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psnet.ahrq.gov/node/39528/psn-pdf
May 19, 2010 - Multidisciplinary team training in a simulation setting for
acute obstetric emergencies: a systematic review.
May 19, 2010
Merién AER, van de Ven J, Mol BW, et al. Multidisciplinary Team Training in a Simulation Setting for Acute
Obstetric Emergencies. Obstetrics & Gynecology. 2010;115(5). doi:10.1097/aog.0b013e318…
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psnet.ahrq.gov/node/42740/psn-pdf
December 31, 2014 - ICD-10 codes used to identify adverse drug events in
administrative data: a systematic review.
December 31, 2014
Hohl CM, Karpov A, Reddekopp L, et al. ICD-10 codes used to identify adverse drug events in
administrative data: a systematic review. J Am Med Inform Assoc. 2014;21(3):547-57. doi:10.1136/amiajnl-
2013-…
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psnet.ahrq.gov/node/44372/psn-pdf
June 21, 2016 - Hospital characteristics associated with penalties in the
Centers for Medicare & Medicaid Services Hospital-
Acquired Condition Reduction Program.
June 21, 2016
Rajaram R, Chung JW, Kinnier C, et al. Hospital Characteristics Associated With Penalties in the Centers
for Medicare & Medicaid Services Hospital-Acquire…
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psnet.ahrq.gov/node/46108/psn-pdf
December 21, 2017 - Speaking up about traditional and professionalism-related
patient safety threats: a national survey of interns and
residents.
December 21, 2017
Martinez W, Lehmann LS, Thomas EJ, et al. Speaking up about traditional and professionalism-related
patient safety threats: a national survey of interns and residents. BMJ…
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psnet.ahrq.gov/node/45775/psn-pdf
March 20, 2017 - A patient feedback reporting tool for OpenNotes:
implications for patient–clinician safety and quality
partnerships.
March 20, 2017
Bell SK, Gerard M, Fossa A, et al. A patient feedback reporting tool for OpenNotes: implications for patient-
clinician safety and quality partnerships. BMJ Qual Saf. 2016;26(4):312-3…
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psnet.ahrq.gov/node/46851/psn-pdf
January 23, 2019 - To care is human—collectively confronting the clinician-
burnout crisis.
January 23, 2019
Dzau VJ, Kirch DG, Nasca TJ. To Care Is Human — Collectively Confronting the Clinician-Burnout Crisis.
New Engl J Med. 2018;378(4):312-314. doi:10.1056/nejmp1715127.
https://psnet.ahrq.gov/issue/care-human-collectively-confro…
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psnet.ahrq.gov/node/40048/psn-pdf
December 01, 2010 - Temporal trends in rates of patient harm resulting from
medical care.
December 1, 2010
Landrigan CP, Parry G, Bones CB, et al. Temporal trends in rates of patient harm resulting from medical
care. N Engl J Med. 2010;363(22):2124-34. doi:10.1056/NEJMsa1004404.
https://psnet.ahrq.gov/issue/temporal-trends-rates-pati…
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psnet.ahrq.gov/node/43915/psn-pdf
September 27, 2017 - The quality of hospital work environments and missed
nursing care is linked to heart failure readmissions: a
cross-sectional study of US hospitals.
September 27, 2017
Carthon MB, Lasater KB, Sloane DM, et al. The quality of hospital work environments and missed nursing
care is linked to heart failure readmissions:…
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psnet.ahrq.gov/node/47602/psn-pdf
January 27, 2019 - Association of nurse workload with missed nursing care
in the neonatal intensive care unit.
January 27, 2019
Tubbs-Cooley HL, Mara CA, Carle AC, et al. Association of Nurse Workload With Missed Nursing Care in
the Neonatal Intensive Care Unit. JAMA Pediatr. 2019;173(1):44-51.
doi:10.1001/jamapediatrics.2018.3619.
…
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psnet.ahrq.gov/node/40726/psn-pdf
July 03, 2014 - Automated identification of postoperative complications
within an electronic medical record using natural
language processing.
