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psnet.ahrq.gov/node/35577/psn-pdf
April 06, 2011 - Safety culture assessment in community pharmacy:
development, face validity, and feasibility of the
Manchester Patient Safety Assessment Framework.
April 6, 2011
Ashcroft DM, Morecroft C, Parker D, et al. Safety culture assessment in community pharmacy:
development, face validity, and feasibility of the Manchester…
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psnet.ahrq.gov/node/47317/psn-pdf
August 15, 2018 - Actions Needed to Address Employee Misconduct
Process and Ensure Accountability.
August 15, 2018
Washington, DC: United States Government Accountability Office; July 2018. Publication GAO-18-137.
https://psnet.ahrq.gov/issue/actions-needed-address-employee-misconduct-process-and-ensure-
accountability
Both organi…
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psnet.ahrq.gov/node/853231/psn-pdf
September 06, 2023 - Development of a proactive process to harmonize policy,
infusion pump library, and electronic health record
entries for continuous infusions at an academic medical
center.
September 6, 2023
Christensen SM, Andrews SR, Fox ER. Development of a proactive process to harmonize policy, infusion
pump library, and elect…
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psnet.ahrq.gov/node/837890/psn-pdf
August 24, 2022 - Accuracy of pressure ulcer events in US nursing home
ratings.
August 24, 2022
Chen Z, Gleason LJ, Sanghavi P. Accuracy of pressure ulcer events in US nursing home ratings. Med
Care. 2022;60(10):775-783. doi:10.1097/mlr.0000000000001763.
https://psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ra…
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psnet.ahrq.gov/node/38843/psn-pdf
June 28, 2011 - Application of patient safety indicators internationally: a
pilot study among seven countries.
June 28, 2011
Drösler SE, Klazinga NS, Romano PS, et al. Application of patient safety indicators internationally: a pilot
study among seven countries. Int J Qual Health Care. 2009;21(4):272-8. doi:10.1093/intqhc/mzp018.
…
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psnet.ahrq.gov/node/866163/psn-pdf
June 19, 2024 - Performance evaluation of ChatGPT in detecting
diagnostic errors and their contributing factors: an
analysis of 545 case reports of diagnostic errors.
June 19, 2024
Harada Y, Suzuki T, Harada T, et al. Performance evaluation of ChatGPT in detecting diagnostic errors
and their contributing factors: an analysis of 5…
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psnet.ahrq.gov/node/37468/psn-pdf
April 11, 2011 - Simulation of in-hospital pediatric medical emergencies
and cardiopulmonary arrests: highlighting the importance
of the first 5 minutes.
April 11, 2011
Hunt EA, Walker AR, Shaffner DH, et al. Simulation of in-hospital pediatric medical emergencies and
cardiopulmonary arrests: highlighting the importance of the fir…
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psnet.ahrq.gov/node/72823/psn-pdf
March 10, 2021 - Care coordination strategies and barriers during
medication safety incidents: a qualitative, cognitive task
analysis.
March 10, 2021
Russ-Jara AL, Luckhurst CL, Dismore RA, et al. Care coordination strategies and barriers during
medication safety incidents: a qualitative, cognitive task analysis. J Gen Intern Med.…
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psnet.ahrq.gov/node/837742/psn-pdf
July 27, 2022 - Room of hazards: a comparison of differences in safety
hazard recognition among various hospital-based
healthcare professionals and trainees in a simulated
patient room.
July 27, 2022
Wang M, Banda B, Rodwin BA, et al. Room of hazards: a comparison of differences in safety hazard
recognition among various hospita…
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psnet.ahrq.gov/node/46656/psn-pdf
February 07, 2018 - Autopsy interrogation of emergency medicine dispute
cases: how often are clinical diagnoses incorrect?
