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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/839320/psn-pdf
November 02, 2022 - Why is patient safety a challenge? Insights from the
Professionalism Opinions of Medical Students' research.
November 2, 2022
McGurgan PM, Calvert KL, Nathan EA, et al. Why is patient safety a challenge? Insights from the
Professionalism Opinions of Medical Students' research. J Patient Saf. 2022;18(7):e1124-e1134.…
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psnet.ahrq.gov/node/39621/psn-pdf
June 23, 2010 - Defining near misses: towards a sharpened definition
based on empirical data about error handling processes.
June 23, 2010
Kessels-Habraken M, Van der Schaaf T, De Jonge J, et al. Defining near misses: towards a sharpened
definition based on empirical data about error handling processes. Soc Sci Med. 2010;70(9):130…
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psnet.ahrq.gov/node/47258/psn-pdf
January 09, 2019 - The effect of cognitive load and task complexity on
automation bias in electronic prescribing.
January 9, 2019
Lyell D, Magrabi F, Coiera E. The Effect of Cognitive Load and Task Complexity on Automation Bias in
Electronic Prescribing. Hum Factors. 2018;60(7):1008-1021. doi:10.1177/0018720818781224.
https://psnet.…
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psnet.ahrq.gov/node/46642/psn-pdf
December 13, 2017 - Intravenous fluid prescribing errors in children: mixed
methods analysis of critical incidents.
December 13, 2017
Conn RL, McVea S, Carrington A, et al. Intravenous fluid prescribing errors in children: Mixed methods
analysis of critical incidents. PLoS One. 2017;12(10):e0186210. doi:10.1371/journal.pone.0186210.
…
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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/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/38448/psn-pdf
March 04, 2009 - Medication errors: the impact of prescribing and
transcribing errors on preventable harm in hospitalised
patients.
March 4, 2009
van Doormaal JE, van den Bemt PMLA, Mol PGM, et al. Medication errors: the impact of prescribing and
transcribing errors on preventable harm in hospitalised patients. Qual Saf Health Car…
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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/37797/psn-pdf
February 03, 2010 - Predictors of adverse events in patients after discharge
from the intensive care unit.
February 3, 2010
Chaboyer W, Thalib L, Foster M, et al. Predictors of adverse events in patients after discharge from the
intensive care unit. Am J Crit Care. 2008;17(3):255-63; quiz 264.
https://psnet.ahrq.gov/issue/predictors-…
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psnet.ahrq.gov/node/60894/psn-pdf
September 09, 2020 - Increased patient safety-related incidents following the
transition into Daylight Savings Time.
September 9, 2020
Kolla BP, Coombes BJ, Morgenthaler TI, et al. Increased patient safety-related incidents following the
transition into Daylight Savings Time. J Gen Intern Med. 2020;36(1):51-54. doi:10.1007/s11606-020-0…
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psnet.ahrq.gov/node/35928/psn-pdf
June 09, 2011 - Clinical pharmacists and inpatient medical care: a
systematic review.
June 9, 2011
Kaboli PJ, Hoth AB, McClimon BJ, et al. Clinical pharmacists and inpatient medical care: a systematic
review. Arch Intern Med. 2006;166(9):955-64.
https://psnet.ahrq.gov/issue/clinical-pharmacists-and-inpatient-medical-care-systemat…
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psnet.ahrq.gov/node/43210/psn-pdf
May 28, 2014 - Improving cancer patient care with combined medication
error reviews and morbidity and mortality conferences.
May 28, 2014
Ranchon F, You B, Salles G, et al. Improving Cancer Patient Care with Combined Medication Error
Reviews and Morbidity and Mortality Conferences. Chemotherapy (Los Angel). 2014;59(5).
doi:10.11…
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psnet.ahrq.gov/node/45977/psn-pdf
May 17, 2017 - Trends in medical and nonmedical use of prescription
opioids among US adolescents: 1976–2015.
May 17, 2017
McCabe SE, West BT, Veliz P, et al. Trends in Medical and Nonmedical Use of Prescription Opioids
Among US Adolescents: 1976-2015. Pediatrics. 2017;139(4):e20162387. doi:10.1542/peds.2016-2387.
https://psnet.a…
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psnet.ahrq.gov/node/44027/psn-pdf
April 15, 2015 - Hospital credentialing and privileging of surgeons: a
potential safety blind spot.
April 15, 2015
Pradarelli J, Campbell D, Dimick JB. Hospital credentialing and privileging of surgeons: a potential safety
blind spot. JAMA. 2015;313(13):1313-4. doi:10.1001/jama.2015.1943.
https://psnet.ahrq.gov/issue/hospital-cred…
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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/837149/psn-pdf
May 18, 2022 - Human factors analysis of latent safety threats in a
pediatric critical care unit.
May 18, 2022
Trbovich PL, Tomasi JN, Kolodzey L, et al. Human factors analysis of latent safety threats in a pediatric
critical care unit. Pediatr Crit Care Med. 2022;23(3):151-159. doi:10.1097/pcc.0000000000002832.
https://psnet.ah…
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psnet.ahrq.gov/node/45687/psn-pdf
October 31, 2017 - Determining current insulin pen use practices and errors
in the inpatient setting.
October 31, 2017
Brown KE, Hertig JB. Determining Current Insulin Pen Use Practices and Errors in the Inpatient Setting. Jt
Comm J Qual Patient Saf. 2016;42(12):568-AP7. doi:10.1016/S1553-7250(16)30109-X.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/47304/psn-pdf
October 24, 2018 - Mind the overlap: how system problems contribute to
cognitive failure and diagnostic errors.
October 24, 2018
Gupta A, Harrod M, Quinn M, et al. Mind the overlap: how system problems contribute to cognitive failure
and diagnostic errors. Diagnosis (Berl). 2018;5(3):151-156. doi:10.1515/dx-2018-0014.
https://psnet.…
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psnet.ahrq.gov/node/45426/psn-pdf
August 24, 2016 - Handoffs, safety culture, and practices: evidence from the
hospital survey on patient safety culture.
August 24, 2016
Lee S-H, Phan PH, Dorman T, et al. Handoffs, safety culture, and practices: evidence from the hospital
survey on patient safety culture. BMC Health Serv Res. 2016;16:254. doi:10.1186/s12913-016-1502…