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psnet.ahrq.gov/node/838183/psn-pdf
September 28, 2022 - Adding automation and independent dual verification to
reduce wrong blood in tube (WBIT) events.
September 28, 2022
Passwater M, Huggins YM, Delvo Favre ED, et al. Adding automation and independent dual verification to
reduce wrong blood in tube (WBIT) events. Am J Clin Pathol. 2022;158(2):212-215.
doi:10.1093/ajc…
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psnet.ahrq.gov/issue/incidence-never-events-among-weekend-admissions-versus-weekday-admissions-us-hospitals
November 03, 2015 - Study
Classic
Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis.
Citation Text:
Attenello FJ, Wen T, Cen SY, et al. Incidence of "never events" among weekend admissions versus weekday admissions to …
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psnet.ahrq.gov/node/43880/psn-pdf
February 04, 2015 - Healthcare Safety for Nursing Personnel: An
Organizational Guide to Achieving Results.
February 4, 2015
Tweedy JT. Boca Raton, FL: CRC Press; 2014. ISBN: 9781482230277.
https://psnet.ahrq.gov/issue/healthcare-safety-nursing-personnel-organizational-guide-achieving-results
This publication provides information abou…
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psnet.ahrq.gov/node/866901/psn-pdf
October 09, 2024 - Reader bias in breast cancer screening related to cancer
prevalence and artificial intelligence decision support-a
reader study.
October 9, 2024
Al-Bazzaz H, Janicijevic M, Strand F. Reader bias in breast cancer screening related to cancer prevalence
and artificial intelligence decision support—a reader study. Eur…
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psnet.ahrq.gov/node/48110/psn-pdf
August 14, 2019 - The courage to speak out: a study describing nurses'
attitudes to report unsafe practices in patient care.
August 14, 2019
Cole DA, Bersick E, Skarbek A, et al. The courage to speak out: A study describing nurses' attitudes to
report unsafe practices in patient care. J Nurs Manag. 2019;27(6):1176-1181. doi:10.1111/…
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psnet.ahrq.gov/node/73883/psn-pdf
September 29, 2021 - Emergency departments are higher-risk locations for
wrong blood in tube errors.
September 29, 2021
Dunbar NM, Delaney M, Murphy MF, et al. Emergency departments are higher?risk locations for wrong
blood in tube errors. Transfusion (Paris). 2021;61(9):2601-2610. doi:10.1111/trf.16588.
https://psnet.ahrq.gov/issue/e…
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psnet.ahrq.gov/node/844536/psn-pdf
February 15, 2023 - Investigating the impact of structural racism on Black
birthing people - associations between racialized
economic segregation, incarceration inequality, and
severe maternal morbidity.
February 15, 2023
Jeffers NK, Berger BO, Marea CX, et al. Investigating the impact of structural racism on Black birthing
people -…
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psnet.ahrq.gov/node/47248/psn-pdf
September 26, 2018 - Frequency and nature of potentially harmful preventable
problems in primary care from the patient's perspective
with clinician review: a population-level survey in Great
Britain.
September 26, 2018
Stocks SJ, Donnelly A, Esmail A, et al. Frequency and nature of potentially harmful preventable problems
in primary …
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psnet.ahrq.gov/node/73484/psn-pdf
July 14, 2021 - The influence of COVID-19 visitation restrictions on
patient experience and safety outcomes: a critical role for
subjective advocates.
July 14, 2021
Silvera GA, Wolf JA, Stanowski A, et al. The influence of COVID-19 visitation restrictions on patient
experience and safety outcomes: a critical role for subjective a…
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psnet.ahrq.gov/node/47379/psn-pdf
November 14, 2018 - Analysis of medication therapy discontinuation orders in
new electronic prescriptions and opportunities for
implementing CancelRx.
November 14, 2018
Yang Y, Ward-Charlerie S, Kashyap N, et al. Analysis of medication therapy discontinuation orders in new
electronic prescriptions and opportunities for implementing C…
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psnet.ahrq.gov/node/72529/psn-pdf
January 01, 2021 - Physician task load and the risk of burnout among US
physicians in a national survey.
