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psnet.ahrq.gov/node/41132/psn-pdf
March 13, 2012 - Spreading a medication administration intervention
organizationwide in six hospitals.
March 13, 2012
Kliger J, Singer SJ, Hoffman F, et al. Spreading a medication administration intervention organizationwide
in six hospitals. Jt Comm J Qual Patient Saf. 2012;38(2):51-60.
https://psnet.ahrq.gov/issue/spreading-medi…
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psnet.ahrq.gov/node/50795/psn-pdf
January 15, 2020 - Diagnostic error in the emergency department: learning
from national patient safety incident report analysis.
January 15, 2020
Hussain F, Cooper A, Carson-Stevens A, et al. Diagnostic error in the emergency department: learning
from national patient safety incident report analysis. BMC Emerg Med. 2019;19(1):77. doi…
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psnet.ahrq.gov/node/44563/psn-pdf
October 21, 2015 - The effect of staff nurses' shift length and fatigue on
patient safety and nurses' health: from the National
Association of Neonatal Nurses.
October 21, 2015
Samra HA, Smith BA. The Effect of Staff Nurses' Shift Length and Fatigue on Patient Safety and Nurses'
Health: From the National Association of Neonatal Nurs…
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psnet.ahrq.gov/node/47370/psn-pdf
October 10, 2018 - Development of a conceptual map of negative
consequences for patients of overuse of medical tests
and treatments.
October 10, 2018
Korenstein D, Chimonas S, Barrow B, et al. Development of a Conceptual Map of Negative Consequences
for Patients of Overuse of Medical Tests and Treatments. JAMA Intern Med. 2018;178(1…
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psnet.ahrq.gov/node/46214/psn-pdf
June 28, 2017 - Impact of the introduction of electronic prescribing on
staff perceptions of patient safety and organizational
culture.
June 28, 2017
Davies J, Pucher PH, Ibrahim H, et al. Impact of the introduction of electronic prescribing on staff
perceptions of patient safety and organizational culture. J Surg Res. 2017;212:2…
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psnet.ahrq.gov/node/862131/psn-pdf
February 07, 2024 - Prospective study of the multisite spread of a medication
safety intervention: factors common to hospitals with
improved outcomes.
February 7, 2024
Kaplan HC, Goldstein SL, Rubinson C, et al. Prospective study of the multisite spread of a medication
safety intervention: factors common to hospitals with improved ou…
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psnet.ahrq.gov/node/47907/psn-pdf
July 19, 2019 - Safety-I, Safety-II and burnout: how complexity science
can help clinician wellness.
July 19, 2019
Smaggus A. Safety-I, Safety-II and burnout: how complexity science can help clinician wellness. BMJ Qual
Saf. 2019;28(8):667-671. doi:10.1136/bmjqs-2018-009147.
https://psnet.ahrq.gov/issue/safety-i-safety-ii-and-bur…
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psnet.ahrq.gov/node/837331/psn-pdf
June 08, 2022 - Can a targeted educational approach improve situational
awareness in paramedicine during 911 emergency calls?
June 8, 2022
Hunter J, Porter M, Cody P, et al. Can a targeted educational approach improve situational awareness in
paramedicine during 911 emergency calls? Int Emerg Nurs. 2022;63:101174.
doi:10.1016/j.i…
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psnet.ahrq.gov/node/43993/psn-pdf
November 29, 2017 - An evaluation of shared mental models and mutual trust
on general medical units: implications for collaboration,
teamwork, and patient safety.
November 29, 2017
McComb SA, Lemaster M, Henneman EA, et al. An Evaluation of Shared Mental Models and Mutual Trust
on General Medical Units: Implications for Collaboration…
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psnet.ahrq.gov/node/860722/psn-pdf
January 17, 2024 - Ten years of incident reports on in-hospital cardiac arrest
- Are they useful for improvements?
January 17, 2024
Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements?
Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525.
https://psnet.ahrq.gov/issue/ten-y…
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psnet.ahrq.gov/node/837633/psn-pdf
July 06, 2022 - Evaluation of feedback modalities and preferences
regarding feedback on decision-making in a pediatric
emergency department.
July 6, 2022
Graham JMK, Ambroggio L, Leonard JE, et al. Evaluation of feedback modalities and preferences
regarding feedback on decision-making in a pediatric emergency department. Diagnosi…
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psnet.ahrq.gov/node/73587/psn-pdf
August 11, 2021 - Effects of a brief team training program on surgical
teams' nontechnical skills: an interrupted time-series
study.
August 11, 2021
Gillespie BM, Harbeck EL, Kang E, et al. Effects of a brief team training program on surgical teams'
nontechnical skills: an interrupted time-series study. J Patient Saf. 2021;17(5):e4…
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psnet.ahrq.gov/node/35300/psn-pdf
March 04, 2011 - How strong is the evidence for the use of perioperative
beta blockers in non-cardiac surgery? Systematic review
and meta-analysis of randomised controlled trials.
March 4, 2011
Devereaux PJ, Beattie WS, Choi PT-L, et al. How strong is the evidence for the use of perioperative ?
blockers in non-cardiac surgery? Sys…
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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/50654/psn-pdf
November 13, 2019 - Exploring stakeholder perceptions around
implementation of the Operating Room Black Box for
patient safety research: a qualitative study using the
theoretical domains framework.
November 13, 2019
Etherington N, Usama A, Patey AM, et al. Exploring stakeholder perceptions around implementation of the
Operating Room…
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psnet.ahrq.gov/node/48178/psn-pdf
January 01, 2020 - ACR guidance document on MR safe practices: updates
and critical information 2019.
August 14, 2019
ACR Committee on MR Safety, Greenberg TD, Hoff MN, Gilk TB, et al. J Magn Reson Imaging.
2020;51(2):331-338.
https://psnet.ahrq.gov/issue/acr-guidance-document-mr-safe-practices-updates-and-critical-inform…
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psnet.ahrq.gov/node/839321/psn-pdf
November 02, 2022 - What is the evidence that a pharmacy team working in an
acute or emergency medicine department improves
outcomes for patients: a systematic review.
November 2, 2022
Punj E, Collins A, Agravedi N, et al. What is the evidence that a pharmacy team working in an acute or
emergency medicine department improves outcomes…
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psnet.ahrq.gov/node/45095/psn-pdf
May 09, 2017 - Effect of pharmacist counseling intervention on health
care utilization following hospital discharge: a
randomized control trial.
May 9, 2017
Bell SP, Schnipper JL, Goggins K, et al. Effect of Pharmacist Counseling Intervention on Health Care
Utilization Following Hospital Discharge: A Randomized Control Trial. J …
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psnet.ahrq.gov/node/37903/psn-pdf
May 09, 2013 - Safe Surgery.
May 9, 2013
World Health Organization.
https://psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge
This initiative provides a surgical safety checklist and related educational and training materials building on
the Second Global Patient Safety Challenge vision to enco…
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psnet.ahrq.gov/node/837699/psn-pdf
July 20, 2022 - Influence of a general practice pharmacist on medication
management for patients at risk of medicine-related harm:
a qualitative evaluation.
July 20, 2022
Jordan M, Young-Whitford M, Mullan J, et al. Influence of a general practice pharmacist on medication
management for patients at risk of medicine-related harm: …