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psnet.ahrq.gov/node/35989/psn-pdf
September 17, 2010 - Using preprinted medication order forms to improve the
safety of investigational drug use.
September 17, 2010
Tamer H, Shehab N. Using preprinted medication order forms to improve the safety of investigational drug
use. Am J Health Syst Pharm. 2006;63(11):1022, 1025-1026, 1028.
https://psnet.ahrq.gov/issue/using-p…
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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/node/47858/psn-pdf
July 10, 2019 - Modification of potentially inappropriate prescribing
following fall-related hospitalizations in older adults.
July 10, 2019
Walsh ME, Boland F, Moriarty F, et al. Modification of potentially inappropriate prescribing following fall-
related hospitalizations in older adults. Drugs Aging. 2019;36(5):461-470. doi:10.…
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psnet.ahrq.gov/node/60955/psn-pdf
September 30, 2020 - The emergency department trigger tool: a novel approach
to screening for quality and safety events.
September 30, 2020
Griffey RT, Schneider RM, Todorov AA. The emergency department trigger tool: a novel approach to
screening for quality and safety events. Ann Emerg Med. 2020;76(2):230-240.
doi:10.1016/j.annemergm…
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psnet.ahrq.gov/issue/missed-diagnoses-acute-myocardial-infarction-emergency-department-variation-patient-and
April 08, 2018 - Study
Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and facility characteristics.
Citation Text:
Moy E, Barrett M, Coffey R, et al. Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and fa…
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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/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/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/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/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/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/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/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/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/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/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/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/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…
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psnet.ahrq.gov/node/60319/psn-pdf
May 13, 2020 - Predictors of nursing home nurses' willingness to report
medication near-misses.
May 13, 2020
Farag A, Vogelsmeier A, Knox K, et al. Predictors of nursing home nurses' willingness to report medication
near-misses. J Gerontol Nurs. 2020;46(4):21-30. doi:10.3928/00989134-20200303-03.
https://psnet.ahrq.gov/issue/pre…