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psnet.ahrq.gov/node/33739/psn-pdf
October 01, 2012 - The Physical Environment: An Often Unconsidered
Patient Safety Tool
October 1, 2012
Joseph A, Malone EB. The Physical Environment: An Often Unconsidered Patient Safety Tool. PSNet
[internet]. 2012.
https://psnet.ahrq.gov/perspective/physical-environment-often-unconsidered-patient-safety-tool
Perspective
Now that…
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psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
August 10, 2019 - Wrong-side Bedside Paravertebral Block: Preventing the Preventable
Citation Text:
Barrington MJ, Uda Y. Wrong-side Bedside Paravertebral Block: Preventing the Preventable. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy C…
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psnet.ahrq.gov/node/33751/psn-pdf
January 01, 2014 - Strengthening the Business Case for Patient Safety
May 1, 2013
Lindenauer PK. Strengthening the Business Case for Patient Safety. PSNet [internet]. 2013.
https://psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety
Perspective
After more than a decade in the national spotlight, the problem of pati…
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psnet.ahrq.gov/node/866579/psn-pdf
August 28, 2024 - There is no evidence that one type of hand antisepsis is better
than another in reducing surgical site
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psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
January 29, 2021 - have occurred even when these monitors were used. 15 Recently, these monitors have been advocated for reducing
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psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
May 28, 2014 - There is no evidence that one type of hand antisepsis is better than another in reducing surgical site
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psnet.ahrq.gov/node/60838/psn-pdf
January 01, 2021 - Using the ecological systems theory to understand
black/white disparities in maternal morbidity and mortality
in the United States.
August 26, 2020
Noursi S, Saluja B, Richey L. Using the ecological systems theory to understand black/white disparities in
maternal morbidity and mortality in the United States. J Rac…
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psnet.ahrq.gov/node/47291/psn-pdf
October 31, 2018 - Incidence and method of suicide in hospitals in the United
States.
October 31, 2018
Williams SC, Schmaltz SP, Castro GM, et al. Incidence and Method of Suicide in Hospitals in the United
States. Jt Comm J Qual Patient Saf. 2018;44(11):643-650. doi:10.1016/j.jcjq.2018.08.002.
https://psnet.ahrq.gov/issue/incidence-…
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psnet.ahrq.gov/node/72792/psn-pdf
March 03, 2021 - Avoiding a Med-Wreck: a structured medication
reconciliation framework and standardized auditing tool
utilized to optimize patient safety and reallocate hospital
resources.
March 3, 2021
Elbeddini A, Almasalkhi S, Prabaharan T, et al. Avoiding a Med-Wreck: a structured medication
reconciliation framework and stan…
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psnet.ahrq.gov/node/45700/psn-pdf
September 01, 2018 - Resolving malpractice claims after tort reform: experience
in a self-insured Texas public academic health system.
September 1, 2018
Sage WM, Harding MC, Thomas EJ. Resolving Malpractice Claims after Tort Reform: Experience in a Self-
Insured Texas Public Academic Health System. Health Serv Res. 2016;51 Suppl 3:2615…
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psnet.ahrq.gov/node/47445/psn-pdf
October 24, 2018 - Diagnostic error in the critically ill: defining the problem
and exploring next steps to advance intensive care unit
safety.
October 24, 2018
Bergl PA, Nanchal RS, Singh H. Diagnostic Error in the Critically III: Defining the Problem and Exploring
Next Steps to Advance Intensive Care Unit Safety. Ann Am Thorac Soc…
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psnet.ahrq.gov/node/848359/psn-pdf
May 03, 2023 - Medical line entanglement: the unspoken patient safety
hazard of medical devices.
May 3, 2023
Larimer C, Sumner V, Wander D. Medical line entanglement: the unspoken patient safety hazard of
medical devices. Nutr Clin Pract. 2023;38(6):1296-1308. doi:10.1002/ncp.11000.
https://psnet.ahrq.gov/issue/medical-line-enta…
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psnet.ahrq.gov/node/46672/psn-pdf
January 30, 2018 - Elevated mortality among weekend hospital admissions is
not associated with adoption of seven day clinical
standards.
January 30, 2018
Meacock R, Sutton M. Elevated mortality among weekend hospital admissions is not associated with
adoption of seven day clinical standards. Emerg Med J. 2018;35(2):108-113. doi:10.1…
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psnet.ahrq.gov/node/43292/psn-pdf
January 07, 2015 - Clinical decision support for atypical orders: detection
and warning of atypical medication orders submitted to a
computerized provider order entry system.
January 7, 2015
Woods AD, Mulherin DP, Flynn AJ, et al. Clinical decision support for atypical orders: detection and
warning of atypical medication orders subm…
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psnet.ahrq.gov/node/866156/psn-pdf
June 20, 2024 - Interventions to prevent falls in older adults: updated
evidence report and systematic review for the US
Preventive Services Task Force.
June 20, 2024
Guirguis-Blake JM, Perdue LA, Coppola EL, et al. Interventions to prevent falls in older adults: updated
evidence report and systematic review for the US Preventive…
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psnet.ahrq.gov/node/837969/psn-pdf
August 31, 2022 - Comparing the variability of ingredient, strength, and
dose form information from electronic prescriptions with
RxNorm drug product descriptions.
August 31, 2022
Lester CA, Flynn AJ, Marshall VD, et al. Comparing the variability of ingredient, strength, and dose form
information from electronic prescriptions with …
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psnet.ahrq.gov/node/38029/psn-pdf
September 03, 2008 - Minimizing surgical error by incorporating objective
assessment into surgical education.
September 3, 2008
Champion HR, Meglan DA, Shair EK. Minimizing Surgical Error by Incorporating Objective Assessment into
Surgical Education. J Am Coll Surg. 2008;207(2). doi:10.1016/j.jamcollsurg.2008.02.038.
https://psnet.ahr…
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psnet.ahrq.gov/node/73131/psn-pdf
April 14, 2021 - Identification of common themes from never events data
published by NHS England.
April 14, 2021
Omar I, Graham Y, Singhal R, et al. Identification of common themes from never events data published by
NHS England. World J Surg. 2021;45(3):697-704. doi:10.1007/s00268-020-05867-7.
https://psnet.ahrq.gov/issue/identif…
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psnet.ahrq.gov/node/37745/psn-pdf
May 07, 2008 - Clinical outcomes of a home-based medication
reconciliation program after discharge from a skilled
nursing facility.
May 7, 2008
Delate T, Chester EA, Stubbings TW, et al. Clinical outcomes of a home-based medication reconciliation
program after discharge from a skilled nursing facility. Pharmacotherapy. 2008;28(4…
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psnet.ahrq.gov/node/848318/psn-pdf
May 03, 2023 - Teamwork, clinical leadership skills and environmental
factors that influence missed nursing care - a qualitative
study on hospital wards.
May 3, 2023
Beiboer C, Andela R, Hafsteinsdóttir TB, et al. Teamwork, clinical leadership skills and environmental
factors that influence missed nursing care – a qualitative st…