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psnet.ahrq.gov/node/72820/psn-pdf
March 10, 2021 - Medication errors related to computerized provider order
entry systems in hospitals and how they change over
time: a narrative review.
March 10, 2021
Kinlay M, Zheng WY, Burke R, et al. Medication errors related to computerized provider order entry
systems in hospitals and how they change over time: A narrative re…
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psnet.ahrq.gov/node/836997/psn-pdf
April 27, 2022 - The effect of a transitional pharmaceutical care program
on the occurrence of ADEs after discharge from hospital
in patients with polypharmacy.
April 27, 2022
Uitvlugt EB, Heer SE, van den Bemt BJF, et al. The effect of a transitional pharmaceutical care program on
the occurrence of ADEs after discharge from hospi…
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psnet.ahrq.gov/node/37562/psn-pdf
June 14, 2011 - Effectiveness and efficiency of root cause analysis in
medicine.
June 14, 2011
Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687.
doi:10.1001/jama.299.6.685.
https://psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine
Application of root c…
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psnet.ahrq.gov/node/45447/psn-pdf
January 01, 2018 - Targeted implementation of the Comprehensive Unit-
Based Safety Program through an assessment of safety
culture to minimize central line-associated bloodstream
infections.
December 19, 2017
Richter J, McAlearney AS. Targeted implementation of the Comprehensive Unit-Based Safety Program
through an assessment of sa…
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psnet.ahrq.gov/node/47856/psn-pdf
June 02, 2019 - The impact of patient–physician alliance on trust
following an adverse event.
June 2, 2019
Shoemaker K, Smith CP. The impact of patient-physician alliance on trust following an adverse event.
Patient Educ Couns. 2019;102(7):1342-1349. doi:10.1016/j.pec.2019.02.015.
https://psnet.ahrq.gov/issue/impact-patient-physi…
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psnet.ahrq.gov/node/60224/psn-pdf
April 15, 2020 - Information transfer at hospital discharge: a systematic
review.
April 15, 2020
Kattel S, Manning DM, Erwin PJ, et al. Information transfer at hospital discharge: a systematic review. J
Patient Saf. 2020;16(1):e25-e33. doi:10.1097/pts.0000000000000248.
https://psnet.ahrq.gov/issue/information-transfer-hospital-dis…
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psnet.ahrq.gov/node/73188/psn-pdf
April 28, 2021 - Enhancing patient safety by integrating ethical
dimensions to critical incident reporting systems.
April 28, 2021
Wehkamp K, Kuhn E, Petzina R, et al. Enhancing patient safety by integrating ethical dimensions to Critical
Incident Reporting Systems. BMC Med Ethics. 2021;22(1):26. doi:10.1186/s12910-021-00593-8.
ht…
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psnet.ahrq.gov/node/60866/psn-pdf
January 01, 2022 - Association of implementation and social network factors
with patient safety culture in medical homes: a
coincidence analysis.
September 2, 2020
Dy SM, Acton RM, Yuan CT, et al. Association of implementation and social network factors with patient
safety culture in medical homes: a coincidence analysis. J Patient …
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psnet.ahrq.gov/node/845074/psn-pdf
March 02, 2011 - Preventable hospital admissions related to medication
(HARM): cost analysis of the HARM study.
March 2, 2011
Leendertse AJ, van den Bemt PMLA, Poolman JB, et al. Preventable hospital admissions related to
medication (HARM): cost analysis of the HARM study. Value Health. 2011;14(1):34-40.
doi:10.1016/j.jval.2010.10…
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psnet.ahrq.gov/node/46163/psn-pdf
December 06, 2017 - Defining the critical role of nurses in diagnostic error
prevention: a conceptual framework and a call to action.
December 6, 2017
Gleason KT, Davidson PM, Tanner EK, et al. Defining the critical role of nurses in diagnostic error
prevention: a conceptual framework and a call to action. Diagnosis (Berl). 2017;4(4):…
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psnet.ahrq.gov/node/36812/psn-pdf
June 30, 2011 - Work patterns and fatigue-related risk among junior
doctors.
