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psnet.ahrq.gov/node/837340/psn-pdf
June 08, 2022 - Wellbeing, burnout, and safe practice among healthcare
professionals: predictive influences of mindfulness,
values, and self-compassion.
June 8, 2022
Prudenzi A, D. Graham C, Flaxman PE, et al. Wellbeing, burnout, and safe practice among healthcare
professionals: predictive influences of mindfulness, values, and s…
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psnet.ahrq.gov/node/45376/psn-pdf
November 09, 2016 - The new CMS hospital quality star ratings: the stars are
not aligned.
November 9, 2016
Bilimoria KY, Barnard C. The New CMS Hospital Quality Star Ratings: The Stars Are Not Aligned. JAMA.
2016;316(17):1761-1762. doi:10.1001/jama.2016.13679.
https://psnet.ahrq.gov/issue/new-cms-hospital-quality-star-ratings-stars-a…
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psnet.ahrq.gov/node/47087/psn-pdf
May 02, 2018 - The Economics of Patient Safety in Primary and
Ambulatory Care: Flying Blind.
May 2, 2018
Slawomirski L, Auraaen A, Klazinga N. Paris, France: Organisation for Economic Co-operation and
Development; 2018.
https://psnet.ahrq.gov/issue/economics-patient-safety-primary-and-ambulatory-care-flying-blind
The global eco…
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psnet.ahrq.gov/node/44791/psn-pdf
January 13, 2016 - FDA Drug Safety Communication: FDA cautions about
dosing errors when switching between different oral
formulations of antifungal Noxafil (posaconazole); label
changes approved.
January 13, 2016
US Food and Drug Administration; FDA.
https://psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-cautions-about-dosi…
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psnet.ahrq.gov/node/60286/psn-pdf
April 29, 2020 - With Covid-19 delaying routine care, chronic disease
startups brace for a slew of complications.
April 29, 2020
Brodwin E. STAT. April 14, 2020.
https://psnet.ahrq.gov/issue/covid-19-delaying-routine-care-chronic-disease-startups-brace-slew-
complications
Patients with cancer and other chronic disorder treatment …
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psnet.ahrq.gov/node/47270/psn-pdf
August 08, 2018 - A method to identify pediatric high-risk diagnoses missed
in the emergency department.
August 8, 2018
Sundberg M, Perron CO, Kimia A, et al. A method to identify pediatric high-risk diagnoses missed in the
emergency department. Diagnosis (Berl). 2018;5(2):63-69. doi:10.1515/dx-2018-0005.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/73522/psn-pdf
July 21, 2021 - Federal speech rulings may embolden health care
workers to call out safety issues.
July 21, 2021
Meyer H. Kaiser Health News. July 9, 2021.
https://psnet.ahrq.gov/issue/federal-speech-rulings-may-embolden-health-care-workers-call-out-safety-
issues
Whistleblower protections are a key component to raising awarenes…
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psnet.ahrq.gov/node/72778/psn-pdf
February 24, 2021 - Distractions in the cardiac catheterisation laboratory:
impact for cardiologists and patient safety.
February 24, 2021
Mahadevan K, Cowan E, Kalsi N, et al. Distractions in the cardiac catheterisation laboratory: impact for
cardiologists and patient safety. Open Heart. 2020;7(2). doi:10.1136/openhrt-2020-001260.
h…
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psnet.ahrq.gov/node/47206/psn-pdf
January 01, 2021 - Understanding the types and effects of clinical
interruptions and distractions recorded in a multihospital
patient safety reporting system.
October 17, 2018
Kellogg KM, Puthumana JS, Fong A, et al. Understanding the Types and Effects of Clinical Interruptions
and Distractions Recorded in a Multihospital Patient Sa…
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psnet.ahrq.gov/node/836986/psn-pdf
April 27, 2022 - Habit and automaticity in medical alert override: cohort
study.
April 27, 2022
Wang L, Goh KH, Yeow A, et al. Habit and automaticity in medical alert override: cohort study. J Med
Internet Res. 2022;24(2):e23355. doi:10.2196/23355.
https://psnet.ahrq.gov/issue/habit-and-automaticity-medical-alert-override-cohort-s…
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psnet.ahrq.gov/node/60828/psn-pdf
August 19, 2020 - When COVID-19 hit, many elderly were left to die.
