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psnet.ahrq.gov/node/73359/psn-pdf
June 02, 2020 - Patient Safety Movement Foundation.
June 2, 2020
15642 Sand Canyon Ave. #51268, Irvine, CA 92619. 877-236-0279, info@psmf.org.
https://psnet.ahrq.gov/issue/patient-safety-movement-foundation
This organization shares best practices to align and optimize efforts toward eliminating patient harm by the
…
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psnet.ahrq.gov/node/60951/psn-pdf
September 23, 2020 - A Guide to Patient Safety Improvement: Integrating
Knowledge Translation & Quality Improvement
Approaches.
September 23, 2020
Edmonton, Alberta; Canadian Patient Safety Institute: 2020. ISBN: 9781926541846.
https://psnet.ahrq.gov/issue/guide-patient-safety-improvement-integrating-knowledge-translation-quality-
im…
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psnet.ahrq.gov/node/47734/psn-pdf
March 13, 2019 - Medicare trims payments to 800 hospitals, citing patient
safety incidents.
March 13, 2019
Rau J. Kaiser Health News. March 1, 2019.
https://psnet.ahrq.gov/issue/medicare-trims-payments-800-hospitals-citing-patient-safety-incidents
Financial incentives may encourage adoption of practice improvements that enhance sa…
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psnet.ahrq.gov/node/34805/psn-pdf
November 07, 2017 - Medication errors in neonatal and paediatric intensive-
care units.
November 7, 2017
Raju TN, Kecskes S, Thornton JP, et al. Medication errors in neonatal and paediatric intensive-care units.
Lancet. 1989;2(8659):374-6.
https://psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units
Th…
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psnet.ahrq.gov/node/46059/psn-pdf
July 11, 2017 - Pathologists' perspectives on disclosing harmful
pathology error.
July 11, 2017
Dintzis SM, Clennon EK, Prouty CD, et al. Pathologists' Perspectives on Disclosing Harmful Pathology
Error. Arch Pathol Lab Med. 2017;141(6):841-845. doi:10.5858/arpa.2016-0136-OA.
https://psnet.ahrq.gov/issue/pathologists-perspectives…
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psnet.ahrq.gov/node/41565/psn-pdf
December 21, 2014 - Pursuing professional accountability: an evidence-based
approach to addressing residents with behavioral
problems.
December 21, 2014
Sanfey H, DaRosa DA, Hickson GB, et al. Pursuing professional accountability: an evidence-based
approach to addressing residents with behavioral problems. Arch Surg. 2012;147(7):642-…
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psnet.ahrq.gov/node/38551/psn-pdf
April 15, 2009 - Harm caused by adverse events in primary care: a clinical
observational study.
April 15, 2009
Wetzels R, Wolters R, van Weel C, et al. Harm caused by adverse events in primary care: a clinical
observational study. J Eval Clin Pract. 2009;15(2):323-7. doi:10.1111/j.1365-2753.2008.01005.x.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/35339/psn-pdf
April 23, 2014 - Disclosing harmful medical errors to patients: a time for
professional action.
April 23, 2014
Gallagher TH, Levinson W. Disclosing Harmful Medical Errors to Patients. Arch Intern Med. 2005;165(16).
doi:10.1001/archinte.165.16.1819.
https://psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-time-profes…
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psnet.ahrq.gov/node/43700/psn-pdf
November 19, 2014 - Appropriate use of medical interpreters.
November 19, 2014
Juckett G, Unger K. Appropriate use of medical interpreters. Am Fam Physician. 2014;90(7):476-80.
https://psnet.ahrq.gov/issue/appropriate-use-medical-interpreters
Language barriers between patients and providers can contribute to misunderstandings and lead…
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psnet.ahrq.gov/node/849130/psn-pdf
May 17, 2023 - Comparing perspectives on organisational silence: an
analysis of the Gosport inquiry.
May 17, 2023
Powell M. J Health Org Manag. 2023;37(1):67-83.
https://psnet.ahrq.gov/issue/comparing-perspectives-organisational-silence-analysis-gosport-inquiry
Individual, team, and organizational willingness to identify and add…
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psnet.ahrq.gov/node/72581/psn-pdf
December 16, 2020 - Dispensing Errors.
