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psnet.ahrq.gov/node/73655/psn-pdf
September 01, 2021 - Influence of organizational climate and clinician morale
on seclusion and physical restraint use in inpatient
psychiatric units.
September 1, 2021
Anderson E, Mohr DC, Regenbogen I, et al. Influence of organizational climate and clinician morale on
seclusion and physical restraint use in inpatient psychiatric unit…
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psnet.ahrq.gov/node/50892/psn-pdf
February 12, 2020 - Association of open communication and the emotional
and behavioural impact of medical error on patients and
families: state-wide cross-sectional survey.
February 12, 2020
Prentice JC, Bell SK, Thomas EJ, et al. Association of open communication and the emotional and
behavioural impact of medical error on patients …
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psnet.ahrq.gov/node/866272/psn-pdf
July 10, 2024 - Infection control measure performance in long-term care
hospitals and their relationship to Joint Commission
accreditation.
July 10, 2024
Schmaltz SP, Longo BA, Williams SC. Infection control measure performance in long-term care hospitals
and their relationship to Joint Commission accreditation. Jt Comm J Qual Pa…
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psnet.ahrq.gov/node/837599/psn-pdf
June 29, 2022 - Differences in medication reconciliation interventions
between six hospitals: a mixed method study.
June 29, 2022
Stuijt CCM, van den Bemt BJF, Boerlage VE, et al. Differences in medication reconciliation interventions
between six hospitals: a mixed method study. BMC Health Serv Res. 2022;22(1):722. doi:10.1186/s12…
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psnet.ahrq.gov/node/60707/psn-pdf
July 22, 2020 - The devil is in the detail: how a closed-loop
documentation system for IV infusion administration
contributes to and compromises patient safety.
July 22, 2020
Furniss D, Dean Franklin B, Blandford A. The devil is in the detail: how a closed-loop documentation
system for IV infusion administration contributes to an…
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psnet.ahrq.gov/node/60660/psn-pdf
July 09, 2020 - Pharmacist-led program to improve transitions from acute
care to skilled nursing facility care.
July 9, 2020
Achilleos M, McEwen J, Hoesly M, et al. Pharmacist-led program to improve transitions from acute care to
skilled nursing facility care. Am J Health Syst Pharm. 2020;77(12). doi:10.1093/ajhp/zxaa090.
https:/…
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psnet.ahrq.gov/node/849610/psn-pdf
May 31, 2023 - Implementation of ED I-PASS as a standardized handoff
tool in the pediatric emergency department.
May 31, 2023
Yanni E, Calaman S, Wiener E, et al. Implementation of ED I-PASS as a standardized handoff tool in the
pediatric emergency department. J Healthc Qual. 2023;45(3):140-147.
doi:10.1097/jhq.0000000000000374.…
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psnet.ahrq.gov/node/74723/psn-pdf
February 02, 2022 - The MedSafer study-electronic decision support for
deprescribing in hospitalized older adults: a cluster
randomized clinical trial.
February 2, 2022
McDonald EG, Wu PE, Rashidi B, et al. The MedSafer study-electronic decision support for deprescribing
in hospitalized older adults: a cluster randomized clinical tri…
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psnet.ahrq.gov/node/837029/psn-pdf
May 04, 2022 - Identifying patients whose symptoms are
underrecognized during treatment with breast
radiotherapy.
May 4, 2022
doi:10.1001/jamaoncol.2022.0114.
https://psnet.ahrq.gov/issue/identifying-patients-whose-symptoms-are-underrecognized-during-treatment-
breast-radiotherapy
Concordance of patient-reported symptoms and p…
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psnet.ahrq.gov/node/40743/psn-pdf
February 01, 2019 - Radiation risks of diagnostic imaging and fluoroscopy.
December 23, 2016
Sentinel Event Alert. August 24, 2011;47:1-4. (revised February 2019).
https://psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging
The Joint Commission issues Sentinel Event Alerts periodically to highlight emerging patient safety issues
…
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psnet.ahrq.gov/node/47273/psn-pdf
September 05, 2018 - Natural language processing and its implications for the
future of medication safety: a narrative review of recent
advances and challenges.
