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psnet.ahrq.gov/node/43472/psn-pdf
September 03, 2014 - Nighttime cross-coverage is associated with decreased
intensive care unit mortality. A single-center study.
September 3, 2014
Amaral ACK-B, Barros BS, Barros CCPP, et al. Nighttime cross-coverage is associated with decreased
intensive care unit mortality. A single-center study. Am J Respir Crit Care Med. 2014;189(1…
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psnet.ahrq.gov/node/47124/psn-pdf
June 27, 2018 - More than 1 million potential second victims: how many
could nursing education prevent?
June 27, 2018
Jones JH, Treiber LA. More Than 1 Million Potential Second Victims: How Many Could Nursing Education
Prevent? Nurs Edu. 2018;43(3):154-157. doi:10.1097/NNE.0000000000000437.
https://psnet.ahrq.gov/issue/more-1-mil…
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psnet.ahrq.gov/node/47103/psn-pdf
August 22, 2018 - Understanding procedural violations using Safety-I and
Safety-II: the case of community pharmacies.
August 22, 2018
Jones CEL, Phipps D, Ashcroft DM. Understanding procedural violations using Safety-I and Safety-II: The
case of community pharmacies. Saf Sci. 2018;105:114-120. doi:10.1016/j.ssci.2018.02.002.
https:…
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psnet.ahrq.gov/node/47982/psn-pdf
July 31, 2019 - Walking the plank: an experimental paradigm to
investigate safety voice.
July 31, 2019
Noort MC, Reader TW, Gillespie A. Walking the Plank: An Experimental Paradigm to Investigate Safety
Voice. Front Psychol. 2019;10:668. doi:10.3389/fpsyg.2019.00668.
https://psnet.ahrq.gov/issue/walking-plank-experimental-paradig…
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psnet.ahrq.gov/node/37310/psn-pdf
January 05, 2012 - Patient identification error among prostate needle core
biopsy specimens—are we ready for a DNA time-out?
January 5, 2012
Suba EJ, Pfeifer JD, Raab SS. Patient identification error among prostate needle core biopsy specimens--
are we ready for a DNA time-out? J Urol. 2007;178(4 Pt 1):1245-8.
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January 01, 2021 - Patient safety incidents and adverse events in ambulatory
dental care: a systematic scoping review.
October 5, 2016
Ensaldo-Carrasco E, Suarez-Ortegon MF, Carson-Stevens A, et al. Patient Safety Incidents and Adverse
Events in Ambulatory Dental Care: A Systematic Scoping Review. J Patient Saf. 2021;17(5):381-391.
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psnet.ahrq.gov/node/35542/psn-pdf
March 29, 2010 - The costs associated with adverse drug events among
older adults in the ambulatory setting.
March 29, 2010
Field T, Gilman BH, Subramanian S, et al. The costs associated with adverse drug events among older
adults in the ambulatory setting. Med Care. 2005;43(12):1171-1176.
https://psnet.ahrq.gov/issue/costs-associ…
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psnet.ahrq.gov/node/43966/psn-pdf
April 03, 2017 - TRIAD VII: do prehospital providers understand Physician
Orders for Life-Sustaining Treatment documents?
April 3, 2017
Mirarchi FL, Cammarata C, Zerkle SW, et al. TRIAD VII: do prehospital providers understand Physician
Orders for Life-Sustaining Treatment documents? J Patient Saf. 2015;11(1):9-17.
doi:10.1097/PTS…
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psnet.ahrq.gov/node/44119/psn-pdf
September 19, 2016 - Risk managers' descriptions of programs to support
second victims after adverse events.
September 19, 2016
White AA, Brock DM, McCotter PI, et al. Risk managers' descriptions of programs to support second
victims after adverse events. J Healthc Risk Manag. 2015;34(4):30-40. doi:10.1002/jhrm.21169.
https://psnet.ah…
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psnet.ahrq.gov/node/35739/psn-pdf
July 15, 2010 - CT for suspected appendicitis in children: an analysis of
diagnostic errors.
July 15, 2010
Taylor GA, Callahan MJ, Rodriguez D, et al. CT for suspected appendicitis in children: an analysis of
diagnostic errors. Pediatr Radiol. 2006;36(4):331-7.
https://psnet.ahrq.gov/issue/ct-suspected-appendicitis-children-analy…
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psnet.ahrq.gov/node/46260/psn-pdf
July 26, 2017 - ACOG Committee opinion #680: the use and development
of checklists in obstetrics and gynecology.
