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psnet.ahrq.gov/node/74127/psn-pdf
December 01, 2021 - Effectiveness of using simulation in the development of
clinical reasoning in undergraduate nursing students: a
systematic review.
December 1, 2021
Theobald KA, Tutticci N, Ramsbotham J, et al. Effectiveness of using simulation in the development of
clinical reasoning in undergraduate nursing students: a systemati…
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psnet.ahrq.gov/node/60324/psn-pdf
May 13, 2020 - A systematic review of factors that enable psychological
safety in healthcare teams.
May 13, 2020
O’Donovan R, McAuliffe E. A systematic review of factors that enable psychological safety in healthcare
teams. Int J Qual Health Care. 2020;32(4):240-250. doi:10.1093/intqhc/mzaa025.
https://psnet.ahrq.gov/issue/syste…
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psnet.ahrq.gov/node/836958/psn-pdf
April 20, 2022 - Crossover of the patient satisfaction surveys, adverse
events and patient complaints for continuous
improvement in radiotherapy department.
April 20, 2022
Cucchiaro SÉ, Princen F, Goreux JË, et al. Crossover of the patient satisfaction surveys, adverse events
and patient complaints for continuous improvement in ra…
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psnet.ahrq.gov/node/838181/psn-pdf
September 28, 2022 - Factors associated with potentially harmful medication
prescribing in nursing homes: a scoping review.
September 28, 2022
Lipori JP, Tu E, Shireman TI, et al. Factors associated with potentially harmful medication prescribing in
nursing homes: a scoping review. J Am Med Dir Assoc. 2022;23(9):1589.e1-1589.e10.
doi:…
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psnet.ahrq.gov/node/47554/psn-pdf
November 07, 2018 - Diagnostic Excellence Initiative.
November 7, 2018
Gordon and Betty Moore Foundation.
https://psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care
Missed or delayed diagnoses lead to delays in care and significant preventable harm for patients. Despite
an increasing focus on di…
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psnet.ahrq.gov/node/73890/psn-pdf
September 29, 2021 - Why do systems for responding to concerns and
complaints so often fail patients, families and healthcare
staff?
September 29, 2021
Martin GP, Chew S, Dixon-Woods M. Why do systems for responding to concerns and complaints so often
fail patients, families and healthcare staff? A qualitative study. Soc Sci Med. 2021…
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psnet.ahrq.gov/node/73094/psn-pdf
March 31, 2021 - Health care providers’ negative implicit attitudes and
stereotypes of American Indians.
March 31, 2021
Zestcott CA, Spece L, McDermott D, et al. Health care providers’ negative implicit attitudes and stereotypes
of American Indians. J Racial Ethn Health Disparities. 2021;8(1):230-236. doi:10.1007/s40615-020-00776-
…
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psnet.ahrq.gov/node/73183/psn-pdf
April 28, 2021 - Hearing impairment and the amelioration of avoidable
medical error: a cross-sectional survey.
April 28, 2021
Henn P, O’Tuathaigh C, Keegan D, et al. Hearing impairment and the amelioration of avoidable medical
error: a cross-sectional survey. J Patient Saf. 2021;17(3):e155-e160. doi:10.1097/pts.0000000000000298.
h…
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psnet.ahrq.gov/node/867134/psn-pdf
November 13, 2024 - Improving adverse drug event reporting by healthcare
professionals.
November 13, 2024
Shalviri G, Mohebbi N, Mirbaha F, et al. Improving adverse drug event reporting by healthcare
professionals. Cochrane Database Syst Rev. 2024;2024(10):CD012594.
doi:10.1002/14651858.cd012594.pub2.
https://psnet.ahrq.gov/issue/im…
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psnet.ahrq.gov/node/73887/psn-pdf
September 29, 2021 - Detection of missed fractures of hand and forearm in
whole-body CT in a blinded reassessment.
September 29, 2021
Kim S, Goelz L, Münn F, et al. Detection of missed fractures of hand and forearm in whole-body CT in a
blinded reassessment. BMC Musculoskelet Disord. 2021;22(1):589. doi:10.1186/s12891-021-04425-z.
htt…
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psnet.ahrq.gov/node/37226/psn-pdf
December 15, 2011 - Adverse drug events in pediatric outpatients.
