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psnet.ahrq.gov/node/37534/psn-pdf
February 13, 2008 - Measurable outcomes of quality improvement in the
trauma intensive care unit: the impact of a daily quality
rounding checklist.
February 13, 2008
DuBose JJ, Inaba K, Shiflett A, et al. Measurable outcomes of quality improvement in the trauma intensive
care unit: the impact of a daily quality rounding checklist. J …
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psnet.ahrq.gov/node/840153/psn-pdf
November 16, 2022 - Team debriefing in the COVID-19 pandemic: a qualitative
study of a hospital-wide clinical event debriefing program
and a novel qualitative model to analyze debriefing
content.
November 16, 2022
Welch-Horan TB, Mullan PC, Momin Z, et al. Team debriefing in the COVID-19 pandemic: a qualitative
study of a hospital-w…
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psnet.ahrq.gov/node/60539/psn-pdf
July 10, 2017 - Understanding facilitators and barriers to care
transitions: insights from Project ACHIEVE Site Visits.
July 10, 2017
Scott AM, Li J, Oyewole-Eletu S, et al. Understanding facilitators and barriers to care transitions: insights
from Project ACHIEVE Site Visits. Jt Comm J Qual Patient Saf. 2017;43(9):433-447.
doi:1…
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psnet.ahrq.gov/node/839817/psn-pdf
January 01, 2023 - Ethical leadership supports safety voice by increasing
risk perception and reducing ethical ambiguity: evidence
from the COVID-19 pandemic.
November 9, 2022
Cakir MS, Wardman JK, Trautrims A. Ethical leadership supports safety voice by increasing risk perception
and reducing ethical ambiguity: evidence from the CO…
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psnet.ahrq.gov/node/43117/psn-pdf
December 12, 2014 - Is your hospital really as safe as you think? Our updated
hospital safety score can help you find out.
December 12, 2014
Consumer Reports. March 27, 2014.
https://psnet.ahrq.gov/issue/your-hospital-really-safe-you-think-our-updated-hospital-safety-score-can-help-
you-find-out
Despite lack of consensus on the valu…
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psnet.ahrq.gov/node/35935/psn-pdf
June 16, 2011 - Operating room teamwork among physicians and nurses:
teamwork in the eye of the beholder.
June 16, 2011
Makary MA, Sexton B, Freischlag JA, et al. Operating room teamwork among physicians and nurses:
teamwork in the eye of the beholder. J Am Coll Surg. 2006;202(5):746-52.
https://psnet.ahrq.gov/issue/operating-roo…
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psnet.ahrq.gov/node/848817/psn-pdf
May 10, 2023 - Impact of patient safety climate on infection prevention
practices and healthcare worker and patient outcomes.
May 10, 2023
Hessels AJ, Guo J, Johnson CT, et al. Impact of patient safety climate on infection prevention practices
and healthcare worker and patient outcomes. Am J Infect Control. 2023;51(5):482-489.
d…
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psnet.ahrq.gov/node/41860/psn-pdf
November 28, 2012 - Stakeholder perspectives on handovers between hospital
staff and general practitioners: an evaluation through the
microsystems lens.
November 28, 2012
Göbel B, Zwart DLM, Hesselink G, et al. Stakeholder perspectives on handovers between hospital staff and
general practitioners: an evaluation through the microsyste…
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psnet.ahrq.gov/node/60342/psn-pdf
May 20, 2020 - Occurrence, prevention, and management of the
psychological effects of emerging virus outbreaks on
healthcare workers: rapid review and meta-analysis.
May 20, 2020
Kisely S, Warren N, McMahon L, et al. Occurrence, prevention, and management of the psychological
effects of emerging virus outbreaks on healthcare wor…
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psnet.ahrq.gov/node/837311/psn-pdf
June 01, 2022 - Effects of healthcare organization actions and policies
related to COVID-19 on perceived organizational support
among U.S. internists: a national study.
