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psnet.ahrq.gov/node/42601/psn-pdf
September 18, 2013 - 'You talking to me?' Docs and feedback.
September 18, 2013
Diamond F. 'You talking to me?' Docs and feedback. Managed care (Langhorne, Pa.). 2013;22(7):30-2.
https://psnet.ahrq.gov/issue/you-talking-me-docs-and-feedback
Reporting on barriers to teamwork, this magazine article relates how hierarchy influences speaki…
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psnet.ahrq.gov/node/36063/psn-pdf
December 23, 2012 - Oversight Hearing on Recent Patient Safety Issues.
December 23, 2012
U.S. Department of Veterans Affairs. Hearing before the Committee on Veterans’ Affairs, House of
Representatives, Subcommittee on Oversight and Investigations. 109 Congress, 2nd sess June 15, 2006.
Washington, DC: US Government Printing Office; 20…
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psnet.ahrq.gov/node/73063/psn-pdf
March 24, 2021 - Clinical data sharing improves quality measurement and
patient safety.
March 24, 2021
D’Amore JD, McCrary LK, Denson J, et al. Clinical data sharing improves quality measurement and patient
safety. J Am Med Inform Assoc. 2021;28(7):1534-1542. doi:10.1093/jamia/ocab039.
https://psnet.ahrq.gov/issue/clinical-data-sh…
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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/837313/psn-pdf
June 01, 2022 - Are you well positioned to resolve conflicts with the
safety of an order? Learning from a physician’s homicide
trial and the firing of multiple healthcare workers.
June 1, 2022
ISMP Medication Safety Alert! Acute care edition. May 19, 2022;27(10):1-5.
https://psnet.ahrq.gov/issue/are-you-well-positioned-resolve-co…
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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/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/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.
https://psnet.ahrq…
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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/46202/psn-pdf
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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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…