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psnet.ahrq.gov/node/45510/psn-pdf
October 19, 2016 - How to perform a root cause analysis for workup and
future prevention of medical errors: a review.
October 19, 2016
Charles R, Hood B, DeRosier JM, et al. How to perform a root cause analysis for workup and future
prevention of medical errors: a review. Patient Saf Surg. 2016;10:20. doi:10.1186/s13037-016-0107-8.
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April 07, 2021 - Communication on safe caregiving between community
nurse case managers and family caregivers.
April 7, 2021
Macías-Colorado ME, Rodríguez-Pérez M, Rojas-Ocaña MJ, et al. Communication on safe caregiving
between community nurse case managers and family caregivers. Healthcare (Basel). 2021;9(2):205.
doi:10.3390/heal…
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psnet.ahrq.gov/node/853434/psn-pdf
September 13, 2023 - Handling polypharmacy--a qualitative study using focus
group interviews with older patients, their relatives, and
healthcare professionals.
September 13, 2023
Mikkelsen TH, Søndergaard J, Kjaer NK, et al. Handling polypharmacy –a qualitative study using focus
group interviews with older patients, their relatives, …
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psnet.ahrq.gov/node/836958/psn-pdf
April 20, 2022 - Crossover of the patient satisfaction surveys, adverse
events and patient complaints for continuous
improvement in radiotherapy department.
April 20, 2022
Cucchiaro SÉ, Princen F, Goreux JË, et al. Crossover of the patient satisfaction surveys, adverse events
and patient complaints for continuous improvement in ra…
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psnet.ahrq.gov/node/73119/psn-pdf
April 07, 2021 - Impact of computerised physician order entry (CPOE) on
the incidence of chemotherapy-related medication errors:
a systematic review.
April 7, 2021
Srinivasamurthy SK, Ashokkumar R, Kodidela S, et al. Impact of computerised physician order entry
(CPOE) on the incidence of chemotherapy-related medication errors: a s…
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psnet.ahrq.gov/node/35405/psn-pdf
December 14, 2007 - Use of administrative data to find substandard care:
validation of the complications screening program.
December 14, 2007
Weingart SN, Iezzoni LI, Davis RB, et al. Use of Administrative Data to Find Substandard Care. Med Care.
2003;38(8):796-806. doi:10.1097/00005650-200008000-00004.
https://psnet.ahrq.gov/issue/u…
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June 15, 2022 - Evaluation and comparison of errors on nursing notes
created by online and offline speech recognition
technology and handwritten: an interventional study.
June 15, 2022
Peivandi S, Ahmadian L, Farokhzadian J, et al. Evaluation and comparison of errors on nursing notes
created by online and offline speech recogniti…
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psnet.ahrq.gov/node/46559/psn-pdf
December 22, 2018 - Effect of promoting high-quality staff interactions on fall
prevention in nursing homes: a cluster-randomized trial.
December 22, 2018
Colón-Emeric CS, Corazzini K, McConnell ES, et al. Effect of Promoting High-Quality Staff Interactions on
Fall Prevention in Nursing Homes: A Cluster-Randomized Trial. JAMA Intern M…
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psnet.ahrq.gov/node/45125/psn-pdf
January 26, 2023 - FDA and ISMP Lists of Look-Alike Drug Names With
Recommended Tall Man Letters.
January 26, 2023
Food and Drug Administration and Institute for Safe Medication Practices. Plymouth Meeting, PA; Institute
for Safe Medication Practices; January 2023.
https://psnet.ahrq.gov/issue/fda-and-ismp-lists-look-alike-drug-name…
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psnet.ahrq.gov/node/46984/psn-pdf
April 04, 2018 - Educator toolkits on second victim syndrome,
mindfulness and meditation, and positive psychology: the
2017 Resident Wellness Consensus Summit.
April 4, 2018
Chung AS, Smart J, Zdradzinski M, et al. Educator Toolkits on Second Victim Syndrome, Mindfulness and
Meditation, and Positive Psychology: The 2017 Resident W…
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psnet.ahrq.gov/node/46908/psn-pdf
March 21, 2018 - Oncology nurses' beliefs and attitudes towards the
double-check of chemotherapy medications: a cross-
sectional survey study.
