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psnet.ahrq.gov/node/46260/psn-pdf
July 26, 2017 - ACOG Committee opinion #680: the use and development
of checklists in obstetrics and gynecology.
July 26, 2017
American College of Obstetricians and Gynecologists’ Committee on Patient Safety and Quality
Improvement. Obstet Gynecol. 2016;128:e237-e240.
https://psnet.ahrq.gov/issue/acog-committee-opinion-680-use-an…
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psnet.ahrq.gov/node/44308/psn-pdf
July 22, 2015 - Primary care medication safety surveillance with
integrated primary and secondary care electronic health
records: a cross-sectional study.
July 22, 2015
Akbarov A, Kontopantelis E, Sperrin M, et al. Primary Care Medication Safety Surveillance with Integrated
Primary and Secondary Care Electronic Health Records: A …
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psnet.ahrq.gov/node/60927/psn-pdf
September 16, 2020 - Amid COVID-19, discipline against bad doctors plummets;
more medical errors may slip through cracks.
September 16, 2020
O'Donnell J. USA Today. September 8, 2020
https://psnet.ahrq.gov/issue/amid-covid-19-discipline-against-bad-doctors-plummets-more-medical-errors-
may-slip-through
Management and clinical functio…
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October 06, 2021 - The Contribution of Diagnostic Errors to Maternal
Morbidity and Mortality During and Immediately After
Childbirth: State of the Science.
October 6, 2021
Bajaj K, de Roche A, Goffman D. Rockville, MD: Agency for Healthcare Research and Quality;
September 2021. AHRQ Publication No. 20(21)-0040-6-EF.
https://ps…
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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/848816/psn-pdf
May 10, 2023 - Racial bias in cesarean decision-making.
May 10, 2023
Edwards SE, Class QA, Ford CE, et al. Racial bias in cesarean decision-making. Am J Obstet Gynecol
MFM. 2023;5(5):100927. doi:10.1016/j.ajogmf.2023.100927.
https://psnet.ahrq.gov/issue/racial-bias-cesarean-decision-making
Racial bias negatively impacts maternal…
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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/72650/psn-pdf
January 20, 2021 - A roadmap to advance patient safety in ambulatory care.
January 20, 2021
Singh H, Carayon P. A roadmap to advance patient safety in ambulatory care. JAMA. 2020;324(24):2481-
2482. doi:10.1001/jama.2020.18551.
https://psnet.ahrq.gov/issue/roadmap-advance-patient-safety-ambulatory-care
Preventable harm, such as diag…
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psnet.ahrq.gov/node/836785/psn-pdf
March 23, 2022 - Impact of CancelRx on discontinuation of controlled
substance prescriptions: an interrupted time series
analysis.
March 23, 2022
Watterson TL, Stone JA, Gilson A, et al. Impact of CancelRx on discontinuation of controlled substance
prescriptions: an interrupted time series analysis. BMC Med Inform Decis Mak. 2022;…
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psnet.ahrq.gov/node/60281/psn-pdf
April 29, 2020 - How can task shifting put patient safety at risk? A
qualitative study of experiences among general
practitioners in Norway.
April 29, 2020
Malterud K, Aamland A, Fosse A. How can task shifting put patient safety at risk? A qualitative study of
experiences among general practitioners in Norway. Scand J Prim Health …
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psnet.ahrq.gov/node/856592/psn-pdf
January 01, 2024 - Talking about falls: a qualitative exploration of spoken
communication of patients' fall risks in hospitals and
implications for multifactorial approaches to fall
prevention.
November 29, 2023
McVey L, Alvarado N, Healey F, et al. Talking about falls: a qualitative exploration of spoken
communication of patients’…
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psnet.ahrq.gov/node/43669/psn-pdf
November 12, 2014 - Multiple interacting factors influence adherence, and
outcomes associated with surgical safety checklists: a
qualitative study.
November 12, 2014
Gagliardi AR, Straus SE, Shojania KG, et al. Multiple interacting factors influence adherence, and
outcomes associated with surgical safety checklists: a qualitative stu…
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psnet.ahrq.gov/node/46772/psn-pdf
March 04, 2019 - Case: a second victim support program in pediatrics:
successes and challenges to implementation.
March 4, 2019
Dukhanin V, Edrees HH, Connors CA, et al. Case: A Second Victim Support Program in Pediatrics:
Successes and Challenges to Implementation. J Pediatr Nurs. 2018;41:54-59.
doi:10.1016/j.pedn.2018.01.011.
h…
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psnet.ahrq.gov/node/842773/psn-pdf
January 01, 2009 - Dissemination of Lean methods to improve Pap testing
quality and patient safety.
April 8, 2008
Raab SS, Andrew-JaJa C, Grzybicki DM, et al. Dissemination of Lean methods to improve Pap testing
quality and patient safety. J Low Genit Tract Dis. 2009;12(2):103-110. doi:10.1097/lgt.0b013e31815ae9a1.
https://psnet.ahr…
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psnet.ahrq.gov/node/44360/psn-pdf
July 29, 2015 - Maximizing smart pump technology to enhance patient
safety.
July 29, 2015
Makic MBF. Maximizing smart pump technology to enhance patient safety. Clin Nurs Spec.
2015;29(4):195-197. doi:10.1097/NUR.0000000000000139.
https://psnet.ahrq.gov/issue/maximizing-smart-pump-technology-enhance-patient-safety
Smart pumps ar…
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psnet.ahrq.gov/node/38290/psn-pdf
February 17, 2011 - Revisiting duty-hour limits — IOM recommendations for
patient safety and resident education.
February 17, 2011
Iglehart JK. Revisiting duty-hour limits--IOM recommendations for patient safety and resident education. N
Engl J Med. 2008;359(25):2633-5. doi:10.1056/NEJMp0808736.
https://psnet.ahrq.gov/issue/revisitin…
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psnet.ahrq.gov/node/47659/psn-pdf
January 27, 2019 - Medical overuse as a physician cognitive error: looking
under the hood.
January 27, 2019
Korenstein D. Medical overuse as a physician cognitive error: looking under the hood. JAMA Intern Med.
2019;179(1):26-27. doi:10.1001/jamainternmed.2018.5136.
https://psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-er…
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psnet.ahrq.gov/node/838624/psn-pdf
October 19, 2022 - Association of rapid response teams with hospital
mortality in Medicare patients.
October 19, 2022
Girotra S, Jones PG, Peberdy MA, et al. Association of rapid response teams with hospital mortality in
Medicare patients. Circ Cardiovasc Qual Outcomes. 2022;15(9):e008901.
doi:10.1161/circoutcomes.122.008901.
https…
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psnet.ahrq.gov/node/40061/psn-pdf
December 15, 2010 - Exploring relationships between hospital patient safety
culture and adverse events.
December 15, 2010
Mardon RE, Khanna K, Sorra J, et al. Exploring relationships between hospital patient safety culture and
adverse events. J Patient Saf. 2010;6(4):226-32. doi:10.1097/PTS.0b013e3181fd1a00.
https://psnet.ahrq.gov/is…