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psnet.ahrq.gov/node/74110/psn-pdf
November 24, 2021 - New problems and iatrogenic events among older adults
in the first 30 days of post-acute rehabilitation.
November 24, 2021
Simpson M, Kovach CR. New problems and iatrogenic events among older adults in the first 30 days of
post-acute rehabilitation. Res Gerontol Nurs. 2021;14(6):293-304. doi:10.3928/19404921-202109…
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psnet.ahrq.gov/node/73679/psn-pdf
September 08, 2021 - Why an open disclosure procedure is and is not followed
after an avoidable adverse event.
September 8, 2021
Carrillo I, Mira JJ, Guilabert M, et al. Why an open disclosure procedure is and is not followed after an
avoidable adverse event. J Patient Saf. 2021;17(6):e529-e533. doi:10.1097/pts.0000000000000405.
https…
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psnet.ahrq.gov/node/47607/psn-pdf
February 13, 2019 - Infection prevention in long-term care: re-evaluating the
system using a human factors engineering approach.
February 13, 2019
Katz MJ, Gurses AP. Infection prevention in long-term care: re-evaluating the system using a human
factors engineering approach. Infect Control Hosp Epidemiol. 2019;40(1):95-99. doi:10.1017…
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psnet.ahrq.gov/node/837151/psn-pdf
May 18, 2022 - Society for Maternal-Fetal Medicine Special Statement: a
critique of postpartum readmission rate as a quality
metric.
May 18, 2022
Combs CA, Goffman D, Pettker CM. Society for Maternal-Fetal Medicine Special Statement: A critique of
postpartum readmission rate as a quality metric. Am J Obstet Gynecol. 2022;226(4):…
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psnet.ahrq.gov/node/837892/psn-pdf
January 01, 2023 - Teamwork before and during COVID-19: the good, the
same, and the ugly….
August 24, 2022
Rehder KJ, Adair KC, Eckert E, et al. Teamwork before and during COVID-19: the good, the same, and the
ugly…. J Patient Saf. 2023;19(1):36-41. doi:10.1097/pts.0000000000001070.
https://psnet.ahrq.gov/issue/teamwork-and-during-c…
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psnet.ahrq.gov/node/60898/psn-pdf
September 09, 2020 - Sequential implementation of the EQUIPPED geriatric
medication safety program as a learning health system.
September 9, 2020
Vandenberg AE, Kegler M, Hastings SN, et al. Sequential implementation of the EQUIPPED geriatric
medication safety program as a learning health system. Int J Qual Health Care. 2020;32(7):470-…
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psnet.ahrq.gov/node/60179/psn-pdf
April 01, 2020 - Two cultures in modern science and technology: for
safety and validity does medicine have to update?
April 1, 2020
Becker RE. Two cultures in modern science and technology: for safety and validity does medicine have to
update? J Patient Saf. 2020;16(1):e46-e50. doi:10.1097/pts.0000000000000260.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/74055/psn-pdf
January 01, 2022 - Registered nurses' and medical doctors' experiences of
patient safety in health information exchange during
interorganizational care transitions: a qualitative review.
November 10, 2021
Hyvämäki P, Kääriäinen M, Tuomikoski A-M, et al. Registered nurses' and medical doctors' experiences of
patient safety in health …
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psnet.ahrq.gov/node/73218/psn-pdf
January 01, 2022 - Work-related factors, cognitive skills, unsafe behavior
and safety incident involvement among emergency
medical services crew members: relationships and
indirect effects.
May 5, 2021
Sedlár M. Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among
emergency medical services …
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psnet.ahrq.gov/node/74082/psn-pdf
November 17, 2021 - Associations of person-related, environment-related and
communication-related factors on medication errors in
public and private hospitals: a retrospective clinical audit.
November 17, 2021
Manias E, Street M, Lowe G, et al. Associations of person-related, environment-related and
communication-related factors on m…
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psnet.ahrq.gov/node/866070/psn-pdf
June 05, 2024 - Large language models for preventing medication
direction errors in online pharmacies.
