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psnet.ahrq.gov/node/854386/psn-pdf
January 01, 2024 - Caregivers' perspectives on ethical challenges and
patient safety in tele-palliative care: an integrative review.
October 11, 2023
Schuessler N, Glarcher M. Caregivers' perspectives on ethical challenges and patient safety in tele-
palliative care: an integrative review. J Hosp Palliat Nurs. 2024;26(1):e1-e12.
doi…
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psnet.ahrq.gov/node/863308/psn-pdf
February 28, 2024 - fasting time, then rapid sequence intubation (RSI) with
endotracheal intubation is likely the safest option … Preemptive nasogastric tube placement has been proposed as an option to reduce aspiration risk, but
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psnet.ahrq.gov/node/46552/psn-pdf
October 25, 2017 - The power of regret.
October 25, 2017
Groopman J, Hartzband P. The Power of Regret. N Engl J Med. 2017;377(16):1507-1509.
doi:10.1056/NEJMp1709917.
https://psnet.ahrq.gov/issue/power-regret
Clinicians may feel regret when the care they provide falls short of their expectations. This commentary
explores how regret…
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psnet.ahrq.gov/issue/implementation-strategy-multicenter-pediatric-rapid-response-system-ontario
September 09, 2015 - Commentary
An implementation strategy for a multicenter pediatric rapid response system in Ontario.
Citation Text:
Buist MD, Shearer W. Rapid Response Systems: A Mandatory System of Care or an Optional Extra for Bedside Clinical Staff? The Joint Commission Journal on Quality and Patient …
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psnet.ahrq.gov/node/859355/psn-pdf
December 20, 2023 - Systems-Based Approaches to Improve Patient Safety by
Improving Healthcare Worker Safety and Well-Being (R01
Clinical Trial Optional).
December 20, 2023
PA-24-093. Rockville, MD: Agency for Healthcare Research and Quality. December 5, 2023.
https://psnet.ahrq.gov/issue/systems-based-approaches-improve-patient-safe…
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psnet.ahrq.gov/node/72785/psn-pdf
July 22, 2024 - Using Innovative Digital Healthcare Solutions to Improve
Quality at the Point of Care (R21/R33 - Clinical Trial
Optional).
July 22, 2024
Rockville, MD: Agency for Healthcare Research and Quality; July 19, 2024. PA-24-266.
https://psnet.ahrq.gov/issue/using-innovative-digital-healthcare-solutions-improve-qual…
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psnet.ahrq.gov/node/48155/psn-pdf
August 07, 2019 - How to prevent or reduce prescribing errors: an evidence
brief for policy authors.
August 7, 2019
de Araújo BC, de Melo RC, de Bortoli MC, et al. How to prevent or reduce prescribing errors: an evidence
brief for policy authors. Front Pharmacol. 2019;10:439. doi:10.3389/fphar.2019.00439.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/46784/psn-pdf
January 11, 2023 - Patient Safety Learning Laboratories: Advancing Patient
Safety through Design, Systems Engineering, and Health
Services Research (R18 Clinical Trial Optional).
January 11, 2023
Rockville, MD: Agency for Healthcare Research and Quality. PA-21-266.
https://psnet.ahrq.gov/issue/patient-safety-learning-laboratories-ad…
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psnet.ahrq.gov/node/855421/psn-pdf
November 15, 2023 - Informatics tools in deprescribing and medication
optimization in older adults: development and
dissemination of VIONE methodology in a high reliability
organization.
November 15, 2023
Winter SG, Sedgwick C, Wallace-Lacey A, et al. Informatics tools in deprescribing and medication
optimization in older adults: de…
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psnet.ahrq.gov/node/865873/psn-pdf
May 15, 2024 - A review of medication errors and the second victim in
pediatric pharmacy.
May 15, 2024
Bredenkamp K, Raschka MJ, Holmes A. A review of medication errors and the second victim in pediatric
pharmacy. J Pediatr Pharmacol Ther. 2024;29(2):100-106. doi:10.5863/1551-6776-29.2.100.
https://psnet.ahrq.gov/issue/review-me…
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psnet.ahrq.gov/node/853622/psn-pdf
January 01, 2024 - Enhancing patient safety: a national standard for cyber
resiliency in healthcare.
