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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/38071/psn-pdf
February 15, 2011 - A multifaceted approach to safety: the synergistic
detection of adverse drug events in adult inpatients.
February 15, 2011
Ferranti JM, Horvath MM, Cozart H, et al. A Multifaceted Approach to Safety. J Patient Saf. 2008;4(3):184-
190. doi:10.1097/pts.0b013e318184a9d5.
https://psnet.ahrq.gov/issue/multifaceted-appr…
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psnet.ahrq.gov/node/43521/psn-pdf
November 05, 2014 - From Science to Implementation: AHRQ's Program to
Prevent HAIs—Results and Lessons.
November 5, 2014
Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Am J Infect Control. 2014;42(suppl 10):S189-S296.
https://psnet.ahrq.gov/issue/science-implementation-ahrqs-program-prevent-hais-results-and-lessons
This companion…
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psnet.ahrq.gov/node/42989/psn-pdf
May 28, 2014 - Interactive questioning in critical care during handovers:
a transcript analysis of communication behaviours by
physicians, nurses and nurse practitioners.
May 28, 2014
Rayo MF, Mount-Campbell AF, O'Brien JM, et al. Interactive questioning in critical care during handovers: a
transcript analysis of communication b…
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psnet.ahrq.gov/node/50798/psn-pdf
January 15, 2020 - Testing alertness of emergency physicians: a novel
quantitative measure of alertness and implications for
worker and patient care.
January 15, 2020
Ferguson BA, Lauriski DR, Huecker M, et al. Testing Alertness of Emergency Physicians: A Novel
Quantitative Measure of Alertness and Implications for Worker and Patien…
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psnet.ahrq.gov/node/50738/psn-pdf
January 01, 2020 - Effectiveness of interventions to improve adverse drug
reaction reporting by healthcare professionals over the
last decade: A systematic review
December 11, 2019
Li R, Zaidi STR, Chen T, et al. Effectiveness of interventions to improve adverse drug reaction reporting by
healthcare professionals over the last decad…
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psnet.ahrq.gov/node/867015/psn-pdf
October 23, 2024 - Supporting perioperative safety during a disaster through
clinical crisis education.
October 23, 2024
Kirkman A, Tripp H, Ward L, et al. Supporting perioperative safety during a disaster through clinical crisis
education. AORN J. 2024;120(4):226-237. doi:10.1002/aorn.14217.
https://psnet.ahrq.gov/issue/supporting-…
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psnet.ahrq.gov/node/837310/psn-pdf
June 01, 2022 - National cross-sectional cohort study of the relationship
between quality of mental healthcare and death by
suicide.
June 1, 2022
Shiner B, Gottlieb DJ, Levis M, et al. National cross-sectional cohort study of the relationship between
quality of mental healthcare and death by suicide. BMJ Qual Saf. 2022;31(6):434-…
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psnet.ahrq.gov/node/60708/psn-pdf
July 22, 2020 - Are you surgically current? Lessons from aviation for
returning to non-urgent surgery following COVID-19.
July 22, 2020
Hardie JA, Brennan PA. Are you surgically current? Lessons from aviation for returning to non-urgent
surgery following COVID-19. Br J Oral Maxillofac Surg. 2020;58(7):843-847.
doi:10.1016/j.bjoms…
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psnet.ahrq.gov/node/50620/psn-pdf
November 06, 2019 - Comparing rates of adverse events and medical errors on
inpatient psychiatric units at Veterans Health
Administration and community-based general hospitals.
November 6, 2019
Cullen SW, Xie M, Vermeulen JM, et al. Comparing Rates of Adverse Events and Medical Errors on
Inpatient Psychiatric Units at Veterans Health…
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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/840487/psn-pdf
November 30, 2022 - Interprofessional team collaboration and work
environment health in 68 US intensive care units.
November 30, 2022
Pun BT, Jun J, Tan A, et al. Interprofessional team collaboration and work environment health in 68 US
intensive care units. Am J Crit Care. 2022;31(6):443-451. doi:10.4037/ajcc2022546.
https://psnet.a…
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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/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/60334/psn-pdf
May 13, 2020 - Crisis Standards of Care: Ten Years of Successes and
Challenges–Proceedings of a Workshop.
May 13, 2020
National Academies of Sciences, Engineering, and Medicine. Washington, DC; The National Academies
Press: 2020. ISBN 9780309676250.
https://psnet.ahrq.gov/issue/crisis-standards-care-ten-years-successes-and-…
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psnet.ahrq.gov/node/47793/psn-pdf
June 12, 2019 - Can mindfulness in health care professionals improve
patient care? An integrative review and proposed model.
June 12, 2019
Braun SE, Kinser PA, Rybarczyk B. Can mindfulness in health care professionals improve patient care? An
integrative review and proposed model. Transl Behav Med. 2019;9(2):187-201. doi:10.1093/t…
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psnet.ahrq.gov/node/43769/psn-pdf
December 17, 2014 - Prospective risk analysis and incident reporting for better
pharmaceutical care at paediatric hospital discharge.
December 17, 2014
Kaestli L-Z, Cingria L, Fonzo-Christe C, et al. Prospective risk analysis and incident reporting for better
pharmaceutical care at paediatric hospital discharge. Int J Clin Pharm. 2014…
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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/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/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…