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psnet.ahrq.gov/node/46950/psn-pdf
May 16, 2018 - Registered nurses' perceptions of safe care in
overcrowded emergency departments.
May 16, 2018
Eriksson J, Gellerstedt L, Hillerås P, et al. Registered nurses' perceptions of safe care in overcrowded
emergency departments. J Clin Nurs. 2018;27(5-6):e1061-e1067. doi:10.1111/jocn.14143.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/42928/psn-pdf
September 19, 2016 - Supporting second victims of patient safety events:
shouldn't these communications be covered by legal
privilege?
September 19, 2016
de Wit ME, Marks CM, Natterman JP, et al. Supporting second victims of patient safety events: shouldn't
these communications be covered by legal privilege? J Law Med Ethics. 2013;41(…
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psnet.ahrq.gov/node/74042/psn-pdf
November 03, 2021 - An Investigation into the Death of Baby J at University
Hospitals Bristol and Weston NHS Foundation Trust.
November 3, 2021
Manchester, UK: Parliamentary and Health Service Ombudsman; October 2021.
https://psnet.ahrq.gov/issue/investigation-death-baby-j-university-hospitals-bristol-and-weston-nhs-
foundation-trust…
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psnet.ahrq.gov/node/45312/psn-pdf
July 27, 2016 - Perioperative safety: learning, not taking, from aviation.
July 27, 2016
Neuhaus C, Hofer S, Hofmann G, et al. Perioperative Safety: Learning, Not Taking, from Aviation. Anesth
Analg. 2016;122(6):2059-63. doi:10.1213/ANE.0000000000001315.
https://psnet.ahrq.gov/issue/perioperative-safety-learning-not-taking-aviatio…
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psnet.ahrq.gov/node/867771/psn-pdf
January 01, 2018 - Community-Acquired Pneumonia Clinical Decision
Support Implementation Toolkit.
January 1, 2018
Agency for Healthcare Research and Quality. Community-Acquired Pneumonia Clinical Decision Support
Implementation Toolkit.
https://psnet.ahrq.gov/issue/community-acquired-pneumonia-clinical-decision-support-implementatio…
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psnet.ahrq.gov/node/45030/psn-pdf
November 01, 2016 - The impact of drug shortages on patients with
cardiovascular disease: causes, consequences, and a call
to action.
November 1, 2016
Reed BN, Fox ER, Konig M, et al. The impact of drug shortages on patients with cardiovascular disease:
causes, consequences, and a call to action. Am Heart J. 2016;175:130-41. doi:10.1…
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psnet.ahrq.gov/node/73922/psn-pdf
October 06, 2021 - Leading causes of anesthesia-related liability claims in
ambulatory surgery centers.
October 6, 2021
Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory
surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000000000431.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/50831/psn-pdf
January 29, 2020 - "Everybody makes mistakes": children's views on
medical errors and disclosure.
January 29, 2020
Koller D, Binder MJ, Alexander S, et al. "Everybody Makes Mistakes": Children's Views on Medical Errors
and Disclosure. J Ped Nurs. 2019;49:1-9. doi:10.1016/j.pedn.2019.07.014.
https://psnet.ahrq.gov/issue/everybody-mak…
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psnet.ahrq.gov/node/37120/psn-pdf
March 24, 2011 - Patient safety culture in primary care: developing a
theoretical framework for practical use.
March 24, 2011
Kirk S, Parker D, Claridge T, et al. Patient safety culture in primary care: developing a theoretical
framework for practical use. Qual Saf Health Care. 2007;16(4):313-20.
https://psnet.ahrq.gov/issue/patie…
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psnet.ahrq.gov/node/61126/psn-pdf
November 11, 2020 - Potential for false positive results with antigen tests for
rapid detection of SARS-CoV-2--letter to clinical
laboratory staff and health care providers.
November 11, 2020
US Food and Drug Administration: November 3, 2020.
https://psnet.ahrq.gov/issue/potential-false-positive-results-antigen-tests-rapid-detection-…
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psnet.ahrq.gov/node/41624/psn-pdf
November 06, 2012 - How nurses and physicians judge their own quality of
care for deteriorating patients on medical wards: self-
assessment of quality of care is suboptimal.