July 3, 2014
Murff HJ, FitzHenry F, Matheny ME, et al. Automated identification of postoperative complications within an
electronic medical record using natural language processing. JAMA. …
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psnet.ahrq.gov/node/44719/psn-pdf
February 14, 2017 - Prevalence and characteristics of physicians prone to
malpractice claims.
February 14, 2017
Studdert DM, Bismark M, Mello MM, et al. Prevalence and Characteristics of Physicians Prone to
Malpractice Claims. New Engl J Med. 2016;374(4):354-362. doi:10.1056/NEJMsa1506137.
https://psnet.ahrq.gov/issue/prevalence-and-…
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psnet.ahrq.gov/issue/vha-national-patient-safety-improvement-handbook
April 12, 2019 - Organizational Policy/Guidelines
VHA National Patient Safety Improvement Handbook.
Save
Save to your library
Print
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Share
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January 17, 2012
A handbook developed by the …
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psnet.ahrq.gov/node/43280/psn-pdf
November 30, 2016 - Medical Office Survey on Patient Safety Culture: 2014
User Comparative Database Report.
November 30, 2016
Sorra J, Famolaro T, Yount ND, et al. Rockville, MD: Agency for Healthcare Research and Quality; June
2014. Report No. 14-0032-EF.
https://psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture-2014…
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psnet.ahrq.gov/node/48184/psn-pdf
August 14, 2019 - Association of pediatric resident physician depression
and burnout with harmful medical errors on inpatient
services.
August 14, 2019
Brunsberg KA, Landrigan CP, Garcia BM, et al. Association of Pediatric Resident Physician Depression
and Burnout With Harmful Medical Errors on Inpatient Services. Acad Med. 2019;94…
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psnet.ahrq.gov/node/41694/psn-pdf
September 19, 2012 - Effect of nonpayment for hospital-acquired,
catheter–associated urinary tract infection: a statewide
analysis.
September 19, 2012
Meddings JA, Reichert H, Rogers MAM, et al. Effect of nonpayment for hospital-acquired, catheter-
associated urinary tract infection: a statewide analysis. Ann Intern Med. 2012;157(5):3…
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psnet.ahrq.gov/node/37768/psn-pdf
April 27, 2010 - The wisdom and justice of not paying for "preventable
complications."
April 27, 2010
Pronovost P, Goeschel CA, Wachter R. The wisdom and justice of not paying for "preventable
complications". JAMA. 2008;299(18):2197-9. doi:10.1001/jama.299.18.2197.
https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-prevent…
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psnet.ahrq.gov/node/61087/psn-pdf
January 01, 2022 - A high-reliability organization framework for health care:
a multiyear implementation strategy and associated
outcomes.
November 4, 2020
Sculli GL, Pendley-Louis R, Neily J, et al. A high-reliability organization framework for health care: a
multiyear implementation strategy and associated outcomes. J Patient Saf.…
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psnet.ahrq.gov/node/42895/psn-pdf
December 18, 2014 - National trends in patient safety for four common
conditions, 2005–2011.
December 18, 2014
Wang Y, Eldridge N, Metersky M, et al. National trends in patient safety for four common conditions, 2005-
2011. N Engl J Med. 2014;370(4):341-51. doi:10.1056/NEJMsa1300991.
https://psnet.ahrq.gov/issue/national-trends-patie…
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psnet.ahrq.gov/node/40785/psn-pdf
May 04, 2012 - A framework for evaluating the appropriateness of clinical
decision support alerts and responses.
May 4, 2012
McCoy AB, Waitman LR, Lewis JB, et al. A framework for evaluating the appropriateness of clinical
decision support alerts and responses. J Am Med Inform Assoc. 2012;19(3):346-52. doi:10.1136/amiajnl-
2011-…
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psnet.ahrq.gov/node/45208/psn-pdf
April 22, 2017 - Cognitive tests predict real-world errors: the relationship
between drug name confusion rates in laboratory-based
memory and perception tests and corresponding error
rates in large pharmacy chains.
April 22, 2017
Schroeder SR, Salomon MM, Galanter W, et al. Cognitive tests predict real-world errors: the relationsh…