August 19, 2020
Stevis-Gridneff M, Apuzzo M, Pronczuk M. When COVID-19 hit, many elderly were left to die. New York
Times. 2020;August 8.
https://psnet.ahrq.gov/issue/when-covid-19-hit-many-elderly-were-left-die
Residential care facilities have been challenged by C…
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psnet.ahrq.gov/node/44187/psn-pdf
November 10, 2015 - A safe practice standard for barcode technology.
November 10, 2015
Leung AA, Denham CR, Gandhi TK, et al. A safe practice standard for barcode technology. J Patient Saf.
2015;11(2):89-99. doi:10.1097/PTS.0000000000000049.
https://psnet.ahrq.gov/issue/safe-practice-standard-barcode-technology
Barcode technology has…
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psnet.ahrq.gov/node/43606/psn-pdf
October 15, 2014 - Opioids for chronic noncancer pain: a position paper of
the American Academy of Neurology.
October 15, 2014
Franklin GM, Neurology AA of. Opioids for chronic noncancer pain: a position paper of the American
Academy of Neurology. Neurology. 2014;83(14):1277-84. doi:10.1212/WNL.0000000000000839.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/50626/psn-pdf
November 06, 2019 - Prevalence of medication transfer errors in nephrology
patients and potential risk factors.
November 6, 2019
Ebbens MM, Errami H, Moes DJAR, et al. Prevalence of medication transfer errors in nephrology patients
and potential risk factors. Eur J Intern Med. 2019;70:50-53. doi:10.1016/j.ejim.2019.09.003.
https://ps…
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psnet.ahrq.gov/node/44317/psn-pdf
August 19, 2015 - Use of in-situ simulation to investigate latent safety
threats prior to opening a new emergency department.
August 19, 2015
Medwid K, Smith SW, Gang M. Use of in-situ simulation to investigate latent safety threats prior to opening
a new emergency department. Safety Sci. 2015;77:19-24. doi:10.1016/j.ssci.2015.03.01…
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psnet.ahrq.gov/node/74710/psn-pdf
January 26, 2022 - The evolution of the Anesthesia Patient Safety Movement
in America: lessons learned and considerations to
promote further improvement in patient safety.
January 26, 2022
Warner MA, Warner ME. The evolution of the Anesthesia Patient Safety Movement in America: lessons
learned and considerations to promote further i…
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psnet.ahrq.gov/node/44763/psn-pdf
November 18, 2016 - A 'paperless' wall-mounted surgical safety checklist with
migrated leadership can improve compliance and team
engagement.
November 18, 2016
Ong APC, Devcich DA, Hannam J, et al. A 'paperless' wall-mounted surgical safety checklist with migrated
leadership can improve compliance and team engagement. BMJ Qual Saf. 2…
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psnet.ahrq.gov/node/40476/psn-pdf
September 09, 2011 - Medication administration technologies and patient
safety: a mixed-method systematic review.
September 9, 2011
Wulff K, Cummings GG, Marck P, et al. Medication administration technologies and patient safety: a mixed-
method systematic review. J Adv Nurs. 2011;67(10):2080-95. doi:10.1111/j.1365-2648.2011.05676.x.
h…
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psnet.ahrq.gov/node/836758/psn-pdf
March 16, 2022 - Internet of things in healthcare for patient safety: an
empirical study.
March 16, 2022
Yesmin T, Carter MW, Gladman AS. Internet of things in healthcare for patient safety: an empirical study.
BMC Health Serv Res. 2022;22(1):278. doi:10.1186/s12913-022-07620-3.
https://psnet.ahrq.gov/issue/internet-things-healthc…
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psnet.ahrq.gov/node/34868/psn-pdf
February 03, 2011 - Role of computerized physician order entry systems in
facilitating medication errors.
February 3, 2011
Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating
medication errors. JAMA. 2005;293(10):1197-203.
https://psnet.ahrq.gov/issue/role-computerized-physician-ord…