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psnet.ahrq.gov/node/838911/psn-pdf
October 26, 2022 - Medication adverse events in the ambulatory setting: a
mixed-methods analysis.
October 26, 2022
Wong J, Lee S-Y, Sarkar U, et al. Medication adverse events in the ambulatory setting: a mixed-methods
analysis. Am J Health Syst Pharm. 2022;79(24):2230-2243. doi:10.1093/ajhp/zxac253.
https://psnet.ahrq.gov/issue/medi…
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psnet.ahrq.gov/node/74208/psn-pdf
December 22, 2021 - Early warning systems and rapid response systems for
the prevention of patient deterioration on acute adult
hospital wards.
December 22, 2021
McGaughey J, Fergusson DA, Van Bogaert P, et al. Early warning systems and rapid response systems for
the prevention of patient deterioration on acute adult hospital wards. …
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psnet.ahrq.gov/node/72802/psn-pdf
March 03, 2021 - What does safety in mental healthcare transitions mean
for service users and other stakeholder groups: an open-
ended questionnaire study.
March 3, 2021
Tyler N, Wright N, Panagioti M, et al. What does safety in mental healthcare transitions mean for service
users and other stakeholder groups: an open?ended questi…
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psnet.ahrq.gov/node/74066/psn-pdf
November 10, 2021 - Lessons Learned? Building a Culture of Patient Safety
Within the Veterans Health Administration.
November 10, 2021
US House of Representatives Committee on Veterans' Affairs Subcommittee on Health. 117th
Cong. 1st Sess (2021).
https://psnet.ahrq.gov/issue/lessons-learned-building-culture-patient-safety-withi…
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psnet.ahrq.gov/node/847539/psn-pdf
April 12, 2023 - Potential uses of AI for perioperative nursing handoffs: a
qualitative study.
April 12, 2023
King CR, Shambe A, Abraham J. Potential uses of AI for perioperative nursing handoffs: a qualitative
study. JAMIA Open. 2023;6(1):ooaf015. doi:10.1093/jamiaopen/ooad015.
https://psnet.ahrq.gov/issue/potential-uses-ai-perio…
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psnet.ahrq.gov/node/865655/psn-pdf
April 24, 2024 - event within the first month after hospital discharge, and many of these are
preventable.16 Case 2 is representative
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psnet.ahrq.gov/node/33714/psn-pdf
July 01, 2011 - In Conversation with…William B. Munier, MD, MBA
July 1, 2011
In Conversation with…William B. Munier, MD, MBA. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
Editor's note: William B. Munier, MD, MBA, is the Director of the Center for Quality Improvement and
Pati…
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psnet.ahrq.gov/node/865534/psn-pdf
April 10, 2024 - Improving formal incivility reporting in ambulatory
oncology: implementing the CIVIC Duty program.
April 10, 2024
Gordon JN. Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty
program. Clin J Oncol Nurs. 2023;27(6):602-606. doi:10.1188/23.cjon.602-606.
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March 28, 2005 - The organizational and intraorganizational development
of disasters.
March 28, 2005
Turner BA. The Organizational and Interorganizational Development of Disasters. Adm Sci Q.
1976;21(3):378. doi:10.2307/2391850.
https://psnet.ahrq.gov/issue/organizational-and-intraorganizational-development-disasters
This article…
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August 02, 2015 - Time of day and the decision to prescribe antibiotics.
August 2, 2015
Linder JA, Doctor JN, Friedberg MW, et al. Time of day and the decision to prescribe antibiotics. JAMA
Intern Med. 2014;174(12):2029-31. doi:10.1001/jamainternmed.2014.5225.
https://psnet.ahrq.gov/issue/time-day-and-decision-prescribe-antibiotics…
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psnet.ahrq.gov/node/38117/psn-pdf
September 29, 2017 - Advances in Patient Safety: New Directions and
Alternative Approaches.
September 29, 2017
Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1-
4).
https://psnet.ahrq.gov/issue/advances-patient-safety-new-directions-and-alternative-approaches
The 115 articles freel…
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psnet.ahrq.gov/node/50860/psn-pdf
February 05, 2020 - Does team reflexivity impact teamwork and
communication in interprofessional hospital-based
healthcare teams? A systematic review and narrative
synthesis.
February 5, 2020
McHugh SK, Lawton R, O'Hara JK, et al. Does team reflexivity impact teamwork and communication in
interprofessional hospital-based healthcare …
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psnet.ahrq.gov/node/838313/psn-pdf
October 12, 2022 - Investigation of interventions to reduce nurses'
medication errors in adult intensive care units: a
systematic review.
October 12, 2022
Mohanna Z, Kusljic S, Jarden R. Investigation of interventions to reduce nurses’ medication errors in adult
intensive care units: a systematic review. Aust Crit Care. 2022;35(4):4…
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psnet.ahrq.gov/node/47932/psn-pdf
August 21, 2019 - Ensuring effective care transition communication:
implementation of an electronic medical record-based
tool for improved cancer treatment handoffs between
clinic and infusion nurses.
August 21, 2019
Pandya C, Clarke T, Scarsella E, et al. Ensuring Effective Care Transition Communication: Implementation
of an Elec…
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psnet.ahrq.gov/node/836966/psn-pdf
April 20, 2022 - Performance variability in perioperative sentinel events:
report on a nationwide data set.
April 20, 2022
Reijmerink IM, Bos K, Leistikow IP, et al. Performance variability in perioperative sentinel events: report on
a nationwide data set. Br J Surg. 2022;109(7):573-575. doi:10.1093/bjs/znac067.
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September 29, 2021 - Evolving factors in hospital safety: a systematic review
and meta-analysis of hospital adverse events.
September 29, 2021
Sauro KM, Machan M, Whalen-Browne L, et al. Evolving factors in hospital safety: a systematic review and
meta-analysis of hospital adverse events. J Patient Saf. 2021;17(8):e1285-e1295.
doi:10.…
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January 01, 2022 - Use of heuristics during the clinical decision process
from family care physicians in real conditions.
October 6, 2021
Fernández?Aguilar C, Martín?Martín JJ, Minué Lorenzo S, et al. Use of heuristics during the clinical
decision process from family care physicians in real conditions. J Eval Clin Pract. 2022;28(1):1…
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January 01, 2021 - Assessment of automating safety surveillance from
electronic health records: analysis for the quality and
safety review system.
September 20, 2017
Fong A, Adams KT, Samarth A, et al. Assessment of Automating Safety Surveillance From Electronic
Health Records: Analysis for the Quality and Safety Review System. J Pa…
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April 06, 2022 - Occupational therapy utilization in veterans with
dementia: a retrospective review of root cause analyses
of falls leading to adverse events.
April 6, 2022
Rhodus EK, Lancaster EA, Hunter EG, et al. Occupational therapy utilization in veterans with dementia: a
retrospective review of root cause analyses of falls l…
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psnet.ahrq.gov/node/73168/psn-pdf
April 21, 2021 - Patient safety incidents describing patient falls in critical
care in North West England between 2009 and 2017.
April 21, 2021
Thomas AN, Balmforth JE. Patient safety incidents describing patient falls in critical care in North West
England between 2009 and 2017. J Patient Saf. 2021;17(2):e71-e75. doi:10.1097/pts.0…