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psnet.ahrq.gov/node/47857/psn-pdf
June 14, 2019 - The wicked problem of patient misidentification: how
could the technological revolution help address patient
safety?
June 14, 2019
Ferguson C, Hickman L, Macbean C, et al. The wicked problem of patient misidentification: How could the
technological revolution help address patient safety? J Clin Nurs. 2019;28(13-14…
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psnet.ahrq.gov/node/47351/psn-pdf
August 22, 2018 - Social disparities in patient safety in primary care: a
systematic review.
August 22, 2018
Piccardi C, Detollenaere J, Bussche PV, et al. Social disparities in patient safety in primary care: a
systematic review. Int J Equity Health. 2018;17(1):114. doi:10.1186/s12939-018-0828-7.
https://psnet.ahrq.gov/issue/socia…
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psnet.ahrq.gov/node/47400/psn-pdf
November 28, 2018 - Impact of the communication and patient hand-off tool
SBAR on patient safety: a systematic review.
November 28, 2018
Müller M, Jürgens J, Redaèlli M, et al. Impact of the communication and patient hand-off tool SBAR on
patient safety: a systematic review. BMJ Open. 2018;8(8):e022202. doi:10.1136/bmjopen-2018-022202…
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psnet.ahrq.gov/node/843088/psn-pdf
January 25, 2023 - The value of learning from near misses to improve patient
safety: a scoping review.
January 25, 2023
Woodier N, Burnett C, Moppett I. The value of learning from near misses to improve patient safety: a
scoping review. J Patient Saf. 2022;19(1):42-47. doi:10.1097/pts.0000000000001078.
https://psnet.ahrq.gov/issue/v…
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psnet.ahrq.gov/node/61023/psn-pdf
October 14, 2020 - Information concerning ICU patients’ families in the
handover—the clinicians’ “game of whispers”: a
qualitative study.
October 14, 2020
Nygaard AM, Selnes Haugdahl H, Støre Brinchmann B, et al. Information concerning ICU patients’ families
in the handover—the clinicians’ “game of whispers”: a qualitative study. J …
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psnet.ahrq.gov/node/61048/psn-pdf
October 21, 2020 - Streamlining care in crisis: rapid creation and
implementation of a digital support tool for COVID-19.
October 21, 2020
Stark N, Kerrissey M, Grade M, et al. Streamlining care in crisis: rapid creation and implementation of a
digital support tool for COVID-19. West J Emerg Med. 2020;21(5):1095-1101.
doi:10.5811/we…
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psnet.ahrq.gov/node/867380/psn-pdf
December 18, 2024 - Cognitive biases and artificial intelligence.
December 18, 2024
Wang J, Redelmeier DA. Cognitive biases and artificial intelligence. NEJM AI. 2024;1(12):AIcs2400639.
doi:10.1056/aics2400639.
https://psnet.ahrq.gov/issue/cognitive-biases-and-artificial-intelligence
Previous studies have raised concerns about cognit…
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psnet.ahrq.gov/node/43127/psn-pdf
April 23, 2014 - An interprofessional qualitative study of barriers and
potential solutions for the safe use of insulin in the
hospital setting.
April 23, 2014
Rousseau M-P, Beauchesne M-F, Naud A-S, et al. An interprofessional qualitative study of barriers and
potential solutions for the safe use of insulin in the hospital settin…
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psnet.ahrq.gov/node/44891/psn-pdf
July 03, 2016 - Characteristics of morbidity and mortality conferences
associated with the implementation of patient safety
improvement initiatives, an observational study.
July 3, 2016
François P, Prate F, Vidal-Trecan G, et al. Characteristics of morbidity and mortality conferences
associated with the implementation of patient …
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psnet.ahrq.gov/node/36433/psn-pdf
February 10, 2011 - Effects of computer-based clinical decision support
systems on physician performance and patient outcomes:
a systematic review.
February 10, 2011
Hunt DL, Haynes RB, Hanna SE, et al. Effects of Computer-Based Clinical Decision Support Systems on
Physician Performance and Patient Outcomes. JAMA. 2003;280(15):1339-1…
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psnet.ahrq.gov/node/47840/psn-pdf
July 31, 2019 - Development and performance evaluation of the
Medicines Optimisation Assessment Tool (MOAT): a
prognostic model to target hospital pharmacists' input to
prevent medication-related problems.
