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psnet.ahrq.gov/issue/aacn-standards-establishing-and-sustaining-healthy-work-environments-journey-excellence
January 27, 2021 - Organizational Policy/Guidelines
AACN Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence.
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Apri…
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psnet.ahrq.gov/node/42023/psn-pdf
May 25, 2013 - Description and evaluation of adaptations to the Global
Trigger Tool to enhance value to adverse event reduction
efforts.
May 25, 2013
Kennerly DA, Saldaña M, Kudyakov R, et al. Description and evaluation of adaptations to the global trigger
tool to enhance value to adverse event reduction efforts. J Patient Saf. …
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psnet.ahrq.gov/node/866903/psn-pdf
October 09, 2024 - What does 'safe care' mean in the context of community-
based mental health services? A qualitative exploration of
the perspectives of service users, carers, and healthcare
providers in England.
October 9, 2024
Averill P, Bowness B, Henderson C, et al. What does ‘safe care’ mean in the context of community-based
…
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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/44154/psn-pdf
August 21, 2018 - Does employee safety matter for patients too? Employee
safety climate and patient safety culture in health care.
August 21, 2018
Mohr DC, Eaton JL, McPhaul KM, et al. Does employee safety matter for patients too? Employee safety
climate and patient safety culture in health care. J Patient Saf. 2018;14(3):181-185.
…
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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/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/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/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…
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psnet.ahrq.gov/node/45598/psn-pdf
November 23, 2016 - AHRQ Nursing Home Survey on Patient Safety Culture:
2016 User Comparative Database Report.
November 23, 2016
Famolaro T, Yount ND, Greene, K, Hare R, Thorton S, Sorra J. Rockville, MD: Agency for Healthcare
Research and Quality; October 2016. AHRQ Publication No. 17-0004-EF.
https://psnet.ahrq.gov/issue/ahrq-nursi…
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psnet.ahrq.gov/node/867350/psn-pdf
December 11, 2024 - Surveys on Patient Safety Culture (SOPS) Hospital Survey
2.0: User Database Report.
December 11, 2024
Tyler ER, Yalden O, Fan L, et al. Surveys On Patient Safety Culture (Sops) Hospital Survey 2.0: User
Database Report. Rockville, MD: Agency for Healthcare Research and Quality; November 2024. AHRQ
Publication No. …
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psnet.ahrq.gov/node/46904/psn-pdf
August 20, 2018 - Effect of a pediatric early warning system on all-cause
mortality in hospitalized pediatric patients.
August 20, 2018
Parshuram CS, Dryden-Palmer K, Farrell C, et al. Effect of a Pediatric Early Warning System on All-Cause
Mortality in Hospitalized Pediatric Patients: The EPOCH Randomized Clinical Trial. JAMA.
201…
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psnet.ahrq.gov/node/852443/psn-pdf
August 16, 2023 - Healthcare-associated infections in adult intensive care
units: a multisource study examining nurses' safety
attitudes, quality of care, missed care, and nurse staffing.
August 16, 2023
Alanazi FK, Lapkin S, Molloy L, et al. Healthcare-associated infections in adult intensive care units: a
multisource study examin…
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psnet.ahrq.gov/node/37257/psn-pdf
April 19, 2011 - Validation of a diagnostic reminder system in emergency
medicine: a multi-centre study.
April 19, 2011
Ramnarayan P, Cronje N, Brown R, et al. Validation of a diagnostic reminder system in emergency
medicine: a multi-centre study. Emerg Med J. 2007;24(9):619-24.
https://psnet.ahrq.gov/issue/validation-diagnostic-r…