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psnet.ahrq.gov/node/43139/psn-pdf
April 23, 2014 - Patient safety in obstetrics and obstetric anesthesia.
April 23, 2014
Kung A, Pratt SD. Patient safety in obstetrics and obstetric anesthesia. Int Anesthesiol Clin. 2014;52(2):86-
110. doi:10.1097/AIA.0000000000000017.
https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-obstetric-anesthesia
Labor and delive…
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psnet.ahrq.gov/node/36265/psn-pdf
April 21, 2015 - "Health courts" and accountability for patient safety.
April 21, 2015
Mello MM, Studdert DM, Kachalia A, et al. "Health courts" and accountability for patient safety. Milbank Q.
2006;84(3):459-92.
https://psnet.ahrq.gov/issue/health-courts-and-accountability-patient-safety
This article provides an overview of "hea…
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psnet.ahrq.gov/node/47572/psn-pdf
January 23, 2019 - In patient safety efforts, pharmacists gain new
prominence.
January 23, 2019
Gale R. In Patient Safety Efforts, Pharmacists Gain New Prominence. Health Aff (Millwood).
2018;37(11):1726-1729. doi:10.1377/hlthaff.2018.1225.
https://psnet.ahrq.gov/issue/patient-safety-efforts-pharmacists-gain-new-prominence
This com…
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psnet.ahrq.gov/node/44765/psn-pdf
November 23, 2016 - Communication relating to family members' involvement
and understandings about patients' medication
management in hospital.
November 23, 2016
Manias E. Communication relating to family members' involvement and understandings about patients'
medication management in hospital. Health Expect. 2015;18(5):850-66. doi:1…
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psnet.ahrq.gov/node/45050/psn-pdf
May 03, 2016 - Digital health and patient safety.
May 3, 2016
Agboola SO, Bates DW, Kvedar JC. Digital Health and Patient Safety. JAMA. 2016;315(16):1697-1698.
doi:10.1001/jama.2016.2402.
https://psnet.ahrq.gov/issue/digital-health-and-patient-safety
Patients, clinicians, and health care systems are increasingly adopting digital…
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psnet.ahrq.gov/node/47950/psn-pdf
August 21, 2019 - Safety of care by caregivers of cancer patients.
August 21, 2019
Given BA. Safety of Care by Caregivers of Cancer Patients. Semin Oncol Nurs. 2019;35(4):374-379.
doi:10.1016/j.soncn.2019.06.011.
https://psnet.ahrq.gov/issue/safety-care-caregivers-cancer-patients
Cancer patients often rely on family members or paid…
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psnet.ahrq.gov/node/860733/psn-pdf
January 17, 2024 - Staff warned about the lack of psychiatric care at a VA
clinic. They couldn’t prevent tragedy.
January 17, 2024
McGrory K, Bedi N. ProPublica, January 6, 2024.
https://psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy
Stories of mental health system failure provid…
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psnet.ahrq.gov/node/42673/psn-pdf
October 30, 2013 - Clinical evaluation of the ADE scorecards as a decision
support tool for adverse drug event analysis and
medication safety management.
October 30, 2013
Hackl WO, Ammenwerth E, Marcilly R, et al. Clinical evaluation of the ADE scorecards as a decision
support tool for adverse drug event analysis and medication safe…
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psnet.ahrq.gov/node/72480/psn-pdf
January 01, 2021 - Operationalizing occupational fatigue in pharmacists: an
exploratory factor analysis.
November 18, 2020
Watterson TL, Look KA, Steege LM, et al. Operationalizing occupational fatigue in pharmacists: an
exploratory factor analysis. Res Social Adm Pharm. 2021;17(7):1282-1287.
doi:10.1016/j.sapharm.2020.09.012.
http…
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psnet.ahrq.gov/node/44611/psn-pdf
November 04, 2015 - Enhancing patient safety in pediatric primary care:
implementing a patient safety curriculum.
