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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/39797/psn-pdf
September 20, 2011 - Liability claims and costs before and after implementation
of a medical error disclosure program.
September 20, 2011
Kachalia A, Kaufman SR, Boothman RC, et al. Liability claims and costs before and after implementation of
a medical error disclosure program. Ann Intern Med. 2010;153(4):213-21. doi:10.7326/0003-4819…
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psnet.ahrq.gov/node/39721/psn-pdf
September 20, 2011 - Physicians' perceptions, preparedness for reporting, and
experiences related to impaired and incompetent
colleagues.
September 20, 2011
DesRoches CM, Rao SR, Fromson J, et al. Physicians' perceptions, preparedness for reporting, and
experiences related to impaired and incompetent colleagues. JAMA. 2010;304(2):187-…
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psnet.ahrq.gov/node/39143/psn-pdf
February 14, 2011 - Impact of a pharmacist-facilitated hospital discharge
program: a quasi-experimental study.
February 14, 2011
Walker PC, Bernstein SJ, Jones JNT, et al. Impact of a pharmacist-facilitated hospital discharge program: a
quasi-experimental study. Arch Intern Med. 2009;169(21):2003-10. doi:10.1001/archinternmed.2009.398…
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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/74230/psn-pdf
January 12, 2022 - Learning from diagnostic errors to improve patient safety
when GPs work in or alongside emergency departments:
incorporating realist methodology into patient safety
incident report analysis.
January 12, 2022
Cooper A, Carson-Stevens A, Cooke M, et al. Learning from diagnostic errors to improve patient safety
when…
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psnet.ahrq.gov/node/45405/psn-pdf
November 18, 2016 - Relationship between operating room teamwork,
contextual factors, and safety checklist performance.
November 18, 2016
Singer SJ, Molina G, Li Z, et al. Relationship Between Operating Room Teamwork, Contextual Factors,
and Safety Checklist Performance. J Am Coll Surg. 2016;223(4):568-580.e2.
doi:10.1016/j.jamcollsu…
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psnet.ahrq.gov/node/46932/psn-pdf
April 22, 2018 - Hospital Survey on Patient Safety Culture: 2018 User
Database Report.
April 22, 2018
Famolaro T, Yount N, Hare, R, et al. Rockville, MD: Agency for Healthcare Research and Quality; March
2018. AHRQ Publication No. 18-0025-EF.
https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2018-user-database-re…
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psnet.ahrq.gov/node/39266/psn-pdf
March 05, 2010 - The impact of stress on surgical performance: a
systematic review of the literature.
March 5, 2010
Arora S, Sevdalis N, Nestel D, et al. The impact of stress on surgical performance: a systematic review of
the literature. Surgery. 2010;147(3):318-30, 330.e1-6. doi:10.1016/j.surg.2009.10.007.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/40167/psn-pdf
January 22, 2017 - Trainees' perceptions of patient safety practices:
recounting failures of supervision.
January 22, 2017
Ross PT, McMyler ET, Anderson SG, et al. Trainees' perceptions of patient safety practices: recounting
failures of supervision. Jt Comm J Qual Patient Saf. 2011;37(2):88-95.
https://psnet.ahrq.gov/issue/trainees…
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psnet.ahrq.gov/node/46612/psn-pdf
February 22, 2018 - Influencing organisational culture to improve hospital
performance in care of patients with acute myocardial
infarction: a mixed-methods intervention study.
February 22, 2018
Curry LA, Brault MA, Linnander EL, et al. Influencing organisational culture to improve hospital
performance in care of patients with acute …
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psnet.ahrq.gov/node/866191/psn-pdf
June 26, 2024 - Quality improvement lessons learned from National
Implementation of the "Patient Safety Events in
Community Care: Reporting, Investigation, and
Improvement Guidebook".
June 26, 2024
Sullivan JL, Shin MH, Chan J, et al. Quality improvement lessons learned from National Implementation of
the “Patient Safety Events …
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psnet.ahrq.gov/node/40166/psn-pdf
April 03, 2017 - A strategic approach for managing conflict in hospitals:
responding to The Joint Commission leadership
standard—part 1 and part 2.
April 3, 2017
Scott C, Gerardi D. A strategic approach for managing conflict in hospitals: responding to the Joint
Commission leadership standard, Part 1. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/node/45684/psn-pdf
January 01, 2020 - A multilevel analysis of U.S. hospital patient safety
culture relationships with perceptions of voluntary event
reporting.
June 29, 2017
Burlison JD, Quillivan RR, Kath LM, et al. A Multilevel Analysis of U.S. Hospital Patient Safety Culture
Relationships With Perceptions of Voluntary Event Reporting. J Patient Sa…
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psnet.ahrq.gov/node/42653/psn-pdf
January 07, 2015 - Exploring the sociotechnical intersection of patient safety
and electronic health record implementation.
January 7, 2015
Meeks DW, Takian A, Sittig DF, et al. Exploring the sociotechnical intersection of patient safety and
electronic health record implementation. J Am Med Inform Assoc. 2014;21(e1):e28-e34.
doi:10.…
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psnet.ahrq.gov/node/73241/psn-pdf
May 12, 2021 - Delayed or failure to follow-up abnormal breast cancer
screening mammograms in primary care: a systematic
review.
May 12, 2021
Reece JC, Neal EFG, Nguyen P, et al. Delayed or failure to follow-up abnormal breast cancer screening
mammograms in primary care: a systematic review. BMC Cancer. 2021;21(1):373. doi:10.11…
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psnet.ahrq.gov/node/40640/psn-pdf
December 01, 2011 - Safety hazards in cancer care: findings using three
different methods.
December 1, 2011
Lipczak H, Knudsen JL, Nissen A. Safety hazards in cancer care: findings using three different methods.
BMJ Qual Saf. 2011;20(12):1052-6. doi:10.1136/bmjqs.2010.050856.
https://psnet.ahrq.gov/issue/safety-hazards-cancer-care-fi…
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psnet.ahrq.gov/node/46774/psn-pdf
April 12, 2019 - Association between handover of anesthesia care and
adverse postoperative outcomes among patients
undergoing major surgery.
April 12, 2019
Jones PM, Cherry RA, Allen BN, et al. Association Between Handover of Anesthesia Care and Adverse
Postoperative Outcomes Among Patients Undergoing Major Surgery. JAMA. 2018;319…
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psnet.ahrq.gov/node/60314/psn-pdf
May 13, 2020 - Preparedness for COVID-19: in situ simulation to enhance
infection control systems in the intensive care unit.
May 13, 2020
Choi GYS, Wan WTP, Chan AKM, et al. Preparedness for COVID-19: in situ simulation to enhance
infection control systems in the intensive care unit. Br J Anaesth. 2020;125(2):e236-e239.
doi:10.…
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psnet.ahrq.gov/node/38401/psn-pdf
February 18, 2011 - Trends in primary care clinician perceptions of a new
electronic health record.
February 18, 2011
El-Kareh R, Gandhi TK, Poon EG, et al. Trends in primary care clinician perceptions of a new electronic
health record. J Gen Intern Med. 2009;24(4):464-8. doi:10.1007/s11606-009-0906-z.
https://psnet.ahrq.gov/issue/tr…