June 1, 2022
Sonis J, Pathman DE, Read S, et al. Effects of healthcare organization actions and policies related to
COVID-19 on perceived organizational support a…
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psnet.ahrq.gov/node/840484/psn-pdf
November 30, 2022 - Interdisciplinary collaboration across secondary and
primary care to improve medication safety in the elderly
(The IMMENSE study) - a randomized controlled trial.
November 30, 2022
Johansen JS, Halvorsen KH, Svendsen K, et al. Interdisciplinary collaboration across secondary and
primary care to improve medication …
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psnet.ahrq.gov/node/866854/psn-pdf
January 01, 2025 - Charting diagnostic safety: exploring patient-provider
discordance in medical record documentation.
October 2, 2024
Giardina TD, Vaghani V, Upadhyay DK, et al. Charting diagnostic safety: exploring patient-provider
discordance in medical record documentation. J Gen Intern Med. 2025;40(4):773-781. doi:10.1007/s11606…
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psnet.ahrq.gov/node/847538/psn-pdf
April 12, 2023 - Crisis scenarios for simulation-based nontechnical skills
training for cardiac surgery teams: a national survey
among cardiac anesthesiologists, cardiac surgeons,
clinical perfusionists, and cardiac operating room nurses.
April 12, 2023
Kemper T, van Haperen M, Eberl S, et al. Crisis scenarios for simulation-based…
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psnet.ahrq.gov/node/867007/psn-pdf
October 23, 2024 - Development and psychometric analysis of a patient-
reported measure of diagnostic excellence for emergency
and urgent care settings.
October 23, 2024
Gleason KT, Dukhanin V, Peterson SK, et al. Development and psychometric analysis of a patient-reported
measure of diagnostic excellence for emergency and urgent ca…
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psnet.ahrq.gov/node/47247/psn-pdf
December 19, 2018 - Preventing central line–associated bloodstream
infections in the intensive care unit: application of high-
reliability principles.
December 19, 2018
McCraw B, Crutcher T, Polancich S, et al. Preventing Central Line-Associated Bloodstream Infections in
the Intensive Care Unit: Application of High-Reliability Princi…
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psnet.ahrq.gov/node/44609/psn-pdf
June 21, 2016 - The missing evidence: a systematic review of patients'
experiences of adverse events in health care.
June 21, 2016
Harrison R, Walton M, Manias E, et al. The missing evidence: a systematic review of patients' experiences
of adverse events in health care. Int J Qual Health Care. 2015;27(6):424-42. doi:10.1093/intqhc…
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psnet.ahrq.gov/node/37227/psn-pdf
December 15, 2011 - Intensive care unit safety incidents for medical versus
surgical patients: a prospective multicenter study.
December 15, 2011
Sinopoli DJ, Needham DM, Thompson DA, et al. Intensive care unit safety incidents for medical versus
surgical patients: a prospective multicenter study. J Crit Care. 2007;22(3):177-83.
http…
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psnet.ahrq.gov/node/50800/psn-pdf
January 01, 2021 - Hacking teamwork in health care: addressing adverse
effects of ad hoc team composition in critical care
medicine.
January 15, 2020
McLeod PL, Cunningham QW, DiazGranados D, et al. Hacking teamwork in health care: Addressing
adverse effects of ad hoc team composition in critical care medicine. Health Care Manag Rev…
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psnet.ahrq.gov/node/47934/psn-pdf
April 17, 2019 - Community Pharmacy Survey on Patient Safety Culture:
2019 User Comparative Database Report.
April 17, 2019
Famolaro T, Yount ND, Hare R, et al. Rockville, MD: Agency for Healthcare Research and Quality; April
2019. AHRQ Publication No. 19-0033.
https://psnet.ahrq.gov/issue/community-pharmacy-survey-patient-safety-…
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psnet.ahrq.gov/node/866432/psn-pdf
August 07, 2024 - Improving appropriate use of peripherally inserted central
catheters through a statewide collaborative hospital
initiative: a cost-effectiveness analysis.
August 7, 2024
Heath M, Bernstein SJ, Paje D, et al. Improving appropriate use of peripherally inserted central catheters
through a statewide collaborative hosp…