September 5, 2018
Wong A, Plasek JM, Montecalvo SP, et al. Natural Language Processing and Its Implications for the Future
of Medication Safety: A Narrative Review of Recent A…
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psnet.ahrq.gov/node/46000/psn-pdf
April 26, 2017 - Diagnostic error in the emergency department: follow up
of patients with minor trauma in the outpatient clinic.
April 26, 2017
Moonen P-J, Mercelina L, Boer W, et al. Diagnostic error in the Emergency Department: follow up of
patients with minor trauma in the outpatient clinic. Scand J Trauma Resusc Emerg Med. 2017…
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psnet.ahrq.gov/node/44322/psn-pdf
June 21, 2016 - Emotional harm from disrespect: the neglected
preventable harm.
June 21, 2016
Sokol-Hessner L, Folcarelli P, Sands KEF. Emotional harm from disrespect: the neglected preventable
harm. BMJ Qual Saf. 2015;24(9):550-3. doi:10.1136/bmjqs-2015-004034.
https://psnet.ahrq.gov/issue/emotional-harm-disrespect-neglected-pre…
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psnet.ahrq.gov/node/45674/psn-pdf
September 29, 2017 - Pain Management and Prescription Opioid-related Harms:
Exploring the State of the Evidence: Proceedings of a
Workshop—in Brief.
September 29, 2017
Forstag EH; Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid
Abuse; Health and Medicine Division. Washington, DC: National Academy …
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psnet.ahrq.gov/node/46101/psn-pdf
January 01, 2018 - Factors associated with barcode medication
administration technology that contribute to patient
safety: an integrative review.
December 19, 2017
Strudwick G, Reisdorfer E, Warnock C, et al. Factors Associated With Barcode Medication Administration
Technology That Contribute to Patient Safety: An Integrative Review…
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psnet.ahrq.gov/node/844555/psn-pdf
February 15, 2023 - AHRQ-Funded Patient Safety Project Highlights:
Improving Healthcare Safety by Engaging Patients and
Families.
February 15, 2023
Rockville, MD: Agency for Healthcare Research and Quality; January 2023. AHRQ Pub. No.22(23)-0065-1.
https://psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-h…
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psnet.ahrq.gov/node/73291/psn-pdf
May 19, 2021 - How can never event data be used to reflect or improve
hospital safety performance?
May 19, 2021
Olivarius?McAllister J, Pandit M, Sykes A, et al. How can never event data be used to reflect or improve
hospital safety performance? Anaesthesia. 2021;76(12):1616-1624. doi:10.1111/anae.15476.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/36843/psn-pdf
January 05, 2017 - Improving medication reconciliation in the outpatient
setting.
January 5, 2017
Varkey P, Cunningham J, Bisping S. Improving medication reconciliation in the outpatient setting. Jt Comm
J Qual Patient Saf. 2007;33(5):286-92.
https://psnet.ahrq.gov/issue/improving-medication-reconciliation-outpatient-setting
The Jo…
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psnet.ahrq.gov/node/46739/psn-pdf
January 24, 2019 - Symptom–Disease Pair Analysis of Diagnostic Error
(SPADE): a conceptual framework and methodological
approach for unearthing misdiagnosis-related harms
using big data.
January 24, 2019
Liberman AL, Newman-Toker DE. Symptom-Disease Pair Analysis of Diagnostic Error (SPADE): a
conceptual framework and methodologica…
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psnet.ahrq.gov/node/845634/psn-pdf
March 08, 2023 - Compliance with and barriers to implementing the
surgical safety checklist: a mixed-methods study.
March 8, 2023
Aydin Akbuga G, Sürme Y, Esenkaya D. Compliance with and barriers to implementing the surgical safety
checklist: a mixed-methods study. AORN J. 2023;117(2):e1-e10. doi:10.1002/aorn.13861.
https://psnet.…