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psnet.ahrq.gov/node/35451/psn-pdf
January 05, 2017 - Closing the loop: follow-up and feedback in a patient
safety program.
January 5, 2017
Gandhi TK, Graydon-Baker E, Huber CN, et al. Closing the loop: follow-up and feedback in a patient safety
program. Jt Comm J Qual Patient Saf. 2005;31(11):614-21.
https://psnet.ahrq.gov/issue/closing-loop-follow-and-feedback-pati…
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psnet.ahrq.gov/node/861765/psn-pdf
January 31, 2024 - Observational study of conformity in yet another medical
learning environment: conformity to preceptors during
high-fidelity simulation.
January 31, 2024
Beran T, Altabbaa G, Oddone Paolucci E. Observational study of conformity in yet another medical
learning environment: conformity to preceptors during high-fidel…
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psnet.ahrq.gov/node/47896/psn-pdf
July 10, 2019 - Engaging patients and informal caregivers to improve
safety and facilitate person- and family-centered care
during transitions from hospital to home: a qualitative
descriptive study.
July 10, 2019
Backman C, Cho-Young D. Engaging patients and informal caregivers to improve safety and facilitate
person- and family…
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psnet.ahrq.gov/node/849325/psn-pdf
January 01, 2024 - Medication safety event reporting: factors that contribute
to safety events during times of organizational stress.
May 24, 2023
Cohen TN, Berdahl CT, Coleman BL, et al. Medication safety event reporting: factors that contribute to
safety events during times of organizational stress. J Nurs Care Qual. 2024;39(1):51-…
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psnet.ahrq.gov/node/837731/psn-pdf
July 27, 2022 - Predictors and outcomes of patient safety culture: a
cross-sectional comparative study.
July 27, 2022
Mrayyan MT. Predictors and outcomes of patient safety culture: a cross-sectional comparative study. BMJ
Open Qual. 2022;11(3):e001889. doi:10.1136/bmjoq-2022-001889.
https://psnet.ahrq.gov/issue/predictors-and-out…
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psnet.ahrq.gov/node/60536/psn-pdf
May 27, 2020 - Nursing home workers warned government about safety
violations before COVID-19 outbreaks and deaths.
May 27, 2020
Ellis B, Hicken M. CNN. May 14, 2020.
https://psnet.ahrq.gov/issue/nursing-home-workers-warned-government-about-safety-violations-covid-19-
outbreaks-and-deaths
Long-term care and skilled nursing faci…
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psnet.ahrq.gov/node/46603/psn-pdf
April 12, 2019 - Comparison of internal medicine and general surgery
residents' assessments of risk of postsurgical
complications in surgically complex patients.
April 12, 2019
Healy JM, Davis KA, Pei KY. Comparison of Internal Medicine and General Surgery Residents'
Assessments of Risk of Postsurgical Complications in Surgically …
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psnet.ahrq.gov/node/50917/psn-pdf
February 19, 2020 - "Thank You for Listening": An exploratory study
regarding the lived experience and perception of medical
errors among those who receive care.
February 19, 2020
Terry D, Kim J-ah, Gilbert J, et al. “Thank You for Listening”: An Exploratory Study Regarding the Lived
Experience and Perception of Medical Errors Among …
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psnet.ahrq.gov/node/47121/psn-pdf
August 08, 2018 - Assessment of programs aimed to decrease or prevent
mistreatment of medical trainees.
August 8, 2018
Mazer LM, Bereknyei Merrell S, Hasty BN, et al. Assessment of Programs Aimed to Decrease or Prevent
Mistreatment of Medical Trainees. JAMA Netw Open. 2018;1(3):e180870.
doi:10.1001/jamanetworkopen.2018.0870.
https…
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psnet.ahrq.gov/node/866563/psn-pdf
August 21, 2024 - Leadership and the high reliability transformation: a
qualitative study at Truman VA medical center.
August 21, 2024
Leonard C, Gilmartin HM, Starr LM, et al. Leadership and the high reliability transformation: a qualitative
study at Truman VA medical center. J Healthc Risk Manag. 2024;44(1):17-23. doi:10.1002/jhrm…
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psnet.ahrq.gov/node/74109/psn-pdf
November 24, 2021 - Patient and caregiver factors in ambulatory incident
reports: a mixed-methods analysis.