November 6, 2012
Ludikhuize J, Dongelmans DA, Smorenburg SM, et al. How nurses and physicians judge their own quality
of care for deteriorating patients on medic…
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psnet.ahrq.gov/node/43726/psn-pdf
September 01, 2016 - Differences of reasons for alert overrides on
contraindicated co-prescriptions by admitting
department.
September 1, 2016
Ahn EK, Cho S-Y, Shin D, et al. Differences of Reasons for Alert Overrides on Contraindicated Co-
prescriptions by Admitting Department. Healthc Inform Res. 2014;20(4):280-7.
doi:10.4258/hir.2…
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psnet.ahrq.gov/node/35374/psn-pdf
January 02, 2017 - Intimidation: practitioners speak up about this unresolved
problem.
January 2, 2017
Smetzer JL, Cohen MR. Intimidation: Practitioners Speak Up About This Unresolved Problem. Jt Comm J
Qual Patient Saf. 2016;31(10):594-599. doi:10.1016/s1553-7250(05)31077-4.
https://psnet.ahrq.gov/issue/intimidation-practitioners-s…
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psnet.ahrq.gov/node/45826/psn-pdf
January 18, 2017 - Ensuring staff safety when treating potentially violent
patients.
January 18, 2017
Roca RP, Charen B, Boronow J. Ensuring Staff Safety When Treating Potentially Violent Patients. JAMA.
2016;316(24):2669-2670. doi:10.1001/jama.2016.18260.
https://psnet.ahrq.gov/issue/ensuring-staff-safety-when-treating-potentially-…
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psnet.ahrq.gov/node/39960/psn-pdf
September 19, 2016 - Respectful Management of Serious Clinical Adverse
Events. Second Edition.
September 19, 2016
Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Healthcare Improvement;
2011.
https://psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
This white paper e…
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psnet.ahrq.gov/node/34061/psn-pdf
January 04, 2017 - Patient Safety Leadership WalkRounds.
January 4, 2017
Frankel A, Graydon-Baker E, Neppl C, et al. Patient Safety Leadership WalkRounds. Jt Comm J Qual Saf.
2003;29(1). doi:10.1016/s1549-3741(03)29003-1.
https://psnet.ahrq.gov/issue/patient-safety-leadership-walkrounds
This study shares the concept of an interventi…
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psnet.ahrq.gov/node/46564/psn-pdf
December 06, 2017 - Can the aviation industry be useful in teaching oncology
about safety?
December 6, 2017
Davies JM, Delaney G. Can the Aviation Industry be Useful in Teaching Oncology about Safety? Clin Oncol
(R Coll Radiol). 2017;29(10):669-675. doi:10.1016/j.clon.2017.06.007.
https://psnet.ahrq.gov/issue/can-aviation-industry-be…
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psnet.ahrq.gov/node/35553/psn-pdf
July 03, 2013 - Maximizing the Use of State Adverse Event Data to
Improve Patient Safety.
July 3, 2013
Rosenthal J, Booth M. National Academy for State Health Policy; 2005.
https://psnet.ahrq.gov/issue/maximizing-use-state-adverse-event-data-improve-patient-safety
This report, generated by the National Academy for State Health Po…
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psnet.ahrq.gov/node/862153/psn-pdf
February 07, 2024 - Anticipating patient safety events in psychiatric care.
February 7, 2024
Yerstein MC, SUNDARARAJ DEEPIKA, McClean M, et al. Anticipating patient safety events in psychiatric
care. J Psychiatr Pract. 2024;30(1):68-72. doi:10.1097/pra.0000000000000760.
https://psnet.ahrq.gov/issue/anticipating-patient-safety-events-p…
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psnet.ahrq.gov/node/45146/psn-pdf
July 18, 2016 - Driving surgical quality using operative video.
July 18, 2016
O'Mahoney PRA, Yeo HL, Lange MM, et al. Driving Surgical Quality Using Operative Video. Surg Innov.
2016;23(4):337-40. doi:10.1177/1553350616643616.
https://psnet.ahrq.gov/issue/driving-surgical-quality-using-operative-video
Although using video documen…