February 7, 2018
Liu D, Gan R, Zhang W, et al. Autopsy interrogation of emergency medicine dispute cases: how often are
clinical diagnoses incorrect? J Clin Pathol. 2018;71(1):67-71. doi:10.1136/jclinpath-2017-204…
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psnet.ahrq.gov/node/863753/psn-pdf
March 06, 2024 - Towards a common framework to support decision-
making in high-risk, low-time environments.
March 6, 2024
Launder D, Penney G. Towards a common framework to support decision?making in high?risk, low?time
environments. J Contin Crisis Manag. 2023;31(4):862-876. doi:10.1111/1468-5973.12487.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/44886/psn-pdf
September 27, 2016 - Direct oral anticoagulants: new drugs with practical
problems. How can nurses help prevent patient harm?
September 27, 2016
Barras MA, Hughes D, Ullner M. Direct oral anticoagulants: New drugs with practical problems. How can
nurses help prevent patient harm? Nurs Health Sci. 2016;18(3):408-11. doi:10.1111/nhs.1226…
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psnet.ahrq.gov/node/50933/psn-pdf
February 26, 2020 - Medication-related harm in older adults following hospital
discharge: development and validation of a prediction
tool.
February 26, 2020
Parekh N, Ali K, Davies JG, et al. Medication-related harm in older adults following hospital discharge:
development and validation of a prediction tool. BMJ Qual Saf. 2020;29(2)…
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psnet.ahrq.gov/node/45685/psn-pdf
January 01, 2021 - The effects of the second victim phenomenon on work-
related outcomes: connecting self-reported caregiver
distress to turnover intentions and absenteeism.
December 21, 2016
Burlison JD, Quillivan RR, Scott SD, et al. The Effects of the Second Victim Phenomenon on Work-Related
Outcomes: Connecting Self-Reported Car…
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psnet.ahrq.gov/node/35570/psn-pdf
May 27, 2011 - Unexpected increased mortality after implementation of a
commercially sold computerized physician order entry
system.
May 27, 2011
Han YY, Carcillo JA, Venkataraman ST, et al. Unexpected increased mortality after implementation of a
commercially sold computerized physician order entry system. Pediatrics. 2005;116(…
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psnet.ahrq.gov/node/47608/psn-pdf
March 20, 2019 - Use of a public health law framework to improve
medication safety by anesthesia providers.
March 20, 2019
Litman RS. Use of a public health law framework to improve medication safety by anesthesia providers. J
Patient Saf Risk Manag. 2019;24(4):158-165. doi:10.1177/2516043518825383.
https://psnet.ahrq.gov/issue/us…
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psnet.ahrq.gov/node/72545/psn-pdf
December 09, 2020 - Comparing the evolution of risk culture in radiation
oncology, aviation, and nuclear power.
December 9, 2020
Abdulla A, Schell KR, Schell MC. Comparing the evolution of risk culture in radiation oncology, aviation,
and nuclear power. J Patient Saf. 2020;16(4):e352-e358. doi:10.1097/pts.0000000000000560.
https://ps…
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psnet.ahrq.gov/node/60188/psn-pdf
January 01, 2021 - Uncertain diagnoses in a children's hospital: patient
characteristics and outcomes.
April 1, 2020
Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics
and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058.
https://psnet.ahrq.gov/issue/uncertai…
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psnet.ahrq.gov/node/47706/psn-pdf
June 14, 2019 - Pharmaceutical interventions to improve safety of
chemotherapy-treated cancer patients: a cross-sectional
study.
June 14, 2019
Daupin J, Perrin G, Lhermitte-Pastor C, et al. Pharmaceutical interventions to improve safety of
chemotherapy-treated cancer patients: A cross-sectional study. J Oncol Pract. 2019;25(5):11…
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psnet.ahrq.gov/node/46220/psn-pdf
August 09, 2017 - Patient, provider, and system factors contributing to
patient safety events during medical and surgical
hospitalizations for persons with serious mental illness.
August 9, 2017
McGinty EE, Thompson DA, Pronovost P, et al. Patient, provider, and system factors contributing to patient
safety events during medical an…