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psnet.ahrq.gov/node/46072/psn-pdf
November 08, 2017 - Repeat prescribing of medications: a system-centred risk
management model for primary care organisations.
November 8, 2017
Price J, Man SL, Bartlett S, et al. Repeat prescribing of medications: A system-centred risk management
model for primary care organisations. J Eval Clin Pract. 2017;23(4):779-796. doi:10.1111/…
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psnet.ahrq.gov/node/43521/psn-pdf
November 05, 2014 - From Science to Implementation: AHRQ's Program to
Prevent HAIs—Results and Lessons.
November 5, 2014
Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Am J Infect Control. 2014;42(suppl 10):S189-S296.
https://psnet.ahrq.gov/issue/science-implementation-ahrqs-program-prevent-hais-results-and-lessons
This companion…
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psnet.ahrq.gov/node/45798/psn-pdf
February 01, 2017 - American College of Surgeons and Surgical Infection
Society: Surgical Site Infection Guidelines, 2016 Update.
February 1, 2017
Ban KA, Minei JP, Laronga C, et al. American College of Surgeons and Surgical Infection Society: Surgical
Site Infection Guidelines, 2016 Update. J Am Coll Surg. 2017;224(1):59-74.
doi:10.…
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psnet.ahrq.gov/node/843326/psn-pdf
February 01, 2023 - Surgical site infection prevention: a review.
February 1, 2023
Seidelman JL, Mantyh CR, Anderson DJ. Surgical site infection prevention: a review. JAMA.
2023;329(3):244-252. doi:10.1001/jama.2022.24075.
https://psnet.ahrq.gov/issue/surgical-site-infection-prevention-review
Surgical site infections (SSIs) remain a …
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psnet.ahrq.gov/node/46970/psn-pdf
June 27, 2018 - Using drug knowledgebase information to distinguish
between look-alike-sound-alike drugs.
June 27, 2018
Cheng CM, Salazar A, Amato MG, et al. Using drug knowledgebase information to distinguish between
look-alike-sound-alike drugs. J Am Med Inform Assoc. 2018;25(7):872-884. doi:10.1093/jamia/ocy043.
https://psnet.…
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psnet.ahrq.gov/node/47157/psn-pdf
August 15, 2018 - Evaluation of a patient safety programme on Surgical
Safety Checklist compliance: a prospective longitudinal
study.
August 15, 2018
Gillespie BM, Harbeck EL, Lavin J, et al. Evaluation of a patient safety programme on Surgical Safety
Checklist Compliance: a prospective longitudinal study. BMJ Open Qual. 2018;7(3):…
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psnet.ahrq.gov/node/44028/psn-pdf
April 01, 2015 - Alarm system management: evidence-based guidance
encouraging direct measurement of informativeness to
improve alarm response.
April 1, 2015
Rayo MF, Moffatt-Bruce SD. Alarm system management: evidence-based guidance encouraging direct
measurement of informativeness to improve alarm response. BMJ Qual Saf. 2015;24(…
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psnet.ahrq.gov/node/836810/psn-pdf
March 30, 2022 - Periodic resuscitation cart checks and nurse situational
awareness: an observational study.
March 30, 2022
Aljuaid J, Al-Moteri M. Periodic resuscitation cart checks and nurse situational awareness: an observational
study. J Emerg Nurs. 2022;48(2):189-201. doi:10.1016/j.jen.2021.12.002.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/72643/psn-pdf
January 13, 2021 - Ockenden Report. Emerging Fndings and
Recommendations from the Independent Review of
Maternity Services at the Shrewsbury and Telford
Hospital NHS Trust.
January 13, 2021
London UK: Crown Copyright; December 10, 2020. ISBN: 9781528623049.
https://psnet.ahrq.gov/issue/ockenden-report-emerging-fndings-a…
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psnet.ahrq.gov/node/73061/psn-pdf
March 24, 2021 - Timeout procedure in paediatric surgery: effective tool or
lip service? A randomised prospective observational
study.
