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psnet.ahrq.gov/node/47753/psn-pdf
April 24, 2019 - Teams of psychologists helping teams: the evolution of
the science of team training.
April 24, 2019
Bisbey TM, Reyes DL, Traylor AM, et al. Teams of psychologists helping teams: The evolution of the
science of team training. Am Psychol. 2019;74(3):278-289. doi:10.1037/amp0000419.
https://psnet.ahrq.gov/issue/teams…
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psnet.ahrq.gov/node/48022/psn-pdf
May 29, 2019 - Inappropriate opioid prescription after surgery.
May 29, 2019
Neuman MD, Bateman BT, Wunsch H. Inappropriate opioid prescription after surgery. Lancet.
2019;393(10180):1547-1557. doi:10.1016/S0140-6736(19)30428-3.
https://psnet.ahrq.gov/issue/inappropriate-opioid-prescription-after-surgery
The overprescribing of o…
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psnet.ahrq.gov/node/37444/psn-pdf
January 02, 2008 - My brother's keeper: must a physician disclose another's
medical error and potential negligence?
January 2, 2008
Liang BA, Smith C by DS. My brother's keeper: must a physician disclose another's medical error and
potential negligence? J Clin Anesth. 2007;19(7):558-562. doi:10.1016/j.jclinane.2007.05.005.
https://p…
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psnet.ahrq.gov/node/35044/psn-pdf
September 27, 2017 - Decisions about critical events in device-related
scenarios as a function of expertise.
September 27, 2017
Laxmisan A, Malhotra S, Keselman A, et al. Decisions about critical events in device-related scenarios as a
function of expertise. J Biomed Inform. 2005;38(3):200-12.
https://psnet.ahrq.gov/issue/decisions-ab…
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psnet.ahrq.gov/node/37928/psn-pdf
March 10, 2011 - A randomized trial of the effectiveness of on-demand
versus computer-triggered drug decision support in
primary care.
March 10, 2011
Tamblyn R, Huang A, Taylor L, et al. A randomized trial of the effectiveness of on-demand versus
computer-triggered drug decision support in primary care. J Am Med Inform Assoc. 2008…
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psnet.ahrq.gov/node/39841/psn-pdf
December 18, 2014 - Emergency department visits for medical
device–associated adverse events among children.
December 18, 2014
Wang C, Hefflin B, Cope JU, et al. Emergency department visits for medical device-associated adverse
events among children. Pediatrics. 2010;126(2):247-59. doi:10.1542/peds.2010-0528.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/43636/psn-pdf
November 26, 2014 - Application of the WHO surgical safety checklist outside
the operating theatre: medicine can learn from surgery.
November 26, 2014
Braham DL, Richardson AL, Malik IS. Application of the WHO surgical safety checklist outside the
operating theatre: medicine can learn from surgery. Clin Med. 2014;14(5):468-474.
doi:1…
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psnet.ahrq.gov/node/43186/psn-pdf
May 19, 2014 - ASPEN parenteral nutrition safety consensus
recommendations: translation into practice.
May 19, 2014
Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations:
translation into practice. Nutr Clin Pract. 2014;29(3):277-82. doi:10.1177/0884533614531294.
https://psnet.ahr…
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psnet.ahrq.gov/node/45947/psn-pdf
July 11, 2017 - Burnout mediates the association between depression
and patient safety perceptions: a cross-sectional study in
hospital nurses.
July 11, 2017
Johnson J, Louch G, Dunning A, et al. Burnout mediates the association between depression and patient
safety perceptions: a cross-sectional study in hospital nurses. J Adv N…
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psnet.ahrq.gov/node/47126/psn-pdf
May 16, 2018 - Unintended adverse consequences of a clinical decision
support system: two cases.
May 16, 2018
Stone EG. Unintended adverse consequences of a clinical decision support system: two cases. J Am Med
Inform Assoc. 2018;25(5):564-567. doi:10.1093/jamia/ocx096.
https://psnet.ahrq.gov/issue/unintended-adverse-consequence…
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psnet.ahrq.gov/node/35112/psn-pdf
June 22, 2009 - Medication safety in older adults: home-based practice
patterns.
