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psnet.ahrq.gov/node/73921/psn-pdf
October 06, 2021 - A systematic review of interventions used to enhance
implementation of and compliance with the World Health
Organization surgical safety checklist in adult surgery.
October 6, 2021
Liu LQ, Mehigan S. A systematic review of interventions used to enhance implementation of and
compliance with the World Health Organiz…
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psnet.ahrq.gov/node/45942/psn-pdf
January 01, 2021 - Medication safety in two intensive care units of a
community teaching hospital after electronic health
record implementation: sociotechnical and human factors
engineering considerations.
March 15, 2017
Carayon P, Wetterneck TB, Cartmill R, et al. Medication Safety in Two Intensive Care Units of a
Community Teachi…
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psnet.ahrq.gov/node/35050/psn-pdf
May 27, 2011 - High rates of adverse drug events in a highly
computerized hospital.
May 27, 2011
Nebeker JR, Hoffman JM, Weir C, et al. High rates of adverse drug events in a highly computerized
hospital. Arch Intern Med. 2005;165(10):1111-6.
https://psnet.ahrq.gov/issue/high-rates-adverse-drug-events-highly-computerized-hospita…
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psnet.ahrq.gov/node/48163/psn-pdf
July 31, 2019 - The MedSafer Study: a controlled trial of an electronic
decision support tool for deprescribing in acute care.
July 31, 2019
McDonald EG, Wu PE, Rashidi B, et al. The MedSafer Study: A Controlled Trial of an Electronic Decision
Support Tool for Deprescribing in Acute Care. J Am Geriatr Soc. 2019;67(9):1843-1850.
d…
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psnet.ahrq.gov/node/35907/psn-pdf
October 03, 2017 - Transparent and open discussion of errors does not
increase malpractice risk in trauma patients.
October 3, 2017
Stewart RM, Corneille MG, Johnston J, et al. Transparent and open discussion of errors does not increase
malpractice risk in trauma patients. Ann Surg. 2006;243(5):645-9; discussion 649-51.
https://psne…
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psnet.ahrq.gov/node/39512/psn-pdf
June 11, 2010 - An intervention to decrease patient identification band
errors in a children's hospital.
June 11, 2010
Hain PD, Joers B, Rush M, et al. An intervention to decrease patient identification band errors in a
children's hospital. Qual Saf Health Care. 2010;19(3):244-7. doi:10.1136/qshc.2008.030288.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/48029/psn-pdf
May 29, 2019 - Patient safety and quality outcomes for ED patients
admitted to alternative care area inpatient beds.
May 29, 2019
Lee MO, Arthofer R, Callagy P, et al. Patient safety and quality outcomes for ED patients admitted to
alternative care area inpatient beds. Am J Emerg Med. 2019;38(2):272-277.
doi:10.1016/j.ajem.2019.…
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psnet.ahrq.gov/node/45746/psn-pdf
December 14, 2016 - Moving toward improved teamwork in cancer care: the
role of psychological safety in team communication.
December 14, 2016
Jain AK, Fennell ML, Chagpar AB, et al. Moving Toward Improved Teamwork in Cancer Care: The Role of
Psychological Safety in Team Communication. J Oncol Pract. 2016;12(11):1000-1011.
https://psn…
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psnet.ahrq.gov/node/72783/psn-pdf
February 24, 2021 - Measurement matters: changing penalty calculations
under the hospital acquired condition reduction program
(HACRP) cost hospitals millions.
February 24, 2021
Vsevolozhskaya OA, Manz KC, Zephyr PM, et al. Measurement matters: changing penalty calculations
under the hospital acquired condition reduction program (HAC…
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psnet.ahrq.gov/node/838633/psn-pdf
October 19, 2022 - ASHP National Survey of Pharmacy Practice in Hospital
Settings: clinical services and workforce-2021.
October 19, 2022
Schneider PJ, Pedersen CA, Ganio MC, et al. ASHP National Survey of Pharmacy Practice in Hospital
Settings: clinical services and workforce—2021. Am J Health Syst Pharm. 2022;79(18):1531-1550.
doi…
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psnet.ahrq.gov/node/39293/psn-pdf
June 11, 2010 - Communication and collaboration: it's about the
pharmacists, as well as the physicians and nurses.
