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psnet.ahrq.gov/node/45106/psn-pdf
August 16, 2017 - The 'go-between' study: a simulation study comparing the
'Traffic Lights' and 'SBAR' tools as a means of
communication between anaesthetic staff.
August 16, 2017
MacDougall-Davis SR, Kettley L, Cook TM. The 'go-between' study: a simulation study comparing the
'Traffic Lights' and 'SBAR' tools as a means of communi…
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psnet.ahrq.gov/node/50576/psn-pdf
October 23, 2019 - Breakdowns in the initial patient-provider encounter are a
frequent source of diagnostic error among ischemic
stroke cases included in a large medical malpractice
claims database.
October 23, 2019
Liberman AL, Skillings J, Greenberg P, et al. Breakdowns in the initial patient-provider encounter are a
frequent sou…
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psnet.ahrq.gov/node/44038/psn-pdf
May 06, 2015 - Engineering Patient Safety in Radiation Oncology:
University of North Carolina's Pursuit for High Reliability
and Value Creation.
May 6, 2015
Marks L, Mazur L, Chera B, Adams R. Boca Raton, FL: Productivity Press; 2015. ISBN: 9781482233643.
https://psnet.ahrq.gov/issue/engineering-patient-safety-radiation-oncology…
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psnet.ahrq.gov/node/46917/psn-pdf
April 18, 2018 - Consumer mobile apps for potential drug–drug
interaction check: systematic review and content analysis
using the Mobile App Rating Scale (MARS).
April 18, 2018
Kim BY, Sharafoddini A, Tran N, et al. Consumer Mobile Apps for Potential Drug-Drug Interaction Check:
Systematic Review and Content Analysis Using the Mob…
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psnet.ahrq.gov/node/72483/psn-pdf
November 18, 2020 - ACGME Summary Report: The Pursuing Excellence
Pathway Leaders Patient Safety Collaborative.
November 18, 2020
Passiment M, Wagner R, Weiss KB for the Pursuing Excellence in Clinical Learning Environments:
Pathway Leaders Patient Safety Collaborative. Chicago, IL: Accreditation Council for Graduate Medical
Educatio…
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psnet.ahrq.gov/node/61026/psn-pdf
October 14, 2020 - A blinded, prospective study of error detection during
physician chart rounds in radiation oncology.
October 14, 2020
Talcott WJ, Lincoln H, Kelly JR, et al. A blinded, prospective study of error detection during physician chart
rounds in radiation oncology. Pract Radiat Oncol. 2020;10(5):312-320. doi:10.1016/j.prr…
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psnet.ahrq.gov/node/858170/psn-pdf
December 13, 2023 - Unsafe care in residential settings for older adults. A
content analysis of accreditation reports.
December 13, 2023
Hibbert PD, Ash R, Molloy CJ, et al. Unsafe care in residential settings for older adults: a content analysis
of accreditation reports. Int J Qual Health Care. 2023;35(4):mzad085. doi:10.1093/intqhc/…
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psnet.ahrq.gov/node/844038/psn-pdf
January 01, 2024 - The effectiveness of tele-triage during the COVID-19
pandemic: a systematic review and narrative synthesis.
February 8, 2023
Farzandipour M, Nabovati E, Sharif R. The effectiveness of tele-triage during the COVID-19 pandemic: a
systematic review and narrative synthesis. J Telemed Telecare. 2024;30(9):1367-1375.
do…
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psnet.ahrq.gov/node/73220/psn-pdf
May 05, 2021 - Identifying barriers to and opportunities for telehealth
implementation amidst the COVID-19 pandemic by using
a human factors approach: a leap into the future of health
care delivery?
May 5, 2021
Zhang T, Mosier J, Subbian V. Identifying barriers to and opportunities for telehealth implementation amidst
the COVID…
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psnet.ahrq.gov/node/74086/psn-pdf
November 17, 2021 - Review of reported adverse events occurring among the
homeless veteran population in the Veterans Health
Administration.
