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psnet.ahrq.gov/node/37995/psn-pdf
September 19, 2016 - Inpatient suicide and suicide attempts in Veterans Affairs
hospitals.
September 19, 2016
Mills PD, DeRosier JM, Ballot BA, et al. Inpatient suicide and suicide attempts in Veterans Affairs hospitals.
Jt Comm J Qual Patient Saf. 2008;34(8):482-488.
https://psnet.ahrq.gov/issue/inpatient-suicide-and-suicide-attempts…
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psnet.ahrq.gov/node/73285/psn-pdf
May 19, 2021 - The mindful path to nursing accuracy: a quasi-
experimental study on minimizing medication
administration errors.
May 19, 2021
Ekkens CL, Gordon PA. The mindful path to nursing accuracy: a quasi-experimental study on minimizing
medication administration errors. Holist Nurs Pract. 2021;35(3):115-122.
doi:10.1097/h…
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psnet.ahrq.gov/node/72666/psn-pdf
January 20, 2021 - Why psychiatry is different--challenges and difficulties in
managing a nosocomial outbreak of coronavirus disease
(COVID-19) in hospital care.
January 20, 2021
Rovers JJE, van de Linde LS, Kenters N, et al. Why psychiatry is different - challenges and difficulties in
managing a nosocomial outbreak of coronavirus d…
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psnet.ahrq.gov/node/865677/psn-pdf
April 24, 2024 - The impact of adding a 2-way video monitoring system on
falls and costs for high-risk inpatients.
April 24, 2024
Sosa MA, Soares M, Patel S, et al. The impact of adding a 2-way video monitoring system on falls and
costs for high-risk inpatients. J Patient Saf. 2024;20(3):186-191. doi:10.1097/pts.0000000000001197.
…
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psnet.ahrq.gov/node/73139/psn-pdf
April 14, 2021 - Effect of barcode technology on medication preparation
safety: a quasi-experimental study.
April 14, 2021
Küng K, Aeschbacher K, Rütsche A, et al. Effect of barcode technology on medication preparation safety: a
quasi-experimental study. Int J Qual Health Care. 2021;33(1). doi:10.1093/intqhc/mzab043.
https://psnet…
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psnet.ahrq.gov/node/73955/psn-pdf
October 13, 2021 - The efficacy of mindful practice in improving diagnosis in
healthcare: a systematic review and evidence synthesis.
October 13, 2021
Pinnock R, Ritchie D, Gallagher S, et al. The efficacy of mindful practice in improving diagnosis in
healthcare: a systematic review and evidence synthesis. Adv Health Sci Educ Theory …
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psnet.ahrq.gov/node/74132/psn-pdf
December 01, 2021 - Nurse bias and nursing care disparities related to patient
characteristics: a scoping review of the quantitative and
qualitative evidence
December 1, 2021
Groves PS, Bunch JL, Sabin JA. Nurse bias and nursing care disparities related to patient characteristics: a
scoping review of the quantitative and qualitative …
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psnet.ahrq.gov/node/73239/psn-pdf
May 12, 2021 - Patient factors associated with new prescribing of
potentially inappropriate medications in multimorbid US
older adults using multiple medications.
May 12, 2021
Jungo KT, Streit S, Lauffenburger JC. Patient factors associated with new prescribing of potentially
inappropriate medications in multimorbid US older adu…
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psnet.ahrq.gov/node/46103/psn-pdf
September 23, 2017 - Polypharmacy in the elderly--when good drugs lead to
bad outcomes: a teachable moment.
September 23, 2017
Carroll C, Hassanin A. Polypharmacy in the Elderly-When Good Drugs Lead to Bad Outcomes: A
Teachable Moment. JAMA Intern Med. 2017;177(6):871. doi:10.1001/jamainternmed.2017.0911.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/866819/psn-pdf
September 25, 2024 - Machine learning to enhance electronic detection of
diagnostic errors.
September 25, 2024
Zimolzak AJ, Wei L, Mir U, et al. Machine learning to enhance electronic detection of diagnostic errors.
