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psnet.ahrq.gov/node/867535/psn-pdf
January 15, 2025 - Perioperative patient safety recommendations:
systematic review of clinical practice guidelines.
January 15, 2025
Martínez-Nicolas I, Arnal-Velasco D, Romero-García E, et al. Perioperative patient safety
recommendations: systematic review of clinical practice guidelines. BJS Open. 2024;8(6):zrae143.
doi:10.1093/bj…
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psnet.ahrq.gov/node/40906/psn-pdf
November 16, 2011 - What is the value and impact of quality and safety teams?
A scoping review.
November 16, 2011
White DE, Straus SE, Stelfox T, et al. What is the value and impact of quality and safety teams? A scoping
review. Implement Sci. 2011;6:97. doi:10.1186/1748-5908-6-97.
https://psnet.ahrq.gov/issue/what-value-and-impact-q…
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psnet.ahrq.gov/node/40120/psn-pdf
January 05, 2011 - The effect of medical emergency teams on patient
outcome: a review of the literature.
January 5, 2011
Laurens NH, Dwyer TA. The effect of medical emergency teams on patient outcome: a review of the
literature. Int J Nurs Pract. 2010;16(6):533-44. doi:10.1111/j.1440-172X.2010.01879.x.
https://psnet.ahrq.gov/issue/e…
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psnet.ahrq.gov/node/74176/psn-pdf
December 15, 2021 - Reducing medication errors for adults in hospital
settings.
December 15, 2021
Ciapponi A, Fernandez Nievas SE, Seijo M, et al. Reducing medication errors for adults in hospital settings.
Cochrane Database Syst Rev. 2021;11(11):CD009985. doi:10.1002/14651858.cd009985.pub2.
https://psnet.ahrq.gov/issue/reducing-medi…
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psnet.ahrq.gov/node/48004/psn-pdf
May 08, 2019 - Organizing Patient Safety: Failsafe Fantasies and
Pragmatic Practices.
May 8, 2019
Pedersen KZ. London, United Kingdom: Palgrave Macmillan; 2018. ISBN: 9781137537850.
https://psnet.ahrq.gov/issue/organizing-patient-safety-failsafe-fantasies-and-pragmatic-practices
The book suggests that though a systems orientatio…
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psnet.ahrq.gov/node/38203/psn-pdf
November 05, 2008 - Addressing prehospital patient safety using the science
of injury prevention and control.
November 5, 2008
Meisel ZF, Hargarten S, Vernick J. Addressing prehospital patient safety using the science of injury
prevention and control. Prehosp Emerg Care. 2008;12(4):411-6. doi:10.1080/10903120802290851.
https://psnet.…
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psnet.ahrq.gov/issue/impact-closed-loop-electronic-prescribing-and-administration-system-prescribing-errors
November 13, 2009 - Study
The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study.
Citation Text:
Franklin BD, O'Grady K, Donyai P, et al. The impact of a closed-loop electronic prescribing and admin…
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psnet.ahrq.gov/node/50936/psn-pdf
February 26, 2020 - Sitters as a patient safety strategy to reduce hospital
falls: a systematic review.
February 26, 2020
Greeley AM, Tanner EP, Mak S, et al. Sitters as a Patient Safety Strategy to Reduce Hospital Falls. Ann
Intern Med. 2020;172(5):317-324. doi:10.7326/m19-2628.
https://psnet.ahrq.gov/issue/sitters-patient-safety-st…
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psnet.ahrq.gov/primer/debriefing-clinical-learning
September 15, 2024 - pedagogical in delivery, but the simulation literature often suggests using a gentle, genuine inquiry methodology
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psnet.ahrq.gov/node/42481/psn-pdf
August 14, 2013 - Drug administration errors in hospital inpatients: a
systematic review.
August 14, 2013
Berdot S, Gillaizeau F, Caruba T, et al. Drug administration errors in hospital inpatients: a systematic
review. PLoS One. 2013;8(6):e68856. doi:10.1371/journal.pone.0068856.
https://psnet.ahrq.gov/issue/drug-administration-err…
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psnet.ahrq.gov/node/36225/psn-pdf
July 10, 2008 - Transfers of patient care between house staff on internal
medicine wards: a national survey.