November 4, 2015
Zenlea IS, Scheff E, Szeidler B, et al. Enhancing Patient Safety in Pediatric Primary Care: Implementing a
Patient Safety Curriculum. Clin Pediatr (Phila). 2015;54(11):1094-101. doi:10.1177/000992281558492…
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psnet.ahrq.gov/node/840167/psn-pdf
November 16, 2022 - 'Reading the Signals' : Maternity and Neonatal Services in
East Kent – the Report of the Independent Investigation.
November 16, 2022
Kirkup B. Department of Health and Social Care. London, England: Crown Copyright; 2022. ISBN:
9781528636759.
https://psnet.ahrq.gov/issue/reading-signals-maternity-and-neonata…
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psnet.ahrq.gov/node/44059/psn-pdf
April 22, 2015 - ASHP guidelines on preventing medication errors with
chemotherapy and biotherapy.
April 22, 2015
Goldspiel B, Hoffman JM, Griffith NL, et al. ASHP guidelines on preventing medication errors with
chemotherapy and biotherapy. Am J Health Syst Pharm. 2015;72(8):e6-e35. doi:10.2146/sp150001.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/50598/psn-pdf
January 01, 2020 - Interventions for improving teamwork in intrapartem care:
a systematic review of randomised controlled trials.
October 30, 2019
Wu M, Tang J, Etherington N, et al. Interventions for improving teamwork in intrapartem care: a systematic
review of randomised controlled trials. BMJ Qual Saf. 2020;29(1):77-85. doi:10.11…
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psnet.ahrq.gov/node/839819/psn-pdf
November 09, 2022 - Medical-surgical nurse leaders' experiences with safety
culture: an inductive qualitative descriptive study.
November 9, 2022
Harton L, Skemp L. Medical–surgical nurse leaders' experiences with safety culture: An inductive
qualitative descriptive study. J Nurs Manag. 2022;30(7):2781-2790. doi:10.1111/jonm.13775.
h…
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psnet.ahrq.gov/node/853062/psn-pdf
August 30, 2023 - Quality and safety practices among academic obstetrics
and gynecology departments.
August 30, 2023
Christopher D, Leininger WM, Beaty L, et al. Quality and safety practices among academic obstetrics and
gynecology departments. Am J Med Qual. 2023;38(4):165-173. doi:10.1097/jmq.0000000000000129.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/38333/psn-pdf
January 14, 2009 - Adverse Events in Hospitals: Overview of Key Issues.
January 14, 2009
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; December 2008. Report No. OEI-06-07-00470.
https://psnet.ahrq.gov/issue/adverse-events-hospitals-overview-key-issues
The Tax Relief and Hea…
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psnet.ahrq.gov/node/45625/psn-pdf
November 01, 2017 - Building comprehensive strategies for obstetric safety:
simulation drills and communication.
November 1, 2017
Austin N, Goldhaber-Fiebert SN, Daniels K, et al. Building Comprehensive Strategies for Obstetric Safety:
Simulation Drills and Communication. Anesth Analg. 2016;123(5):1181-1190.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/42497/psn-pdf
February 27, 2014 - (How) do we learn from errors? A prospective study of the
link between the ward's learning practices and medication
administration errors.
February 27, 2014
Drach-Zahavy A, Somech A, Admi H, et al. (How) do we learn from errors? A prospective study of the link
between the ward's learning practices and medication a…
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psnet.ahrq.gov/node/39331/psn-pdf
March 03, 2010 - Meta-analysis: effect of interactive communication
between collaborating primary care physicians and
specialists.
March 3, 2010
Foy R, Hempel S, Rubenstein L, et al. Meta-analysis: effect of interactive communication between
collaborating primary care physicians and specialists. Ann Intern Med. 2010;152(4):247-58.…
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psnet.ahrq.gov/node/838135/psn-pdf
January 01, 2023 - The fallacy of a single diagnosis.
September 21, 2022
Redelmeier DA, Shafir E. The fallacy of a single diagnosis. Med Decis Making. 2023;43(2):183-190.
doi:10.1177/0272989x221121343.
https://psnet.ahrq.gov/issue/fallacy-single-diagnosis
Premature closure occurs when clinicians accept a diagnosis before it has been…