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psnet.ahrq.gov/node/50676/psn-pdf
November 20, 2019 - Peer support for nurses as second victims: resilience,
burnout, and job satisfaction.
November 20, 2019
Connors C, Dukhanin V, March AL, et al. Peer support for nurses as second victims: Resilience, burnout,
and job satisfaction. J Patient Saf Risk Manag. 2019;25(1):22-28. doi:10.1177/2516043519882517.
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psnet.ahrq.gov/node/44902/psn-pdf
February 24, 2016 - Barriers to incident-reporting behavior among nursing
staff: a study based on the theory of planned behavior.
February 24, 2016
Lee Y-H, Yang C-C, Chen T-T. Barriers to incident-reporting behavior among nursing staff: A study based
on the theory of planned behavior. J Manag Organ. 2015;22(1):1-18. doi:10.1017/jmo.2…
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psnet.ahrq.gov/node/45552/psn-pdf
February 15, 2017 - Speaking up behaviours (safety voices) of healthcare
workers: a metasynthesis of qualitative research studies.
February 15, 2017
Morrow KJ, Gustavson AM, Jones J. Speaking up behaviours (safety voices) of healthcare workers: a
metasynthesis of qualitative research studies. Int J Nurs Stud. 2016;64:42-51.
doi:10.10…
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psnet.ahrq.gov/node/43713/psn-pdf
December 03, 2014 - Laboratory medicine handoff gaps experienced by
primary care practices: a report from the Shared
Networks of Collaborative Ambulatory Practices and
Partners (SNOCAP).
December 3, 2014
West DR, James KA, Fernald DH, et al. Laboratory medicine handoff gaps experienced by primary care
practices: A report from the sh…
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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.
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psnet.ahrq.gov/node/73419/psn-pdf
June 23, 2021 - Obtaining the best possible medication history at hospital
admission: description of a pharmacy technician-driven
program to identify medication discrepancies.
June 23, 2021
Kabir R, Liaw S, Cerise J, et al. Obtaining the best possible medication history at hospital admission:
description of a pharmacy technician-…
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psnet.ahrq.gov/node/46847/psn-pdf
March 28, 2018 - Advance care planning documentation practices and
accessibility in the electronic health record: implications
for patient safety.
March 28, 2018
Walker E, McMahan R, Barnes D, et al. Advance Care Planning Documentation Practices and Accessibility
in the Electronic Health Record: Implications for Patient Safety. J …
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psnet.ahrq.gov/node/47848/psn-pdf
May 08, 2019 - A mixed-method study of practitioners' perspectives on
issues related to EHR medication reconciliation at a
health system.
May 8, 2019
Rangachari P, Dellsperger KC, Fallaw D, et al. A Mixed-Method Study of Practitioners' Perspectives on
Issues Related to EHR Medication Reconciliation at a Health System. Qual Manag…
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psnet.ahrq.gov/node/73179/psn-pdf
January 01, 2022 - Use of therapeutic outcomes monitoring method for
performing of pharmaceutical care in oncology patients.
April 28, 2021
Cataldo RRV, Manaças LAR, Figueira PHM, et al. Use of therapeutic outcomes monitoring method for
performing of pharmaceutical care in oncology patients. J Oncol Pharm Pract. 2022;28(4):884-891.
…
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psnet.ahrq.gov/node/34712/psn-pdf
February 18, 2011 - Incidence of adverse events and negligence in
hospitalized patients. Results of the Harvard Medical
Practice Study I.
February 18, 2011
Brennan TA, Leape LL, Laird NM, et al. Incidence of Adverse Events and Negligence in Hospitalized
Patients. N Engl J Med. 1991;324(6):370-376. doi:10.1056/nejm199102073240604.
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September 21, 2022 - Exploration of a rapid response team model of care: a
descriptive dual methods study.
September 21, 2022
Shiell A, Fry M, Elliott D, et al. Exploration of a rapid response team model of care: a descriptive dual
methods study. Intensive Crit Care Nurs. 2022;73:103294. doi:10.1016/j.iccn.2022.103294.
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psnet.ahrq.gov/node/44942/psn-pdf
September 29, 2017 - Challenges in patient safety improvement research in the
era of electronic health records.
September 29, 2017
Russo E, Sittig DF, Murphy DR, et al. Challenges in patient safety improvement research in the era of
electronic health records. Healthc (Amst). 2016;4(4):285-290. doi:10.1016/j.hjdsi.2016.06.005.
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psnet.ahrq.gov/node/45029/psn-pdf
April 20, 2016 - Threats to safety during sedation outside of the operating
room and the death of Michael Jackson.
April 20, 2016
Webster CS, Mason KP, Shafer SL. Threats to safety during sedation outside of the operating room and
the death of Michael Jackson. Curr Opin Anaesthesiol. 2016;29 Suppl 1:S36-47.
doi:10.1097/ACO.0000000…
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psnet.ahrq.gov/node/866080/psn-pdf
June 05, 2024 - Giving up learning from failures? An examination of
learning from one's own failures in the context of heart
surgeons.
June 5, 2024
Lee S, Park J. Giving up learning from failures? An examination of learning from one's own failures in the
context of heart surgeons. Strat Manage J. 2024;45(10):2063-2094. doi:10.100…
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psnet.ahrq.gov/node/844777/psn-pdf
September 18, 2019 - Adapting cognitive task analysis to investigate clinical
decision making and medication safety incidents.
September 18, 2019
Russ AL, Militello LG, Glassman PA, et al. Adapting Cognitive Task Analysis to Investigate Clinical
Decision Making and Medication Safety Incidents. J Patient Saf. 2019;15(3):191-197.
doi:10…
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psnet.ahrq.gov/node/48065/psn-pdf
June 15, 2019 - Catastrophic drug errors involving tranexamic acid
administered during spinal anaesthesia.
June 15, 2019
Patel S, Robertson B, McConachie I. Catastrophic drug errors involving tranexamic acid administered
during spinal anaesthesia. Anaesthesia. 2019;74(7):904-914. doi:10.1111/anae.14662.
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psnet.ahrq.gov/node/836918/psn-pdf
April 13, 2022 - How to scale up quality and safety program with the home
care accreditation.
April 13, 2022
Brunelli L, Cristofori V, Battistella C, et al. How to scale up quality and safety program with the home care
accreditation. Int J Integr Care. 2022;22(1):19. doi:10.5334/ijic.5698.
https://psnet.ahrq.gov/issue/how-scale-qu…
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psnet.ahrq.gov/node/41033/psn-pdf
December 21, 2014 - Association between implementation of a medical team
training program and surgical morbidity.
December 21, 2014
Young-Xu Y, Neily J, Mills PD, et al. Association between implementation of a medical team training
program and surgical morbidity. Arch Surg. 2011;146(12):1368-73. doi:10.1001/archsurg.2011.762.
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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/837769/psn-pdf
August 03, 2022 - New graduate registered nurses: Risk mitigation
strategies to ensure safety and successful transition to
practice.
August 3, 2022
Smith CJ, DesRoches SL, Street NW, et al. New graduate registered nurses: risk mitigation strategies to
ensure safety and successful transition to practice. J Healthc Risk Manag. 2022;4…