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psnet.ahrq.gov/node/38887/psn-pdf
August 26, 2009 - Measuring patient safety culture: an assessment of the
clustering of responses at unit level and hospital level.
August 26, 2009
Smits M, Wagner C, Spreeuwenberg P, et al. Measuring patient safety culture: an assessment of the
clustering of responses at unit level and hospital level. Quality and Safety in Health Ca…
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psnet.ahrq.gov/node/34587/psn-pdf
January 04, 2017 - John M. Eisenberg Patient Safety Awards. Individual
lifetime achievement: Jeffrey B. Cooper, Ph.D.,
Massachusetts General Hospital.
January 4, 2017
Cooper JB. John M. Eisenberg Patient Safety Awards. Individual lifetime achievement: Jeffrey B. Cooper,
Ph.D., Massachusetts General Hospital. Interview by Steven Berm…
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psnet.ahrq.gov/node/35736/psn-pdf
May 27, 2011 - Video capture of clinical care to enhance patient safety.
May 27, 2011
Weinger MB, Gonzales DC, Slagle J, et al. Video capture of clinical care to enhance patient safety. Qual
Saf Health Care. 2004;13(2):136-44.
https://psnet.ahrq.gov/issue/video-capture-clinical-care-enhance-patient-safety
This study describes th…
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psnet.ahrq.gov/node/43511/psn-pdf
September 10, 2014 - Re-finding the 'human side' of human factors in nursing:
helping student nurses to combine person-centred care
with the rigours of patient safety.
September 10, 2014
Fawcett TJN, Rhynas SJ. Re-finding the 'human side' of human factors in nursing: helping student nurses
to combine person-centred care with the rigou…
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psnet.ahrq.gov/node/44801/psn-pdf
June 22, 2016 - Safety for all: integrated design for inpatient units.
June 22, 2016
Hunt JM, Sine DM. Patient Saf Qual Healthc. May/June 2016;13:20-28.
https://psnet.ahrq.gov/issue/safety-all-integrated-design-inpatient-units
Design is emerging as an important tactic to augment safe care delivery. Hospitals that provide care for
…
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psnet.ahrq.gov/node/46376/psn-pdf
December 07, 2017 - User-centered collaborative design and development of
an inpatient safety dashboard.
December 7, 2017
Mlaver E, Schnipper JL, Boxer RB, et al. User-Centered Collaborative Design and Development of an
Inpatient Safety Dashboard. Jt Comm J Qual Patient Saf. 2017;43(12):676-685.
doi:10.1016/j.jcjq.2017.05.010.
https…
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psnet.ahrq.gov/node/47212/psn-pdf
July 11, 2018 - Medicine and the rise of the robots: a qualitative review of
recent advances of artificial intelligence in health.
July 11, 2018
Loh E. BMJ Leader. 2018;2(2):59-63.
https://psnet.ahrq.gov/issue/medicine-and-rise-robots-qualitative-review-recent-advances-artificial-
intelligence-health
Artificial intelligence (AI)…
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psnet.ahrq.gov/node/36118/psn-pdf
September 24, 2010 - Implementing patient safety practices in small ambulatory
care settings.
September 24, 2010
Schauberger CW, Larson P. Implementing patient safety practices in small ambulatory care settings. Jt
Comm J Qual Patient Saf. 2006;32(8):419-425.
https://psnet.ahrq.gov/issue/implementing-patient-safety-practices-small-amb…
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psnet.ahrq.gov/node/44459/psn-pdf
October 06, 2016 - Examining the Relationship Between Health IT and
Ambulatory Care Workflow Redesign.
October 6, 2016
Zheng K, Ciemins EL, Lanham HJ, et al. Rockville, MD: Agency for Healthcare Research and Quality; July
2015. AHRQ Publication No. 15-0058-EF.
https://psnet.ahrq.gov/issue/examining-relationship-between-health-it-and…
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psnet.ahrq.gov/node/45029/psn-pdf
April 20, 2016 - Threats to safety during sedation outside of the operating
room and the death of Michael Jackson.
