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psnet.ahrq.gov/node/50780/psn-pdf
January 08, 2020 - An ethnography of parents' perceptions of patient safety
in the neonatal intensive care unit.
January 8, 2020
Ottosen MJ, Engebretson J, Etchegaray J, et al. An Ethnography of Parents' Perceptions of Patient Safety
in the Neonatal Intensive Care Unit. Adv Neonatal Care. 2019;19(6):500-508.
doi:10.1097/anc.00000000…
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psnet.ahrq.gov/node/38275/psn-pdf
December 10, 2008 - Quantification and classification of errors associated with
hand-repackaging of medications in long-term care
facilities in Germany.
December 10, 2008
Gerber A, Kohaupt I, Lauterbach KW, et al. Quantification and classification of errors associated with hand-
repackaging of medications in long-term care facilities…
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psnet.ahrq.gov/node/39062/psn-pdf
November 11, 2009 - Ensuring patient safety through effective leadership
behaviour: a literature review.
November 11, 2009
Künzle B, Kolbe M, Grote G. Ensuring patient safety through effective leadership behaviour: A literature
review. Saf Sci. 2009;48(1). doi:10.1016/j.ssci.2009.06.004.
https://psnet.ahrq.gov/issue/ensuring-patient-…
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psnet.ahrq.gov/node/43096/psn-pdf
August 22, 2016 - Rapid learning of adverse medical event disclosure and
apology.
August 22, 2016
Raemer D, Locke S, Walzer TB, et al. Rapid Learning of Adverse Medical Event Disclosure and Apology. J
Patient Saf. 2016;12(3):140-7. doi:10.1097/PTS.0000000000000080.
https://psnet.ahrq.gov/issue/rapid-learning-adverse-medical-event-d…
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psnet.ahrq.gov/node/45560/psn-pdf
October 19, 2016 - Learning from excellence in healthcare: a new approach
to incident reporting.
October 19, 2016
Kelly N, Blake S, Plunkett A. Learning from excellence in healthcare: a new approach to incident reporting.
Arch Dis Child. 2016;101(9):788-791. doi:10.1136/archdischild-2015-310021.
https://psnet.ahrq.gov/issue/learning…
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psnet.ahrq.gov/node/47275/psn-pdf
November 19, 2018 - Safety stop: a valuable addition to the pediatric universal
protocol.
November 19, 2018
Caruso TJ, Munshey F, Aldorfer B, et al. Safety Stop: A Valuable Addition to the Pediatric Universal
Protocol. Jt Comm J Qual Patient Saf. 2018;44(9):552-556. doi:10.1016/j.jcjq.2018.03.015.
https://psnet.ahrq.gov/issue/safety-…
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psnet.ahrq.gov/node/853249/psn-pdf
September 06, 2023 - How does robotic-assisted surgery change OR safety
culture?
September 6, 2023
How does robotic-assisted surgery change OR safety culture? AMA J Ethics. 2023;25(8):E615-E623.
doi:10.1001/amajethics.2023.615.
https://psnet.ahrq.gov/issue/how-does-robotic-assisted-surgery-change-or-safety-culture
The safety culture …
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psnet.ahrq.gov/node/40944/psn-pdf
March 06, 2012 - Using the Agency for Healthcare Research and Quality
Patient Safety Indicators for targeting nursing quality
improvement.
March 6, 2012
Zrelak PA, Utter GH, Sadeghi B, et al. Using the Agency for Healthcare Research and Quality patient
safety indicators for targeting nursing quality improvement. J Nurs Care Qual. …
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psnet.ahrq.gov/node/45567/psn-pdf
October 12, 2016 - Insulin Pens Devices.
October 12, 2016
Am J Health Syst Pharm. 2016;73(19 suppl 5);s1-s47.
https://psnet.ahrq.gov/issue/insulin-pens-devices
As a high-alert medication, insulin has the potential to result in serious patient harm if administered
incorrectly. Articles in this special issue discuss recommendations de…
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psnet.ahrq.gov/node/46714/psn-pdf
January 10, 2018 - A system-based approach to managing patient safety in
ambulatory care (and beyond).
January 10, 2018
Burger C, Eaton P, Hess K, et al. Patient Saf Qual Healthc. December 12, 2017.
https://psnet.ahrq.gov/issue/system-based-approach-managing-patient-safety-ambulatory-care-and-beyond
Systems-based improvements are ke…
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psnet.ahrq.gov/node/842774/psn-pdf
January 18, 2023 - ER doctors misdiagnose patients with unusual
symptoms.