March 24, 2021
Muensterer OJ, Kreutz H, Poplawski A, et al. Timeout procedure in paediatric surgery: effective tool or lip
service? A randomised prospective observational study. BMJ Qual Saf. 2021;…
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psnet.ahrq.gov/node/43998/psn-pdf
May 28, 2015 - Bridging the gap between hospital and primary care: the
pharmacist home visit.
May 28, 2015
Ensing HT, Koster ES, Stuijt CCM, et al. Bridging the gap between hospital and primary care: the
pharmacist home visit. Int J Clin Pharm. 2015;37(3):430-4. doi:10.1007/s11096-015-0093-4.
https://psnet.ahrq.gov/issue/bridgin…
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psnet.ahrq.gov/node/47568/psn-pdf
March 06, 2019 - Trends in anesthesia-related liability and lessons learned.
March 6, 2019
Mora JC, Kaye AD, Romankowski ML, et al. Trends in Anesthesia-Related Liability and Lessons Learned.
Adv Anesth. 2018;36(1):231-249. doi:10.1016/j.aan.2018.07.009.
https://psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-l…
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psnet.ahrq.gov/node/72812/psn-pdf
March 10, 2021 - High nursing staff turnover in nursing homes offers
important quality information.
March 10, 2021
Gandhi A, Yu H, Grabowski DC. High nursing staff turnover in nursing homes offers important quality
information. Health Aff (Millwood). 2021;40(3):384-391. doi:10.1377/hlthaff.2020.00957.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/50536/psn-pdf
October 16, 2019 - The impact of post-fall huddles on repeat fall rates and
perceptions of safety culture: a quasi-experimental
evaluation of a patient safety demonstration project
October 16, 2019
Jones KJ, Crowe J, Allen JA, et al. The impact of post-fall huddles on repeat fall rates and perceptions of
safety culture: a quasi-expe…
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psnet.ahrq.gov/node/73688/psn-pdf
September 08, 2021 - Effect of medication reconciliation on patient reported
potential adverse events after hospital discharge.
September 8, 2021
Stuijt CCM, Bekker CL, van den Bemt BJF, et al. Effect of medication reconciliation on patient reported
potential adverse events after hospital discharge. Res Social Adm Pharm. 2021;17(8):142…
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psnet.ahrq.gov/node/854988/psn-pdf
November 01, 2023 - Use of design thinking and human factors approach to
improve situation awareness in the pediatric intensive
care unit.
November 1, 2023
Gifford A, Butcher B, Chima RS, et al. Use of design thinking and human factors approach to improve
situation awareness in the pediatric intensive care unit. J Hosp Med. 2023;18(1…
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psnet.ahrq.gov/node/836751/psn-pdf
March 16, 2022 - Bedside clinicians' perceptions on the contributing role of
diagnostic errors in acutely ill patient presentation: a
survey of academic and community practice.
March 16, 2022
Huang C, Barwise A, Soleimani J, et al. Bedside clinicians' perceptions on the contributing role of
diagnostic errors in acutely ill patient…
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psnet.ahrq.gov/node/73600/psn-pdf
August 18, 2021 - Optimizing Therapy to Prevent Avoidable Hospital
Admissions in Multimorbid Older Adults (OPERAM):
cluster randomised controlled trial.
August 18, 2021
Blum MR, Sallevelt B, Spinewine A, et al. Optimizing Therapy to Prevent Avoidable Hospital Admissions in
Multimorbid Older Adults (OPERAM): cluster randomised contr…
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psnet.ahrq.gov/node/837332/psn-pdf
June 08, 2022 - Influence of psychological safety and organizational
support on the impact of humiliation on trainee well-
being.
June 8, 2022
Appelbaum NP, Santen SA, Perera RA, et al. Influence of psychological safety and organizational support
on the impact of humiliation on trainee well-being. J Patient Saf. 2022;18(4):370-37…
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psnet.ahrq.gov/node/46187/psn-pdf
December 06, 2017 - A randomised controlled trial assessing the efficacy of an
electronic discharge communication tool for preventing
death or hospital readmission.
December 6, 2017
Santana MJ, Holroyd-Leduc J, Southern DA, et al. A randomised controlled trial assessing the efficacy of
an electronic discharge communication tool for p…