December 15, 2011
Kaushal R, Goldmann DA, Keohane C, et al. Adverse drug events in pediatric outpatients. Ambul Pediatr.
2007;7(5):383-9.
https://psnet.ahrq.gov/issue/adverse-drug-events-pediatric-outpatients
The incidence of adverse drug events (ADEs) among children h…
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psnet.ahrq.gov/node/866808/psn-pdf
September 25, 2024 - What is safety leadership? A systematic review of
definitions.
September 25, 2024
Adra I, Giga S, Hardy C, et al. What is safety leadership? A systematic review of definitions. J Safety Res.
2024;90:181-191. doi:10.1016/j.jsr.2024.04.001.
https://psnet.ahrq.gov/issue/what-safety-leadership-systematic-review-defini…
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psnet.ahrq.gov/node/48079/psn-pdf
June 12, 2019 - Evaluating the implementation and impact of a pharmacy
technician-supported medicines administration service
designed to reduce omitted doses in hospitals: a
qualitative study.
June 12, 2019
Seston EM, Ashcroft DM, Lamerton E, et al. Evaluating the implementation and impact of a pharmacy
technician-supported medi…
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psnet.ahrq.gov/node/38662/psn-pdf
April 12, 2011 - Patient error: a preliminary taxonomy.
April 12, 2011
Buetow S, Kiata L, Liew T, et al. Patient error: a preliminary taxonomy. Ann Fam Med. 2009;7(3):223-31.
doi:10.1370/afm.941.
https://psnet.ahrq.gov/issue/patient-error-preliminary-taxonomy
Preliminary research has found that patient factors may contribute to er…
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psnet.ahrq.gov/node/42621/psn-pdf
October 31, 2014 - The global burden of unsafe medical care: analytic
modelling of observational studies.
October 31, 2014
Jha AK, Larizgoitia I, Audera-Lopez C, et al. The global burden of unsafe medical care: analytic modelling
of observational studies. BMJ Qual Saf. 2013;22(10):809-15. doi:10.1136/bmjqs-2012-001748.
https://psnet…
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psnet.ahrq.gov/node/45250/psn-pdf
July 27, 2016 - Risk factors for i.v. compounding errors when using an
automated workflow management system.
July 27, 2016
Deng Y, Lin AC, Hingl J, et al. Risk factors for i.v. compounding errors when using an automated workflow
management system. Am J Health Syst Pharm. 2016;73(12):887-893. doi:10.2146/ajhp150278.
https://psnet.…
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psnet.ahrq.gov/node/36442/psn-pdf
July 23, 2023 - TeamSTEPPS: Strategies and Tools to Enhance
Performance and Patient Safety.
July 23, 2023
Department of Health and Human Services, Agency for Healthcare Research and Quality, Department of
Defense.
https://psnet.ahrq.gov/issue/teamstepps-strategies-and-tools-enhance-performance-and-patient-safety
Effective teamwo…
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psnet.ahrq.gov/node/60541/psn-pdf
May 01, 2013 - Targeted versus universal decolonization to prevent ICU
infection.
May 1, 2013
Huang SS, Septimus E, Kleinman K, et al. Targeted versus universal decolonization to prevent ICU
infection. N Engl J Med. 2013;368(24):2255-2265. doi:10.1056/nejmoa1207290.
https://psnet.ahrq.gov/issue/targeted-versus-universal-decoloni…
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psnet.ahrq.gov/node/44773/psn-pdf
January 13, 2016 - A tool for the concise analysis of patient safety incidents.
January 13, 2016
Pham JC, Hoffman C, Popescu I, et al. A Tool for the Concise Analysis of Patient Safety Incidents. Jt
Comm J Qual Patient Saf. 2016;42(1):26-33.
https://psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents
Once identified,…
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psnet.ahrq.gov/node/72648/psn-pdf
January 20, 2021 - Nurse burnout predicts self-reported medication
administration errors in acute care hospitals.
January 20, 2021
Montgomery AP, Azuero A, Baernholdt MB, et al. Nurse burnout predicts self-reported medication
administration errors in acute care hospitals. J Healthc Qual. 2020;43(1):13-23.
doi:10.1097/jhq.00000000000…