JAMA Netw Open. 2024;7(9):e2431982. doi:10.1001/jamanetworkopen.2024.31982.
https://psnet.ahrq.gov/issue/machine-learnin…
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psnet.ahrq.gov/node/73114/psn-pdf
April 07, 2021 - Clinical and financial implications of second-opinion
surgical pathology review.
April 7, 2021
Johnson SM, Samulski TD, O’Connor SM, et al. Clinical and financial implications of second-opinion
surgical pathology review. Am J Clin Pathol. 2021;156(4):559-568. doi:10.1093/ajcp/aqaa263.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/43678/psn-pdf
April 22, 2015 - 'Connecting the dots': leveraging visual analytics to make
sense of patient safety event reports.
April 22, 2015
Ratwani RM, Fong A. 'Connecting the dots': leveraging visual analytics to make sense of patient safety
event reports. J Am Med Inform Assoc. 2015;22(2):312-7. doi:10.1136/amiajnl-2014-002963.
https://ps…
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psnet.ahrq.gov/node/47676/psn-pdf
December 19, 2018 - Assessment of attitudes toward deprescribing in older
Medicare beneficiaries in the United States.
December 19, 2018
Reeve E, Wolff JL, Skehan M, et al. Assessment of Attitudes Toward Deprescribing in Older Medicare
Beneficiaries in the United States. JAMA Intern Med. 2018;178(12):1673-1680.
doi:10.1001/jamaintern…
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psnet.ahrq.gov/node/72707/psn-pdf
February 03, 2021 - Identification and safe storage of look-alike, sound-alike
medicines in automated dispensing cabinets.
February 3, 2021
Ruutiainen HK, Kallio MM, Kuitunen SK. Identification and safe storage of look-alike, sound-alike medicines
in automated dispensing cabinets. Eur J Hosp Pharm. 2021;28(Suppl 2):e151-e156. doi:10.1…
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psnet.ahrq.gov/node/837966/psn-pdf
September 01, 2022 - Barcode medication administration software technology
use in the emergency department and medication error
rates.
September 1, 2022
Gauthier-Wetzel HE. Barcode medication administration software technology use in the emergency
department and medication error rates. Comput Inform Nurs. 2022;40(6):382-388.
doi:10.1…
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psnet.ahrq.gov/node/46506/psn-pdf
October 11, 2017 - Getting Ahead of Harm Before It Happens: A Guide About
Proactive Analysis for Improving Surgical Care Safety.
October 11, 2017
Wiley K, Davies JM. Edmonton, AB: Canadian Patient Safety Institute; 2017.
https://psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-
surgical-car…
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psnet.ahrq.gov/node/46042/psn-pdf
July 12, 2017 - Implementation science for ambulatory care safety: a
novel method to develop context-sensitive interventions
to reduce quality gaps in monitoring high-risk patients.
July 12, 2017
McDonald KM, Su G, Lisker S, et al. Implementation science for ambulatory care safety: a novel method to
develop context-sensitive inte…
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psnet.ahrq.gov/node/836743/psn-pdf
March 16, 2022 - Surgeon burnout, impact on patient safety and
professionalism: a systematic review and meta-analysis.
March 16, 2022
Al-Ghunaim TA, Johnson J, Biyani CS, et al. Surgeon burnout, impact on patient safety and
professionalism: A systematic review and meta-analysis. Am J Surg. 2022;224(1 Pt A):228-238.
doi:10.1016/j.a…
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psnet.ahrq.gov/node/73514/psn-pdf
July 21, 2021 - Association between limiting the number of open records
in a tele-critical care setting and retract-reorder errors.
July 21, 2021
Udeh C, Canfield C, Briskin I, et al. Association between limiting the number of open records in a tele-
critical care setting and retract–reorder errors. J Am Med Inform Assoc. 2021;28(…
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psnet.ahrq.gov/node/841477/psn-pdf
December 14, 2022 - Health system redesign of cardiac monitoring oversight
to optimize alarm management, safety, and staff
engagement.
December 14, 2022
Engel JR, Lindsay M, O'Brien S, et al. Health system redesign of cardiac monitoring oversight to optimize
alarm management, safety, and staff engagement. J Nurs Adm. 2022;52(10):511-…