July 26, 2017
American College of Obstetricians and Gynecologists’ Committee on Patient Safety and Quality
Improvement. Obstet Gynecol. 2016;128:e237-e240.
https://psnet.ahrq.gov/issue/acog-committee-opinion-680-use-an…
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psnet.ahrq.gov/node/43742/psn-pdf
January 07, 2015 - Am I my brother's keeper? A survey of 10 healthcare
professions in the Netherlands about experiences with
impaired and incompetent colleagues.
January 7, 2015
Weenink JW, Westert GP, Schoonhoven L, et al. Am I my brother's keeper? A survey of 10 healthcare
professions in the Netherlands about experiences with impa…
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psnet.ahrq.gov/node/45824/psn-pdf
January 25, 2017 - The detection, analysis, and significance of physician
clustering in medical malpractice lawsuit payouts.
January 25, 2017
Oshel RE, Levitt P. The Detection, Analysis, and Significance of Physician Clustering in Medical
Malpractice Lawsuit Payouts. J Patient Saf. 2016;16(4):274-278. doi:10.1097/PTS.0000000000000326…
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psnet.ahrq.gov/node/838624/psn-pdf
October 19, 2022 - Association of rapid response teams with hospital
mortality in Medicare patients.
October 19, 2022
Girotra S, Jones PG, Peberdy MA, et al. Association of rapid response teams with hospital mortality in
Medicare patients. Circ Cardiovasc Qual Outcomes. 2022;15(9):e008901.
doi:10.1161/circoutcomes.122.008901.
https…
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psnet.ahrq.gov/node/36698/psn-pdf
February 24, 2011 - The impact of duty hours on resident self reports of
errors.
February 24, 2011
Vidyarthi A, Auerbach AD, Wachter R, et al. The impact of duty hours on resident self reports of errors. J
Gen Intern Med. 2007;22(2):205-9.
https://psnet.ahrq.gov/issue/impact-duty-hours-resident-self-reports-errors
Residency programs…
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psnet.ahrq.gov/node/46761/psn-pdf
February 14, 2018 - Development of a theoretical framework of factors
affecting patient safety incident reporting: a theoretical
review of the literature.
February 14, 2018
Archer S, Hull L, Soukup T, et al. Development of a theoretical framework of factors affecting patient safety
incident reporting: a theoretical review of the lite…
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psnet.ahrq.gov/node/44397/psn-pdf
September 30, 2015 - Incidence- versus prevalence-based measures of
inappropriate prescribing in the Veterans Health
Administration.
September 30, 2015
Lund BC, Carrel M, Gellad WF, et al. Incidence- Versus Prevalence-Based Measures of Inappropriate
Prescribing in the Veterans Health Administration. J Am Geriatr Soc. 2015;63(8):1601-7…
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psnet.ahrq.gov/node/47917/psn-pdf
April 10, 2019 - The opioid crisis: origins, trends, policies, and the roles
of pharmacists.
April 10, 2019
Chisholm-Burns MA, Spivey CA, Sherwin E, et al. The opioid crisis: Origins, trends, policies, and the roles
of pharmacists. Am J Health-Syst Pharm. 2019;76(7):424-435. doi:10.1093/ajhp/zxy089.
https://psnet.ahrq.gov/issue/op…
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psnet.ahrq.gov/node/845347/psn-pdf
March 01, 2023 - Race differences in a malpractice event database in a
large healthcare system.
March 1, 2023
Thomas AD, Pandit C, Krevat S. Race differences in a malpractice event database in a large healthcare
system. J Patient Saf. 2023;19(2):67-70. doi:10.1097/pts.0000000000001090.
https://psnet.ahrq.gov/issue/race-differences…
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psnet.ahrq.gov/node/46601/psn-pdf
January 25, 2018 - Night-time communication at Stanford University
Hospital: perceptions, reality and solutions.
January 25, 2018
Sun AJ, Wang L, Go M, et al. Night-time communication at Stanford University Hospital: perceptions, reality
and solutions. BMJ Qual Saf. 2018;27(2):156-162. doi:10.1136/bmjqs-2017-006727.
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