July 10, 2008
Horwitz LI, Krumholz HM, Green M, et al. Transfers of patient care between house staff on internal
medicine wards: a national survey. Arch Intern Med. 2006;166(11):1173-7.
https://psnet.ahrq.gov/issue/transfe…
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psnet.ahrq.gov/node/43825/psn-pdf
January 28, 2015 - A systematic review of adult admissions to ICUs related
to adverse drug events.
January 28, 2015
Jolivot P-A, Hindlet P, Pichereau C, et al. A systematic review of adult admissions to ICUs related to
adverse drug events. Crit Care. 2014;18(6):643. doi:10.1186/s13054-014-0643-5.
https://psnet.ahrq.gov/issue/systema…
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psnet.ahrq.gov/node/42360/psn-pdf
April 16, 2018 - Wrong-patient medication errors: an analysis of event
reports in Pennsylvania and strategies for prevention.
April 16, 2018
Yang A, Grissinger M. PA-PSRS Patient Saf Advis. June 2013;10:41-49.
https://psnet.ahrq.gov/issue/wrong-patient-medication-errors-analysis-event-reports-pennsylvania-and-
strategies-preventio…
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psnet.ahrq.gov/node/43898/psn-pdf
February 11, 2015 - Special Section on Patient Safety and Quality in
Healthcare.
February 11, 2015
Andersen HB, Lipczak H, Borch-Johnsen K, eds. Cogn Technol Work. 2015;17:1-155.
https://psnet.ahrq.gov/issue/special-section-patient-safety-and-quality-healthcare
Articles in this special issue explore patient safety from a sociotechnic…
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psnet.ahrq.gov/node/40577/psn-pdf
July 06, 2011 - Reducing potentially fatal errors associated with high
doses of insulin: a successful multifaceted
multidisciplinary prevention strategy.
July 6, 2011
Dooley MJ, Wiseman M, McRae A, et al. Reducing potentially fatal errors associated with high doses of
insulin: a successful multifaceted multidisciplinary preventio…
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psnet.ahrq.gov/node/838185/psn-pdf
September 28, 2022 - How to mitigate the effects of cognitive biases during
patient safety incident investigations.
September 28, 2022
Rogers JE, Hilgers TR, Keebler JR, et al. How to mitigate the effects of cognitive biases during patient
safety incident investigations. Jt Comm J Qual Patient Saf. 2022;48(11):612-616.
doi:10.1016/j.j…
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psnet.ahrq.gov/node/74074/psn-pdf
November 17, 2021 - How safe is prehospital care? A systematic review.
November 17, 2021
O’Connor P, O’malley R, Lambe KA, et al. How safe is prehospital care? A systematic review. Int J Qual
Health Care. 2021;33(4):mzab138. doi:10.1093/intqhc/mzab138.
https://psnet.ahrq.gov/issue/how-safe-prehospital-care-systematic-review
Patient s…
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psnet.ahrq.gov/node/50414/psn-pdf
September 04, 2019 - Rating the raters: an evaluation of publicly reported
hospital quality rating systems.
September 4, 2019
Bilimoria KY, Birkmeyer JD, Burstin H, et al. NEJM Catalyst. August 14, 2019.
https://psnet.ahrq.gov/issue/rating-raters-evaluation-publicly-reported-hospital-quality-rating-systems
Numerous publicly available …
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psnet.ahrq.gov/node/845072/psn-pdf
February 22, 2023 - A systems analysis of work-related violence in hospitals:
stakeholders, contributory factors, and leverage points.
February 22, 2023
Salmon PM, Coventon L, Read GJM. A systems analysis of work-related violence in hospitals:
stakeholders, contributory factors, and leverage points. Safety Sci. 2022;156:105899.
doi:1…
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psnet.ahrq.gov/node/46614/psn-pdf
November 29, 2017 - Interventions to improve hand hygiene compliance in the
ICU: a systematic review.
November 29, 2017
Lydon S, Power M, McSharry J, et al. Interventions to Improve Hand Hygiene Compliance in the ICU. Crit
Care Med. 2017;45(11). doi:10.1097/ccm.0000000000002691.
https://psnet.ahrq.gov/issue/interventions-improve-hand…