June 30, 2011
Gander P, Purnell H, Garden A, et al. Work patterns and fatigue-related risk among junior doctors. Occup
Environ Med. 2007;64(11):733-8.
https://psnet.ahrq.gov/issue/work-patterns-and-fatigue-related-risk-among-junior-doctors
Mandated work…
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psnet.ahrq.gov/node/44762/psn-pdf
March 15, 2016 - Opportunities and challenges for quality and safety
applications in ICD-11: an international survey of users of
coded health data.
March 15, 2016
Southern DA, Hall M, White DE, et al. Opportunities and challenges for quality and safety applications in
ICD-11: an international survey of users of coded health data. …
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psnet.ahrq.gov/node/44822/psn-pdf
September 04, 2016 - A cluster randomized trial of interventions to improve
work conditions and clinician burnout in primary care:
results from the Healthy Work Place (HWP) study.
September 4, 2016
Linzer M, Poplau S, Grossman E, et al. A Cluster Randomized Trial of Interventions to Improve Work
Conditions and Clinician Burnout in Pri…
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psnet.ahrq.gov/node/838253/psn-pdf
June 06, 2021 - Testimonial injustice: linguistic bias in the medical
records of black patients and women.
June 6, 2021
Beach MC, Saha S, Park J, et al. Testimonial injustice: linguistic bias in the medical records of black
patients and women. J Gen Intern Med. 2021;36(6):1708-1714. doi:10.1007/s11606-021-06682-z.
https://psnet.a…
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psnet.ahrq.gov/node/73486/psn-pdf
July 14, 2021 - ACGME 2011 duty hours restrictions and their effects on
surgical residency training and patients outcomes: a
systematic review.
July 14, 2021
Awan M, Zagales I, McKenney M, et al. ACGME 2011 duty hours restrictions and their effects on surgical
residency training and patients outcomes: a systematic review. J Surg …
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psnet.ahrq.gov/node/764390/psn-pdf
March 02, 2022 - Does root cause analysis improve patient safety? A
systematic review at the Department of Veterans Affairs.
March 2, 2022
Shah F, Falconer EA, Cimiotti JP. Does root cause analysis improve patient safety? A systematic review at
the Department of Veterans Affairs. Qual Manag Health Care. 2022;31(4):231-241.
doi:10.…
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psnet.ahrq.gov/node/39358/psn-pdf
October 13, 2010 - Hospital safety climate and safety outcomes: is there a
relationship in the VA?
October 13, 2010
Rosen AK, Singer SJ, Zhao S, et al. Hospital safety climate and safety outcomes: is there a relationship in
the VA? Med Care Res Rev. 2010;67(5):590-608. doi:10.1177/1077558709356703.
https://psnet.ahrq.gov/issue/hospi…
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psnet.ahrq.gov/node/45244/psn-pdf
August 01, 2016 - Sleep science, schedules, and safety in hospitals:
challenges and solutions for pediatric providers.
August 1, 2016
Rosenbluth G, Landrigan CP. Sleep science, schedules, and safety in hospitals: challenges and solutions
for pediatric providers. Pediatr Clin North Am. 2012;59(6):1317-28. doi:10.1016/j.pcl.2012.09.00…
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psnet.ahrq.gov/node/44461/psn-pdf
June 21, 2016 - Outcomes of daytime procedures performed by attending
surgeons after night work.
June 21, 2016
Govindarajan A, Urbach DR, Kumar M, et al. Outcomes of Daytime Procedures Performed by Attending
Surgeons after Night Work. N Engl J Med. 2015;373(9):845-53. doi:10.1056/NEJMsa1415994.
https://psnet.ahrq.gov/issue/outcom…
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psnet.ahrq.gov/node/46391/psn-pdf
February 08, 2018 - Nature of blame in patient safety incident reports: mixed
methods analysis of a national database.
February 8, 2018
Cooper J, Edwards A, Williams H, et al. Nature of Blame in Patient Safety Incident Reports: Mixed Methods
Analysis of a National Database. Ann Fam Med. 2017;15(5):455-461. doi:10.1370/afm.2123.
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