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psnet.ahrq.gov/node/836778/psn-pdf
March 23, 2022 - Medication errors and processes to reduce them in care
homes in the United Kingdom: a scoping review.
March 23, 2022
Irons MW, Auta A, Portlock JC, et al. Medication errors and processes to reduce them in care homes in the
United Kingdom: a scoping review. Home Health Care Serv Q. 2022;41(2):91-123.
doi:10.1080/01…
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psnet.ahrq.gov/node/862601/psn-pdf
February 14, 2024 - Why simulation matters: a systematic review on medical
errors occurring during simulated health care.
February 14, 2024
Bokka L, Ciuffo F, Clapper TC. Why simulation matters: a systematic review on medical errors occurring
during simulated health care. J Patient Saf. 2024;20(2):110-118. doi:10.1097/pts.000000000000…
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psnet.ahrq.gov/node/865678/psn-pdf
April 24, 2024 - Enhancing implementation of the I-PASS handoff tool
using a provider handoff task force at a Comprehensive
Cancer Center.
April 24, 2024
Franco Vega MC, Ait Aiss M, George M, et al. Enhancing implementation of the I-PASS handoff tool using
a provider handoff task force at a Comprehensive Cancer Center. Jt Comm J Q…
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psnet.ahrq.gov/node/837793/psn-pdf
August 10, 2022 - The effect of structured medication review followed by
face-to-face feedback to prescribers on adverse drug
events recognition and prevention in older inpatients - a
multicenter interrupted time series study.
August 10, 2022
Klopotowska JE, Kuks PFM, Wierenga PC, et al. The effect of structured medication review f…
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psnet.ahrq.gov/node/853238/psn-pdf
September 06, 2023 - Potentially inappropriate medication use is associated
with increased risk of incident disability in healthy older
adults.
September 6, 2023
Lockery JE, Collyer TA, Woods RL, et al. Potentially inappropriate medication use is associated with
increased risk of incident disability in healthy older adults. J Am Geria…
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psnet.ahrq.gov/node/36205/psn-pdf
May 27, 2011 - Physician characteristics, attitudes, and use of
computerized order entry.
May 27, 2011
Lindenauer PK, Ling D, Pekow PS, et al. Physician characteristics, attitudes, and use of computerized
order entry. J Hosp Med. 2006;1(4):221-30.
https://psnet.ahrq.gov/issue/physician-characteristics-attitudes-and-use-computeri…
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psnet.ahrq.gov/node/845637/psn-pdf
March 08, 2023 - Using Failure Mode, Effect and Criticality Analysis to
improve safety in the cancer treatment prescription and
administration process.
March 8, 2023
Buja A, De Luca G, Ottolitri K, et al. Using Failure Mode, Effect and Criticality Analysis to improve safety in
the cancer treatment prescription and administration p…
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psnet.ahrq.gov/node/44866/psn-pdf
March 15, 2016 - Associations between attending physician workload,
teaching effectiveness, and patient safety.
March 15, 2016
Wingo MT, Halvorsen AJ, Beckman T, et al. Associations between attending physician workload, teaching
effectiveness, and patient safety. J Hosp Med. 2016;11(3):169-73. doi:10.1002/jhm.2540.
https://psnet.a…
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psnet.ahrq.gov/node/72521/psn-pdf
December 02, 2020 - I-PASS illness diversity identifies patients at risk for
overnight clinical deterioration.
December 2, 2020
Shah C, Sanber K, Jacobson R, et al. I-PASS illness diversity identifies patients at risk for overnight clinical
deterioration. J Grad Med Educ. 2020;12(5):578-582. doi:10.4300/jgme-d-19-00755.1.
https://psn…
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psnet.ahrq.gov/node/867044/psn-pdf
October 30, 2024 - "Near miss": a mixed-methods analysis of medical
student assignments in patient safety.
October 30, 2024
Plugge T, Breviu A, Lappé K, et al. "Near miss": a mixed-methods analysis of medical student assignments
in patient safety. Am J Med Qual. 2024;39(4):168-173. doi:10.1097/jmq.0000000000000196.
https://psnet.ahr…
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psnet.ahrq.gov/node/37471/psn-pdf
February 17, 2011 - Delayed time to defibrillation after in-hospital cardiac
arrest.