September 20, 2023
Samuelson-Kiraly C, Mitchell JI, Kingston D, et al. Enhancing patient safety: A national standard for cyber
resiliency in healthcare. Healthc Manage Forum. 2024;37(1):9-12. doi:10.1177/08404704231196138.
https://ps…
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psnet.ahrq.gov/node/47024/psn-pdf
November 28, 2018 - FDA Safety Communication: use caution with implanted
pumps for intrathecal administration of medicines for
pain management.
November 28, 2018
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; November 14, 2018.
https://psnet.ahrq.gov/issue/fda-safety-communication-use-caution-implanted-pum…
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psnet.ahrq.gov/node/35286/psn-pdf
February 24, 2011 - Outpatient prescribing errors and the impact of
computerized prescribing.
February 24, 2011
Gandhi TK, Weingart SN, Seger AC, et al. Outpatient prescribing errors and the impact of computerized
prescribing. J Gen Intern Med. 2005;20(9):837-841. doi:10.1111/j.1525-1497.2005.0194.x.
https://psnet.ahrq.gov/issue/outp…
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psnet.ahrq.gov/node/45221/psn-pdf
July 18, 2016 - When less is better, but physicians are afraid not to
intervene.
July 18, 2016
Esserman L. When Less Is Better, but Physicians Are Afraid Not to Intervene. JAMA Intern Med.
2016;176(7):888-9. doi:10.1001/jamainternmed.2016.2257.
https://psnet.ahrq.gov/issue/when-less-better-physicians-are-afraid-not-intervene
Bia…
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psnet.ahrq.gov/node/859342/psn-pdf
December 20, 2023 - Influence of comorbid depression and diagnostic workup
on diagnosis of physical illness: a randomized
experiment.
December 20, 2023
Isbell LM, Graber ML, Rovenpor DR, et al. Influence of comorbid depression and diagnostic workup on
diagnosis of physical illness: a randomized experiment. Diagnosis. 2023;10(3):257-2…
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psnet.ahrq.gov/node/867041/psn-pdf
October 30, 2024 - "What else could it be?" A scoping review of questions
for patients to ask throughout the diagnostic process.
October 30, 2024
Hill MA, Coppinger T, Sedig K, et al. "What else could it be?" A scoping review of questions for patients to
ask throughout the diagnostic process. J Patient Saf. 2024;20(8):529-534.
doi:1…
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psnet.ahrq.gov/node/47776/psn-pdf
August 20, 2021 - FDA Safety Communication: update--robotically-assisted
surgical devices in mastectomy.
August 20, 2021
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 20, 2021.
https://psnet.ahrq.gov/issue/fda-safety-communication-caution-when-using-robotically-assisted-surgical-
devices-womens
…
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psnet.ahrq.gov/node/73441/psn-pdf
June 30, 2021 - Assessment of patient-preferred language to achieve
goal-aligned deprescribing in older adults.
June 30, 2021
Green AR, Aschmann H, Boyd CM, et al. Assessment of patient-preferred language to achieve goal-
aligned deprescribing in older adults. JAMA Netw Open. 2021;4(4):e212633.
doi:10.1001/jamanetworkopen.2021.26…
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psnet.ahrq.gov/node/60015/psn-pdf
March 04, 2020 - Uncertainty in decision making in medicine: a scoping
review and thematic analysis of conceptual models.
March 4, 2020
Helou MA, DiazGranados D, Ryan MS, et al. Uncertainty in Decision Making in Medicine. Acad Med.
2020;95(1):157-165. doi:10.1097/acm.0000000000002902.
https://psnet.ahrq.gov/issue/uncertainty-decis…
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psnet.ahrq.gov/node/837642/psn-pdf
July 06, 2022 - Supplemental Item Set for Nursing Home SOPS: Call for
Pilot Participants.
July 6, 2022
Rockville, MD: Agency for Health Quality and Research; June 2022.
https://psnet.ahrq.gov/issue/supplemental-item-set-nursing-home-sops-call-pilot-participants
The potential for workplace violence degrades patient and staff safet…