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psnet.ahrq.gov/node/838197/psn-pdf
September 28, 2022 - Be Picky about your PICCs—Fragmented Care and Poor
Communication at Discharge Leads to a PICC without a
Plan.
September 28, 2022
Marti CS, Reese SK, Brown-McManus M. Be Picky about your PICCs—Fragmented Care and Poor
Communication at Discharge Leads to a PICC without a Plan. PSNet [internet]. 2022.
https://psnet.…
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psnet.ahrq.gov/issue/system-breakdown-4-med-errors-250-scriptsday
July 15, 2009 - Newspaper/Magazine Article
Published July 15, 2009
System breakdown: 4 med errors, 250 scripts/day.
Mulligan M.
Topics
Approach to Improving Safety
Provider-Patient Communication
Logistical Approaches
Sa…
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psnet.ahrq.gov/issue/complaints-about-acute-trusts-2013-14-and-q1-and-q2-2014-15
February 18, 2009 - Government Resource
December 17, 2014
Complaints About Acute Trusts 2013–14 and Q1 and Q2 2014–15.
Citation Text:
Parliamentary and Health Service Ombudsman.
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psnet.ahrq.gov/issue/better-maternal-outcomes-rapid-improvement-network-reducing-harm-through-huddles-checklists
March 18, 2020 - Upcoming Meeting/Conference
July 21, 2021
Better Maternal Outcomes Rapid Improvement Network: Reducing Harm through Huddles, Checklists, and Debriefs.
Citation Text:
Institute for Healthcare Improvement. July 27--August 17, 2021. 12:00-1:00 PM (eastern)
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psnet.ahrq.gov/issue/stronger-patient-voice-can-lead-better-care
February 13, 2008 - Newspaper/Magazine Article
A stronger patient voice can lead to better care.
Citation Text:
Stempniak M.
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October 15, 2014
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psnet.ahrq.gov/node/60228/psn-pdf
April 15, 2020 - How safety is compromised when hospital equipment is a
poor fit for patients who are obese.
April 15, 2020
Kukielka E. How safety is compromised when hospital equipment is a poor fit for patients who are obese.
Patient Saf J. 2020;2(1):48-56. doi:10.33940/data/2020.3.4.
https://psnet.ahrq.gov/issue/how-safety-comp…
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psnet.ahrq.gov/node/47113/psn-pdf
July 11, 2018 - The impact of pharmacists-led medicines reconciliation
on healthcare outcomes in secondary care: a systematic
review and meta-analysis of randomized controlled trials.
July 11, 2018
Cheema E, Alhomoud FK, Kinsara ASA-D, et al. The impact of pharmacists-led medicines reconciliation on
healthcare outcomes in seconda…
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psnet.ahrq.gov/node/38489/psn-pdf
November 25, 2009 - Evaluation of the contributions of an electronic web-
based reporting system: enabling action.
November 25, 2009
Levtzion-Korach O, Alcalai H, Orav EJ, et al. Evaluation of the contributions of an electronic web-based
reporting system: enabling action. J Patient Saf. 2009;52(1):9-15. doi:10.1097/PTS.0b013e318198dc8…
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psnet.ahrq.gov/node/74063/psn-pdf
April 10, 2019 - Structural racism--a 60-year-old black woman with breast
cancer.
April 10, 2019
Pallok K, De Maio F, Ansell DA. Structural racism--a 60-year-old black woman with breast cancer. N Engl J
Med. 2019;380(16):1489-1493. doi:10.1056/nejmp1811499.
https://psnet.ahrq.gov/issue/structural-racism-60-year-old-black-woman-bre…
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psnet.ahrq.gov/node/855086/psn-pdf
November 08, 2023 - Psychological safety as a new ACGME requirement: a
comprehensive all-in-one guide to radiology residency
programs.
