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psnet.ahrq.gov/node/45371/psn-pdf
April 24, 2017 - Patient safety and workplace bullying: an integrative
review.
April 24, 2017
Houck NM, Colbert AM. Patient Safety and Workplace Bullying: An Integrative Review. J Nurs Care Qual.
2017;32(2):164-171. doi:10.1097/NCQ.0000000000000209.
https://psnet.ahrq.gov/issue/patient-safety-and-workplace-bullying-integrative-rev…
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psnet.ahrq.gov/node/73977/psn-pdf
October 20, 2021 - Optimizing situation awareness to reduce emergency
transfers in hospitalized children.
October 20, 2021
Sosa T, Sitterding M, Dewan M, et al. Optimizing situation awareness to reduce emergency transfers in
hospitalized children. Pediatrics. 2021;148(4):e2020034603. doi:10.1542/peds.2020-034603.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/840150/psn-pdf
January 01, 2023 - Patients' experience of patient safety information and
participation in care during a hospital stay.
November 16, 2022
Tubic B, Finizia C, Zainal Kamil A, et al. Patients' experience of patient safety information and participation
in care during a hospital stay. Nurs Open. 2023;10(3):1684-1692. doi:10.1002/nop2.142…
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psnet.ahrq.gov/node/45426/psn-pdf
August 24, 2016 - Handoffs, safety culture, and practices: evidence from the
hospital survey on patient safety culture.
August 24, 2016
Lee S-H, Phan PH, Dorman T, et al. Handoffs, safety culture, and practices: evidence from the hospital
survey on patient safety culture. BMC Health Serv Res. 2016;16:254. doi:10.1186/s12913-016-1502…
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psnet.ahrq.gov/node/866355/psn-pdf
July 24, 2024 - Frequency and preventability of adverse drug events in
the outpatient setting.
July 24, 2024
Wasserman RL, Edrees HH, Amato MG, et al. Frequency and preventability of adverse drug events in the
outpatient setting. BMJ Qual Saf. 2024;Epub Jul 9. doi:10.1136/bmjqs-2024-017098.
https://psnet.ahrq.gov/issue/frequency-…
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psnet.ahrq.gov/node/47106/psn-pdf
August 15, 2018 - Imitating incidents: how simulation can improve safety
investigation and learning from adverse events.
August 15, 2018
Macrae C. Imitating Incidents: How Simulation Can Improve Safety Investigation and Learning From
Adverse Events. Simul Healthc. 2018;13(4):227-232. doi:10.1097/SIH.0000000000000315.
https://psnet.…
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psnet.ahrq.gov/node/42697/psn-pdf
December 05, 2013 - An initiative to improve the management of clinically
significant test results in a large health care network.
December 5, 2013
Roy CL, Rothschild JM, Dighe AS, et al. An initiative to improve the management of clinically significant
test results in a large health care network. Jt Comm J Qual Patient Saf. 2013;39(1…
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psnet.ahrq.gov/node/72602/psn-pdf
December 23, 2020 - Patient safety in chiropractic teaching programs: a mixed
methods study.
December 23, 2020
Pohlman KA, Salsbury SA, Funabashi M, et al. Patient safety in chiropractic teaching programs: a mixed
methods study. Chiropr Man Therap. 2020;28(1):50. doi:10.1186/s12998-020-00339-0.
https://psnet.ahrq.gov/issue/patient-sa…
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psnet.ahrq.gov/node/46474/psn-pdf
November 08, 2017 - Clearing the Error: Using Public Deliberation to Define
Patient Roles as Partners in the Diagnostic Process.
November 8, 2017
St. Paul, MN: Society to Improve Diagnosis in Medicine, Maxwell School of Citizenship and Public Affairs at
Syracuse University, and Jefferson Center; 2017.
https://psnet.ahrq.gov/issue/cle…
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psnet.ahrq.gov/node/60803/psn-pdf
August 12, 2020 - Interprofessional/interdisciplinary teamwork during the
early COVID-19 pandemic: experience from a children's
hospital within an academic health center.