November 17, 2021
Soncrant C, Mills PD, Pendley Louis RP, et al. Review of reported adverse events occurring among the
homeless veteran population in the Veterans Health Administration. J Patien…
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psnet.ahrq.gov/node/865920/psn-pdf
May 22, 2024 - Role of knowledge and reasoning processes as
predictors of resident physicians' susceptibility to
anchoring bias in diagnostic reasoning: a randomised
controlled experiment.
May 22, 2024
Mamede S, Zandbergen A, de Carvalho-Filho MA, et al. Role of knowledge and reasoning processes as
predictors of resident physic…
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psnet.ahrq.gov/node/845304/psn-pdf
March 01, 2023 - For children admitted to hospital, what interventions
improve medication safety on ward rounds?
March 1, 2023
King C, Dudley J, Mee A, et al. For children admitted to hospital, what interventions improve medication
safety on ward rounds? A systematic review. Arch Dis Child. 2023;108(7):583-588.
doi:10.1136/archdis…
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psnet.ahrq.gov/node/863226/psn-pdf
February 28, 2024 - Surveys on Patient Safety Culture (SOPS) Medical Office
Survey: 2024 User Database Report.
February 28, 2024
Hare R, Tyler ER, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality; February
2024. AHRQ Publication No. 24-0028.
https://psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-med…
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psnet.ahrq.gov/node/43192/psn-pdf
December 15, 2014 - Using estimated true safety event rates versus flagged
safety event rates: does it change hospital profiling and
payment?
December 15, 2014
Rosen AK, Chen Q, Borzecki A, et al. Using estimated true safety event rates versus flagged safety event
rates: does it change hospital profiling and payment? Health Serv Res.…
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psnet.ahrq.gov/node/837199/psn-pdf
May 25, 2022 - Development and usability testing of the Agency for
Healthcare Research and Quality Common Formats to
capture diagnostic safety events.
May 25, 2022
Bradford A, Shahid U, Schiff GD, et al. Development and usability testing of the Agency for Healthcare
Research and Quality Common Formats to capture diagnostic safet…
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psnet.ahrq.gov/node/44616/psn-pdf
November 04, 2015 - Development of "SWARM" as a model for high reliability,
rapid problem solving, and institutional learning.
November 4, 2015
Williams EA, Nikolai DA, Ladwig L, et al. Development of "SWARM" as a Model for High Reliability, Rapid
Problem Solving, and Institutional Learning. Jt Comm J Qual Patient Saf. 2015;41(11):508…
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psnet.ahrq.gov/node/74695/psn-pdf
January 26, 2022 - Impact of teamwork and communication training
interventions on safety culture and patient safety in
emergency departments: a systematic review.
January 26, 2022
Alsabri M, Boudi Z, Lauque D, et al. Impact of teamwork and communication training interventions on
safety culture and patient safety in emergency departm…
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psnet.ahrq.gov/node/837631/psn-pdf
July 06, 2022 - The impact of an electronic alert to reduce the risk of co-
prescription of low molecular weight heparins and direct
oral anticoagulants.
July 6, 2022
Brown A, Cavell G, Dogra N, et al. The impact of an electronic alert to reduce the risk of co-prescription of
low molecular weight heparins and direct oral anticoag…
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psnet.ahrq.gov/node/46288/psn-pdf
August 23, 2017 - Supporting nursing, midwifery and allied health
professional students to raise concerns with the quality
of care: a review of the research literature.
August 23, 2017
Milligan F, Wareing M, Preston-Shoot M, et al. "Supporting nursing, midwifery and allied health professional
students to raise concerns with the qua…
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psnet.ahrq.gov/node/836831/psn-pdf
March 30, 2022 - A qualitative analysis of the impact of electronic health
records (EHR) on healthcare quality and safety: clinicians'
lived experiences.
March 30, 2022
Upadhyay S, Hu H-fen. . A Qualitative analysis of the impact of electronic health records (EHR) on
healthcare quality and safety: clinicians' lived experiences. He…