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psnet.ahrq.gov/primer/maternal-safety
January 10, 2024 - These concepts are integrated into the national and regionally developed maternal safety bundles, which … These integrated tools include clinical case scenarios, electronic education modules, slide sets, and
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psnet.ahrq.gov/node/33608/psn-pdf
February 01, 2024 - These concepts are integrated into the national and regionally
developed maternal safety bundles, which … These integrated tools
include clinical case scenarios, electronic education modules, slide sets, and
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psnet.ahrq.gov/issue/wicked-problem-patient-misidentification-how-could-technological-revolution-help-address
July 10, 2024 - Commentary
The wicked problem of patient misidentification: how could the technological revolution help address patient safety?
Citation Text:
Ferguson C, Hickman L, Macbean C, et al. The wicked problem of patient misidentification: How could the technological revolution help address pat…
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psnet.ahrq.gov/periodic-issue/periodic-issue-469
December 31, 2024 - January 8, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports…
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psnet.ahrq.gov/node/33582/psn-pdf
September 15, 2024 - Detection of Safety Hazards
September 15, 2024
Detection of Safety Hazards. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/detection-safety-hazards
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient s…
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psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events
April 03, 2019 - Review
Critical incident stress debriefing after adverse patient safety events.
Citation Text:
Harrison R, Wu AW. Critical incident stress debriefing after adverse patient safety events. Am J Med Qual. 2017;23(5):310-312.
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psnet.ahrq.gov/issue/diagnostic-safety-needs-assessment-and-informed-curriculum-academic-childrens-hospital
June 28, 2023 - Study
Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital.
Citation Text:
Congdon M, Rasooly IR, Toto RL, et al. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Pediatr Qual Saf. 2024;9(6):e773. do…
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psnet.ahrq.gov/issue/grand-rounds-methodology-key-considerations-implementing-machine-learning-solutions-quality
July 26, 2023 - Commentary
Grand rounds in methodology: key considerations for implementing machine learning solutions in quality improvement initiatives.
Citation Text:
Verma AA, Trbovich PL, Mamdani MM, et al. Grand rounds in methodology: key considerations for implementing machine learning solutions …
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psnet.ahrq.gov/issue/problem-root-cause-analysis
August 28, 2024 - Commentary
The problem with root cause analysis.
Citation Text:
Peerally MF, Carr S, Waring J, et al. The problem with root cause analysis. BMJ Qual Saf. 2017;26(5):417-422. doi:10.1136/bmjqs-2016-005511.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML…
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psnet.ahrq.gov/issue/advanced-practice-nurses-experiences-patient-safety-focus-group-study
March 06, 2024 - Study
Advanced practice nurses' experiences of patient safety: a focus group study.
Citation Text:
Glarcher M, Rihari-Thomas J, Duffield C, et al. Advanced practice nurses’ experiences of patient safety: a focus group study. Contemp Nurse. 2024;Epub Jun 11. doi:10.1080/10376178.2024.2363…
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psnet.ahrq.gov/issue/patient-centered-insights-using-health-care-complaints-reveal-hot-spots-and-blind-spots
November 29, 2023 - Study
Emerging Classic
Patient-centered insights: using health care complaints to reveal hot spots and blind spots in quality and safety.
Citation Text:
Gillespie A, Reader TW. Patient-Centered Insights: Using Health Care Complaints to Reveal Hot Spots and Blind…
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psnet.ahrq.gov/print/pdf/node/866100
August 30, 2023 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Nurse Wellbeing and Patient Safety
Curated Library
Foundations
Keeping Patients Safe: Transforming the Work Environment of Nurses.
Page A; Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care
Services. Wash…
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psnet.ahrq.gov/issue/medication-administration-technologies-and-patient-safety-mixed-method-systematic-review
May 18, 2022 - Review
Medication administration technologies and patient safety: a mixed-method systematic review.
Citation Text:
Wulff K, Cummings GG, Marck P, et al. Medication administration technologies and patient safety: a mixed-method systematic review. J Adv Nurs. 2011;67(10):2080-95. doi:10.…
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psnet.ahrq.gov/issue/abusive-supervision-and-its-relationship-nursing-workforce-and-patient-safety-outcomes
October 25, 2023 - Review
Abusive supervision and its relationship with nursing workforce and patient safety outcomes: a systematic review.
Citation Text:
Labrague LJ. Abusive supervision and its relationship with nursing workforce and patient safety outcomes: a systematic review. West J Nurs Res. 2023;46(…
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psnet.ahrq.gov/issue/what-hinders-uptake-computerized-decision-support-systems-hospitals-qualitative-study-and
February 07, 2024 - Study
What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation.
Citation Text:
Liberati EG, Ruggiero F, Galuppo L, et al. What hinders the uptake of computerized decision support systems in hospitals? A qualitativ…
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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - Electronic patient file: All information entered into the system is integrated via the TR&R® system
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psnet.ahrq.gov/issue/implicit-bias-healthcare-professionals-systematic-review
September 28, 2022 - Review
Implicit bias in healthcare professionals: a systematic review.
Citation Text:
FitzGerald C, Hurst S. Implicit bias in healthcare professionals: a systematic review. BMC Med Ethics. 2017;18(1):19. doi:10.1186/s12910-017-0179-8.
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psnet.ahrq.gov/issue/examining-meaning-language-used-communicate-nursing-hand
July 07, 2021 - Study
Examining the meaning of the language used to communicate the nursing hand-off.
Citation Text:
Galatzan BJ, Carrington JM. Examining the meaning of the language used to communicate the nursing hand‐off. Res Nurs Health. 2021;44(5):833-843. doi:10.1002/nur.22175.
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psnet.ahrq.gov/issue/ai-promise-or-peril-patient-safety
July 20, 2022 - Commentary
AI: promise or peril for patient safety.
Citation Text:
Ullem BD, Hatlie MJ, Lounsbury O. AI: promise or peril for patient safety. J Patient Saf. 2025;21(1):34-37. doi:10.1097/pts.0000000000001301.
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psnet.ahrq.gov/issue/effect-using-safety-checklist-patient-complications-after-surgery-systematic-review-and-meta
December 08, 2021 - Review
Effect of using a safety checklist on patient complications after surgery: a systematic review and meta-analysis.
Citation Text:
Gillespie BM, Chaboyer W, Thalib L, et al. Effect of using a safety checklist on patient complications after surgery: a systematic review and meta-analy…