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psnet.ahrq.gov/node/47663/psn-pdf
January 01, 2021 - The association of the nurse work environment and
patient safety in pediatric acute care.
January 16, 2019
Lake ET, Roberts KE, Agosto PD, et al. The Association of the Nurse Work Environment and Patient
Safety in Pediatric Acute Care. J Patient Saf. 2021;17(8):e1546-e1552.
doi:10.1097/pts.0000000000000559.
https…
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psnet.ahrq.gov/node/37874/psn-pdf
April 18, 2011 - Interprofessional handover and patient safety in
anaesthesia: observational study of handovers in the
recovery room.
April 18, 2011
Smith AF, Pope C, Goodwin D, et al. Interprofessional handover and patient safety in anaesthesia:
observational study of handovers in the recovery room. Br J Anaesth. 2008;101(3):332-…
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psnet.ahrq.gov/node/841202/psn-pdf
December 18, 2024 - Updated Results for the AHRQ Surveys on Patient Safety
Culture Workplace Safety Supplemental Item Set for
Hospitals.
December 18, 2024
Tyler ER, Yalden O, Fan L, et al. Results For The Ahrq Surveys On Patient Safety Culture (Sops)
Workplace Safety Supplemental Item Set For Hospitals. Agency for Healthcare Research…
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psnet.ahrq.gov/node/41478/psn-pdf
June 20, 2014 - 2012 User Comparative Database Report: Medical Office
Survey on Patient Safety Culture.
June 20, 2014
Sorra J, Famolaro T, Dyer N, Smith S, Liu H, Ragan M. Rockville, MD: Agency for Healthcare Research
and Quality; May 2012. AHRQ Publication No. 12-0052.
https://psnet.ahrq.gov/issue/2012-user-comparative-database-…
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psnet.ahrq.gov/node/41924/psn-pdf
April 05, 2013 - Disclosure-and-resolution programs that include
generous compensation offers may prompt a complex
patient response.
April 5, 2013
Murtagh L, Gallagher TH, Andrew P, et al. Disclosure-and-resolution programs that include generous
compensation offers may prompt a complex patient response. Health Aff (Millwood). 2012…
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psnet.ahrq.gov/node/41983/psn-pdf
January 16, 2013 - A systematic review of evidence on the links between
patient experience and clinical safety and effectiveness.
January 16, 2013
Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and
clinical safety and effectiveness. BMJ Open. 2013;3(1). doi:10.1136/bmjopen-2012-0015…
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psnet.ahrq.gov/node/41974/psn-pdf
February 01, 2013 - Prevalence of copied information by attendings and
residents in critical care progress notes.
February 1, 2013
Thornton D, Schold JD, Venkateshaiah L, et al. Prevalence of copied information by attendings and
residents in critical care progress notes. Crit Care Med. 2013;41(2):382-8.
doi:10.1097/CCM.0b013e3182711a…
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psnet.ahrq.gov/node/45488/psn-pdf
April 24, 2018 - National trends in safety performance of electronic health
record systems in children's hospitals.
April 24, 2018
Chaparro JD, Classen D, Danforth M, et al. National trends in safety performance of electronic health
record systems in children's hospitals. J Am Med Inform Assoc. 2017;24(2):268-274.
doi:10.1093/jami…
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psnet.ahrq.gov/node/852746/psn-pdf
August 23, 2023 - Common contributing factors of diagnostic error: a
retrospective analysis of 109 serious adverse event
reports from Dutch hospitals.
August 23, 2023
Hooftman J, Dijkstra AC, Suurmeijer I, et al. Common contributing factors of diagnostic error: a
retrospective analysis of 109 serious adverse event reports from Dutc…
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psnet.ahrq.gov/node/37890/psn-pdf
February 18, 2011 - Are Patient Safety Indicators related to widely used
measures of hospital quality?
February 18, 2011
Isaac T, Jha AK. Are patient safety indicators related to widely used measures of hospital quality? J Gen
Intern Med. 2008;23(9):1373-8. doi:10.1007/s11606-008-0665-2.
https://psnet.ahrq.gov/issue/are-patient-safet…
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psnet.ahrq.gov/node/41010/psn-pdf
November 26, 2014 - Preventing hospital-acquired infections: a national survey
of practices reported by U.S. hospitals in 2005 and 2009.