December 16, 2020
Phipps D, Ashour A, Riste L, et al. The Pharmaceutical Journal. 2020;305(7943, 7944).
November 10, December 1, 2020.
https://psnet.ahrq.gov/issue/dispensing-errors
Dispensing mistakes are a common contributor to preventable adverse events in community pharmacies.
Par…
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psnet.ahrq.gov/node/40287/psn-pdf
March 16, 2011 - The influence of 'Tall Man' lettering on errors of visual
perception in the recognition of written drug names.
March 16, 2011
Darker IT, Gerret D, Filik R, et al. The influence of 'Tall Man' lettering on errors of visual perception in the
recognition of written drug names. Ergonomics. 2011;54(1):21-33. doi:10.1080/…
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psnet.ahrq.gov/node/43566/psn-pdf
December 19, 2014 - Bedside shift reports: what does the evidence say?
December 19, 2014
Gregory S, Tan D, Tilrico M, et al. Bedside shift reports: what does the evidence say? J Nurs Adm.
2014;44(10):541-5. doi:10.1097/NNA.0000000000000115.
https://psnet.ahrq.gov/issue/bedside-shift-reports-what-does-evidence-say
Bedside shift report…
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psnet.ahrq.gov/node/34922/psn-pdf
February 25, 2009 - Potential errors and their prevention in operating room
teamwork as experienced by Finnish, British and
American nurses.
February 25, 2009
Silén-Lipponen M, Tossavainen K, Turunen H, et al. Potential errors and their prevention in operating room
teamwork as experienced by Finnish, British and American nurses. Int …
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psnet.ahrq.gov/node/60153/psn-pdf
March 25, 2020 - A protocol for the safe use of hazardous drugs in the OR.
March 25, 2020
Hemingway MW, Meleis L, Oliver J, et al. A protocol for the safe use of hazardous drugs in the OR. AORN
J. 2020;111(3). doi:10.1002/aorn.12960.
https://psnet.ahrq.gov/issue/protocol-safe-use-hazardous-drugs-or
Perioperative personnel often ca…
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psnet.ahrq.gov/node/40581/psn-pdf
November 02, 2011 - Retractions in the medical literature: how many patients
are put at risk by flawed research?
November 2, 2011
Steen G. Retractions in the medical literature: how many patients are put at risk by flawed research? J Med
Ethics. 2011;37(11):688-92. doi:10.1136/jme.2011.043133.
https://psnet.ahrq.gov/issue/retractions…
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psnet.ahrq.gov/node/36447/psn-pdf
March 28, 2011 - Citation classics in patient safety research: an invitation
to contribute to an online bibliography.
March 28, 2011
Lilford R, Stirling S, Maillard N. Citation classics in patient safety research: an invitation to contribute to an
online bibliography. Qual Saf Health Care. 2006;15(5):311-3.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/46750/psn-pdf
January 31, 2018 - Iowans' Views on Medical Errors: Iowa Patient Safety
Study.
January 31, 2018
Clive, IA: Heartland Health Research Institute; January 7, 2018.
https://psnet.ahrq.gov/issue/iowans-views-medical-errors-iowa-patient-safety-study
Patient perspectives can provide insights regarding areas in need of improvement. This sur…
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psnet.ahrq.gov/node/46944/psn-pdf
March 21, 2018 - Critical Deficiencies at the Washington DC VA Medical
Center.
March 21, 2018
Washington, DC: Department of Veterans Affairs, Office of Inspector General. March 7, 2018. Report No.
17-02644-130.
https://psnet.ahrq.gov/issue/critical-deficiencies-washington-dc-va-medical-center
Systemic weaknesses in the Veterans A…
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psnet.ahrq.gov/node/45051/psn-pdf
May 11, 2016 - Pediatric quality and safety: a nursing perspective.
May 11, 2016
Butler GA, Hupp DS. Pediatric Quality and Safety. Pediatr Clin North Am. 2016;63(2).
doi:10.1016/j.pcl.2015.11.005.
https://psnet.ahrq.gov/issue/pediatric-quality-and-safety-nursing-perspective
Nurses play a key role in ensuring safety, particularly…