July 31, 2019
Geeson C, Wei L, Franklin BD. Development and performance evaluation of the Medicines Optimisation
Assessment …
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psnet.ahrq.gov/node/47278/psn-pdf
August 15, 2018 - Drawing boundaries: the difficulty in defining clinical
reasoning.
August 15, 2018
Young M, Thomas A, Lubarsky S, et al. Drawing Boundaries: The Difficulty in Defining Clinical Reasoning.
Acad Med. 2018;93(7):990-995. doi:10.1097/ACM.0000000000002142.
https://psnet.ahrq.gov/issue/drawing-boundaries-difficulty-defi…
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psnet.ahrq.gov/node/44049/psn-pdf
September 12, 2016 - A systematic review to identify the factors that affect
failure to rescue and escalation of care in surgery.
September 12, 2016
Johnston MJ, Arora S, King D, et al. A systematic review to identify the factors that affect failure to rescue
and escalation of care in surgery. Surgery. 2015;157(4):752-63. doi:10.1016/j…
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psnet.ahrq.gov/node/74003/psn-pdf
October 27, 2021 - Test-retest reliability of an experienced Global Trigger
Tool review team.
October 27, 2021
Bjørn B, Anhøj J, Østergaard M, et al. Test-retest reliability of an experienced Global Trigger Tool review
team. J Patient Saf. 2021;17(7):e593-e598. doi:10.1097/pts.0000000000000433.
https://psnet.ahrq.gov/issue/test-rete…
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psnet.ahrq.gov/node/45630/psn-pdf
March 29, 2017 - Do leadership style, unit climate, and safety climate
contribute to safe medication practices?
March 29, 2017
Farag A, Tullai-McGuinness S, Anthony MK, et al. Do Leadership Style, Unit Climate, and Safety Climate
Contribute to Safe Medication Practices? J Nurs Adm. 2017;47(1):8-15.
https://psnet.ahrq.gov/issue/do-…
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psnet.ahrq.gov/node/34806/psn-pdf
December 23, 2008 - Identification of in-hospital complications from claims
data. Is it valid?
December 23, 2008
Lawthers AG, McCarthy EP, Davis RB, et al. Identification of in-hospital complications from claims data. Is
it valid? Med Care. 2000;38(8):785-95.
https://psnet.ahrq.gov/issue/identification-hospital-complications-claims-d…
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psnet.ahrq.gov/node/851650/psn-pdf
July 26, 2023 - Temporal clustering of critical illness events on medical
wards.
July 26, 2023
Doshi S, Shin S, Lapointe-Shaw L, et al. Temporal clustering of critical illness events on medical wards.
JAMA Intern Med. 2023;183(9):924-932. doi:10.1001/jamainternmed.2023.2629.
https://psnet.ahrq.gov/issue/temporal-clustering-critic…
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psnet.ahrq.gov/node/47563/psn-pdf
November 28, 2018 - Does Nursing Home Compare reflect patient safety in
nursing homes?
November 28, 2018
Brauner D, Werner RM, Shippee TP, et al. Does Nursing Home Compare Reflect Patient Safety In Nursing
Homes? Health Aff (Millwood). 2018;37(11):1770-1778. doi:10.1377/hlthaff.2018.0721.
https://psnet.ahrq.gov/issue/does-nursing-hom…
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psnet.ahrq.gov/node/846152/psn-pdf
March 15, 2023 - Coworker abuse in healthcare: voices of mistreated
workers.
March 15, 2023
Evans WR, Mullen DM, Burke-Smalley L. Coworker abuse in healthcare: voices of mistreated workers. J
Health Organ Manag. 2023;37(2):236-249. doi:10.1108/jhom-05-2022-0131.
https://psnet.ahrq.gov/issue/coworker-abuse-healthcare-voices-mistrea…
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psnet.ahrq.gov/node/34881/psn-pdf
January 05, 2017 - Communicating critical test results: safe practice
recommendations.
January 5, 2017
Hanna D, Griswold P, Leape L, et al. Communicating critical test results: safe practice recommendations. Jt
Comm J Qual Patient Saf. 2005;31(2):68-80.
https://psnet.ahrq.gov/issue/communicating-critical-test-results-safe-practice-r…