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psnet.ahrq.gov/node/60030/psn-pdf
March 11, 2020 - Soft factors, smooth transport? The role of safety climate
and team processes in reducing adverse events during
intrahospital transport in intensive care.
March 11, 2020
Latzke M, Schiffinger M, Zellhofer D, et al. Soft Factors, Smooth Transport? The role of safety climate and
team processes in reducing adverse ev…
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psnet.ahrq.gov/node/50792/psn-pdf
January 15, 2020 - Lessons learned implementing a complex and innovative
patient safety learning laboratory project in a large
academic medical center
January 15, 2020
Businger AC, Fuller TE, Schnipper JL, et al. Lessons learned implementing a complex and innovative
patient safety learning laboratory project in a large academic medi…
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psnet.ahrq.gov/node/61040/psn-pdf
January 01, 2021 - Cancer diagnostic delay in Northern and Central Italy
during the 2020 lockdown due to the coronavirus disease
2019 pandemic.
October 21, 2020
Ferrara G, De Vincentiis L, Ambrosini-Spaltro A, et al. Cancer diagnostic delay in Northern and Central Italy
during the 2020 lockdown due to the coronavirus disease 2019 pa…
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psnet.ahrq.gov/node/60670/psn-pdf
July 08, 2020 - Patient safety concerns in COVID-19–related events: a
study of 343 event reports from 71 hospitals in
Pennsylvania.
July 8, 2020
Taylor M, Kepner S, Gardner LA, et al. Patient safety concerns in COVID-19–related events: a study of 343
event reports from 71 hospitals in Pennsylvania. Patient Saf. 2020;2(2):16-27. d…
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psnet.ahrq.gov/node/837033/psn-pdf
May 04, 2022 - Adherence to national guidelines for timeliness of test
results communication to patients in the Veterans Affairs
health care system.
May 4, 2022
Meyer AND, Scott TMT, Singh H. Adherence to national guidelines for timeliness of test results
communication to patients in the Veterans Affairs health care system. JAMA…
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psnet.ahrq.gov/node/865875/psn-pdf
May 15, 2024 - Digital health interventions and patient safety in
abdominal surgery: a systematic review and meta-
analysis.
May 15, 2024
Grygorian A, Montano D, Shojaa M, et al. Digital health interventions and patient safety in abdominal
surgery: a systematic review and meta-analysis. JAMA Netw Open. 2024;7(4):e248555.
doi:10…
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psnet.ahrq.gov/node/865976/psn-pdf
May 29, 2024 - What do patients and families observe about pediatric
safety?: A thematic analysis of real-time narratives.
May 29, 2024
Studenmund C, Lyndon A, Stotts JR, et al. What do patients and families observe about pediatric safety?:
A thematic analysis of real?time narratives. J Hosp Med. 2024;19(9):765-776. doi:10.1002/j…
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psnet.ahrq.gov/node/847045/psn-pdf
April 05, 2023 - Healthcare-associated infections in Veterans Affairs
acute-care and long-term healthcare facilities during the
coronavirus disease 2019 (COVID-19) pandemic.
April 5, 2023
Evans ME, Simbartl LA, Kralovic SM, et al. Healthcare-associated infections in Veterans Affairs acute-care
and long-term healthcare facilities d…
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psnet.ahrq.gov/node/72521/psn-pdf
December 02, 2020 - I-PASS illness diversity identifies patients at risk for
overnight clinical deterioration.
December 2, 2020
Shah C, Sanber K, Jacobson R, et al. I-PASS illness diversity identifies patients at risk for overnight clinical
deterioration. J Grad Med Educ. 2020;12(5):578-582. doi:10.4300/jgme-d-19-00755.1.
https://psn…
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psnet.ahrq.gov/node/837602/psn-pdf
January 01, 2023 - Outcome differences between surgeons performing first
and subsequent coronary artery bypass grafting
procedures in a day: a retrospective comparative cohort
study.
