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psnet.ahrq.gov/node/45482/psn-pdf
September 14, 2016 - 'America's other drug problem': copious prescriptions for
hospitalized elderly.
September 14, 2016
Gorman A. Kaiser Health News. August 30, 2016.
https://psnet.ahrq.gov/issue/americas-other-drug-problem-copious-prescriptions-hospitalized-elderly
Older patients are particularly vulnerable to medication errors, as t…
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psnet.ahrq.gov/node/43905/psn-pdf
March 04, 2015 - Suboptimal compliance with surgical safety checklists in
Colorado: a prospective observational study reveals
differences between surgical specialties.
March 4, 2015
Biffl WL, Gallagher AW, Pieracci FM, et al. Suboptimal compliance with surgical safety checklists in
Colorado: A prospective observational study revea…
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psnet.ahrq.gov/node/73085/psn-pdf
January 01, 2022 - Multiple meanings of resilience: health professionals'
experiences of a dual element training intervention
designed to help them prepare for coping with error.
March 31, 2021
Janes G, Harrison R, Johnson J, et al. Multiple meanings of resilience: health professionals' experiences of
a dual element training interve…
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psnet.ahrq.gov/node/849602/psn-pdf
May 31, 2023 - Psychosocial processes in healthcare workers: how
individuals' perceptions of interpersonal communication
is related to patient safety threats and higher-quality care.
May 31, 2023
Dietl JE, Derksen C, Keller FM, et al. Psychosocial processes in healthcare workers: how individuals'
perceptions of interpersonal com…
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psnet.ahrq.gov/node/47121/psn-pdf
August 08, 2018 - Assessment of programs aimed to decrease or prevent
mistreatment of medical trainees.
August 8, 2018
Mazer LM, Bereknyei Merrell S, Hasty BN, et al. Assessment of Programs Aimed to Decrease or Prevent
Mistreatment of Medical Trainees. JAMA Netw Open. 2018;1(3):e180870.
doi:10.1001/jamanetworkopen.2018.0870.
https…
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psnet.ahrq.gov/node/837794/psn-pdf
August 10, 2022 - Combined impact of Medicare's hospital pay for
performance programs on quality and safety outcomes is
mixed.
August 10, 2022
Waters TM, Burns N, Kaplan CM, et al. Combined impact of Medicare’s hospital pay for performance
programs on quality and safety outcomes is mixed. BMC Health Serv Res. 2022;22(1):958.
doi:1…
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psnet.ahrq.gov/node/844765/psn-pdf
September 18, 2019 - Untangling infusion confusion: a comparative evaluation
of interventions in a simulated intensive care setting.
September 18, 2019
Pinkney SJ, Fan M, Koczmara C, et al. Untangling Infusion Confusion: A Comparative Evaluation of
Interventions in a Simulated Intensive Care Setting. Crit Care Med. 2019;47(7):e597-e601…
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psnet.ahrq.gov/node/45529/psn-pdf
October 11, 2017 - Increasing compliance with the World Health Organization
surgical safety checklist—a regional health system's
experience.
October 11, 2017
Gitelis ME, Kaczynski A, Shear T, et al. Increasing compliance with the World Health Organization Surgical
Safety Checklist-A regional health system's experience. Am J Surg. 20…
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psnet.ahrq.gov/node/854381/psn-pdf
October 11, 2023 - Addressing bias in acute postoperative pain
management.
October 11, 2023
Harbell MW, Maloney J, Anderson MA, et al. Addressing bias in acute postoperative pain management.
Curr Pain Headache Rep. 2023;27(9):407-415. doi:10.1007/s11916-023-01135-0.
https://psnet.ahrq.gov/issue/addressing-bias-acute-postoperative-pa…
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psnet.ahrq.gov/node/45817/psn-pdf
October 25, 2017 - The Case for Investing in Patient Safety in Canada.
