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psnet.ahrq.gov/node/73609/psn-pdf
August 18, 2021 - Relationship between nurse burnout, patient and
organizational outcomes: systematic review.
August 18, 2021
Jun J, Ojemeni MM, Kalamani R, et al. Relationship between nurse burnout, patient and organizational
outcomes: systematic review. Int J Nurs Stud. 2021;119:103933. doi:10.1016/j.ijnurstu.2021.103933.
https:/…
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psnet.ahrq.gov/node/848362/psn-pdf
May 03, 2023 - Delays in care during the COVID-19 pandemic in the
Veterans Health Administration.
May 3, 2023
Mills PD, Louis RP, Yackel E. Delays in care during the COVID-19 pandemic in the Veterans Health
Administration. J Healthc Qual. 2023;45(4):242-253. doi:10.1097/jhq.0000000000000383.
https://psnet.ahrq.gov/issue/delays-c…
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psnet.ahrq.gov/node/73581/psn-pdf
January 01, 2022 - Applying human factors engineering to address the
telemetry alarm problem in a large medical center.
August 11, 2021
Patterson ES, Rayo MF, Edworthy JR, et al. Applying human factors engineering to address the telemetry
alarm problem in a large medical center. Hum Factors. 2022;64(1):126-142.
doi:10.1177/001872082…
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psnet.ahrq.gov/node/74842/psn-pdf
February 16, 2022 - An initiative to reduce insulin-related adverse drug events
in a children's hospital.
February 16, 2022
Lawson SA, Hornung LN, Lawrence M, et al. An initiative to reduce insulin-related adverse drug events in a
children's hospital. Pediatrics. 2022;149(1):e2020004937. doi:10.1542/peds.2020-004937.
https://psnet.ah…
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psnet.ahrq.gov/node/855432/psn-pdf
November 15, 2023 - Alarm burden and the nursing care environment: a 213-
hospital cross-sectional study.
November 15, 2023
Ruppel H, Dougherty M, Bonafide CP, et al. Alarm burden and the nursing care environment: a 213-
hospital cross-sectional study. BMJ Open Qual. 2023;12(4):e002342. doi:10.1136/bmjoq-2023-002342.
https://psnet.ah…
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psnet.ahrq.gov/node/866115/psn-pdf
June 12, 2024 - Defining, identifying and addressing problematic
polypharmacy within multimorbidity in primary care: a
scoping review.
June 12, 2024
Tsang JY, Sperrin M, Blakeman T, et al. Defining, identifying and addressing problematic polypharmacy
within multimorbidity in primary care: a scoping review. BMJ Open. 2024;14(5):e0…
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psnet.ahrq.gov/node/44778/psn-pdf
July 18, 2016 - How safe is primary care? A systematic review.
July 18, 2016
Panesar SS, deSilva D, Carson-Stevens A, et al. How safe is primary care? A systematic review. BMJ Qual
Saf. 2016;25(7):544-53. doi:10.1136/bmjqs-2015-004178.
https://psnet.ahrq.gov/issue/how-safe-primary-care-systematic-review
Patient safety in ambulato…
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psnet.ahrq.gov/node/36133/psn-pdf
April 16, 2010 - Low literacy impairs comprehension of prescription drug
warning labels.
April 16, 2010
Davis TC, Wolf MS, Bass PF, et al. Low literacy impairs comprehension of prescription drug warning labels.
J Gen Intern Med. 2006;21(8):847-51.
https://psnet.ahrq.gov/issue/low-literacy-impairs-comprehension-prescription-drug-wa…
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psnet.ahrq.gov/node/846754/psn-pdf
March 29, 2023 - Improving safety by evaluating the impact of the supply
chain and drug shortages on health-systems.
March 29, 2023
Patel V, Cieslak K, Hertig JB. Improving safety by evaluating the impact of the supply chain and drug
shortages on health-systems. Hosp Pharm. 2023;58(2):120-124. doi:10.1177/00185787221126338.
https:…
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psnet.ahrq.gov/node/34673/psn-pdf
December 23, 2008 - Relationship between medication errors and adverse drug
events.
