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psnet.ahrq.gov/node/60213/psn-pdf
April 08, 2020 - FDA alerts patients and health care professionals of
EpiPen auto-injector errors related to device malfunctions
and user administration.
April 8, 2020
FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device
malfunctions and user administration. MedWatch Safety Alert. Silv…
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psnet.ahrq.gov/node/43398/psn-pdf
July 30, 2014 - Strategies to prevent healthcare-associated infections
through hand hygiene.
July 30, 2014
Ellingson K, Haas JP, Aiello AE, et al. Strategies to prevent healthcare-associated infections through hand
hygiene. Infect Control Hosp Epidemiol. 2014;35(8):937-960. doi:10.1086/677145.
https://psnet.ahrq.gov/issue/strateg…
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psnet.ahrq.gov/node/837971/psn-pdf
September 01, 2022 - Frailty and potentially inappropriate prescribing in older
people with polypharmacy: a bi-directional relationship?
September 1, 2022
Randles MA. Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi-
directional relationship? Drugs Aging. 2022;39(8):597-606. doi:10.1007/s40266-0…
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psnet.ahrq.gov/node/74097/psn-pdf
November 24, 2021 - Inattentional blindness in anesthesiology: a gorilla is
worth one thousand words.
November 24, 2021
De Cassai A, Negro S, Geraldini F, et al. Inattentional blindness in anesthesiology: a gorilla is worth one
thousand words. PLoS One. 2021;16(9):e0257508. doi:10.1371/journal.pone.0257508.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/43182/psn-pdf
May 14, 2014 - Quality and safety in pediatric anesthesia: how can
guidelines, checklists, and initiatives improve the
outcome?
May 14, 2014
Hagerman NS, Varughese AM, Kurth D. Quality and safety in pediatric anesthesia: how can guidelines,
checklists, and initiatives improve the outcome? Curr Opin Anaesthesiol. 2014;27(3):323-9…
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psnet.ahrq.gov/node/50424/psn-pdf
September 04, 2019 - From box ticking to the black box: the evolution of
operating room safety.
September 4, 2019
Goldenberg MG, Elterman D. From box ticking to the black box: the evolution of operating room safety.
World J Urol. 2019;38(6):1369-1372. doi:10.1007/s00345-019-02886-5.
https://psnet.ahrq.gov/issue/box-ticking-black-box-e…
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psnet.ahrq.gov/node/866247/psn-pdf
July 10, 2024 - Analysis of critical incident reports using natural
language processing.
July 10, 2024
Denecke K, Paula H. Analysis of critical incident reports using natural language processing. Stud Health
Technol Inform. 2024;313:1-6. doi:10.3233/shti240002.
https://psnet.ahrq.gov/issue/analysis-critical-incident-reports-using…
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psnet.ahrq.gov/node/44222/psn-pdf
December 04, 2016 - The Institute for Safe Medication Practices and poison
control centers: collaborating to prevent medication
errors and unintentional poisonings.
December 4, 2016
Vaida AJ. The Institute for Safe Medication Practices and Poison Control Centers: Collaborating to Prevent
Medication Errors and Unintentional Poisonings…
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psnet.ahrq.gov/node/38993/psn-pdf
January 04, 2010 - Relationship between call light use and response time
and inpatient falls in acute care settings.
January 4, 2010
Tzeng H-M, Yin C-Y. Relationship between call light use and response time and inpatient falls in acute care
settings. J Clin Nurs. 2009;18(23):3333-41. doi:10.1111/j.1365-2702.2009.02916.x.
https://psn…
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psnet.ahrq.gov/node/45869/psn-pdf
March 25, 2017 - Data-driven implementation of alarm reduction
interventions in a cardiovascular surgical ICU.
March 25, 2017
Allan SH, Doyle PA, Sapirstein A, et al. Data-Driven Implementation of Alarm Reduction Interventions in a
Cardiovascular Surgical ICU. Jt Comm J Qual Patient Saf. 2017;43(2):62-70.
doi:10.1016/j.jcjq.2016.1…
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psnet.ahrq.gov/node/47574/psn-pdf
November 21, 2018 - The architecture of safety: an emerging priority for
improving patient safety.