October 25, 2017
RiskAnalytica. Ottawa, ON: Canadian Patient Safety Institute; 2017.
https://psnet.ahrq.gov/issue/case-investing-patient-safety-canada
Medical error and patient harm affect individuals and organizations around the world. This report estimates
that…
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psnet.ahrq.gov/node/45576/psn-pdf
July 02, 2017 - Peer feedback, learning, and improvement: answering the
call of the Institute of Medicine report on diagnostic error.
July 2, 2017
Larson DB, Donnelly LF, Podberesky DJ, et al. Peer Feedback, Learning, and Improvement: Answering the
Call of the Institute of Medicine Report on Diagnostic Error. Radiology. 2017;283(1…
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psnet.ahrq.gov/node/74110/psn-pdf
November 24, 2021 - New problems and iatrogenic events among older adults
in the first 30 days of post-acute rehabilitation.
November 24, 2021
Simpson M, Kovach CR. New problems and iatrogenic events among older adults in the first 30 days of
post-acute rehabilitation. Res Gerontol Nurs. 2021;14(6):293-304. doi:10.3928/19404921-202109…
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psnet.ahrq.gov/node/73679/psn-pdf
September 08, 2021 - Why an open disclosure procedure is and is not followed
after an avoidable adverse event.
September 8, 2021
Carrillo I, Mira JJ, Guilabert M, et al. Why an open disclosure procedure is and is not followed after an
avoidable adverse event. J Patient Saf. 2021;17(6):e529-e533. doi:10.1097/pts.0000000000000405.
https…
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psnet.ahrq.gov/node/47607/psn-pdf
February 13, 2019 - Infection prevention in long-term care: re-evaluating the
system using a human factors engineering approach.
February 13, 2019
Katz MJ, Gurses AP. Infection prevention in long-term care: re-evaluating the system using a human
factors engineering approach. Infect Control Hosp Epidemiol. 2019;40(1):95-99. doi:10.1017…
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psnet.ahrq.gov/node/837151/psn-pdf
May 18, 2022 - Society for Maternal-Fetal Medicine Special Statement: a
critique of postpartum readmission rate as a quality
metric.
May 18, 2022
Combs CA, Goffman D, Pettker CM. Society for Maternal-Fetal Medicine Special Statement: A critique of
postpartum readmission rate as a quality metric. Am J Obstet Gynecol. 2022;226(4):…
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psnet.ahrq.gov/node/837892/psn-pdf
January 01, 2023 - Teamwork before and during COVID-19: the good, the
same, and the ugly….
August 24, 2022
Rehder KJ, Adair KC, Eckert E, et al. Teamwork before and during COVID-19: the good, the same, and the
ugly…. J Patient Saf. 2023;19(1):36-41. doi:10.1097/pts.0000000000001070.
https://psnet.ahrq.gov/issue/teamwork-and-during-c…
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psnet.ahrq.gov/node/60898/psn-pdf
September 09, 2020 - Sequential implementation of the EQUIPPED geriatric
medication safety program as a learning health system.
September 9, 2020
Vandenberg AE, Kegler M, Hastings SN, et al. Sequential implementation of the EQUIPPED geriatric
medication safety program as a learning health system. Int J Qual Health Care. 2020;32(7):470-…
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psnet.ahrq.gov/node/60179/psn-pdf
April 01, 2020 - Two cultures in modern science and technology: for
safety and validity does medicine have to update?
April 1, 2020
Becker RE. Two cultures in modern science and technology: for safety and validity does medicine have to
update? J Patient Saf. 2020;16(1):e46-e50. doi:10.1097/pts.0000000000000260.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/74055/psn-pdf
January 01, 2022 - Registered nurses' and medical doctors' experiences of
patient safety in health information exchange during
interorganizational care transitions: a qualitative review.
November 10, 2021
Hyvämäki P, Kääriäinen M, Tuomikoski A-M, et al. Registered nurses' and medical doctors' experiences of
patient safety in health …
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psnet.ahrq.gov/node/73218/psn-pdf
January 01, 2022 - Work-related factors, cognitive skills, unsafe behavior
and safety incident involvement among emergency
medical services crew members: relationships and
indirect effects.
May 5, 2021
Sedlár M. Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among
emergency medical services …