August 12, 2020
Natale JAE, Boehmer J, Blumberg DA, et al. Interprofessional/interdisciplinary teamwork during the early
COVID-19 pandemic: experience from a chil…
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psnet.ahrq.gov/node/862129/psn-pdf
February 07, 2024 - Application of "Human Factor Analysis and Classification
System" (HFACS) model to the prevention of medical
errors and adverse events: a systematic review.
February 7, 2024
Jalali M, Dehghan H, Habibi E, et al. Int J Prev Med. 2023;14:127.
https://psnet.ahrq.gov/issue/application-human-factor-analysis-and-classifi…
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psnet.ahrq.gov/node/72502/psn-pdf
November 25, 2020 - Patient safety in primary care: conceptual meanings to
the health care team and patients.
November 25, 2020
Lai AY. Patient safety in primary care: conceptual meanings to the health care team and patients. J Am
Board Fam Med. 2020;33(5):754-764. doi:10.3122/jabfm.2020.05.200042.
https://psnet.ahrq.gov/issue/patien…
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psnet.ahrq.gov/node/72600/psn-pdf
December 23, 2020 - Improving hospital safety culture for falls prevention
through interdisciplinary health education.
December 23, 2020
Lopez-Jeng C, Eberth SD. Improving hospital safety culture for falls prevention through interdisciplinary
health education. Health Promot Pract. 2020;21(6):918-925. doi:10.1177/1524839919840337.
htt…
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psnet.ahrq.gov/node/61023/psn-pdf
October 14, 2020 - Information concerning ICU patients’ families in the
handover—the clinicians’ “game of whispers”: a
qualitative study.
October 14, 2020
Nygaard AM, Selnes Haugdahl H, Støre Brinchmann B, et al. Information concerning ICU patients’ families
in the handover—the clinicians’ “game of whispers”: a qualitative study. J …
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psnet.ahrq.gov/node/47912/psn-pdf
April 24, 2019 - A systematic literature review and narrative synthesis on
the risks of medical discharge letters for patients' safety.
April 24, 2019
Schwarz CM, Hoffmann M, Schwarz P, et al. A systematic literature review and narrative synthesis on the
risks of medical discharge letters for patients' safety. BMC Health Serv Res. …
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psnet.ahrq.gov/node/866958/psn-pdf
October 16, 2024 - Beyond error: a qualitative study of human factors in
serious adverse events.
October 16, 2024
Mujuru C, Peisah C. Beyond error: a qualitative study of human factors in serious adverse events. J
Healthc Risk Manag. 2024;44(2):7-13. doi:10.1002/jhrm.21583.
https://psnet.ahrq.gov/issue/beyond-error-qualitative-study…
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www.ahrq.gov/patient-safety/reports/healthaffairs.html
March 01, 2019 - AHRQ-Funded Patient Safety Research Featured in Health Affairs
AHRQ-funded research studies focused on critical aspects of patient safety and health information technology were published in a November 2018 patient safety-themed issue of Health Affairs . As part of its commitment to lead patient-safety efforts …
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psnet.ahrq.gov/node/866857/psn-pdf
October 02, 2024 - Reducing falls in hospitalized children and adolescents
with cancer and blood disorders: a quality improvement
journey.
October 2, 2024
Morrissey LK, Ho P, Ilowite M, et al. Reducing falls in hospitalized children and adolescents with cancer
and blood disorders: a quality improvement journey. Pediatr Qual Saf. 202…
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psnet.ahrq.gov/node/44409/psn-pdf
January 22, 2016 - "Anybody on this list that you're more worried about?"
Qualitative analysis exploring the functions of questions
during end of shift handoffs.
January 22, 2016
O'Brien CM, Flanagan ME, Bergman AA, et al. "Anybody on this list that you're more worried about?"
Qualitative analysis exploring the functions of question…
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psnet.ahrq.gov/node/39074/psn-pdf
November 04, 2009 - Development and usability of a behavioural marking
system for performance assessment of obstetrical teams.
November 4, 2009
Tregunno D, Pittini R, Haley M, et al. Development and usability of a behavioural marking system for
performance assessment of obstetrical teams. Qual Saf Health Care. 2009;18(5):393-6.
doi:1…