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psnet.ahrq.gov/node/60176/psn-pdf
April 01, 2020 - Health and social care-associated harm amongst
vulnerable children in primary care: mixed methods
analysis of national safety reports.
April 1, 2020
Omar A, Rees P, Cooper A, et al. Health and social care-associated harm amongst vulnerable children in
primary care: mixed methods analysis of national safety reports…
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psnet.ahrq.gov/node/40148/psn-pdf
June 20, 2012 - Systematic review: association of shift length, protected
sleep time, and night float with patient care, residents'
health, and education.
June 20, 2012
Reed DA, Fletcher KE, Arora V. Systematic review: association of shift length, protected sleep time, and
night float with patient care, residents' health, and edu…
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psnet.ahrq.gov/node/43448/psn-pdf
August 20, 2014 - Cost-benefit analysis of a medical emergency team in a
children's hospital.
August 20, 2014
Bonafide CP, Localio R, Song L, et al. Cost-benefit analysis of a medical emergency team in a children's
hospital. Pediatrics. 2014;134(2):235-41. doi:10.1542/peds.2014-0140.
https://psnet.ahrq.gov/issue/cost-benefit-analys…
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psnet.ahrq.gov/node/44974/psn-pdf
April 12, 2019 - Medicare letters to curb overprescribing of controlled
substances had no detectable effect on providers.
April 12, 2019
Sacarny A, Yokum D, Finkelstein A, et al. Medicare Letters To Curb Overprescribing Of Controlled
Substances Had No Detectable Effect On Providers. Health Aff (Millwood). 2016;35(3):471-9.
doi:10.…
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psnet.ahrq.gov/node/37771/psn-pdf
June 29, 2011 - Effect of crew resource management training in a
multidisciplinary obstetrical setting.
June 29, 2011
Haller G, Garnerin P, Morales M-A, et al. Effect of crew resource management training in a multidisciplinary
obstetrical setting. Int J Qual Health Care. 2008;20(4):254-63. doi:10.1093/intqhc/mzn018.
https://psnet…
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psnet.ahrq.gov/node/41661/psn-pdf
March 11, 2013 - 'Why is there another person's name on my infusion
bag?' Patient safety in chemotherapy care—a review of
the literature.
March 11, 2013
Kullberg A, Larsen J, Sharp L. 'Why is there another person's name on my infusion bag?' Patient safety in
chemotherapy care - a review of the literature. Eur J Oncol Nurs. 2013;17…
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psnet.ahrq.gov/node/44151/psn-pdf
July 03, 2016 - Safety incidents in the primary care office setting.
July 3, 2016
Rees P, Edwards A, Panesar S, et al. Safety incidents in the primary care office setting. Pediatrics.
2015;135(6):1027-35. doi:10.1542/peds.2014-3259.
https://psnet.ahrq.gov/issue/safety-incidents-primary-care-office-setting
Patient safety in outpat…
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psnet.ahrq.gov/node/39368/psn-pdf
May 04, 2010 - Results of the Medications At Transitions and Clinical
Handoffs (MATCH) study: an analysis of medication
reconciliation errors and risk factors at hospital
admission.
May 4, 2010
Gleason KM, McDaniel MR, Feinglass J, et al. Results of the Medications At Transitions and Clinical
Handoffs (MATCH) Study: An Analysis…
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psnet.ahrq.gov/node/73162/psn-pdf
April 21, 2021 - Nurse work environment and its impact on reasons for
missed care, safety climate, and job satisfaction: a cross-
sectional study.
April 21, 2021
Dutra CK dos R, Guirardello E de B. Nurse work environment and its impact on reasons for missed care,
safety climate, and job satisfaction: a cross?sectional study. J Adv…
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psnet.ahrq.gov/node/40400/psn-pdf
June 20, 2011 - Determinants of patient-reported medication errors: a
comparison among seven countries.
June 20, 2011
Lu CY, Roughead E. Determinants of patient-reported medication errors: a comparison among seven
countries. Int J Clin Pract. 2011;65(7):733-40. doi:10.1111/j.1742-1241.2011.02671.x.
https://psnet.ahrq.gov/issue/de…
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psnet.ahrq.gov/node/38712/psn-pdf
June 17, 2009 - Silence, power and communication in the operating room.
