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psnet.ahrq.gov/node/47058/psn-pdf
August 20, 2018 - The first U.S. study on nurses' evidence-based practice
competencies indicates major deficits that threaten
healthcare quality, safety, and patient outcomes.
August 20, 2018
Melnyk BM, Gallagher-Ford L, Zellefrow C, et al. The First U.S. Study on Nurses' Evidence-Based Practice
Competencies Indicates Major Deficit…
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psnet.ahrq.gov/node/46842/psn-pdf
June 22, 2018 - Do EPs change their clinical behaviour in the hallway or
when a companion is present? A cross-sectional survey.
June 22, 2018
Stoklosa H, Scannell M, Ma Z, et al. Do EPs change their clinical behaviour in the hallway or when a
companion is present? A cross-sectional survey. Emerg Med J. 2018;35(7):406-411.
doi:10.…
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psnet.ahrq.gov/node/43157/psn-pdf
May 07, 2014 - Governing board, C-suite, and clinical management
perceptions of quality and safety structures, processes,
and priorities in US hospitals.
May 7, 2014
Vaughn T, Koepke M, Levey S, et al. Governing board, C-suite, and clinical management perceptions of
quality and safety structures, processes, and priorities in U.S…
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psnet.ahrq.gov/node/45483/psn-pdf
March 20, 2018 - Impact of initial hospital diagnosis on mortality for acute
myocardial infarction: a national cohort study.
March 20, 2018
Wu J, Gale CP, Hall M, et al. Editor's Choice - Impact of initial hospital diagnosis on mortality for acute
myocardial infarction: A national cohort study. Eur Heart J Acute Cardiovasc Care. 20…
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psnet.ahrq.gov/node/39071/psn-pdf
November 04, 2009 - Identification of patient information corruption in the
intensive care unit: using a scoring tool to direct quality
improvements in handover.
November 4, 2009
Pickering BW, Hurley K, Marsh B. Identification of patient information corruption in the intensive care unit:
using a scoring tool to direct quality improve…
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psnet.ahrq.gov/node/42748/psn-pdf
November 20, 2013 - Effectiveness of written hospitalist sign-outs in answering
overnight inquiries.
November 20, 2013
Fogerty RL, Schoenfeld A, Al-Damluji MS, et al. Effectiveness of written hospitalist sign-outs in answering
overnight inquiries. J Hosp Med. 2013;8(11):609-14. doi:10.1002/jhm.2090.
https://psnet.ahrq.gov/issue/effec…
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psnet.ahrq.gov/node/43785/psn-pdf
May 01, 2015 - Evaluation of the effectiveness of a surgical checklist in
Medicare patients.
May 1, 2015
Reames BN, Scally CP, Thumma JR, et al. Evaluation of the Effectiveness of a Surgical Checklist in
Medicare Patients. Med Care. 2015;53(1):87-94. doi:10.1097/MLR.0000000000000277.
https://psnet.ahrq.gov/issue/evaluation-effec…
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psnet.ahrq.gov/node/43969/psn-pdf
November 17, 2017 - Transparency when things go wrong: physician attitudes
about reporting medical errors to patients, peers, and
institutions.
November 17, 2017
Bell SK, White AA, Yi JC, et al. Transparency When Things Go Wrong. J Patient Saf. 2015;13(4):243-248.
doi:10.1097/pts.0000000000000153.
https://psnet.ahrq.gov/issue/transp…
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psnet.ahrq.gov/node/44959/psn-pdf
March 09, 2016 - Patient, physician, medical assistant, and office visit
factors associated with medication list agreement.
March 9, 2016
Reedy AB, Yeh JY, Nowacki AS, et al. Patient, Physician, Medical Assistant, and Office Visit Factors
Associated With Medication List Agreement. J Patient Saf. 2016;12(1):18-24.
doi:10.1097/PTS.0…
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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/38120/psn-pdf
June 16, 2011 - Organizational culture, team climate and diabetes care in
small office-based practices.
June 16, 2011
Bosch M, Dijkstra R, Wensing M, et al. Organizational culture, team climate and diabetes care in small
office-based practices. BMC Health Serv Res. 2008;8:180. doi:10.1186/1472-6963-8-180.
https://psnet.ahrq.gov/i…
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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/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/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.
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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…