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psnet.ahrq.gov/node/846150/psn-pdf
March 15, 2023 - Patient and health care professional perspectives on
stigma in integrated behavioral health: barriers and
recommendations.
March 15, 2023
Phelan SM, Salinas M, Pankey T, et al. Patient and health care professional perspectives on stigma in
integrated behavioral health: barriers and recommendations. Ann Fam Med. 20…
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psnet.ahrq.gov/node/836851/psn-pdf
April 06, 2022 - Surveys on Patient Safety Culture (SOPS) Medical Office
Survey: 2022 User Database Report.
April 6, 2022
Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality;
March 2022. AHRQ Publication No. 22-0017.
https://psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-med…
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psnet.ahrq.gov/node/44366/psn-pdf
November 20, 2015 - 'Speaking up' about patient safety concerns and
unprofessional behaviour among residents: validation of
two scales.
November 20, 2015
Martinez W, Etchegaray J, Thomas EJ, et al. 'Speaking up' about patient safety concerns and
unprofessional behaviour among residents: validation of two scales. BMJ Qual Saf. 2015;24…
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psnet.ahrq.gov/node/60940/psn-pdf
September 23, 2020 - Impact of interoperability of smart infusion pumps and an
electronic medical record in critical care.
September 23, 2020
Joseph R, Lee SW, Anderson SV, et al. Impact of interoperability of smart infusion pumps and an electronic
medical record in critical care. Am J Health-System Pharm. 2020;77(15):1231-1236.
doi:1…
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psnet.ahrq.gov/node/60762/psn-pdf
August 05, 2020 - Implementation and sustainability of a medication
reconciliation toolkit: a mixed methods evaluation.
August 5, 2020
Stolldorf DP, Mixon AS, Auerbach AD, et al. Implementation and sustainability of a medication
reconciliation toolkit: a mixed methods evaluation. Am J Health Syst Pharm. 2020;77(14):1135-1143.
doi:1…
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psnet.ahrq.gov/node/42638/psn-pdf
October 09, 2013 - Strengths and weaknesses of working with the Global
Trigger Tool method for retrospective record review:
focus group interviews with team members.
October 9, 2013
Schildmeijer K, Nilsson L, Perk J, et al. Strengths and weaknesses of working with the Global Trigger Tool
method for retrospective record review: focus…
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psnet.ahrq.gov/node/47746/psn-pdf
July 19, 2019 - Characterising ICU–ward handoffs at three academic
medical centres: process and perceptions.
July 19, 2019
Santhosh L, Lyons PG, Rojas JC, et al. Characterising ICU-ward handoffs at three academic medical
centres: process and perceptions. BMJ Qual Saf. 2019;28(8):627-634. doi:10.1136/bmjqs-2018-008328.
https://psn…
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psnet.ahrq.gov/node/48020/psn-pdf
July 17, 2019 - 'I think this medicine actually killed my wife': patient and
family perspectives on shared decision-making to
optimize medications and safety.
July 17, 2019
Mangin D, Risdon C, Lamarche L, et al. 'I think this medicine actually killed my wife': patient and family
perspectives on shared decision-making to optimize …
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psnet.ahrq.gov/node/60039/psn-pdf
March 11, 2020 - A 25-year-old teacher died after waiting hours at the ER.
She's not the only one who saw delays.
March 11, 2020
Linnane R, Diedrich J. Milwaukee Journal Sentinel. February 25, 2020.
https://psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw-
delays
Delays in emergency r…
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psnet.ahrq.gov/node/60738/psn-pdf
July 29, 2020 - Signs and symptoms to determine if a patient presenting
in primary care or hospital outpatient settings has COVID-
19 disease.
July 29, 2020
Struyf T, Deeks JJ, Dinnes J, et al. Signs and symptoms to determine if a patient presenting in primary care
or hospital outpatient settings has COVID-19 disease. Cochrane Da…
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psnet.ahrq.gov/node/45304/psn-pdf
June 28, 2017 - Nurses' perceived skills and attitudes about updated
safety concepts: impact on medication administration
errors and practices.
