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psnet.ahrq.gov/node/859350/psn-pdf
December 20, 2023 - What are the experiences of team members involved in
root cause analysis? A qualitative study.
December 20, 2023
Willis R, Jones T, Hoiles J, et al. What are the experiences of team members involved in root cause
analysis? A qualitative study. BMC Health Serv Res. 2023;23(1):1152. doi:10.1186/s12913-023-10164-9.
h…
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psnet.ahrq.gov/node/854627/psn-pdf
October 18, 2023 - Implementing strategies to prevent home medication
administration errors in children with medical complexity.
October 18, 2023
Shaikh U, Kim JM, Yin SH. Implementing strategies to prevent home medication administration errors in
children with medical complexity. Clin Pediatr (Phila). 2023;20(18):6788. doi:10.1177/0…
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psnet.ahrq.gov/node/44689/psn-pdf
February 24, 2018 - What is the role of individual accountability in patient
safety? A multi-site ethnographic study.
February 24, 2018
Aveling E-L, Parker M, Dixon-Woods M. What is the role of individual accountability in patient safety? A
multi-site ethnographic study. Sociol Health Illn. 2016;38(2):216-32. doi:10.1111/1467-9566.123…
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psnet.ahrq.gov/node/50779/psn-pdf
January 08, 2020 - STOPP/START criteria for potentially inappropriate
medications/potential prescribing omissions in older
people: origin and progress.
January 8, 2020
O’Mahony D. STOPP/START criteria for potentially inappropriate medications/potential prescribing
omissions in older people: origin and progress. Expert Rev Clin Pharm…
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psnet.ahrq.gov/node/837896/psn-pdf
January 01, 2023 - Helping healthcare teams to debrief effectively:
associations of debriefers' actions and participants'
reflections during team debriefings.
August 24, 2022
Kolbe M, Grande B, Lehmann-Willenbrock N, et al. Helping healthcare teams to debrief effectively:
associations of debriefers’ actions and participants’ reflect…
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psnet.ahrq.gov/node/837599/psn-pdf
June 29, 2022 - Differences in medication reconciliation interventions
between six hospitals: a mixed method study.
June 29, 2022
Stuijt CCM, van den Bemt BJF, Boerlage VE, et al. Differences in medication reconciliation interventions
between six hospitals: a mixed method study. BMC Health Serv Res. 2022;22(1):722. doi:10.1186/s12…
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psnet.ahrq.gov/node/46335/psn-pdf
December 19, 2017 - Prescription opioid analgesics commonly unused after
surgery: a systematic review.
December 19, 2017
Bicket MC, Long JJ, Pronovost PJ, et al. Prescription Opioid Analgesics Commonly Unused After Surgery.
JAMA Surg. 2017;152(11):1066-1071. doi:10.1001/jamasurg.2017.0831.
https://psnet.ahrq.gov/issue/prescription-op…
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psnet.ahrq.gov/node/36813/psn-pdf
March 24, 2011 - Ambulatory care adverse events and preventable adverse
events leading to a hospital admission.
March 24, 2011
Woods D, Thomas EJ, Holl JL, et al. Ambulatory care adverse events and preventable adverse events
leading to a hospital admission. Qual Saf Health Care. 2007;16(2):127-131.
https://psnet.ahrq.gov/issue/amb…
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psnet.ahrq.gov/node/46862/psn-pdf
February 21, 2018 - Considering human factors and developing systems-
thinking behaviours to ensure patient safety.
February 21, 2018
Vosper H; Lim R; Knight C; et al; CIEHF Pharmaceutical Human Factors Special Interest Group. Clinical
Pharmacist. 2018;10(2).
https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-syste…
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psnet.ahrq.gov/node/836960/psn-pdf
April 20, 2022 - Effect of a multispecialty faculty handoff initiative on
safety culture and handoff quality.
April 20, 2022
Fitzgerald KM, Banerjee TR, Starmer AJ, et al. Effect of a multispecialty faculty handoff initiative on safety
culture and handoff quality. Pediatr Qual Saf. 2022;7(2):e539. doi:10.1097/pq9.0000000000000539.
…
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psnet.ahrq.gov/node/60295/psn-pdf
May 06, 2020 - 2019 Novel Coronavirus (COVID-19) pandemic: built
environment considerations to reduce transmission.
