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psnet.ahrq.gov/issue/patient-safety-incidents-associated-obesity-review-reports-national-patient-safety-agency-and
October 19, 2022 - Study
Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice.
Citation Text:
Booth CMA, Moore CE, Eddleston J, et al. Patient safety incidents associated with obesity: a review of reports to …
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psnet.ahrq.gov/issue/impact-pharmacists-led-medicines-reconciliation-healthcare-outcomes-secondary-care-systematic
August 07, 2024 - Review
Emerging Classic
The impact of pharmacists-led medicines reconciliation on healthcare outcomes in secondary care: a systematic review and meta-analysis of randomized controlled trials.
Citation Text:
Cheema E, Alhomoud FK, Kinsara ASA-D, et al. The impact…
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psnet.ahrq.gov/issue/simulation-exercises-patient-safety-strategy-systematic-review
March 13, 2013 - Review
Simulation exercises as a patient safety strategy: a systematic review.
Citation Text:
Schmidt E, Goldhaber-Fiebert SN, Ho LA, et al. Simulation exercises as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):426-32. doi:10.7326/0003-4819-158-5-2013…
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psnet.ahrq.gov/issue/implementation-and-adaptation-re-engineered-discharge-red-five-california-hospitals
August 04, 2021 - Study
Implementation and adaptation of the Re-Engineered Discharge (RED) in five California hospitals: a qualitative research study.
Citation Text:
Mitchell SE, Weigel GM, Laurens V, et al. Implementation and adaptation of the Re-Engineered Discharge (RED) in five California hospitals: a…
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psnet.ahrq.gov/issue/clinical-decision-support-atypical-orders-detection-and-warning-atypical-medication-orders
August 04, 2021 - Study
Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted to a computerized provider order entry system.
Citation Text:
Woods AD, Mulherin DP, Flynn AJ, et al. Clinical decision support for atypical orders: detection and warning of…
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psnet.ahrq.gov/issue/exploring-approaches-patient-safety-case-spinal-manipulation-therapy
September 11, 2024 - Study
Exploring approaches to patient safety: the case of spinal manipulation therapy.
Citation Text:
Rozmovits L, Mior S, Boon H. Exploring approaches to patient safety: the case of spinal manipulation therapy. BMC Complement Altern Med. 2016;16:164. doi:10.1186/s12906-016-1149-2.
Cop…
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psnet.ahrq.gov/issue/assessment-automating-safety-surveillance-electronic-health-records-analysis-quality-and
October 17, 2018 - Study
Assessment of automating safety surveillance from electronic health records: analysis for the quality and safety review system.
Citation Text:
Fong A, Adams KT, Samarth A, et al. Assessment of Automating Safety Surveillance From Electronic Health Records: Analysis for the Quality a…
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psnet.ahrq.gov/issue/teamwork-clinical-leadership-skills-and-environmental-factors-influence-missed-nursing-care
August 04, 2010 - Study
Teamwork, clinical leadership skills and environmental factors that influence missed nursing care - a qualitative study on hospital wards.
Citation Text:
Beiboer C, Andela R, Hafsteinsdóttir TB, et al. Teamwork, clinical leadership skills and environmental factors that influence mi…
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psnet.ahrq.gov/issue/assessing-system-thinking-senior-pharmacy-students-using-innovative-horror-room-simulation
May 01, 2004 - Study
Assessing system thinking in senior pharmacy students using the innovative "Horror Room" simulation setting: a cross-sectional survey of a non-technical skill.
Citation Text:
Aljuffali LA, Almalag HM, Alnaim L. Assessing system thinking in senior pharmacy students using the innovat…
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psnet.ahrq.gov/issue/impact-interruptions-duration-nursing-interventions-direct-observation-study-academic
February 13, 2019 - Study
The impact of interruptions on the duration of nursing interventions: a direct observation study in an academic emergency department.
Citation Text:
Cole G, Stefanus D, Gardner H, et al. The impact of interruptions on the duration of nursing interventions: a direct observation stud…
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psnet.ahrq.gov/issue/quality-improvements-decreasing-medication-administration-errors-made-nursing-staff-academic
March 24, 2019 - Study
Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era.
Citation Text:
Wang H-F, Jin J-F,…
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psnet.ahrq.gov/issue/clinicians-satisfaction-cpoe-ease-use-and-effect-clinicians-workflow-efficiency-and
August 10, 2022 - Study
Clinicians' satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medication safety.
Citation Text:
Khajouei R, Wierenga PC, Hasman A, et al. Clinicians satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medicatio…
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psnet.ahrq.gov/innovation/improving-formal-incivility-reporting-ambulatory-oncology-implementing-civic-duty
March 14, 2022 - EMERGING INNOVATIONS
Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program.
Citation Text:
Gordon JN. Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. Clin J Oncol Nurs. 2023;27(6):602-606. doi:10.1188/23…
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psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
April 26, 2023 - And it goes back to the aphorism that I learned a long time ago from a very wise CIO who said, "Computers
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psnet.ahrq.gov/perspective/covid-19-and-built-environment
June 30, 2021 - look beyond the crisis response to the pandemic, the question becomes how COVID-19 – and what has been learned … KH: Along those lines, Anjali, what have we learned over the course of this pandemic?
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psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia-facha
June 30, 2021 - KH: Along those lines, Anjali, what have we learned over the course of this pandemic? … look beyond the crisis response to the pandemic, the question becomes how COVID-19 – and what has been learned
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psnet.ahrq.gov/node/867601/psn-pdf
January 22, 2025 - AI: promise or peril for patient safety.
January 22, 2025
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.
https://psnet.ahrq.gov/issue/ai-promise-or-peril-patient-safety
Patients for Patient Safety US (PFPS-US) is a patie…
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psnet.ahrq.gov/node/47944/psn-pdf
April 17, 2019 - How to deliver safer and effective patient care: tips for
team leaders and educators.
April 17, 2019
Shah BJ. How to Deliver Safer and Effective Patient Care: Tips for Team Leaders and Educators.
Gastroenterology. 2019;156(4):852-855. doi:10.1053/j.gastro.2019.02.017.
https://psnet.ahrq.gov/issue/how-deliver-safer…
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psnet.ahrq.gov/node/46105/psn-pdf
May 01, 2022 - AORN Position Statement on Patient Safety.
May 1, 2022
AORN Position Statement on Patient Safety. AORN J. 2022;115(5):454-457. doi:10.1002/aorn.13671.
https://psnet.ahrq.gov/issue/aorn-position-statement-patient-safety
This position statement outlines recommendations from the Association of periOperative Registered…
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psnet.ahrq.gov/node/45111/psn-pdf
May 11, 2016 - Educational opportunities with postevent debriefing.
May 11, 2016
Mullan PC, Kessler DO, Cheng A. Educational opportunities with postevent debriefing. JAMA.
2014;312(22):2333-4. doi:10.1001/jama.2014.15741.
https://psnet.ahrq.gov/issue/educational-opportunities-postevent-debriefing
Real-time or near real-time lear…