January 18, 2023
Abelson R. New York Times. December 15, 2022.
https://psnet.ahrq.gov/issue/er-doctors-misdiagnose-patients-unusual-symptoms
Emergency department safety is challenged by factors such as production pressure, burnout, and
overcrowding. This news…
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psnet.ahrq.gov/node/43370/psn-pdf
July 30, 2014 - The legibility of prescription medication labelling in
Canada: moving from pharmacy-centred to patient-
centred labels.
July 30, 2014
Leat SJ, Ahrens K, Krishnamoorthy A, et al. The legibility of prescription medication labelling in Canada:
Moving from pharmacy-centred to patient-centred labels. Can Pharm J (Ott).…
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psnet.ahrq.gov/node/60796/psn-pdf
August 12, 2020 - The challenges and opportunities for shared decision
making highlighted by COVID-19.
August 12, 2020
Abrams EM, Shaker M, Oppenheimer J, et al. The challenges and opportunities for shared decision making
highlighted by COVID-19. J Allergy Clin Immunol Pract. 2020;8(8):2474-2480.e1.
doi:10.1016/j.jaip.2020.07.003.
…
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psnet.ahrq.gov/node/43321/psn-pdf
August 02, 2015 - Costs associated with surgical site infections in Veterans
Affairs hospitals.
August 2, 2015
Schweizer ML, Cullen JJ, Perencevich E, et al. Costs Associated With Surgical Site Infections in Veterans
Affairs Hospitals. JAMA Surg. 2014;149(6):575-81. doi:10.1001/jamasurg.2013.4663.
https://psnet.ahrq.gov/issue/costs…
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psnet.ahrq.gov/node/864864/psn-pdf
March 20, 2024 - Systemic failures in health care oversight.
March 20, 2024
Campbell JL. Ga L Rev. 2024;58(2):737-802.
https://psnet.ahrq.gov/issue/systemic-failures-health-care-oversight
Questions exist as to why practitioners with known performance issues continue to practice and affect
patient safety. This article suggests a sh…
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psnet.ahrq.gov/node/44340/psn-pdf
October 12, 2015 - Defining attributes of patient safety through a concept
analysis.
October 12, 2015
Kim L, Lyder CH, McNeese-Smith D, et al. Defining attributes of patient safety through a concept analysis.
J Adv Nurs. 2015;71(11):2490-503. doi:10.1111/jan.12715.
https://psnet.ahrq.gov/issue/defining-attributes-patient-safety-thro…
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psnet.ahrq.gov/node/43347/psn-pdf
September 03, 2014 - POPI (Pediatrics: Omission of Prescriptions and
Inappropriate prescriptions): development of a tool to
identify inappropriate prescribing.
September 3, 2014
Prot-Labarthe S, Weil T, Angoulvant F, et al. POPI (Pediatrics: Omission of Prescriptions and Inappropriate
prescriptions): development of a tool to identify …
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psnet.ahrq.gov/node/35157/psn-pdf
August 05, 2009 - Safe medication prescribing: training and experience of
medical students and housestaff at a large teaching
hospital.
August 5, 2009
Garbutt J, Highstein G, Jeffe DB, et al. Safe medication prescribing: training and experience of medical
students and housestaff at a large teaching hospital. Acad Med. 2005;80(6):59…
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psnet.ahrq.gov/node/36705/psn-pdf
July 25, 2011 - Managed care penetration and other factors affecting
computerized physician order entry in the ambulatory
setting.
July 25, 2011
Menachemi N, Ford E, Chukmaitov A, et al. Managed care penetration and other factors affecting
computerized physician order entry in the ambulatory setting. Am J Manag Care. 2006;12(12):…
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psnet.ahrq.gov/node/44385/psn-pdf
October 13, 2015 - Same-hospital readmission rates as a measure of
pediatric quality of care.
October 13, 2015
Khan A, Nakamura MM, Zaslavsky AM, et al. Same-Hospital Readmission Rates as a Measure of Pediatric
Quality of Care. JAMA Pediatr. 2015;169(10):905-12. doi:10.1001/jamapediatrics.2015.1129.
https://psnet.ahrq.gov/issue/same…