June 11, 2010
Holden LM, Watts DD, Walker PH. Communication and collaboration: it's about the pharmacists, as well as
the physicians and nurses. Qual Saf Health Care. 2010;19(3):169-72. doi:10.1136/qshc.2008.026435.
…
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psnet.ahrq.gov/node/44127/psn-pdf
September 28, 2017 - Overkill: An avalanche of unnecessary medical care is
harming patients physically and financially. What can we
do about it?
September 28, 2017
Gawande A. The New Yorker. May 2015
https://psnet.ahrq.gov/issue/overkill-avalanche-unnecessary-medical-care-harming-patients-physically-and-
financially-what
The overuse…
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psnet.ahrq.gov/node/843056/psn-pdf
January 25, 2023 - Incidence and characteristics of adverse events in
paediatric inpatient care: a systematic review and meta-
analysis.
January 25, 2023
Dillner P, Eggenschwiler LC, Rutjes AWS, et al. Incidence and characteristics of adverse events in
paediatric inpatient care: a systematic review and meta-analysis. BMJ Qual Saf. 2…
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psnet.ahrq.gov/node/74692/psn-pdf
January 26, 2022 - Changes made to orders placed by overnight admitting
residents on teaching rounds the next day.
January 26, 2022
Chiel L, Freiman E, Yarahuan J, et al. Changes made to orders placed by overnight admitting residents on
teaching rounds the next day. Hosp Pediatr. 2021;12(1):e35-e38. doi:10.1542/hpeds.2021-005823.
ht…
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psnet.ahrq.gov/node/46201/psn-pdf
September 27, 2017 - Risk factors for patient-reported errors during cancer
follow-up: results from a national survey in Denmark.
September 27, 2017
Christiansen AH, Lipczak H, Knudsen JL, et al. Risk factors for patient-reported errors during cancer follow-
up: Results from a national survey in Denmark. Cancer Epidemiol. 2017;49:38-45…
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psnet.ahrq.gov/node/843415/psn-pdf
February 01, 2023 - Explaining the negative effects of patient participation in
patient safety: an exploratory qualitative study in an
academic tertiary healthcare centre in the Netherlands.
February 1, 2023
Van der Voorden M, Ahaus K, Franx A. Explaining the negative effects of patient participation in patient
safety: an exploratory…
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psnet.ahrq.gov/node/851647/psn-pdf
July 26, 2023 - Statewide perinatal quality improvement, teamwork, and
communication activities in Oklahoma and Texas.
July 26, 2023
Stierman EK, O'Brien BT, Stagg J, et al. Statewide perinatal quality improvement, teamwork, and
communication activities in Oklahoma and Texas. Qual Manag Health Care. 2023;32(3):177-188.
doi:10.109…
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psnet.ahrq.gov/node/44331/psn-pdf
September 09, 2015 - Temporal trends in patient safety in the Netherlands:
reductions in preventable adverse events or the end of
adverse events as a useful metric?
September 9, 2015
Shojania KG, van de Mheen PJM-. Temporal trends in patient safety in the Netherlands: reductions in
preventable adverse events or the end of adverse even…
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psnet.ahrq.gov/node/35813/psn-pdf
April 06, 2011 - Simulation based teamwork training for emergency
department staff: does it improve clinical team
performance when added to an existing didactic
teamwork curriculum?
April 6, 2011
Shapiro MJ, Morey JC, Small SD, et al. Simulation based teamwork training for emergency department
staff: does it improve clinical team…
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psnet.ahrq.gov/node/44692/psn-pdf
January 27, 2016 - Good people who try their best can have problems:
recognition of human factors and how to minimise error.
January 27, 2016
Brennan PA, Mitchell DA, Holmes S, et al. Good people who try their best can have problems: recognition
of human factors and how to minimise error. Br J Oral Maxillofac Surg. 2016;54(1):3-7.
d…