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psnet.ahrq.gov/node/37871/psn-pdf
January 06, 2017 - A controlled trial of a rapid response system in an
academic medical center.
January 6, 2017
Rothschild JM, Woolf S, Finn KM, et al. A controlled trial of a rapid response system in an academic
medical center. Jt Comm J Qual Patient Saf. 2008;34(7):417-25, 365.
https://psnet.ahrq.gov/issue/controlled-trial-rapid-r…
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psnet.ahrq.gov/node/844769/psn-pdf
January 01, 2020 - Failure to administer recommended chemotherapy:
acceptable variation or cancer care quality blind spot?
September 18, 2019
Ellis RJ, Schlick CJR, Feinglass J, et al. Failure to administer recommended chemotherapy: acceptable
variation or cancer care quality blind spot? BMJ Qual Saf. 2020;29(2):103-112. doi:10.1136/…
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psnet.ahrq.gov/node/849120/psn-pdf
May 17, 2023 - Systematic literature review on the effectiveness and
safety of paediatric hospital-at-home care as a substitute
for hospital care.
May 17, 2023
Detollenaere J, Van Ingelghem I, Van den Heede K, et al. Systematic literature review on the effectiveness
and safety of paediatric hospital-at-home care as a substitute …
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psnet.ahrq.gov/issue/safe-patient-outcomes-occur-timely-standardized-communication-critical-values
January 15, 2020 - Newspaper/Magazine Article
Safe patient outcomes occur with timely, standardized communication of critical values.
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April 16, 2018
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psnet.ahrq.gov/node/60612/psn-pdf
January 01, 2021 - COVID-19: patient safety and quality improvement skills
to deploy during the surge.
June 24, 2020
Staines A, Amalberti R, Berwick DM, et al. COVID-19: patient safety and quality improvement skills to
deploy during the surge. Int J Qual Health Care. 2021;33(1):mzaa050. doi:10.1093/intqhc/mzaa050.
https://psnet.ahrq…
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psnet.ahrq.gov/node/43655/psn-pdf
December 19, 2014 - Systematic biases in group decision-making: implications
for patient safety.
December 19, 2014
Mannion R, Thompson C. Systematic biases in group decision-making: implications for patient safety. Int J
Qual Health Care. 2014;26(6):606-12. doi:10.1093/intqhc/mzu083.
https://psnet.ahrq.gov/issue/systematic-biases-gro…
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psnet.ahrq.gov/node/73286/psn-pdf
May 19, 2021 - Engineering care transitions: clinician perceptions of
barriers to safe medication management during
transitions of patient care.
May 19, 2021
Hannum SM, Abebe E, Xiao Y, et al. Engineering care transitions: clinician perceptions of barriers to safe
medication management during transitions of patient care. Appl Er…
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psnet.ahrq.gov/node/73324/psn-pdf
May 26, 2021 - Medication-related hospital readmissions within 30 days
of discharge: prevalence, preventability, type of
medication errors and risk factors.
May 26, 2021
Uitvlugt EB, Janssen MJA, Siegert CEH, et al. Medication-related hospital readmissions within 30 days of
discharge: prevalence, preventability, type of medicati…
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psnet.ahrq.gov/node/865806/psn-pdf
May 08, 2024 - Entangled in complexity: an ethnographic study of
organizational adaptability and safe care transitions for
patients with complex care needs.
May 8, 2024
Hedqvist A?T, Praetorius G, Ekstedt M, et al. Entangled in complexity: an ethnographic study of
organizational adaptability and safe care transitions for patient…
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psnet.ahrq.gov/node/866170/psn-pdf
June 19, 2024 - The World Federation of Chiropractic Global Patient
Safety Task Force: a call to action.
June 19, 2024
Coleman BC, Rubinstein SM, Salsbury SA, et al. The World Federation of Chiropractic Global Patient
Safety Task Force: a call to action. Chiropr Man Therap. 2024;32(1):15. doi:10.1186/s12998-024-00536-1.
https://p…
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psnet.ahrq.gov/node/73131/psn-pdf
April 14, 2021 - Identification of common themes from never events data
published by NHS England.