April 20, 2016
Webster CS, Mason KP, Shafer SL. Threats to safety during sedation outside of the operating room and
the death of Michael Jackson. Curr Opin Anaesthesiol. 2016;29 Suppl 1:S36-47.
doi:10.1097/ACO.0000000…
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psnet.ahrq.gov/node/38400/psn-pdf
February 11, 2009 - The impact of clinically undiagnosed injuries on survival
estimates.
February 11, 2009
Gedeborg R, Thiblin I, Byberg L, et al. The impact of clinically undiagnosed injuries on survival estimates.
Crit Care Med. 2009;37(2). doi:10.1097/ccm.0b013e318194b164.
https://psnet.ahrq.gov/issue/impact-clinically-undiagnosed…
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psnet.ahrq.gov/node/41868/psn-pdf
January 07, 2015 - Changes in end-user satisfaction with computerized
provider order entry over time among nurses and
providers in intensive care units.
January 7, 2015
Hoonakker P, Carayon P, Brown RL, et al. Changes in end-user satisfaction with Computerized Provider
Order Entry over time among nurses and providers in intensive ca…
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psnet.ahrq.gov/node/43957/psn-pdf
June 21, 2015 - Enhancing the effectiveness of team debriefings in
medical simulation: more best practices.
June 21, 2015
Lyons R, Lazzara EH, Benishek LE, et al. Enhancing the effectiveness of team debriefings in medical
simulation: more best practices. Jt Comm J Qual Patient Saf. 2015;41(3):115-125.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/38517/psn-pdf
February 17, 2011 - Use of electronic health records in US hospitals.
February 17, 2011
Jha AK, DesRoches CM, Campbell EG, et al. Use of electronic health records in U.S. hospitals.
doi:10.1056/NEJMsa0900592.
https://psnet.ahrq.gov/issue/use-electronic-health-records-us-hospitals
Increasing the use of electronic health records (EHRs)…
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psnet.ahrq.gov/node/41591/psn-pdf
November 26, 2014 - "Did I do as best as the system would let me?" Healthcare
professional views on hospital to home care transitions.
November 26, 2014
Davis MM, Devoe M, Kansagara D, et al. "Did I do as best as the system would let me?" Healthcare
professional views on hospital to home care transitions. J Gen Intern Med. 2012;27(12)…
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psnet.ahrq.gov/node/43068/psn-pdf
May 29, 2014 - Patient safety incidents in home hospice care: the
experiences of hospice interdisciplinary team members.
May 29, 2014
Smucker DR, Regan S, Elder NC, et al. Patient safety incidents in home hospice care: the experiences of
hospice interdisciplinary team members. J Palliat Med. 2014;17(5):540-4. doi:10.1089/jpm.2013…
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psnet.ahrq.gov/node/42432/psn-pdf
August 07, 2013 - Adoption of electronic health records grows rapidly, but
fewer than half of US hospitals had at least a basic
system in 2012.
August 7, 2013
DesRoches CM, Charles D, Furukawa MF, et al. Adoption of electronic health records grows rapidly, but
fewer than half of US hospitals had at least a basic system in 2012. Hea…
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psnet.ahrq.gov/node/46541/psn-pdf
January 31, 2018 - The 2017 ACGME common work hour standards:
promoting physician learning and professional
development in a safe, humane environment.
January 31, 2018
Burchiel KJ, Zetterman RK, Ludmerer KM, et al. The 2017 ACGME Common Work Hour Standards:
Promoting Physician Learning and Professional Development in a Safe, Humane …
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psnet.ahrq.gov/node/37480/psn-pdf
January 23, 2008 - Lost opportunities: how physicians communicate about
medical errors.
January 23, 2008
Garbutt J, Waterman AD, Kapp JM, et al. Lost Opportunities: How Physicians Communicate About Medical
Errors. Health Aff (Millwood). 2008;27(1):246-255. doi:10.1377/hlthaff.27.1.246.
https://psnet.ahrq.gov/issue/lost-opportunities…
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psnet.ahrq.gov/node/46732/psn-pdf
June 07, 2018 - The SAGES Fundamental Use of Surgical Energy program
(FUSE): history, development, and purpose.
June 7, 2018
Fuchshuber P, Schwaitzberg S, Jones D, et al. The SAGES Fundamental Use of Surgical Energy program
(FUSE): history, development, and purpose. Surg Endosc. 2018;32(6):2583-2602. doi:10.1007/s00464-
017-5933-…