December 23, 2008
Bates DW, Boyle DL, Vliet MBV, et al. Relationship between medication errors and adverse drug events. J
Gen Intern Med. 1995;10(4):199-205.
https://psnet.ahrq.gov/issue/relationship-between-medication-errors-and-adverse-drug-events
…
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psnet.ahrq.gov/node/47589/psn-pdf
January 09, 2019 - Framework for Effective Board Governance of Health
System Quality.
January 9, 2019
Daley Ullem E, Gandhi TK, Mate K, et al. IHI White Paper. Boston, MA: Institute for Healthcare
Improvement; 2018.
https://psnet.ahrq.gov/issue/framework-effective-board-governance-health-system-quality
The role of hospital boards i…
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psnet.ahrq.gov/node/838081/psn-pdf
September 14, 2022 - Medication dosage calculation among nursing students:
does digital technology make a difference? A literature
review.
September 14, 2022
Stake-Nilsson K, Almstedt M, Fransson G, et al. Medication dosage calculation among nursing students:
does digital technology make a difference? A literature review. BMC Nurs. 20…
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psnet.ahrq.gov/node/35703/psn-pdf
July 13, 2010 - Injury and liability associated with monitored anesthesia
care: a closed claims analysis.
July 13, 2010
Bhananker SM, Posner KL, Cheney FW, et al. Injury and liability associated with monitored anesthesia
care: a closed claims analysis. Anesthesiology. 2006;104(2):228-234.
https://psnet.ahrq.gov/issue/injury-and-l…
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psnet.ahrq.gov/node/60581/psn-pdf
June 10, 2020 - Correlation between hospital rating agencies' data: an
analysis and recommendation.
June 10, 2020
Sondheim SE, Mattie A, Vigil J, et al. Correlation between hospital rating agencies’ data: An analysis and
recommendation. J Healthc Risk Manag. 2020;40(3):18-24. doi:10.1002/jhrm.21413.
https://psnet.ahrq.gov/issue/c…
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psnet.ahrq.gov/node/43311/psn-pdf
July 02, 2014 - Some IV medications are diluted unnecessarily in patient
care areas, creating undue risk.
July 2, 2014
ISMP Medication Safety Alert! Acute Care Edition. June 19, 2014;19:1-5.
https://psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating-
undue-risk
This newsletter article …
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psnet.ahrq.gov/node/865877/psn-pdf
May 15, 2024 - Refining a framework to enhance communication in the
emergency department during the diagnostic process: an
eDelphi approach.
May 15, 2024
Manojlovich M, Bettencourt AP, Mangus CW, et al. Refining a framework to enhance communication in the
emergency department during the diagnostic process: an eDelphi approach. J…
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psnet.ahrq.gov/node/73519/psn-pdf
July 21, 2021 - Outcomes of medication misadventure among people
with cognitive impairment or dementia: a systematic
review and meta-analysis.
July 21, 2021
Zaidi AS, Peterson GM, Bereznicki LRE, et al. Outcomes of medication misadventure among people with
cognitive impairment or dementia: a systematic review and meta-analysis. A…
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psnet.ahrq.gov/node/72818/psn-pdf
March 10, 2021 - 'It's all about patient safety': an ethnographic study of
how pharmacy staff construct medicines safety in the
context of polypharmacy.
March 10, 2021
Fudge N, Swinglehurst D. ‘It's all about patient safety’: an ethnographic study of how pharmacy staff
construct medicines safety in the context of polypharmacy. BMJ…
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psnet.ahrq.gov/node/837664/psn-pdf
July 13, 2022 - Cognitive and implicit biases in nurses' judgment and
decision-making: a scoping review.
July 13, 2022
Thirsk LM, Panchuk JT, Stahlke S, et al. Cognitive and implicit biases in nurses' judgment and decision-
making: a scoping review. Int J Nurs Stud. 2022;133:104284. doi:10.1016/j.ijnurstu.2022.104284.
https://psn…
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psnet.ahrq.gov/node/864374/psn-pdf
March 13, 2024 - Power of saying ‘I Don’t Know’: psychological safety and
participatory strategies for healthcare leaders.
March 13, 2024
Hunt DF. Power of saying ‘I Don’t Know’: psychological safety and participatory strategies for healthcare
leaders. BMJ Lead. 2024;Epub Jan 17. doi:10.1136/leader-2023-000906.
https://psnet.ahrq.…