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psnet.ahrq.gov/node/43673/psn-pdf
November 19, 2014 - Work-arounds observed by fourth-year nursing students.
November 19, 2014
Westphal J, Lancaster R, Park D. Work-Arounds Observed by Fourth-Year Nursing Students. West J Nurs
Res. 2014;36(8):1002-18. doi:10.1177/0193945913511707.
https://psnet.ahrq.gov/issue/work-arounds-observed-fourth-year-nursing-students
Accordi…
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psnet.ahrq.gov/node/44069/psn-pdf
October 08, 2016 - An anesthesia preinduction checklist to improve
information exchange, knowledge of critical information,
perception of safety, and possibly perception of
teamwork in anesthesia teams.
October 8, 2016
Tscholl DW, Weiss M, Kolbe M, et al. An Anesthesia Preinduction Checklist to Improve Information
Exchange, Knowled…
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psnet.ahrq.gov/node/72650/psn-pdf
January 20, 2021 - A roadmap to advance patient safety in ambulatory care.
January 20, 2021
Singh H, Carayon P. A roadmap to advance patient safety in ambulatory care. JAMA. 2020;324(24):2481-
2482. doi:10.1001/jama.2020.18551.
https://psnet.ahrq.gov/issue/roadmap-advance-patient-safety-ambulatory-care
Preventable harm, such as diag…
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psnet.ahrq.gov/node/865706/psn-pdf
May 01, 2024 - Stigmatizing language, patient demographics, and errors
in the diagnostic process.
May 1, 2024
Brooks KC, Raffel KE, Chia D, et al. Stigmatizing language, patient demographics, and errors in the
diagnostic process. JAMA Intern Med. 2024;184(6):704-706. doi:10.1001/jamainternmed.2024.0705.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/47405/psn-pdf
January 27, 2019 - Robotic dispensing improves patient safety, inventory
management, and staff satisfaction in an outpatient
hospital pharmacy.
January 27, 2019
Rodriguez-Gonzalez CG, Herranz-Alonso A, Escudero-Vilaplana V, et al. Robotic dispensing improves
patient safety, inventory management, and staff satisfaction in an outpatie…
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psnet.ahrq.gov/node/47659/psn-pdf
January 27, 2019 - Medical overuse as a physician cognitive error: looking
under the hood.
January 27, 2019
Korenstein D. Medical overuse as a physician cognitive error: looking under the hood. JAMA Intern Med.
2019;179(1):26-27. doi:10.1001/jamainternmed.2018.5136.
https://psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-er…
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psnet.ahrq.gov/node/46260/psn-pdf
July 26, 2017 - ACOG Committee opinion #680: the use and development
of checklists in obstetrics and gynecology.
July 26, 2017
American College of Obstetricians and Gynecologists’ Committee on Patient Safety and Quality
Improvement. Obstet Gynecol. 2016;128:e237-e240.
https://psnet.ahrq.gov/issue/acog-committee-opinion-680-use-an…
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psnet.ahrq.gov/node/44360/psn-pdf
July 29, 2015 - Maximizing smart pump technology to enhance patient
safety.
July 29, 2015
Makic MBF. Maximizing smart pump technology to enhance patient safety. Clin Nurs Spec.
2015;29(4):195-197. doi:10.1097/NUR.0000000000000139.
https://psnet.ahrq.gov/issue/maximizing-smart-pump-technology-enhance-patient-safety
Smart pumps ar…
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psnet.ahrq.gov/node/44730/psn-pdf
December 08, 2015 - Why studying human behavior is a critical component of
patient safety.
December 8, 2015
Su L. Why Studying Human Behavior is a Critical Component of Patient Safety. Curr Probl Pediatr Adolesc
Health Care. 2015;45(12):367-9. doi:10.1016/j.cppeds.2015.10.004.
https://psnet.ahrq.gov/issue/why-studying-human-behavior-…
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psnet.ahrq.gov/node/838624/psn-pdf
October 19, 2022 - Association of rapid response teams with hospital
mortality in Medicare patients.