November 8, 2023
Mohamed I, Hom GL, Jiang S, et al. Psychological safety as a new ACGME requirement: a comprehensive
all-in-one guide to radiology residency programs. Acad Radiol. 2023;30(12):3137-314…
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psnet.ahrq.gov/node/838010/psn-pdf
September 07, 2022 - Effect of different interventions to help primary care
clinicians avoid unsafe opioid prescribing in opioid-naive
patients with acute noncancer pain: a cluster randomized
clinical trial.
September 7, 2022
Kraemer KL, Althouse AD, Salay M, et al. Effect of different interventions to help primary care clinicians
av…
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psnet.ahrq.gov/node/74257/psn-pdf
January 19, 2022 - Early prescribing outcomes after exporting the EQUIPPED
medication safety improvement programme.
January 19, 2022
Vaughan CP, Hwang U, Vandenberg AE, et al. Early prescribing outcomes after exporting the EQUIPPED
medication safety improvement programme. BMJ Open Qual. 2021;10(4):e001369. doi:10.1136/bmjoq-
2021-00…
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psnet.ahrq.gov/node/72843/psn-pdf
March 17, 2021 - COVID-19 increased the risk of ICU-acquired bloodstream
infections: a case-cohort study from the multicentric
OUTCOMEREA network.
March 17, 2021
Buetti N, Ruckly S, de Montmollin E, et al. COVID-19 increased the risk of ICU-acquired bloodstream
infections: a case–cohort study from the multicentric OUTCOMEREA netwo…
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psnet.ahrq.gov/node/842416/psn-pdf
January 11, 2023 - A failure in the medication delivery system-how
disclosure and systems investigation improve patient
safety.
January 11, 2023
Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems
investigation improve patient safety. J Healthc Risk Manag. 2023;42(3-4):30-39. doi:10…
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psnet.ahrq.gov/node/42692/psn-pdf
April 21, 2015 - Surgical skill and complication rates after bariatric
surgery.
April 21, 2015
Birkmeyer JD, Finks JF, O'Reilly A, et al. Surgical skill and complication rates after bariatric surgery. N Engl
J Med. 2013;369(15):1434-1442. doi:10.1056/NEJMsa1300625.
https://psnet.ahrq.gov/issue/surgical-skill-and-complication-rates…
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psnet.ahrq.gov/node/73064/psn-pdf
March 24, 2021 - Outpatient insulin-related adverse events due to mix-up
errors: findings from two national surveillance systems,
United States, 2012-2017.
March 24, 2021
Geller AI, Conrad AO, Weidle NJ, et al. Outpatient insulin?related adverse events due to mix?up errors:
Findings from two national surveillance systems, United S…
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psnet.ahrq.gov/node/60057/psn-pdf
March 18, 2020 - How does the WHO Surgical Safety Checklist fit with
existing perioperative risk management strategies? An
ethnographic study across surgical specialties.
March 18, 2020
Wæhle HV, Haugen AS, Wiig S, et al. How does the WHO Surgical Safety Checklist fit with existing
perioperative risk management strategies? An ethn…
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psnet.ahrq.gov/node/866431/psn-pdf
August 07, 2024 - Enhancing patient safety in prehospital environment:
analyzing patient perspectives on non-transport
decisions with natural language processing and machine
learning.
August 7, 2024
Farhat H, Alinier G, Tluli R, et al. Enhancing patient safety in prehospital environment: analyzing patient
perspectives on non-trans…
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psnet.ahrq.gov/issue/when-doctor-too-old-job
March 04, 2020 - Newspaper/Magazine Article
When is a doctor too old for the job?
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September 18, 2019
Potential deterioration of an aging surgeon's…
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psnet.ahrq.gov/node/48056/psn-pdf
June 15, 2019 - Patients' conceptualizations of responsibility for
healthcare: a typology for understanding differing
attributions in the context of patient safety.
June 15, 2019
Heavey E, Waring J, De Brún A, et al. Patients' Conceptualizations of Responsibility for Healthcare: A
Typology for Understanding Differing Attributions…