June 28, 2017
Armstrong GE, Dietrich M, Norman L, et al. Nurses? Perceived Skills and Attitudes About Updated Safety
Concepts. J Nurs Care Qual. 2016;32(3):226-233. doi:10.1097/ncq.000000…
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psnet.ahrq.gov/node/46996/psn-pdf
May 23, 2018 - How to incorporate quality improvement and patient
safety projects in your training.
May 23, 2018
Siddique SM, Ketwaroo G, Newberry C, et al. How to Incorporate Quality Improvement and Patient Safety
Projects in Your Training. Gastroenterology. 2018;154(6):1564-1568. doi:10.1053/j.gastro.2018.03.044.
https://psnet…
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psnet.ahrq.gov/node/34907/psn-pdf
August 03, 2009 - Physicians' views of interventions to reduce medical
errors: does evidence of effectiveness matter?
August 3, 2009
Rosen AB, Blendon RJ, DesRoches CM, et al. Physicians' views of interventions to reduce medical errors:
does evidence of effectiveness matter? Acad Med. 2005;80(2):189-92.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/61094/psn-pdf
November 04, 2020 - The doctor was rude, the toilets are dirty. Utilizing 'soft
signals' in the regulation of patient safety.
November 4, 2020
Kok J, Wallenburg I, Leistikow I, et al. The doctor was rude, the toilets are dirty. Utilizing ‘soft signals’ in the
regulation of patient safety. Safety Sci. 2020;131:104914. doi:10.1016/j.ssc…
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psnet.ahrq.gov/node/848816/psn-pdf
May 10, 2023 - Racial bias in cesarean decision-making.
May 10, 2023
Edwards SE, Class QA, Ford CE, et al. Racial bias in cesarean decision-making. Am J Obstet Gynecol
MFM. 2023;5(5):100927. doi:10.1016/j.ajogmf.2023.100927.
https://psnet.ahrq.gov/issue/racial-bias-cesarean-decision-making
Racial bias negatively impacts maternal…
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psnet.ahrq.gov/node/60874/psn-pdf
September 02, 2020 - A national mixed-methods evaluation of preparedness for
general surgery residency and the association with
resident burnout.
September 2, 2020
Engelhardt KE, Bilimoria KY, Johnson JK, et al. A national mixed-methods evaluation of preparedness for
general surgery residency and the association with resident burnout.…
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psnet.ahrq.gov/node/845302/psn-pdf
March 01, 2023 - Reducing preventable adverse events in obstetrics by
improving interprofessional communication skills--results
of an intervention study.
March 1, 2023
Hüner B, Derksen C, Schmiedhofer M, et al. Reducing preventable adverse events in obstetrics by
improving interprofessional communication skills – results of an int…
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psnet.ahrq.gov/node/846448/psn-pdf
March 22, 2023 - Understanding patient and clinician reported nonroutine
events in ambulatory surgery.
March 22, 2023
Salwei ME, Anders S, Slagle JM, et al. Understanding patient and clinician reported nonroutine events in
ambulatory surgery. J Patient Saf. 2023;19(2):e38-e45. doi:10.1097/pts.0000000000001089.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/856592/psn-pdf
January 01, 2024 - Talking about falls: a qualitative exploration of spoken
communication of patients' fall risks in hospitals and
implications for multifactorial approaches to fall
prevention.
November 29, 2023
McVey L, Alvarado N, Healey F, et al. Talking about falls: a qualitative exploration of spoken
communication of patients’…
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psnet.ahrq.gov/node/48076/psn-pdf
July 24, 2019 - Simulation-based event analysis improves error
discovery and generates improved strategies for error
prevention.
July 24, 2019
Lobos A-T, Ward N, Farion KJ, et al. Simulation-based event analysis improves error discovery and
generates improved strategies for error prevention. Simul Healthc. 2019;14(4):209-216.
do…