October 19, 2022
Girotra S, Jones PG, Peberdy MA, et al. Association of rapid response teams with hospital mortality in
Medicare patients. Circ Cardiovasc Qual Outcomes. 2022;15(9):e008901.
doi:10.1161/circoutcomes.122.008901.
https…
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psnet.ahrq.gov/node/43669/psn-pdf
November 12, 2014 - Multiple interacting factors influence adherence, and
outcomes associated with surgical safety checklists: a
qualitative study.
November 12, 2014
Gagliardi AR, Straus SE, Shojania KG, et al. Multiple interacting factors influence adherence, and
outcomes associated with surgical safety checklists: a qualitative stu…
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psnet.ahrq.gov/node/60281/psn-pdf
April 29, 2020 - How can task shifting put patient safety at risk? A
qualitative study of experiences among general
practitioners in Norway.
April 29, 2020
Malterud K, Aamland A, Fosse A. How can task shifting put patient safety at risk? A qualitative study of
experiences among general practitioners in Norway. Scand J Prim Health …
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psnet.ahrq.gov/node/43828/psn-pdf
January 14, 2015 - Tragic error with neuromuscular blocker should prompt
risk assessment by all hospitals.
January 14, 2015
ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19:1,4.
https://psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all-
hospitals
This newsletter article …
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psnet.ahrq.gov/node/44308/psn-pdf
July 22, 2015 - Primary care medication safety surveillance with
integrated primary and secondary care electronic health
records: a cross-sectional study.
July 22, 2015
Akbarov A, Kontopantelis E, Sperrin M, et al. Primary Care Medication Safety Surveillance with Integrated
Primary and Secondary Care Electronic Health Records: A …
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digital.ahrq.gov/2018-year-review/research-dissemination
January 01, 2018 - Research Dissemination
Dissemination of key research findings from the Health IT-funded work is critical to knowledge transfer and replication of successful health IT strategies that impact patient safety, optimize EHR design, and reduce provider burden.
The Health IT-funded researc…
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psnet.ahrq.gov/node/46378/psn-pdf
April 16, 2018 - Effect of sleep deprivation after a night shift duty on
simulated crisis management by residents in anaesthesia.
A randomised crossover study.
April 16, 2018
Arzalier-Daret S, Buléon C, Bocca M-L, et al. Effect of sleep deprivation after a night shift duty on simulated
crisis management by residents in anaesthesia…
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psnet.ahrq.gov/node/842773/psn-pdf
January 01, 2009 - Dissemination of Lean methods to improve Pap testing
quality and patient safety.
April 8, 2008
Raab SS, Andrew-JaJa C, Grzybicki DM, et al. Dissemination of Lean methods to improve Pap testing
quality and patient safety. J Low Genit Tract Dis. 2009;12(2):103-110. doi:10.1097/lgt.0b013e31815ae9a1.
https://psnet.ahr…
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psnet.ahrq.gov/node/40061/psn-pdf
December 15, 2010 - Exploring relationships between hospital patient safety
culture and adverse events.
December 15, 2010
Mardon RE, Khanna K, Sorra J, et al. Exploring relationships between hospital patient safety culture and
adverse events. J Patient Saf. 2010;6(4):226-32. doi:10.1097/PTS.0b013e3181fd1a00.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/46072/psn-pdf
November 08, 2017 - Repeat prescribing of medications: a system-centred risk
management model for primary care organisations.
November 8, 2017
Price J, Man SL, Bartlett S, et al. Repeat prescribing of medications: A system-centred risk management
model for primary care organisations. J Eval Clin Pract. 2017;23(4):779-796. doi:10.1111/…
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psnet.ahrq.gov/node/73565/psn-pdf
August 04, 2021 - Healthcare worker serious safety events: applying
concepts from patient safety to improve healthcare
worker safety.
August 4, 2021
Foster C, Doud L, Palangyo T, et al. Healthcare worker serious safety events: applying concepts from
patient safety to improve healthcare worker safety. Pediatr Qual Saf. 2021;6(4):e43…