December 2, 2020
Harry EM, Sinsky CA, Dyrbye LN, et al. Physician task load and the risk of burnout among US physicians in
a national survey. Jt Comm J Qual Patient Saf. 2021;47(2):76-85. doi:10.1016/j.jcjq.2020.09.011.
https://p…
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psnet.ahrq.gov/node/60757/psn-pdf
August 05, 2020 - Identifying no-harm incidents in home healthcare: a
cohort study using trigger tool methodology.
August 5, 2020
Lindblad M, Unbeck M, Nilsson L, et al. Identifying no-harm incidents in home healthcare: a cohort study
using trigger tool methodology. BMC Health Serv Res. 2020;20(1):289. doi:10.1186/s12913-020-05139-z…
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psnet.ahrq.gov/node/34798/psn-pdf
June 23, 2015 - Costs of medical injuries in Utah and Colorado.
June 23, 2015
Thomas EJ; Studdert DM; Newhouse JP; Zbar BI; Howard KM; Williams EJ; Brennan TA
https://psnet.ahrq.gov/issue/costs-medical-injuries-utah-and-colorado
This study analyzed more than 450 adverse events from a representative hospital sample in order to
est…
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psnet.ahrq.gov/node/46762/psn-pdf
February 14, 2018 - Patient Safety in Surgery.
February 14, 2018
Stahel PF, ed. BioMed Central. ISSN: 1754-9493.
https://psnet.ahrq.gov/issue/patient-safety-surgery-0
The specialty of surgery draws from both clinical and nontechnical skills for generalists and subspecialists
to support safe care delivery. This journal covers a range …
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psnet.ahrq.gov/node/44279/psn-pdf
August 26, 2015 - Leadership style and patient safety: implications for
nurse managers.
August 26, 2015
Merrill KC. Leadership style and patient safety: implications for nurse managers. J Nurs Adm.
2015;45(6):319-324. doi:10.1097/NNA.0000000000000207.
https://psnet.ahrq.gov/issue/leadership-style-and-patient-safety-implications-nur…
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psnet.ahrq.gov/node/41356/psn-pdf
May 29, 2012 - Safety in the home healthcare sector: development of a
new household safety checklist.
May 29, 2012
Gershon RRM, Dailey M, Magda LA, et al. Safety in the home healthcare sector: development of a new
household safety checklist. J Patient Saf. 2012;8(2):51-9. doi:10.1097/PTS.0b013e31824a4ad6.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/44296/psn-pdf
April 08, 2018 - Checklists to prevent diagnostic errors: a pilot
randomized controlled trial.
April 8, 2018
Ely JW, Graber MA. Checklists to prevent diagnostic errors: a pilot randomized controlled trial. Diagnosis
(Berl). 2015;2(3):163-169. doi:10.1515/dx-2015-0008.
https://psnet.ahrq.gov/issue/checklists-prevent-diagnostic-erro…
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psnet.ahrq.gov/node/44567/psn-pdf
October 14, 2015 - The misery of a doctor's first days.
October 14, 2015
Hester JL. The Atlantic. October 1, 2015.
https://psnet.ahrq.gov/issue/misery-doctors-first-days
Although there is no consensus regarding whether the "July effect" actually exists, it is not hard to imagine
the difficulties associated with the first days of pra…
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psnet.ahrq.gov/node/74162/psn-pdf
December 08, 2021 - Impact of state nurse practitioner regulations on
potentially inappropriate medication prescribing between
physicians and nurse practitioners: a national study in
the United States.
December 8, 2021
Tzeng H-M, Raji MA, Chou L-N, et al. Impact of state nurse practitioner regulations on potentially
inappropriate me…
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psnet.ahrq.gov/node/837500/psn-pdf
June 22, 2022 - Analysis of hospital-level readmission rates and variation
in adverse events among patients with pneumonia in the
United States.
June 22, 2022
Wang Y, Eldridge N, Metersky ML, et al. Analysis of hospital-level readmission rates and variation in
adverse events among patients with pneumonia in the United States. JAM…