June 22, 2009
Metlay JP, Cohen A, Polsky D, et al. Medication safety in older adults: home-based practice patterns. J Am
Geriatr Soc. 2005;53(6):976-982.
https://psnet.ahrq.gov/issue/medication-safety-older-adults-home-based-practice-patterns
This s…
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psnet.ahrq.gov/node/45854/psn-pdf
July 12, 2017 - The second victim phenomenon after a clinical error: the
design and evaluation of a website to reduce caregivers'
emotional responses after a clinical error.
July 12, 2017
Mira JJ, Carrillo I, Guilabert M, et al. The Second Victim Phenomenon After a Clinical Error: The Design
and Evaluation of a Website to Reduce …
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psnet.ahrq.gov/node/44234/psn-pdf
September 09, 2015 - Improving the reliability of verbal communication between
primary care physicians and pediatric hospitalists at
hospital discharge.
September 9, 2015
Mussman GM, Vossmeyer MT, Brady PW, et al. Improving the reliability of verbal communication between
primary care physicians and pediatric hospitalists at hospital d…
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psnet.ahrq.gov/node/50731/psn-pdf
December 11, 2019 - Awareness of diagnosis and follow up care after
discharge from the emergency department
December 11, 2019
Leamy K, Thompson J, Mitra B. Awareness of diagnosis and follow up care after discharge from the
Emergency Department. Australas Emerg Care. 2019;22(4):221-226. doi:10.1016/j.auec.2019.08.004.
https://psnet.ah…
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psnet.ahrq.gov/node/37631/psn-pdf
May 18, 2015 - The science of improvement.
May 18, 2015
Berwick DM. The science of improvement. JAMA. 2008;299(10):1182-4. doi:10.1001/jama.299.10.1182.
https://psnet.ahrq.gov/issue/science-improvement
This commentary by Dr. Donald Berwick, president of the Institute for Healthcare Improvement, addresses
the growing tension betw…
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psnet.ahrq.gov/node/46934/psn-pdf
March 14, 2018 - Engaging the front line: tapping into hospital-wide quality
and safety initiatives.
March 14, 2018
Wolpaw J, Schwengel D, Hensley N, et al. Engaging the Front Line: Tapping into Hospital-Wide Quality
and Safety Initiatives. J Cardiothorac Vasc Anesth. 2018;32(1):522-533. doi:10.1053/j.jvca.2017.05.038.
https://psn…
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psnet.ahrq.gov/node/836726/psn-pdf
March 09, 2022 - OpenNotes and patient safety: a perilous voyage into
uncharted waters.
March 9, 2022
Schust G, Manning M, Weil A. OpenNotes and patient safety: a perilous voyage into uncharted waters. J
Gen Intern Med. 2022;37(8):2074-2076. doi:10.1007/s11606-021-07384-2.
https://psnet.ahrq.gov/issue/opennotes-and-patient-safety-…
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psnet.ahrq.gov/node/46906/psn-pdf
May 30, 2018 - Making an infusion error: the second victims of infusion
therapy-related medication errors.
May 30, 2018
Treiber LA, Jones JH. Making an Infusion Error: The Second Victims of Infusion Therapy-Related
Medication Errors. J Infus Nurs. 2018;41(3):156-163. doi:10.1097/NAN.0000000000000273.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/836963/psn-pdf
April 20, 2022 - Investigating the impact of cognitive bias in nursing
documentation on decision-making and judgement.
April 20, 2022
Martin K, Bickle K, Lok J. Investigating the impact of cognitive bias in nursing documentation on decision?
making and judgement. Int J Mental Health Nurs. 2022;31(4):897-907. doi:10.1111/inm.12997.
…
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psnet.ahrq.gov/node/39021/psn-pdf
October 14, 2009 - Medication safety in acute care in Australia: where are we
now? Part 2: a review of strategies and activities for
improving medication safety 2002-2008.
October 14, 2009
Semple SJ, Roughead EE. Medication safety in acute care in Australia: where are we now? Part 2: a
review of strategies and activities for improvi…