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psnet.ahrq.gov/node/865928/psn-pdf
May 22, 2024 - Teamwork climate, safety climate, and physician burnout:
a national, cross-sectional study.
May 22, 2024
Rotenstein L, Wang H, West CP, et al. Teamwork climate, safety climate, and physician burnout: a
national, cross-sectional study. Jt Comm J Qual Patient Saf. 2024;50(6):458-462.
doi:10.1016/j.jcjq.2024.03.007.
…
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psnet.ahrq.gov/node/47883/psn-pdf
May 29, 2019 - Patient Safety in Obstetrics and Gynecology.
May 29, 2019
Gluck PA, ed. Obstet Gynecol Clin North Am. 2019;46:H1-H8, 199-398.
https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-gynecology
Obstetrics is a high-risk practice that concurrently manages the safety of mothers and newborns. Articles in
this speci…
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psnet.ahrq.gov/node/47026/psn-pdf
January 23, 2019 - Charter on Physician Well-being.
January 23, 2019
Thomas LR, Ripp JA, West CP. Charter on Physician Well-being. JAMA. 2018;319(15):1541-1542.
doi:10.1001/jama.2018.1331.
https://psnet.ahrq.gov/issue/charter-physician-well-being
Clinician burnout is a growing concern with known patient safety implications. This com…
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psnet.ahrq.gov/node/857445/psn-pdf
January 01, 2024 - The racial disparities in maternal mortality and impact of
structural racism and implicit racial bias on pregnant
Black women: a review of the literature.
December 6, 2023
Montalmant KE, Ettinger AK. The racial disparities in maternal mortality and impact of structural racism and
implicit racial bias on pregnant b…
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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/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/74863/psn-pdf
February 23, 2022 - Factors associated with missed nursing care and nurse-
assessed quality of care during the COVID-19 pandemic.
February 23, 2022
Labrague LJ, Santos JAA, Fronda DC. Factors associated with missed nursing care and nurse?assessed
quality of care during the COVID?19 pandemic. J Nurs Manag. 2022;30(1):62-70. doi:10.1111…
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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/847543/psn-pdf
April 12, 2023 - What works in medication reconciliation: an on-treatment
and site analysis of the MARQUIS2 study.
April 12, 2023
Schnipper JL, Reyes Nieva H, Yoon CS, et al. What works in medication reconciliation: an on-treatment
and site analysis of the MARQUIS2 study. BMJ Qual Saf. 2023;32(8):457-469. doi:10.1136/bmjqs-2022-
0…
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psnet.ahrq.gov/node/43438/psn-pdf
February 23, 2018 - Safety-I and Safety-II: The Past and Future of Safety
Management.
February 23, 2018
Hollnagel E. Aldershot, Hampshire, England: Ashgate; 2014. ISBN: 9781472423085.
https://psnet.ahrq.gov/issue/safety-i-and-safety-ii-past-and-future-safety-management
Historically, the approach to patient safety has been more reacti…
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psnet.ahrq.gov/node/837023/psn-pdf
May 04, 2022 - Examining the effect of quality improvement initiatives on
decreasing racial disparities in maternal morbidity.
May 4, 2022
Davidson C, Denning S, Thorp K, et al. Examining the effect of quality improvement initiatives on
decreasing racial disparities in maternal morbidity. BMJ Qual Saf. 2022;31(9):670-678. doi:10.…
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psnet.ahrq.gov/node/73400/psn-pdf
June 16, 2021 - Older patients' engagement in hospital medication safety
behaviours.
June 16, 2021
Tobiano G, Chaboyer W, Dornan G, et al. Older patients’ engagement in hospital medication safety
behaviours. Aging Clin Exp Res. 2021;33(12):3353-3361. doi:10.1007/s40520-021-01866-3.
https://psnet.ahrq.gov/issue/older-patients-enga…
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psnet.ahrq.gov/node/47223/psn-pdf
August 14, 2018 - Six Building Blocks: A Team-Based Approach to
Improving Opioid Management in Primary Care.
August 14, 2018
MacColl Center for Health Care Innovation at the Kaiser Permanente of Washington Research Institute,
University of Washington.
https://psnet.ahrq.gov/issue/six-building-blocks-team-based-approach-improving-op…
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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/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/838250/psn-pdf
October 06, 2022 - The impact of electronic communication of medication
discontinuation (CancelRx) on medication safety: a pilot
study.
October 6, 2022
Pitts S, Yang Y, Woodroof T, et al. The impact of electronic communication of medication discontinuation
(CancelRx) on medication safety: a pilot study. J Patient Saf. 2022;18(6):e93…
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psnet.ahrq.gov/node/866157/psn-pdf
June 19, 2024 - Incidence of drug-related adverse events related to the
use of high-alert drugs: a systematic review of
randomized controlled trials.
June 19, 2024
Menezes MS, Doria GAA, Valença-Feitosa F, et al. Incidence of drug-related adverse events related to the
use of high-alert drugs: a systematic review of randomized con…
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psnet.ahrq.gov/node/47680/psn-pdf
January 16, 2019 - Perioperative medication errors: uncovering risk from
behind the drapes.
January 16, 2019
Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. 2018;15(4):1-17.
https://psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes
The operating room environment harbors particular pat…
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psnet.ahrq.gov/node/60848/psn-pdf
January 01, 2022 - Adverse events related to accidental unintentional
ingestions from cough and cold medications in children.
August 26, 2020
Wang GS, Reynolds KM, Banner W, et al. Adverse events related to accidental unintentional ingestions
from cough and cold medications in children. Pediatr Emerg Care. 2022;38(1):e100-e104.
doi:…