November 24, 2021
Sharma AE, Huang B, Del Rosario JB, et al. Patient and caregiver factors in ambulatory incident reports: a
mixed-methods analysis. BMJ Open Qual. 2021;10(3):e001421. doi:10.1136/bmjoq-2021-001421.
https://psne…
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psnet.ahrq.gov/node/864376/psn-pdf
March 13, 2024 - Implementing and evaluating patient-focused safety
technology on adult acute mental health wards.
March 13, 2024
Kendal S, Louch G, Walker L, et al. Implementing and evaluating patient?focused safety technology on
adult acute mental health wards. J Psychiatr Ment Health Nurs. 2024;31(5):742-754.
doi:10.1111/jpm.13…
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psnet.ahrq.gov/node/40816/psn-pdf
March 21, 2017 - Professionalism: a necessary ingredient in a culture of
safety.
March 21, 2017
Dupree E, Anderson R, McEvoy MD, et al. Professionalism: a necessary ingredient in a culture of safety. Jt
Comm J Qual Patient Saf. 2011;37(10):447-55.
https://psnet.ahrq.gov/issue/professionalism-necessary-ingredient-culture-safety
Di…
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psnet.ahrq.gov/node/73133/psn-pdf
April 14, 2021 - A human factors intervention in a hospital--evaluating the
outcome of a TeamSTEPPS program in a surgical ward.
April 14, 2021
Aaberg OR, Hall-Lord ML, Husebø SIE, et al. A human factors intervention in a hospital - evaluating the
outcome of a TeamSTEPPS program in a surgical ward. BMC Health Serv Res. 2021;21(1):11…
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psnet.ahrq.gov/node/839826/psn-pdf
November 09, 2022 - Professional behavior and value erosion: a qualitative
study of physicians and the electronic health record.
November 9, 2022
Skeff KM, Brown-Johnson CG, Asch SM, et al. Professional behavior and value erosion: a qualitative study
of physicians and the electronic health record. J Healthc Manag. 2022;67(5):339-352. …
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psnet.ahrq.gov/node/841473/psn-pdf
December 14, 2022 - Examination of maternal near-miss experiences in the
hospital setting among Black women in the United States.
December 14, 2022
Byrd TE, Ingram LA, Okpara N. Examination of maternal near-miss experiences in the hospital setting
among Black women in the United States. Womens Health (Lond). 2022;18:174550572211338.
…
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psnet.ahrq.gov/node/34656/psn-pdf
May 27, 2011 - A look into the nature and causes of human errors in the
intensive care unit.
May 27, 2011
Donchin Y, Gopher D, Olin M, et al. A look into the nature and causes of human errors in the intensive care
unit. Crit Care Med. 1995;23(2):294-300.
https://psnet.ahrq.gov/issue/look-nature-and-causes-human-errors-intensive-…
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psnet.ahrq.gov/node/837345/psn-pdf
June 08, 2022 - A checklist to address implicit bias in healthcare settings
during the COVID-19 pandemic: The PLACE Strategy.
June 8, 2022
Galiatsatos P, O'Conor KJ, Wilson C, et al. A checklist to address implicit bias in healthcare settings during
the COVID-19 pandemic: The PLACE Strategy. Health Secur. 2022;20(3):261-263.
doi:…
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psnet.ahrq.gov/node/854633/psn-pdf
October 18, 2023 - A survey of pharmacists' perception of the work
environment and patient safety in community pharmacies
during the COVID-19 pandemic.
October 18, 2023
Ljungberg Persson C, Nordén Hägg A, Södergård B. A survey of pharmacists' perception of the work
environment and patient safety in community pharmacies during the CO…
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psnet.ahrq.gov/node/866070/psn-pdf
June 05, 2024 - Large language models for preventing medication
direction errors in online pharmacies.
June 5, 2024
Pais C, Liu J, Voigt R, et al. Large language models for preventing medication direction errors in online
pharmacies. Nat Med. 2024;30(6):1574-1582. doi:10.1038/s41591-024-02933-8.
https://psnet.ahrq.gov/issue/large…