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psnet.ahrq.gov/node/857455/psn-pdf
January 01, 2024 - Addressing veteran health-related social needs: how
Joint Commission standards accelerated integration and
expansion of tools and services in the Veterans Health
Administration.
December 6, 2023
List JM, Russell LE, Hausmann LRM, et al. Addressing veteran health-related social needs: how Joint
Commission standard…
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psnet.ahrq.gov/node/867440/psn-pdf
January 08, 2025 - How can specialist investigation agencies inform system-
wide learning for patient safety? A qualitative study of
perspectives on the early years of the English Healthcare
Safety Investigation Branch.
January 8, 2025
Crompton A, Waring J, Macrae C, et al. How can specialist investigation agencies inform system-wid…
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psnet.ahrq.gov/node/867444/psn-pdf
January 08, 2025 - Medication errors and error chains involving high-alert
medications in a paediatric hospital setting: a qualitative
analysis of self-reported medication safety incidents.
January 8, 2025
Kuitunen S, Saksa M, Holmström A-R. Medication errors and error chains involving high-alert medications
in a paediatric hospital…
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psnet.ahrq.gov/node/867519/psn-pdf
January 15, 2025 - High-risk medication errors: insight from the UK National
Reporting and Learning System.
January 15, 2025
Alrowily A, Alfaraidy K, Almutairi S, et al. High-risk medication errors: Insight from the UK National
Reporting and learning system. Explor Res Clin Soc Pharm. 2025;17:100531.
doi:10.1016/j.rcsop.2024.100531.…
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psnet.ahrq.gov/node/72756/psn-pdf
February 17, 2021 - Adopting the Fall Tailoring Interventions for Patient
Safety (TIPS) program to engage older adults in fall
prevention in a nursing home.
February 17, 2021
Tzeng H-M, Jansen LS, Okpalauwaekwe U, et al. Adopting the Fall Tailoring Interventions for Patient
Safety (TIPS) program to engage older adults in fall prevent…
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psnet.ahrq.gov/node/73350/psn-pdf
June 02, 2021 - Learning during crisis: the impact of COVID-19 on
hospital-acquired pressure injury incidence.
June 2, 2021
Polancich S, Hall AG, Miltner RS, et al. Learning during crisis: the impact of COVID-19 on hospital-acquired
pressure injury incidence. J Healthc Qual. 2021;43(3):137-144. doi:10.1097/jhq.0000000000000301.
h…
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psnet.ahrq.gov/node/867590/psn-pdf
January 22, 2025 - Evaluation of Measure Dx, a resource to accelerate
diagnostic safety learning and improvement.
January 22, 2025
Bradford A, Tran A, Ali KJ, et al. Evaluation of Measure Dx, a resource to accelerate diagnostic safety
learning and improvement. J Gen Intern Med. . 2024;Epub Oct 22. doi:10.1007/s11606-024-09132-8.
htt…
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psnet.ahrq.gov/node/72820/psn-pdf
March 10, 2021 - Medication errors related to computerized provider order
entry systems in hospitals and how they change over
time: a narrative review.
March 10, 2021
Kinlay M, Zheng WY, Burke R, et al. Medication errors related to computerized provider order entry
systems in hospitals and how they change over time: A narrative re…
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psnet.ahrq.gov/node/836997/psn-pdf
April 27, 2022 - The effect of a transitional pharmaceutical care program
on the occurrence of ADEs after discharge from hospital
in patients with polypharmacy.
April 27, 2022
Uitvlugt EB, Heer SE, van den Bemt BJF, et al. The effect of a transitional pharmaceutical care program on
the occurrence of ADEs after discharge from hospi…
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psnet.ahrq.gov/node/837138/psn-pdf
May 18, 2022 - Association of diagnostic stewardship for blood cultures
in critically ill children with culture rates, antibiotic use,
and patient outcomes: results of the Bright STAR
Collaborative.