April 14, 2021
Omar I, Graham Y, Singhal R, et al. Identification of common themes from never events data published by
NHS England. World J Surg. 2021;45(3):697-704. doi:10.1007/s00268-020-05867-7.
https://psnet.ahrq.gov/issue/identif…
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psnet.ahrq.gov/node/43444/psn-pdf
August 27, 2014 - Patient-safety–related hospital deaths in England:
thematic analysis of incidents reported to a national
database, 2010–2012.
August 27, 2014
Donaldson LJ, Panesar S, Darzi A. Patient-safety-related hospital deaths in England: thematic analysis of
incidents reported to a national database, 2010-2012. PLoS Med. 201…
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psnet.ahrq.gov/node/47059/psn-pdf
May 16, 2018 - Participating in a multisite study exploring operational
failures encountered by frontline nurses: lessons learned.
May 16, 2018
Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures
Encountered by Frontline Nurses: Lessons Learned. J Nurs Adm. 2018;48(4):203-208.
do…
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psnet.ahrq.gov/node/61092/psn-pdf
November 04, 2020 - Patient race and opioid misuse history influence provider
risk perceptions for future opioid-related problems.
November 4, 2020
Hirsh AT, Anastas TM, Miller MM, et al. Patient race and opioid misuse history influence provider risk
perceptions for future opioid-related problems. Am Psychol. 2020;75(6):784-795.
doi:…
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psnet.ahrq.gov/node/46678/psn-pdf
January 03, 2018 - Measuring patient safety in real time: an essential method
for effectively improving the safety of care.
January 3, 2018
Classen DC, Griffin FA, Berwick DM. Measuring Patient Safety in Real Time: An Essential Method for
Effectively Improving the Safety of Care. Ann Intern Med. 2017;167(12). doi:10.7326/m17-2202.
h…
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psnet.ahrq.gov/node/45355/psn-pdf
September 28, 2016 - Getting it right for patient safety: specimen collection
process improvement from operating room to pathology.
September 28, 2016
D'Angelo R, Mejabi O. Getting It Right for Patient Safety: Specimen Collection Process Improvement From
Operating Room to Pathology. Am J Clin Pathol. 2016;146(1):8-17. doi:10.1093/ajcp/…
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psnet.ahrq.gov/node/38029/psn-pdf
September 03, 2008 - Minimizing surgical error by incorporating objective
assessment into surgical education.
September 3, 2008
Champion HR, Meglan DA, Shair EK. Minimizing Surgical Error by Incorporating Objective Assessment into
Surgical Education. J Am Coll Surg. 2008;207(2). doi:10.1016/j.jamcollsurg.2008.02.038.
https://psnet.ahr…
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psnet.ahrq.gov/node/60524/psn-pdf
May 27, 2020 - Varying rates of patient identity verification when using
computerized provider order entry.
May 27, 2020
Fortman E, Hettinger AZ, Howe JL, et al. Varying rates of patient identity verification when using
computerized provider order entry. J Am Med Info Assoc. 2020;27(6):924-928. doi:10.1093/jamia/ocaa047.
https:/…
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psnet.ahrq.gov/node/866276/psn-pdf
July 10, 2024 - Quality and patient safety metrics: developing a
structured program for improving patient care in the
Department of Medicine at The Ottawa Hospital.
July 10, 2024
Hasimja-Saraqini D, McNeill K, Kuk H, et al. Quality and patient safety metrics: developing a structured
program for improving patient care in the Depar…
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psnet.ahrq.gov/node/60180/psn-pdf
April 01, 2020 - Incidence of wrong-site surgery list errors for a 2-year
period in a single national health service board.
April 1, 2020
Geraghty A, Ferguson L, McIlhenny C, et al. Incidence of wrong-site surgery list errors for a 2-year period
in a single national health service board. J Patient Saf. 2020;16(1):79-83.
doi:10.109…