February 17, 2011
Chan PS, Krumholz HM, Nichol G, et al. Delayed time to defibrillation after in-hospital cardiac arrest. N
Engl J Med. 2008;358(1):9-17. doi:10.1056/NEJMoa0706467.
https://psnet.ahrq.gov/issue/delayed-time-defibrillation-after-hospit…
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psnet.ahrq.gov/node/61092/psn-pdf
November 04, 2020 - Patient race and opioid misuse history influence provider
risk perceptions for future opioid-related problems.
November 4, 2020
Hirsh AT, Anastas TM, Miller MM, et al. Patient race and opioid misuse history influence provider risk
perceptions for future opioid-related problems. Am Psychol. 2020;75(6):784-795.
doi:…
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psnet.ahrq.gov/node/850346/psn-pdf
June 14, 2023 - The good, the bad, and the ugly: operative staff
perspectives of surgeon coping with intraoperative
errors.
June 14, 2023
D’Angelo A-LD, Kapur N, Kelley SR, et al. The good, the bad, and the ugly: operative staff perspectives of
surgeon coping with intraoperative errors. Surgery. 2023;174(2):222-228. doi:10.1016/j…
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psnet.ahrq.gov/node/46256/psn-pdf
August 09, 2017 - What stage are low-income and middle-income countries
(LMICs) at with patient safety curriculum implementation
and what are the barriers to implementation? A two-stage
cross-sectional study.
August 9, 2017
Ginsburg LR, Dhingra-Kumar N, Donaldson LJ. What stage are low-income and middle-income countries
(LMICs) at…
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psnet.ahrq.gov/node/36634/psn-pdf
March 03, 2011 - Surgeon information transfer and communication: factors
affecting quality and efficiency of inpatient care.
March 3, 2011
Williams RG, Silverman R, Schwind C, et al. Surgeon information transfer and communication: factors
affecting quality and efficiency of inpatient care. Ann Surg. 2007;245(2):159-69.
https://psn…
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psnet.ahrq.gov/node/854630/psn-pdf
October 18, 2023 - Physician behaviors associated with increased physician
and nurse communication during bedside
interdisciplinary rounds.
October 18, 2023
Huang KX, Chen CK, Pessegueiro AM, et al. Physician behaviors associated with increased physician and
nurse communication during bedside interdisciplinary rounds. J Hosp Med. 20…
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psnet.ahrq.gov/node/853959/psn-pdf
September 27, 2023 - Scaling up a diagnostic pause at the ICU-to-ward
transition: an exploration of barriers and facilitators to
implementation of the ICU-PAUSE handoff tool.
September 27, 2023
Cornell EG, Harris E, McCune E, et al. Scaling up a diagnostic pause at the ICU-to-ward transition: an
exploration of barriers and facilitator…
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psnet.ahrq.gov/node/866078/psn-pdf
June 05, 2024 - Second victim experiences of health care learners and the
influence of the training environment on postevent
adaptation.
June 5, 2024
Huang L, Riggan KA, Torbenson VE, et al. Second victim experiences of health care learners and the
influence of the training environment on postevent adaptation. Mayo Clin Proc Inno…
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psnet.ahrq.gov/node/41211/psn-pdf
January 03, 2017 - He thought the "lady in the door" was the "lady in the
window": a qualitative study of patient identification
practices.
January 3, 2017
Phipps E, Turkel M, Mackenzie ER, et al. He thought the "lady in the door" was the "lady in the window": a
qualitative study of patient identification practices. Jt Comm J Qual P…
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psnet.ahrq.gov/node/836830/psn-pdf
March 30, 2022 - Routine multidisciplinary review of severe maternal
morbidity is associated with a reduction in preventable
cases of severe maternal morbidity.
March 30, 2022
Ozimek JA, Greene N, Geller AI, et al. Routine multidisciplinary review of severe maternal morbidity is
associated with a reduction in preventable cases of …