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psnet.ahrq.gov/node/843326/psn-pdf
February 01, 2023 - Surgical site infection prevention: a review.
February 1, 2023
Seidelman JL, Mantyh CR, Anderson DJ. Surgical site infection prevention: a review. JAMA.
2023;329(3):244-252. doi:10.1001/jama.2022.24075.
https://psnet.ahrq.gov/issue/surgical-site-infection-prevention-review
Surgical site infections (SSIs) remain a …
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psnet.ahrq.gov/node/848816/psn-pdf
May 10, 2023 - Racial bias in cesarean decision-making.
May 10, 2023
Edwards SE, Class QA, Ford CE, et al. Racial bias in cesarean decision-making. Am J Obstet Gynecol
MFM. 2023;5(5):100927. doi:10.1016/j.ajogmf.2023.100927.
https://psnet.ahrq.gov/issue/racial-bias-cesarean-decision-making
Racial bias negatively impacts maternal…
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psnet.ahrq.gov/node/836785/psn-pdf
March 23, 2022 - Impact of CancelRx on discontinuation of controlled
substance prescriptions: an interrupted time series
analysis.
March 23, 2022
Watterson TL, Stone JA, Gilson A, et al. Impact of CancelRx on discontinuation of controlled substance
prescriptions: an interrupted time series analysis. BMC Med Inform Decis Mak. 2022;…
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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/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/46772/psn-pdf
March 04, 2019 - Case: a second victim support program in pediatrics:
successes and challenges to implementation.
March 4, 2019
Dukhanin V, Edrees HH, Connors CA, et al. Case: A Second Victim Support Program in Pediatrics:
Successes and Challenges to Implementation. J Pediatr Nurs. 2018;41:54-59.
doi:10.1016/j.pedn.2018.01.011.
h…
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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/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/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/60532/psn-pdf
May 27, 2020 - Improving timely recognition and treatment of sepsis in
the pediatric ICU.
May 27, 2020
Vidrine R, Zackoff M, Paff Z, et al. Improving timely recognition and treatment of sepsis in the pediatric ICU.
Jt Comm J Qual Patient Saf. 2020;46(5):299-307. doi:10.1016/j.jcjq.2020.02.005.
https://psnet.ahrq.gov/issue/improv…
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psnet.ahrq.gov/node/73061/psn-pdf
March 24, 2021 - Timeout procedure in paediatric surgery: effective tool or
lip service? A randomised prospective observational
study.
March 24, 2021
Muensterer OJ, Kreutz H, Poplawski A, et al. Timeout procedure in paediatric surgery: effective tool or lip
service? A randomised prospective observational study. BMJ Qual Saf. 2021;…
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psnet.ahrq.gov/node/72482/psn-pdf
November 18, 2020 - Real-time debriefing after critical events: exploring the
gap between principle and reality.
November 18, 2020
Arriaga AF, Szyld D, Pian-Smith MCM. Real-time debriefing after critical events: exploring the gap between
principle and reality. Anesthesiol Clin. 2020;38(4):801-820. doi:10.1016/j.anclin.2020.08.003.
ht…
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psnet.ahrq.gov/node/41571/psn-pdf
October 29, 2012 - Adverse drug events caused by serious medication
administration errors.
October 29, 2012
Kale A, Keohane C, Maviglia SM, et al. Adverse drug events caused by serious medication administration
errors. BMJ Qual Saf. 2012;21(11):933-8. doi:10.1136/bmjqs-2012-000946.
https://psnet.ahrq.gov/issue/adverse-drug-events-ca…
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psnet.ahrq.gov/node/862152/psn-pdf
February 07, 2024 - Risk identification and prediction of complaints and
misconduct against health practitioners: a scoping
review.
February 7, 2024
Wang Y, Ram SS, Scahill S. Risk identification and prediction of complaints and misconduct against health
practitioners: a scoping review. Int J Qual Health Care. 2024;36(1):mzad114. doi…
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psnet.ahrq.gov/node/47109/psn-pdf
June 06, 2018 - Principles of automation for patient safety in intensive
care: learning from aviation.
June 6, 2018
Dominiczak J, Khansa L. Principles of Automation for Patient Safety in Intensive Care: Learning From
Aviation. Jt Comm J Qual Patient Saf. 2018;44(6):366-371. doi:10.1016/j.jcjq.2017.11.008.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/45130/psn-pdf
July 18, 2018 - Surgical fires: decreasing incidence relies on continued
prevention efforts.
July 18, 2018
Bruley ME, Arnold TV, Finley E, Deutsch ES, Treadwell JR. PA-PSRS Pa Patient Saf Advis. June 2018;15.
https://psnet.ahrq.gov/issue/surgical-fires-decreasing-incidence-relies-continued-prevention-efforts
Although surgical fir…
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psnet.ahrq.gov/node/46187/psn-pdf
December 06, 2017 - A randomised controlled trial assessing the efficacy of an
electronic discharge communication tool for preventing
death or hospital readmission.
December 6, 2017
Santana MJ, Holroyd-Leduc J, Southern DA, et al. A randomised controlled trial assessing the efficacy of
an electronic discharge communication tool for p…
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psnet.ahrq.gov/node/44756/psn-pdf
September 12, 2016 - Importance of teamwork, communication and culture on
failure-to-rescue in the elderly.
September 12, 2016
Ghaferi AA, Dimick JB. Importance of teamwork, communication and culture on failure-to-rescue in the
elderly. Br J Surg. 2016;103(2):e47-51. doi:10.1002/bjs.10031.
https://psnet.ahrq.gov/issue/importance-teamw…
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psnet.ahrq.gov/node/43472/psn-pdf
September 03, 2014 - Nighttime cross-coverage is associated with decreased
intensive care unit mortality. A single-center study.
September 3, 2014
Amaral ACK-B, Barros BS, Barros CCPP, et al. Nighttime cross-coverage is associated with decreased
intensive care unit mortality. A single-center study. Am J Respir Crit Care Med. 2014;189(1…
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psnet.ahrq.gov/node/47953/psn-pdf
January 01, 2021 - Impact of medication reviews delivered by community
pharmacist to elderly patients on polypharmacy: a meta-
analysis of randomized controlled trials.
June 26, 2019
Tasai S, Kumpat N, Dilokthornsakul P, et al. Impact of Medication Reviews Delivered by Community
Pharmacist to Elderly Patients on Polypharmacy: A Meta…