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psnet.ahrq.gov/node/764406/psn-pdf
March 02, 2022 - Patient safety assurance in the age of defensive
medicine: a review.
March 2, 2022
Shenoy A, Shenoy GN, Shenoy GG. Patient safety assurance in the age of defensive medicine: a review.
Patient Saf Surg. 2022;16(1):10. doi:10.1186/s13037-022-00319-8.
https://psnet.ahrq.gov/issue/patient-safety-assurance-age-defensiv…
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psnet.ahrq.gov/node/34797/psn-pdf
October 06, 2015 - Adapting to new technologies in the operating room.
October 6, 2015
Cook RI, Woods DD. Adapting to New Technology in the Operating Room. Hum Factors. 2006;38(4):593-
613. doi:10.1518/001872096778827224.
https://psnet.ahrq.gov/issue/adapting-new-technologies-operating-room
New technology continues to offer great ad…
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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/36769/psn-pdf
June 15, 2011 - Using incident reporting to improve patient safety: a
conceptual model.
June 15, 2011
Pronovost PJ, Holzmueller CG, Young J, et al. Using Incident Reporting to Improve Patient Safety. J
Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030ca05.
https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-s…
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psnet.ahrq.gov/node/73093/psn-pdf
March 31, 2021 - Leadership through crisis: fighting the fatigue pandemic
in healthcare during COVID-19.
March 31, 2021
Whelehan DF, Algeo N, Brown DA. Leadership through crisis: fighting the fatigue pandemic in healthcare
during COVID-19. BMJ Leader. 2021;5:108-112. doi:10.1136/leader-2020-000419.
https://psnet.ahrq.gov/issue/lea…
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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…
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psnet.ahrq.gov/node/44557/psn-pdf
November 20, 2015 - Reforming the Veterans Health Administration—beyond
palliation of symptoms.
November 20, 2015
Giroir BP, Wilensky GR. Reforming the Veterans Health Administration--Beyond Palliation of Symptoms. N
Engl J Med. 2015;373(18):1693-5. doi:10.1056/NEJMp1511438.
https://psnet.ahrq.gov/issue/reforming-veterans-health-admi…
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psnet.ahrq.gov/node/38060/psn-pdf
April 11, 2011 - Iatrogenesis in neonatal intensive care units:
observational and interventional, prospective, multicenter
study.
April 11, 2011
Kugelman A, Inbar-Sanado E, Shinwell ES, et al. Iatrogenesis in neonatal intensive care units:
observational and interventional, prospective, multicenter study. Pediatrics. 2008;122(3):55…
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psnet.ahrq.gov/node/865719/psn-pdf
May 01, 2024 - High reliability pediatric heart centers: always working
toward getting better.
May 1, 2024
Torzone A, Birely A. High reliability pediatric heart centers: always working toward getting better. Curr Opin
Cardiol. 2024;39(4):356-363. doi:10.1097/hco.0000000000001143.
https://psnet.ahrq.gov/issue/high-reliability-ped…
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psnet.ahrq.gov/node/44702/psn-pdf
December 16, 2015 - Alarm fatigue: impacts on patient safety.
December 16, 2015
Ruskin KJ, Hueske-Kraus D. Alarm fatigue: impacts on patient safety. Curr Opin Anaesthesiol.
2015;28(6):685-690. doi:10.1097/ACO.0000000000000260.
https://psnet.ahrq.gov/issue/alarm-fatigue-impacts-patient-safety
Alarm fatigue is a recognized safety conce…
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psnet.ahrq.gov/node/43640/psn-pdf
November 12, 2014 - Infection prevention in the emergency department.
November 12, 2014
Liang SY, Theodoro DL, Schuur JD, et al. Infection prevention in the emergency department. Ann Emerg
Med. 2014;64(3):299-313. doi:10.1016/j.annemergmed.2014.02.024.
https://psnet.ahrq.gov/issue/infection-prevention-emergency-department
Emergency c…
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psnet.ahrq.gov/node/44858/psn-pdf
February 10, 2016 - Situation awareness errors in anesthesia and critical care
in 200 cases of a critical incident reporting system.
February 10, 2016
Schulz CM, Krautheim V, Hackemann A, et al. Situation awareness errors in anesthesia and critical care in
200 cases of a critical incident reporting system. BMC Anesthesiol. 2016;16:4. …
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psnet.ahrq.gov/node/45409/psn-pdf
May 17, 2021 - ISMP List of High-Alert Medications in Long-Term Care
(LTC) Settings.
May 17, 2021
Horsham, PA: Institute of Safe Medication Practices; 2021
https://psnet.ahrq.gov/issue/ismp-list-high-alert-medications-long-term-care-ltc-settings
Long-term care patients often have concurrent conditions that increase their risk of…
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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/74204/psn-pdf
January 01, 2022 - Perceptions of nurses who are second victims in a
hospital setting.
December 22, 2021
Draus C, Mianecki TB, Musgrove H, et al. Perceptions of nurses who are second victims in a hospital
setting. J Nurs Care Qual. 2022;37(2):110-116. doi:10.1097/ncq.0000000000000603.
https://psnet.ahrq.gov/issue/perceptions-nurses-…
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psnet.ahrq.gov/node/35237/psn-pdf
November 29, 2009 - Improving nurse-to-patient staffing ratios as a cost-
effective safety intervention.
November 29, 2009
Rothberg MB, Abraham I, Lindenauer PK, et al. Improving nurse-to-patient staffing ratios as a cost-effective
safety intervention. Med Care. 2005;43(8):785-91.
https://psnet.ahrq.gov/issue/improving-nurse-patient-…
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psnet.ahrq.gov/node/37741/psn-pdf
January 10, 2017 - Error-avoidance recommendations for tubing
misconnections when using luer-tip connectors: a
statement by the USP Safe Medication Use Expert
Committee.
January 10, 2017
Simmons D, Phillips MS, Grissinger M, et al. Error-avoidance recommendations for tubing misconnections
when using Luer-tip connectors: a statement…
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psnet.ahrq.gov/node/47241/psn-pdf
October 10, 2018 - Impact of high-reliability education on adverse event
reporting by registered nurses.
October 10, 2018
McFarland DM, Doucette JN. Impact of High-Reliability Education on Adverse Event Reporting by
Registered Nurses. J Nurs Care Qual. 2018;33(3):285-290. doi:10.1097/NCQ.0000000000000291.
https://psnet.ahrq.gov/issu…
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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/41239/psn-pdf
March 21, 2012 - Emotional impact of patient safety incidents on family
physicians and their office staff.
March 21, 2012
O'Beirne M, Sterling P, Palacios-Derflingher L, et al. Emotional impact of patient safety incidents on family
physicians and their office staff. J Am Board Fam Med. 2012;25(2):177-83.
doi:10.3122/jabfm.2012.02.…