March 21, 2018
Schwappach DLB, Taxis K, Pfeiffer Y. Oncology nurses' beliefs and attitudes towards the double-check of
chemotherapy medications: a cross-sectional survey study. BMC Health S…
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psnet.ahrq.gov/node/44818/psn-pdf
February 24, 2018 - Economic evaluation of interventions for prevention of
hospital acquired infections: a systematic review.
February 24, 2018
Arefian H, Vogel M, Kwetkat A, et al. Economic Evaluation of Interventions for Prevention of Hospital
Acquired Infections: A Systematic Review. PLoS One. 2016;11(1):e0146381.
doi:10.1371/jour…
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April 27, 2019 - Reasons for repeat rapid response team calls, and
associations with in-hospital mortality.
April 27, 2019
Chalwin R, Giles L, Salter A, et al. Reasons for Repeat Rapid Response Team Calls, and Associations with
In-Hospital Mortality. Jt Comm J Qual Patient Saf. 2019;45(4):268-275. doi:10.1016/j.jcjq.2018.10.005.
h…
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August 21, 2015 - Reflection on adverse event disclosure in the
postsurgical hospital context.
August 21, 2015
Roberts F, Gettings P, Torbeck L, et al. Reflection on adverse event disclosure in the postsurgical hospital
context. J Surg Educ. 2015;72(4):767-70. doi:10.1016/j.jsurg.2014.12.016.
https://psnet.ahrq.gov/issue/reflection…
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April 10, 2019 - Does a unit shift report "blackout" period improve patient
safety?
April 10, 2019
Olmstead J. Does a unit shift report "blackout" period improve patient safety? Nurs Manage. 2019;50(3):8-
10. doi:10.1097/01.NUMA.0000553500.85897.51.
https://psnet.ahrq.gov/issue/does-unit-shift-report-blackout-period-improve-patien…
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psnet.ahrq.gov/node/44322/psn-pdf
June 21, 2016 - Emotional harm from disrespect: the neglected
preventable harm.
June 21, 2016
Sokol-Hessner L, Folcarelli P, Sands KEF. Emotional harm from disrespect: the neglected preventable
harm. BMJ Qual Saf. 2015;24(9):550-3. doi:10.1136/bmjqs-2015-004034.
https://psnet.ahrq.gov/issue/emotional-harm-disrespect-neglected-pre…
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psnet.ahrq.gov/node/45290/psn-pdf
July 27, 2016 - Interventions to address potentially inappropriate
prescribing in community-dwelling older adults: a
systematic review of randomized controlled trials.
July 27, 2016
Clyne B, Fitzgerald C, Quinlan A, et al. Interventions to Address Potentially Inappropriate Prescribing in
Community-Dwelling Older Adults: A Systema…
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September 05, 2018 - Operating management system for high reliability:
leadership, accountability, learning and innovation in
healthcare.
September 5, 2018
Day RM, Demski RJ, Pronovost PJ, et al. Operating management system for high reliability: Leadership,
accountability, learning and innovation in healthcare. J Patient Saf Risk Mana…
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psnet.ahrq.gov/node/47676/psn-pdf
December 19, 2018 - Assessment of attitudes toward deprescribing in older
Medicare beneficiaries in the United States.
December 19, 2018
Reeve E, Wolff JL, Skehan M, et al. Assessment of Attitudes Toward Deprescribing in Older Medicare
Beneficiaries in the United States. JAMA Intern Med. 2018;178(12):1673-1680.
doi:10.1001/jamaintern…
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psnet.ahrq.gov/node/33794/psn-pdf
November 01, 2015 - In Conversation With… Lorri Zipperer, MA
November 1, 2015
In Conversation With… Lorri Zipperer, MA. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-lorri-zipperer-ma
Editor's note: Lorri Zipperer, principal at Zipperer Project Management, was a founding staff member of
the National Patient…