June 5, 2024
Pais C, Liu J, Voigt R, et al. Large language models for preventing medication direction errors in online
pharmacies. Nat Med. 2024;30(6):1574-1582. doi:10.1038/s41591-024-02933-8.
https://psnet.ahrq.gov/issue/large…
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psnet.ahrq.gov/node/866433/psn-pdf
August 07, 2024 - Sepsis alert systems, mortality, and adherence in
emergency departments: a systematic review and meta-
analysis.
August 7, 2024
Kim H-J, Ko R-E, Lim SY, et al. Sepsis alert systems, mortality, and adherence in emergency departments:
a systematic review and meta-analysis. JAMA Netw Open. 2024;7(7):e2422823.
doi:10…
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psnet.ahrq.gov/node/46984/psn-pdf
April 04, 2018 - Educator toolkits on second victim syndrome,
mindfulness and meditation, and positive psychology: the
2017 Resident Wellness Consensus Summit.
April 4, 2018
Chung AS, Smart J, Zdradzinski M, et al. Educator Toolkits on Second Victim Syndrome, Mindfulness and
Meditation, and Positive Psychology: The 2017 Resident W…
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psnet.ahrq.gov/node/850354/psn-pdf
June 14, 2023 - The effects of electronic nursing handover on patient
safety in the general (non-COVID-19) and COVID-19
intensive care units: a quasi-experimental study.
June 14, 2023
Tataei A, Rahimi B, Afshar HL, et al. The effects of electronic nursing handover on patient safety in the
general (non-COVID-19) and COVID-19 inten…
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psnet.ahrq.gov/node/836829/psn-pdf
March 30, 2022 - Safety in fragile, conflict-affected, and vulnerable
settings: An evidence scanning approach for identifying
patient safety interventions.
March 30, 2022
O’Brien N, Shaw A, Flott K, et al. Safety in fragile, conflict-affected, and vulnerable settings: an evidence
scanning approach for identifying patient safety in…
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psnet.ahrq.gov/node/866952/psn-pdf
October 16, 2024 - Introduction of a novel patient safety advisory: evaluation
of perceived information with a modified QPP
questionnaire-a case-control study.
October 16, 2024
Tubic B, Bånnsgård M, Gustavsson S, et al. Introduction of a novel patient safety advisory: evaluation of
perceived information with a modified QPP questionn…
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psnet.ahrq.gov/node/867381/psn-pdf
December 18, 2024 - Promoting medication safety for older adults upon
hospital discharge: guiding principles for a medication
discharge plan.
December 18, 2024
Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge:
guiding principles for a medication discharge plan. Br J Clin Pharm…
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psnet.ahrq.gov/node/866685/psn-pdf
September 11, 2024 - Evaluation and mitigation of the limitations of large
language models in clinical decision-making.
September 11, 2024
Hager P, Jungmann F, Holland R, et al. Evaluation and mitigation of the limitations of large language
models in clinical decision-making. Nat Med. 2024;30(9):2613-2622. doi:10.1038/s41591-024-03097-…
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psnet.ahrq.gov/node/45851/psn-pdf
February 22, 2017 - Eight years of decreased methicillin-resistant
Staphylococcus aureus health care–associated infections
associated with a Veterans Affairs prevention initiative.
February 22, 2017
Evans ME, Kralovic SM, Simbartl LA, et al. Eight years of decreased methicillin-resistant Staphylococcus
aureus health care-associated i…
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psnet.ahrq.gov/node/50937/psn-pdf
February 26, 2020 - Emergency intubation of children outside of the operating
room.
February 26, 2020
Long E, Barrett MJ, Peters C, et al. Emergency intubation of children outside of the operating room.
Paediatr Anaesth. 2020;30(3):319-330. doi:10.1111/pan.13784.
https://psnet.ahrq.gov/issue/emergency-intubation-children-outside-oper…