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psnet.ahrq.gov/issue/sorry-works
November 15, 2024 - Multi-use Website
Sorry Works!
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March 17, 2011
Sorry Works! supports a full-disclosure approach to medical errors. They encourage…
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psnet.ahrq.gov/node/46771/psn-pdf
January 30, 2018 - Electronic medical record alert associated with reduced
opioid and benzodiazepine coprescribing in high-risk
Veteran patients.
January 30, 2018
Malte CA, Berger D, Saxon AJ, et al. Electronic Medical Record Alert Associated With Reduced Opioid and
Benzodiazepine Coprescribing in High-risk Veteran Patients. Med Car…
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psnet.ahrq.gov/node/46775/psn-pdf
March 07, 2018 - Ten ERs in Colorado tried to curtail opioids and did better
than expected.
March 7, 2018
Daley J. Colorado Public Radio. February 23, 2018.
https://psnet.ahrq.gov/issue/ten-ers-colorado-tried-curtail-opioids-and-did-better-expected
Innovations in the prescribing of opioids in the emergency department are needed to…
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psnet.ahrq.gov/node/43815/psn-pdf
February 04, 2015 - Patient safety skills in primary care: a national survey of
GP educators.
February 4, 2015
Ahmed M, Arora S, McKay J, et al. Patient safety skills in primary care: a national survey of GP educators.
BMC Fam Pract. 2014;15:206. doi:10.1186/s12875-014-0206-5.
https://psnet.ahrq.gov/issue/patient-safety-skills-primar…
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psnet.ahrq.gov/node/50866/psn-pdf
February 05, 2020 - Effectiveness of acute care remote triage systems: a
systematic review.
February 5, 2020
Boggan JC, Shoup JP, Whited JD, et al. Effectiveness of acute care remote triage systems: a systematic
review. J Gen Intern Med. 2020;35(7):2136-2145. doi:10.1007/s11606-019-05585-4.
https://psnet.ahrq.gov/issue/effectiveness-…
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psnet.ahrq.gov/node/73438/psn-pdf
June 30, 2021 - Implementation of patient safety structures and
processes in the patient-centered medical home.
June 30, 2021
Oberlander T, Scholle SH, Marsteller JA, et al. Implementation of patient safety structures and processes in
the patient-centered medical home. J Healthc Qual. 2021;43(6):324-339.
doi:10.1097/jhq.000000000…
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psnet.ahrq.gov/node/73915/psn-pdf
October 06, 2021 - Responses of physicians to an objective safety and
quality knowledge test: a cross-sectional study.
October 6, 2021
Burke HB, King HB. Responses of physicians to an objective safety and quality knowledge test: a cross-
sectional study. BMJ Open. 2021;11(9):e040779. doi:10.1136/bmjopen-2020-040779.
https://psnet.ah…
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psnet.ahrq.gov/node/863211/psn-pdf
February 28, 2024 - Physician and nurse well-being, patient safety and
recommendations for interventions: cross-sectional
survey in hospitals in six European countries.
February 28, 2024
Aiken LH, Sermeus W, McKee M, et al. BMJ Open. 2024;14(2):e079931.
https://psnet.ahrq.gov/issue/physician-and-nurse-well-being-patient-safety-and-re…
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psnet.ahrq.gov/node/73141/psn-pdf
April 14, 2021 - Investigating hospital supervision: a case study of
regulatory inspectors' roles as potential co-creators of
resilience.
April 14, 2021
Øyri SF, Braut GS, Macrae C, et al. Investigating Hospital Supervision: A Case Study of Regulatory
Inspectors’ Roles as Potential Co-creators of Resilience. J Patient Saf. 2021;17…
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psnet.ahrq.gov/node/863751/psn-pdf
March 06, 2024 - A systematic integrative review of specialized nurses' role
to establish a culture of patient safety: a modelling
perspective.
March 6, 2024
Glarcher M, Vaismoradi M. A systematic integrative review of specialized nurses' role to establish a culture
of patient safety: a modelling perspective. J Adv Nurs. 2024;Epub…
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psnet.ahrq.gov/node/74760/psn-pdf
February 09, 2022 - We're all in this together: how COVID-19 revealed the co-
construction of mindful organising and organisational
reliability.
