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psnet.ahrq.gov/node/49757/psn-pdf
April 01, 2016 - Situational Awareness and Patient Safety
April 1, 2016
Farnan JE. Situational Awareness and Patient Safety. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
The Case
A 40-year-old woman with a history of cirrhosis and known esophageal varices was admitted to the hospit…
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psnet.ahrq.gov/issue/patient-engagement-inpatient-setting-systematic-review
November 02, 2018 - Review
Patient engagement in the inpatient setting: a systematic review.
Citation Text:
Prey JE, Woollen J, Wilcox L, et al. Patient engagement in the inpatient setting: a systematic review. J Am Med Inform Assoc. 2014;21(4):742-750. doi:10.1136/amiajnl-2013-002141.
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F…
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psnet.ahrq.gov/issue/targeted-versus-universal-decolonization-prevent-icu-infection
November 16, 2022 - Study
Classic
Targeted versus universal decolonization to prevent ICU infection.
Citation Text:
Huang SS, Septimus E, Kleinman K, et al. Targeted versus universal decolonization to prevent ICU infection. N Engl J Med. 2013;368(24):2255-2265. doi:10.1056/nejmoa12…
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psnet.ahrq.gov/issue/spreading-strategy-prevent-suicide-after-psychiatric-hospitalization-results-quality
May 04, 2022 - Study
Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improvement spread initiative.
Citation Text:
Riblet NB, Varela M, Ashby W, et al. Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improve…
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psnet.ahrq.gov/issue/finding-right-balance-evidence-informed-guidance-document-support-re-opening-canadian-nursing
November 18, 2020 - Commentary
Finding the right balance: an evidence-informed guidance document to support the re-opening of Canadian nursing homes to family caregivers and visitors during the coronavirus disease 2019 pandemic.
Citation Text:
Stall NM, Johnstone J, McGeer AJ, et al. Finding the right balan…
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psnet.ahrq.gov/issue/reducing-failure-rescue-rates-paediatric-patient-setting-9-year-quality-improvement-study
January 18, 2023 - Study
Reducing failure to rescue rates in a paediatric in-patient setting: a 9-year quality improvement study.
Citation Text:
McHale S, Marufu TC, Manning JC, et al. Reducing failure to rescue rates in a paediatric in‐patient setting: a 9‐year quality improvement study. Nurs Crit Care. 2…
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psnet.ahrq.gov/issue/supervision-interprofessional-collaboration-and-patient-safety-intensive-care-units-during
June 02, 2021 - Study
Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19 pandemic.
Citation Text:
Hennus MP, Young JQ, Hennessy M, et al. Supervision, interprofessional collaboration, and patient safety in intensive care units during the COVID-19…
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psnet.ahrq.gov/issue/exploring-changes-patient-safety-incidents-during-covid-19-pandemic-canadian-regional
March 18, 2020 - Study
Exploring changes in patient safety incidents during the COVID-19 pandemic in a Canadian regional hospital system: a retrospective time series analysis.
Citation Text:
Lombardi J, Strobel S, Pullar V, et al. Exploring changes in patient safety incidents during the COVID-19 pandemic…
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psnet.ahrq.gov/issue/learning-during-crisis-impact-covid-19-hospital-acquired-pressure-injury-incidence
August 25, 2021 - Study
Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence.
Citation Text:
Polancich S, Hall AG, Miltner RS, et al. Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. J Healthc Qual. 2021;43(3):137-144. …
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psnet.ahrq.gov/issue/adverse-events-during-intrahospital-transport-critically-ill-patients-systematic-review-and
March 02, 2022 - Study
Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis.
Citation Text:
Murata M, Nakagawa N, Kawasaki T, et al. Adverse events during intrahospital transport of critically ill patients: A systematic review and meta-analysis. …
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psnet.ahrq.gov/issue/checklists-reduce-diagnostic-error-systematic-review-literature-using-human-factors-framework
February 22, 2023 - Review
Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework.
Citation Text:
Al-Khafaji J, Townshend RF, Townsend W, et al. Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework.…
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psnet.ahrq.gov/issue/association-differences-treatment-intensification-missed-visits-and-scheduled-follow-interval
May 18, 2022 - Study
Association of differences in treatment intensification, missed visits, and scheduled follow-up interval with racial or ethnic disparities in blood pressure control.
Citation Text:
Fontil V, Pacca L, Bellows BK, et al. Association of differences in treatment intensification, missed…
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psnet.ahrq.gov/issue/neglected-barrier-medication-use-systematic-review-difficulties-associated-opening-medication
February 16, 2022 - Review
The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging.
Citation Text:
Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of difficulties associated with opening medicat…
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psnet.ahrq.gov/issue/patient-safety-recommendations-covid-19-epidemic-outbreak-lessons-italian-experience
February 15, 2023 - Book/Report
Patient Safety Recommendations for COVID-19 Epidemic Outbreak: 3.0
Citation Text:
Patient Safety Recommendations for COVID-19 Epidemic Outbreak: 3.0 La Regina M, Tanzini M, Venneri F, et al for the Italian Network for Health Safety. Dublin, Ireland: International Society for …
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psnet.ahrq.gov/issue/impact-full-personal-protective-equipment-alertness-healthcare-workers-prospective-study
August 24, 2022 - Study
Impact of full personal protective equipment on alertness of healthcare workers: a prospective study.
Citation Text:
Wells HJ, Raithatha M, Elhag S, et al. Impact of full personal protective equipment on alertness of healthcare workers: a prospective study. BMJ Open Qual. 2022;11(1…
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psnet.ahrq.gov/issue/nurse-staffing-burnout-and-health-care-associated-infection
June 02, 2021 - Study
Nurse staffing, burnout, and health care-associated infection.
Citation Text:
Cimiotti JP, Aiken LH, Sloane DM, et al. Nurse staffing, burnout, and health care-associated infection. Am J Infect Control. 2012;40(6):486-490. doi:10.1016/j.ajic.2012.02.029.
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Forma…
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psnet.ahrq.gov/issue/can-patient-involvement-improve-patient-safety-cluster-randomised-control-trial-patient
December 21, 2016 - Study
Classic
Can patient involvement improve patient safety? A cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention.
Citation Text:
Lawton R, O'Hara JK, Sheard L, et al. Can patient involvement improve…
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psnet.ahrq.gov/issue/critical-care-nurses-physical-and-mental-health-worksite-wellness-support-and-medical-errors
March 21, 2018 - Study
Critical care nurses’ physical and mental health, worksite wellness support, and medical errors.
Citation Text:
Melnyk BM, Tan A, Hsieh AP, et al. Critical Care Nurses’ Physical and Mental Health, Worksite Wellness Support, and Medical Errors. Am J Crit Care. 2021;30(3):176-184. do…
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psnet.ahrq.gov/issue/balancing-no-blame-accountability-patient-safety
March 13, 2013 - Commentary
Classic
Balancing "no blame" with accountability in patient safety.
Citation Text:
Wachter R, Pronovost P. Balancing "no blame" with accountability in patient safety. New Engl J Med. 2009;361(14):1401-1406. doi:10.1056/NEJMsb0903885.
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psnet.ahrq.gov/issue/impact-multidisciplinary-team-huddles-patient-safety-systematic-review-and-proposed-taxonomy
November 10, 2015 - Review
Emerging Classic
Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy.
Citation Text:
Franklin BJ, Gandhi TK, Bates DW, et al. Impact of multidisciplinary team huddles on patient safety: a systematic review…