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psnet.ahrq.gov/node/48078/psn-pdf
August 14, 2019 - Prompting rounding teams to address a daily best
practice checklist in a pediatric intensive care unit.
August 14, 2019
Cifra CL, Houston M, Otto A, et al. Prompting rounding teams to address a daily best practice checklist in a
pediatric intensive care unit. Jt Comm J Qual Patient Saf. 2019;45(8):543-551.
doi:10.…
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psnet.ahrq.gov/node/34678/psn-pdf
February 09, 2011 - Changes in rates of autopsy-detected diagnostic errors
over time: a systematic review.
February 9, 2011
Shojania KG, Burton EC, McDonald KM, et al. Changes in rates of autopsy-detected diagnostic errors over
time: a systematic review. JAMA. 2003;289(21):2849-2856.
https://psnet.ahrq.gov/issue/changes-rates-autopsy…
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psnet.ahrq.gov/node/73091/psn-pdf
March 31, 2021 - Has the COVID pandemic strengthened or weakened
health care teams? A field guide to healthy workforce
best practices.
March 31, 2021
Thompson R, Kusy M. Has the COVID pandemic strengthened or weakened health care teams? A field
guide to healthy workforce best practices. Nurs Adm Q. 2021;45(2):135-141.
doi:10.1097…
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psnet.ahrq.gov/node/43287/psn-pdf
July 02, 2014 - Mind the gap between recommendation and
implementation—principles and lessons in the aftermath
of incident investigations: a semi-quantitative and
qualitative study of factors leading to the successful
implementation of recommendations.
July 2, 2014
Wrigstad J, Bergström J, Gustafson P. Mind the gap between recom…
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psnet.ahrq.gov/node/35617/psn-pdf
January 01, 2016 - Reconciling medications at admission: safe practice
recommendations and implementation strategies.
June 13, 2011
Rogers G, Alper E, Brunelle D, et al. Reconciling Medications at Admission: Safe Practice
Recommendations and Implementation Strategies. Jt Comm J Qual Patient Saf. 2016;32(1):37-50.
doi:10.1016/s1553-7…
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psnet.ahrq.gov/issue/center-consumer-health-care-information-patient-safety-center
February 04, 2025 - Multi-use Website
Center for Consumer Health Care Information Patient Safety Center.
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March 6, 2005
The Center's efforts for pati…
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psnet.ahrq.gov/node/47223/psn-pdf
August 14, 2018 - Six Building Blocks: A Team-Based Approach to
Improving Opioid Management in Primary Care.
August 14, 2018
MacColl Center for Health Care Innovation at the Kaiser Permanente of Washington Research Institute,
University of Washington.
https://psnet.ahrq.gov/issue/six-building-blocks-team-based-approach-improving-op…
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psnet.ahrq.gov/node/73424/psn-pdf
June 23, 2021 - The psychological experiences of nurses after inpatient
suicide: a meta-synthesis of qualitative research studies.
June 23, 2021
Shao Q, Wang Y, Hou K, et al. The psychological experiences of nurses after inpatient suicide: a meta?
synthesis of qualitative research studies. J Adv Nurs. 2021;77(10):4005-4016. doi:10…
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psnet.ahrq.gov/node/860727/psn-pdf
January 17, 2024 - Patient safety in nursing homes from an ecological
perspective: an integrated review.
January 17, 2024
Min D, Park S, Kim S, et al. Patient safety in nursing homes from an ecological perspective: an integrated
review. J Patient Saf. 2024;20(2):77-84. doi:10.1097/pts.0000000000001189.
https://psnet.ahrq.gov/issue/p…
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psnet.ahrq.gov/node/36186/psn-pdf
September 30, 2010 - Findings of the first consensus conference on medical
emergency teams.