May 18, 2022
Woods-Hill CZ, Colantuoni EA, Koontz DW, et al. Association of diagnostic stewardship for blood cultures
in criticall…
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psnet.ahrq.gov/node/838243/psn-pdf
October 05, 2022 - Evaluation of medication incidents in a long-term care
facility using electronic medication administration
records and barcode technology.
October 5, 2022
Fuller AEC, Guirguis LM, Sadowski CA, et al. Evaluation of medication incidents in a long-term care facility
using electronic medication administration records …
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psnet.ahrq.gov/node/838247/psn-pdf
October 05, 2022 - Recommendations for the safety of hospitalised patients
in the context of the COVID-19 pandemic: a scoping
review.
October 5, 2022
Martins MS, Lourenção DC de A, Pimentel RR da S, et al. Recommendations for the safety of hospitalised
patients in the context of the COVID-19 pandemic: a scoping review. BMJ Open. 202…
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psnet.ahrq.gov/node/74866/psn-pdf
February 23, 2022 - Eliminating explicit and implicit biases in health care:
evidence and research needs.
February 23, 2022
Vela MB, Erondu AI, Smith NA, et al. Eliminating explicit and implicit biases in health care: evidence and
research needs. Annu Rev Public Health. 2022;43(1):477-501. doi:10.1146/annurev-publhealth-052620-
10352…
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psnet.ahrq.gov/node/60658/psn-pdf
July 08, 2020 - Impact of providing patients access to electronic health
records on quality and safety of care: a systematic review
and meta-analysis.
July 8, 2020
Neves AL, Freise L, Laranjo L, et al. Impact of providing patients access to electronic health records on
quality and safety of care: a systematic review and meta-anal…
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psnet.ahrq.gov/node/851446/psn-pdf
July 19, 2023 - Physician and nurse well-being and preferred
interventions to address burnout in hospital practice:
factors associated with turnover, outcomes, and patient
safety.
July 19, 2023
Aiken LH, Lasater KB, Sloane DM, et al. Physician and nurse well-being and preferred interventions to
address burnout in hospital practi…
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psnet.ahrq.gov/node/50773/psn-pdf
January 08, 2020 - Effect of cognitive aids on adherence to best practice in
the treatment of deteriorating surgical patients: a
randomized clinical trial in a simulation setting.
January 8, 2020
Koers L, van Haperen M, Meijer CGF, et al. Effect of Cognitive Aids on Adherence to Best Practice in the
Treatment of Deteriorating Surgic…
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psnet.ahrq.gov/node/45244/psn-pdf
August 01, 2016 - Sleep science, schedules, and safety in hospitals:
challenges and solutions for pediatric providers.
August 1, 2016
Rosenbluth G, Landrigan CP. Sleep science, schedules, and safety in hospitals: challenges and solutions
for pediatric providers. Pediatr Clin North Am. 2012;59(6):1317-28. doi:10.1016/j.pcl.2012.09.00…
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psnet.ahrq.gov/node/74111/psn-pdf
November 24, 2021 - Impact of the WHO Surgical Safety Checklist relative to its
design and intended use: a systematic review and meta-
meta-analysis.
November 24, 2021
Sotto KT, Burian BK, Brindle ME. Impact of the WHO Surgical Safety Checklist relative to its design and
intended use: a systematic review and meta-meta-analysis. J Am …
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psnet.ahrq.gov/node/73159/psn-pdf
April 21, 2021 - Drug-drug interactions and prescription appropriateness
at hospital discharge: experience with COVID-19 patients.
April 21, 2021
Cattaneo D, Pasina L, Maggioni AP, et al. Drug-drug interactions and prescription appropriateness at
hospital discharge: experience with COVID-19 patients. Drugs Aging. 2021;38(4):341-346…
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psnet.ahrq.gov/node/61085/psn-pdf
November 04, 2020 - National drug shortages worsen during COVID-19 crisis:
proposal for a comprehensive model to monitor and
address critical drug shortages.
November 4, 2020
Piatek OI, Ning JC-min, Touchette DR. National drug shortages worsen during COVID-19 crisis: proposal
for a comprehensive model to monitor and address critical …