June 17, 2009
Gardezi F, Lingard LA, Espin S, et al. Silence, power and communication in the operating room. J Adv
Nurs. 2009;65(7):1390-1399. doi:10.1111/j.1365-2648.2009.04994.x.
https://psnet.ahrq.gov/issue/silence-power-and-communication-operating-room
Co…
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psnet.ahrq.gov/node/41176/psn-pdf
March 02, 2012 - Weekend hospitalization and additional risk of death: an
analysis of inpatient data.
March 2, 2012
Freemantle N, Richardson M, Wood J, et al. Weekend hospitalization and additional risk of death: An
analysis of inpatient data. J R Soc Med. 2012;105(2). doi:10.1258/jrsm.2012.120009.
https://psnet.ahrq.gov/issue/wee…
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psnet.ahrq.gov/node/72791/psn-pdf
March 03, 2021 - National and institutional trends in adverse events over
time: a systematic review and meta-analysis of
longitudinal retrospective patient record review studies.
March 3, 2021
Connolly W, Li B, Conroy RM, et al. National and institutional trends in adverse events over time: a
systematic review and meta-analysis of…
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psnet.ahrq.gov/node/37396/psn-pdf
March 28, 2012 - Risk-adjusted morbidity in teaching hospitals correlates
with reported levels of communication and collaboration
on surgical teams but not with scale measures of
teamwork climate, safety climate, or working conditions.
March 28, 2012
Davenport DL, Henderson WG, Mosca CL, et al. Risk-adjusted morbidity in teaching …
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psnet.ahrq.gov/node/44586/psn-pdf
June 21, 2016 - 2013 Annual Hospital-Acquired Condition Rate and
Estimates of Cost Savings and Deaths Averted From 2010
to 2013.
June 21, 2016
Rockville, MD: Agency for Healthcare Research and Quality; October 2015. AHRQ Publication No.16-
0006-EF.
https://psnet.ahrq.gov/issue/2013-annual-hospital-acquired-condition-rate-and-est…
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psnet.ahrq.gov/node/60212/psn-pdf
January 29, 2021 - Patient Safety Recommendations for COVID-19 Epidemic
Outbreak: 3.0
January 29, 2021
La Regina M, Tanzini M, Venneri F, et al for the Italian Network for Health Safety. Dublin, Ireland:
International Society for Quality in Health Care; 2021.
https://psnet.ahrq.gov/issue/patient-safety-recommendations-covid-19-epide…
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psnet.ahrq.gov/node/38603/psn-pdf
September 29, 2009 - The association between transfer of emergency
department boarders to inpatient hallways and
mortality: a 4-year experience.
September 29, 2009
Viccellio A, Santora C, Singer AJ, et al. The association between transfer of emergency department
boarders to inpatient hallways and mortality: a 4-year experience. Ann Em…
-
psnet.ahrq.gov/node/37112/psn-pdf
May 26, 2011 - The impact of a closed-loop electronic prescribing and
administration system on prescribing errors,
administration errors and staff time: a before-and-after
study.
May 26, 2011
Franklin BD, O'Grady K, Donyai P, et al. The impact of a closed-loop electronic prescribing and
administration system on prescribing erro…
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psnet.ahrq.gov/node/72824/psn-pdf
March 10, 2021 - Association of a Safety Program for Improving Antibiotic
Use with antibiotic use and hospital-onset Clostridioides
difficile infection rates among US hospitals
March 10, 2021
Tamma PD, Miller MA, Dullabh P, et al. Association of a safety program for improving antibiotic use with
antibiotic use and hospital-onset C…
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psnet.ahrq.gov/node/42433/psn-pdf
October 08, 2013 - Culture change in infection control: applying
psychological principles to improve hand hygiene.
October 8, 2013
Cumbler E, Castillo L, Satorie L, et al. Culture change in infection control: applying psychological principles
to improve hand hygiene. J Nurs Care Qual. 2013;28(4):304-11. doi:10.1097/NCQ.0b013e31829786…