November 26, 2014
Krein SL, Kowalski CP, Hofer TP, et al. Preventing hospital-acquired infections: a national survey of
practices reported by U.S. hospitals in 2005 and 2009. J Gen Intern Med. 2012;2…
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psnet.ahrq.gov/node/42947/psn-pdf
February 19, 2014 - Is the skillset obtained in surgical simulation transferable
to the operating theatre?
February 19, 2014
Buckley CE, Kavanagh DO, Traynor O, et al. Is the skillset obtained in surgical simulation transferable to
the operating theatre? Am J Surg. 2014;207(1):146-57. doi:10.1016/j.amjsurg.2013.06.017.
https://psnet.…
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psnet.ahrq.gov/node/836716/psn-pdf
March 09, 2022 - Potentially harmful medication dispenses after a fall or
hip fracture: a mixed methods study of a commonly used
quality measure.
March 9, 2022
Fischer H, Hahn EE, Li BH, et al. Potentially harmful medication dispenses after a fall or hip fracture: a
mixed methods study of a commonly used quality measure. Jt Comm J…
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psnet.ahrq.gov/node/47973/psn-pdf
July 18, 2019 - Transition planning for the senior surgeon: guidance and
recommendations from the Society of Surgical Chairs.
July 18, 2019
Rosengart TK, Doherty G, Higgins R, et al. Transition Planning for the Senior Surgeon: Guidance and
Recommendations From the Society of Surgical Chairs. JAMA Surg. 2019;154(7):647-653.
doi:10…
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psnet.ahrq.gov/node/39813/psn-pdf
October 11, 2010 - Code debriefing from the Department of Veterans Affairs
(VA) Medical Team Training Program improves the
cardiopulmonary resuscitation code process.
October 11, 2010
Percarpio KB, Harris FS, Hatfield BA, et al. Code debriefing from the Department of Veterans Affairs (VA)
Medical Team Training program improves the c…
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psnet.ahrq.gov/node/37032/psn-pdf
May 27, 2011 - Effects of computerized physician order entry and clinical
decision support systems on medication safety: a
systematic review.
May 27, 2011
Kaushal R, Shojania KG, Bates DW. Effects of computerized physician order entry and clinical decision
support systems on medication safety: a systematic review. Arch Intern Me…
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psnet.ahrq.gov/node/46624/psn-pdf
November 29, 2017 - Empowerment failure: how shortcomings in physician
communication unwittingly undermine patient autonomy.
November 29, 2017
Ubel PA, Scherr KA, Fagerlin A. Empowerment Failure: How Shortcomings in Physician Communication
Unwittingly Undermine Patient Autonomy. Am J Bioeth. 2017;17(11):31-39.
doi:10.1080/15265161.20…
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psnet.ahrq.gov/node/867750/psn-pdf
March 12, 2025 - Doing 'detective work' to find a cancer: how are non-
specific symptom pathways for cancer investigation
organised, and what are the implications for safety and
quality of care? A multisite qualitative approach.
March 12, 2025
Black GB, Nicholson BD, Moreland J-A, et al. Doing ‘detective work’ to find a cancer: ho…
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psnet.ahrq.gov/node/38118/psn-pdf
October 01, 2019 - Preventing errors relating to commonly used
anticoagulants.
December 23, 2016
Preventing errors relating to commonly used anticoagulants. Sentinel Event Alert. 2008;41(41):1-4.
https://psnet.ahrq.gov/issue/preventing-errors-relating-commonly-used-anticoagulants
Anticoagulant therapies such as heparin and warfarin …
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psnet.ahrq.gov/node/72567/psn-pdf
December 16, 2020 - Transforming the medication regimen review process
using telemedicine to prevent adverse events.
December 16, 2020
Kane?Gill SL, Wong A, Culley CM, et al. Transforming the medication regimen review process using
telemedicine to prevent adverse events. J Am Geriatr Soc. 2020;69(2):530-538. doi:10.1111/jgs.16946.
ht…