June 29, 2022
Zhang D, Gu D, Rao C, et al. Outcome differences between surgeons performing first and subsequent
coronary artery bypass grafting proced…
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psnet.ahrq.gov/node/60658/psn-pdf
July 08, 2020 - Impact of providing patients access to electronic health
records on quality and safety of care: a systematic review
and meta-analysis.
July 8, 2020
Neves AL, Freise L, Laranjo L, et al. Impact of providing patients access to electronic health records on
quality and safety of care: a systematic review and meta-anal…
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psnet.ahrq.gov/node/44680/psn-pdf
February 24, 2018 - Measurement is essential for improving diagnosis and
reducing diagnostic error: a report from the Institute of
Medicine.
February 24, 2018
McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing
Diagnostic Error: A Report From the Institute of Medicine. JAMA. 2015;314(23):2…
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psnet.ahrq.gov/node/74757/psn-pdf
February 09, 2022 - Characteristics of disease-specific and generic diagnostic
pitfalls: a qualitative study.
February 9, 2022
Schiff GD, Volodarskaya M, Ruan E, et al. Characteristics of disease-specific and generic diagnostic
pitfalls: a qualitative study. JAMA Netw Open. 2022;5(1):e2144531.
doi:10.1001/jamanetworkopen.2021.44531.
…
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psnet.ahrq.gov/node/866249/psn-pdf
July 10, 2024 - Implementation of a health information technology safety
classification system in the Veterans Health
Administration's Informatics Patient Safety Office.
July 10, 2024
Kato D, Lucas J, Sittig DF. Implementation of a health information technology safety classification system
in the Veterans Health Administration’s …
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psnet.ahrq.gov/node/865806/psn-pdf
May 08, 2024 - Entangled in complexity: an ethnographic study of
organizational adaptability and safe care transitions for
patients with complex care needs.
May 8, 2024
Hedqvist A?T, Praetorius G, Ekstedt M, et al. Entangled in complexity: an ethnographic study of
organizational adaptability and safe care transitions for patient…
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psnet.ahrq.gov/node/45350/psn-pdf
October 21, 2016 - A National Trauma Care System: Integrating Military and
Civilian Trauma Systems to Achieve Zero Preventable
Deaths After Injury.
October 21, 2016
National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press;
2016.
https://psnet.ahrq.gov/issue/national-trauma-care-system-inte…
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psnet.ahrq.gov/node/50832/psn-pdf
January 01, 2021 - Preventing critical failure. Can routinely collected data be
repurposed to predict avoidable patient harm? A
quantitative descriptive study.
January 29, 2020
Nowotny BM, Davies-Tuck M, Scott B, et al. Preventing critical failure. Can routinely collected data be
repurposed to predict avoidable patient harm? A quant…
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psnet.ahrq.gov/node/74834/psn-pdf
February 16, 2022 - Evaluating incident learning systems and safety culture in
two radiation oncology departments.
February 16, 2022
Adamson L, Beldham?Collins R, Sykes J, et al. Evaluating incident learning systems and safety culture in
two radiation oncology departments. J Med Radiat Sci. 2022;69(2):208-217. doi:10.1002/jmrs.563.
h…
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psnet.ahrq.gov/node/43787/psn-pdf
June 22, 2016 - Measuring variation in use of the WHO surgical safety
checklist in the operating room: a multicenter prospective
cross-sectional study.
June 22, 2016
Russ S, Rout S, Caris J, et al. Measuring variation in use of the WHO surgical safety checklist in the
operating room: a multicenter prospective cross-sectional stud…
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psnet.ahrq.gov/node/45651/psn-pdf
November 16, 2016 - Improving patient safety through the involvement of
patients: development and evaluation of novel
interventions to engage patients in preventing patient
safety incidents and protecting them against unintended
harm.
November 16, 2016
Wright J, Lawton R, O’Hara J, et al. Improving Patient Safety Through The Involve…