September 30, 2010
DeVita MA, Bellomo R, Hillman KM, et al. Findings of the First Consensus Conference on Medical
Emergency Teams*. Crit Care Med. 2006;34(9). doi:10.1097/01.ccm.0000235743.38172.6e.
https://psnet.ahrq.gov/issue/findings-first-c…
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psnet.ahrq.gov/node/862130/psn-pdf
February 07, 2024 - Interventions to support nurses as second victims of
patient safety incidents: a qualitative study of nurse
managers' perceptions.
February 7, 2024
Järvisalo P, Haatainen K, Von Bonsdorff M, et al. Interventions to support nurses as second victims of
patient safety incidents: a qualitative study of nurse managers'…
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psnet.ahrq.gov/node/865338/psn-pdf
March 27, 2024 - Analysis of intervention employability in pharmacy-
related medication safety reports at a tertiary medical
center.
March 27, 2024
Crozier N, Robinson E, Murtagh NC, et al. Analysis of intervention employability in pharmacy-related
medication safety reports at a tertiary medical center. Hosp Pharm. 2024;59(2):210-…
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psnet.ahrq.gov/node/61109/psn-pdf
November 11, 2020 - Making communication and resolution programmes
mission critical in healthcare organisations.
November 11, 2020
Gallagher TH, Boothman RC, Schweitzer L, et al. Making communication and resolution programmes
mission critical in healthcare organisations. BMJ Qual Saf. 2020;29(11):875-878. doi:10.1136/bmjqs-2020-
0108…
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psnet.ahrq.gov/node/47379/psn-pdf
November 14, 2018 - Analysis of medication therapy discontinuation orders in
new electronic prescriptions and opportunities for
implementing CancelRx.
November 14, 2018
Yang Y, Ward-Charlerie S, Kashyap N, et al. Analysis of medication therapy discontinuation orders in new
electronic prescriptions and opportunities for implementing C…
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psnet.ahrq.gov/node/35309/psn-pdf
January 02, 2017 - Advising patients about patient safety: current initiatives
risk shifting responsibility.
January 2, 2017
Entwistle V, Mello MM, Brennan TA. Advising Patients About Patient Safety: Current Initiatives Risk
Shifting Responsibility. Jt Comm J Qual Patient Saf. 2005;31(9):483-494. doi:10.1016/s1553-
7250(05)31063-4.
…
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psnet.ahrq.gov/node/46546/psn-pdf
January 10, 2018 - Using an online quiz-based reinforcement system to
teach healthcare quality and patient safety and care
transitions at the University of California.
January 10, 2018
Shaikh U, Afsar-Manesh N, Amin AN, et al. Using an online quiz-based reinforcement system to teach
healthcare quality and patient safety and care tra…
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psnet.ahrq.gov/node/47174/psn-pdf
June 13, 2018 - Safe handling of concentrated electrolyte products from
outsourcing facilities during critical drug shortages.
June 13, 2018
National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American
Society of Health-System Pharmacists. May 24, 2018.
https://psnet.ahrq.gov/issue/safe-han…
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psnet.ahrq.gov/node/72790/psn-pdf
March 03, 2021 - Parent engagement in perinatal mortality reviews: an
online survey of clinicians from six high-income
countries.
March 3, 2021
Boyle FM, Horey D, Siassakos D, et al. Parent engagement in perinatal mortality reviews: an online survey
of clinicians from six high?income countries. BJOG. 2020;128(4):696-703. doi:10.11…
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psnet.ahrq.gov/node/60297/psn-pdf
January 01, 2021 - A call for the application of patient safety culture in
medical humanitarian action: a literature review.
May 6, 2020
Biquet J-M, Schopper D, Sprumont D, et al. A call for the application of patient safety culture in medical
humanitarian action: a literature review. J Patient Saf. 2021;17(8):e1732-e1737.
doi:10.10…
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psnet.ahrq.gov/node/45322/psn-pdf
July 20, 2016 - RN assessments of excellent quality of care and patient
safety are associated with significantly lower odds of 30-
day inpatient mortality: a national cross-sectional study
of acute-care hospitals.
July 20, 2016
Smeds-Alenius L, Tishelman C, Lindqvist R, et al. RN assessments of excellent quality of care and patie…