February 9, 2022
Vogus TJ, Wilson AD, Randall KH, et al. We’re all in this together: how COVID-19 revealed the co-
construction of mindful organising and organisational reliability. BMJ Qual…
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psnet.ahrq.gov/node/837730/psn-pdf
January 01, 2023 - Factors influencing medication errors in the prehospital
paramedic environment: a mixed method systematic
review.
July 28, 2022
Walker D, Moloney C, SueSee B, et al. Factors influencing medication errors in the prehospital paramedic
environment: a mixed method systematic review. Prehosp Emerg Care. 2023;27(5):669-…
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psnet.ahrq.gov/node/47080/psn-pdf
May 02, 2018 - The next generation of doctors may be learning bad
habits at teaching hospitals with many safety violations.
May 2, 2018
Blau M. STAT. April 20, 2018.
https://psnet.ahrq.gov/issue/next-generation-doctors-may-be-learning-bad-habits-teaching-hospitals-many-
safety-violations
The hidden curriculum, staff burnout, an…
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psnet.ahrq.gov/node/851055/psn-pdf
June 28, 2023 - How do we learn about error? A cross-sectional study of
urology trainees.
June 28, 2023
Browne C, Crone L, O'Connor E. How do we learn about error? A cross-sectional study of urology trainees.
J Surg Educ. 2023;80(6):864-872. doi:10.1016/j.jsurg.2023.03.007.
https://psnet.ahrq.gov/issue/how-do-we-learn-about-error…
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psnet.ahrq.gov/node/43662/psn-pdf
November 05, 2014 - A crack in our best armor: "wrong patient" injections from
insulin pens alarmingly frequent even with barcode
scanning.
November 5, 2014
ISMP Medication Safety Alert! Acute Care Edition. October 23, 2014;19:1-5.
https://psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly-
fr…
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psnet.ahrq.gov/node/43416/psn-pdf
August 13, 2014 - Compliance with a time-out procedure intended to
prevent wrong surgery in hospitals: results of a national
patient safety programme in the Netherlands.
August 13, 2014
van Schoten SM, Kop V, de Blok C, et al. Compliance with a time-out procedure intended to prevent wrong
surgery in hospitals: results of a national…
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psnet.ahrq.gov/node/45085/psn-pdf
May 04, 2016 - A piece of my mind. The patient you least want to see.
May 4, 2016
Chen JH. A PIECE OF MY MIND. The Patient You Least Want to See. JAMA. 2016;315(16):1701-2.
doi:10.1001/jama.2016.0221.
https://psnet.ahrq.gov/issue/piece-my-mind-patient-you-least-want-see
Providing insights from a physician regarding the complexit…
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psnet.ahrq.gov/node/37659/psn-pdf
March 02, 2011 - Universal surveillance for methicillin-resistant
Staphylococcus aureus in 3 affiliated hospitals.
March 2, 2011
Robicsek A, Beaumont JL, Paule SM, et al. Universal surveillance for methicillin-resistant Staphylococcus
aureus in 3 affiliated hospitals. Ann Intern Med. 2008;148(6):409-18.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/45501/psn-pdf
October 28, 2016 - Effectiveness of continuous or intermittent vital signs
monitoring in preventing adverse events on general
wards: a systematic review and meta-analysis.
October 28, 2016
Cardona-Morrell M, Prgomet M, Turner RM, et al. Effectiveness of continuous or intermittent vital signs
monitoring in preventing adverse events o…
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psnet.ahrq.gov/node/46780/psn-pdf
January 31, 2018 - Strategies to reduce patient harm from infusion-
associated medication errors: a scoping review.
January 31, 2018
Wolf ZR. Strategies to Reduce Patient Harm From Infusion-Associated Medication Errors: A Scoping
Review. J Infus Nurs. 2018;36(1):58-65. doi:10.1097/NAN.0000000000000263.
https://psnet.ahrq.gov/issue/s…