, et al. Evaluation and comparison of errors on nursing notes
created by online and offline speech recogniti…
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psnet.ahrq.gov/node/72798/psn-pdf
March 03, 2021 - Perceptual gaps between clinicians and technologists on
health information technology-related errors in hospitals:
observational study.
March 3, 2021
Ndabu T, Mulgund P, Sharman R, et al. Perceptual gaps between clinicians and technologists on health
information technology-related errors in hospitals: observationa…
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psnet.ahrq.gov/node/72656/psn-pdf
January 20, 2021 - Potential harm caused by physicians' a-priori beliefs in
the clinical effectiveness of hydroxychloroquine and its
impact on clinical and economic outcome--a simulation
approach.
January 20, 2021
Ebm C, Carfagna F, Edwards S, et al. Potential harm caused by physicians' a-priori beliefs in the clinical
effectivenes…
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psnet.ahrq.gov/node/866351/psn-pdf
July 24, 2024 - Seeking systems-based facilitators of safety and
healthcare resilience: a thematic review of incident
reports.
July 24, 2024
Leon C, Hogan H, Jani YH. Seeking systems-based facilitators of safety and healthcare resilience: a
thematic review of incident reports. Int J Qual Health Care. 2024;36(3):mzae057.
doi:10.1…
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psnet.ahrq.gov/node/36262/psn-pdf
August 04, 2009 - Safety in the academic medical center: transforming
challenges into ingredients for improvement.
August 4, 2009
Blumenthal D, Ferris T. Safety in the academic medical center: transforming challenges into ingredients for
improvement. Acad Med. 2006;81(9):817-22.
https://psnet.ahrq.gov/issue/safety-academic-medical-…
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psnet.ahrq.gov/node/60052/psn-pdf
March 18, 2020 - Analysis of pharmacist-identified medication-related
problems at two United Kingdom hospitals: a prospective
observational study.
March 18, 2020
Geeson C, Wei L, Franklin BD. Analysis of pharmacist-identified medication-related problems at two United
Kingdom hospitals: a prospective observational study. Int J Phar…
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psnet.ahrq.gov/node/60059/psn-pdf
August 12, 2020 - Survey shows room for improvement with two new ISMP
Targeted Medication Safety Best Practices.
August 12, 2020
ISMP Medication Safety Alert! Acute care edition. July 30, 2020;25(15).
https://psnet.ahrq.gov/issue/survey-shows-room-improvement-two-new-ismp-targeted-medication-safety-
best-practices
This article rep…
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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/73143/psn-pdf
April 14, 2021 - The incidence and preventability of adverse events in
older acutely admitted patients: a longitudinal study with
4292 patient records.
April 14, 2021
Schouten B, Merten H, Spreeuwenberg PMM, et al. The incidence and preventability of adverse events in
older acutely admitted patients: a longitudinal study with 4292…