November 21, 2018
Joseph A, Henriksen K, Malone E. The Architecture Of Safety: An Emerging Priority For Improving Patient
Safety. Health Aff (Millwood). 2018;37(11):1884-1891. doi:10.1377/hlthaff.2018.0643.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/46792/psn-pdf
February 14, 2018 - Emerging trends in perinatal quality and risk with
recommendations for patient safety.
February 14, 2018
Simpson KR. Emerging Trends in Perinatal Quality and Risk With Recommendations for Patient Safety. J
Perinat Neonatal Nurs. 2018;32(1). doi:10.1097/jpn.0000000000000294.
https://psnet.ahrq.gov/issue/emerging-tr…
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psnet.ahrq.gov/node/73372/psn-pdf
June 09, 2021 - Impact of COVID-19 on inpatient clinical emergencies: a
single-center experience.
June 9, 2021
Mitchell OJL, Neefe S, Ginestra JC, et al. Impact of COVID-19 on inpatient clinical emergencies: a single-
center experience. Resusc Plus. 2021;6:100135. doi:10.1016/j.resplu.2021.100135.
https://psnet.ahrq.gov/issue/imp…
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psnet.ahrq.gov/node/47549/psn-pdf
March 04, 2019 - Interventions against bullying of prelicensure students
and nursing professionals: an integrative review.
March 4, 2019
Rutherford DE, Gillespie GL, Smith CR. Interventions against bullying of prelicensure students and nursing
professionals: An integrative review. Nurs Forum. 2019;54(1):84-90. doi:10.1111/nuf.12301…
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psnet.ahrq.gov/node/74271/psn-pdf
January 19, 2022 - Improving shared situation awareness for high-risk
therapies in hospitalized children.
January 19, 2022
Sosa T, Mayer B, Chakkalakkal B, et al. Improving shared situation awareness for high-risk therapies in
hospitalized children. Hosp Pediatr. 2022;12(1):37-46. doi:10.1542/hpeds.2021-006193.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/866325/psn-pdf
July 17, 2024 - "What do health inequities have to do with anything?".
July 17, 2024
Kalinowski J. "What do health inequities have to do with anything?". N Engl J Med. 2024;390(23):e61.
doi:10.1056/nejmpv2404787.
https://psnet.ahrq.gov/issue/what-do-health-inequities-have-do-anything
Personal stories of poor care can catalyze the…
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psnet.ahrq.gov/node/836827/psn-pdf
March 30, 2022 - Economic evaluation of quality improvement
interventions to prevent catheter-associated urinary tract
infections in the hospital setting: a systematic review.
March 30, 2022
McCleskey SG, Shek L, Grein J, et al. Economic evaluation of quality improvement interventions to prevent
catheter-associated urinary tract i…
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psnet.ahrq.gov/node/35575/psn-pdf
April 11, 2011 - Parental preferences for error disclosure, reporting, and
legal action after medical error in the care of their
children.
April 11, 2011
Hobgood C, Tamayo-Sarver JH, Elms A, et al. Parental preferences for error disclosure, reporting, and
legal action after medical error in the care of their children. Pediatrics. …
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psnet.ahrq.gov/node/46377/psn-pdf
October 29, 2017 - Why it is so hard to talk about overuse in pediatrics and
why it matters.
October 29, 2017
Ralston SL, Schroeder AR. Why It Is So Hard to Talk About Overuse in Pediatrics and Why It Matters.
JAMA Pediatr. 2017;171(10):931-932. doi:10.1001/jamapediatrics.2017.2239.
https://psnet.ahrq.gov/issue/why-it-so-hard-talk-a…
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psnet.ahrq.gov/node/866746/psn-pdf
September 18, 2024 - Looking beyond LinkedIn: the case for excellence and
academic rigor in quality and safety programs.
September 18, 2024
Bearman G, Nori P. Looking beyond LinkedIn: the case for excellence and academic rigor in quality and
safety programs. Am J Med. 2024;137(8):694-697. doi:10.1016/j.amjmed.2024.04.018.
https://psne…