May 6, 2020
Dietz L, Horve PF, Coil DA, et al. 2019 Novel Coronavirus (COVID-19) pandemic: built environment
considerations to reduce transmission. mSystems. 2020;5(2):e00245-20. doi:10.1128/msystems.00245-20.
http…
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psnet.ahrq.gov/node/35670/psn-pdf
June 28, 2010 - Quality improvement implementation and hospital
performance on patient safety indicators.
June 28, 2010
Weiner BJ, Alexander JA, Baker LC, et al. Quality improvement implementation and hospital performance
on patient safety indicators. Med Care Res Rev. 2006;63(1):29-57.
https://psnet.ahrq.gov/issue/quality-improv…
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psnet.ahrq.gov/node/42287/psn-pdf
November 26, 2014 - What do patients think about year-end resident continuity
clinic handoffs?: a qualitative study.
November 26, 2014
Pincavage A, Lee WW, Beiting KJ, et al. What do patients think about year-end resident continuity clinic
handoffs? A qualitative study. J Gen Intern Med. 2013;28(8):999-1007. doi:10.1007/s11606-013-239…
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psnet.ahrq.gov/node/837208/psn-pdf
May 25, 2022 - Interprofessional model on speaking up behaviour in
healthcare professionals: a qualitative study.
May 25, 2022
Umoren R, Kim S, Gray MM, et al. Interprofessional model on speaking up behaviour in healthcare
professionals: a qualitative study. BMJ Lead. 2022;6(1):15-19. doi:10.1136/leader-2020-000407.
https://psne…
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psnet.ahrq.gov/node/836998/psn-pdf
April 27, 2022 - How will state medical boards handle cases involving
disclosure and apology for medical errors?
April 27, 2022
Wojcieszak D. How will state medical boards handle cases involving disclosure and apology for medical
errors? J Patient Saf Risk Manag. 2022;27(1):15-20. doi:10.1177/25160435211070096.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/35896/psn-pdf
July 23, 2010 - Work-hour restrictions as an ethical dilemma for
residents.
July 23, 2010
Carpenter RO, Austin MT, Tarpley JL, et al. Work-hour restrictions as an ethical dilemma for residents. Am
J Surg. 2006;191(4):527-32.
https://psnet.ahrq.gov/issue/work-hour-restrictions-ethical-dilemma-residents
This study surveyed 170 res…
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psnet.ahrq.gov/node/35565/psn-pdf
June 16, 2011 - Error, stress, and teamwork in medicine and aviation:
cross sectional surveys.
June 16, 2011
Sexton JB. Error, stress, and teamwork in medicine and aviation: cross sectional surveys. BMJ.
2002;320(7237):745-749. doi:10.1136/bmj.320.7237.745.
https://psnet.ahrq.gov/issue/error-stress-and-teamwork-medicine-and-aviat…
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psnet.ahrq.gov/node/865518/psn-pdf
April 10, 2024 - Decreasing prescribing errors in antimicrobial
stewardship program-restricted medications.
April 10, 2024
Tang KM, Lee P, Anosike BI, et al. Decreasing prescribing errors in antimicrobial stewardship program-
restricted medications. Hosp Pediatr. 2024;14(4):281-290. doi:10.1542/hpeds.2023-007548.
https://psnet.ahr…
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psnet.ahrq.gov/node/47993/psn-pdf
May 15, 2019 - Using near-miss events to improve MRI safety in a large
academic centre.
May 15, 2019
Goolsarran N, Martinez J, Garcia C. Using near-miss events to improve MRI safety in a large academic
centre. BMJ Open Qual. 2019;8(2):e000593. doi:10.1136/bmjoq-2018-000593.
https://psnet.ahrq.gov/issue/using-near-miss-events-imp…
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psnet.ahrq.gov/node/45605/psn-pdf
November 30, 2016 - Advancing interprofessional patient safety education for
medical, nursing, and pharmacy learners during clinical
rotations.
November 30, 2016
Thom KA, Heil EL, Croft LD, et al. Advancing interprofessional patient safety education for medical,
nursing, and pharmacy learners during clinical rotations. J Interprof Ca…