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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/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/863308/psn-pdf
February 28, 2024 - Given that this case represented a respiratory arrest, as
opposed to a cardiac event (given known aspiration
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psnet.ahrq.gov/node/865412/psn-pdf
March 27, 2024 - Bourgeois, OD, MD, and Glen Xiong, MD
This unfortunate case likely represented a presentation of psychotic
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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/36878/psn-pdf
August 31, 2011 - Potentially inappropriate medication use and healthcare
expenditures in the US community-dwelling elderly.
August 31, 2011
Fu AZ, Jiang JZ, Reeves JH, et al. Potentially inappropriate medication use and healthcare expenditures in
the US community-dwelling elderly. Med Care. 2007;45(5):472-6.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/34783/psn-pdf
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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psnet.ahrq.gov/node/43612/psn-pdf
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/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/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/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/50851/psn-pdf
January 29, 2020 - International evaluation of an AI system for breast cancer
screening.
January 29, 2020
McKinney SM, Sieniek M, Godbole V, et al. International evaluation of an AI system for breast cancer
screening. Nature. 2020;577(7788):89-94. doi:10.1038/s41586-019-1799-6.
https://psnet.ahrq.gov/issue/international-evaluation-a…
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psnet.ahrq.gov/node/73879/psn-pdf
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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psnet.ahrq.gov/node/73916/psn-pdf
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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psnet.ahrq.gov/node/836865/psn-pdf
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…
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psnet.ahrq.gov/node/838195/psn-pdf
September 28, 2022 - National Plan for Health Workforce Well-Being.
September 28, 2022
Dzau VJ, Kirch D, Murthy V, Nasca T, eds; NAM’s Action Collaborative on Clinician Well-Being and
Resilience. Washington DC: The National Academies Press; 2022. ISBN 9780309694674.
https://psnet.ahrq.gov/issue/national-plan-health-workforce-well-…