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psnet.ahrq.gov/issue/fatigue-among-clinicians-and-safety-patients
November 15, 2018 - Study
Classic
Fatigue among clinicians and the safety of patients.
Citation Text:
Gaba DM, Howard SK. Patient safety: fatigue among clinicians and the safety of patients. New Engl J Med. 2002;347(16):1249-1255.
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psnet.ahrq.gov/issue/deficits-communication-and-information-transfer-between-hospital-based-and-primary-care
January 25, 2017 - Review
Classic
Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care.
Citation Text:
Kripalani S, LeFevre F, Phillips CO, et al. Deficits in communication a…
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psnet.ahrq.gov/node/39130/psn-pdf
November 25, 2009 - Deaths in Acute Hospitals: Caring to the End?
November 25, 2009
Cooper H, Findlay G, Goodwin APL, et al. London, UK: National Confidential Enquiry into Patient Outcome
and Death; November 2009. ISBN: 9780956088222.
https://psnet.ahrq.gov/issue/deaths-acute-hospitals-caring-end
This United Kingdom report analyzed m…
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psnet.ahrq.gov/node/43772/psn-pdf
June 24, 2019 - Betsy Lehman Center for Patient Safety.
June 24, 2019
501 Boylston Street, 5th Floor, Boston, MA, 02116 info@BetsyLehmanCenterMA.gov
https://psnet.ahrq.gov/issue/betsy-lehman-center-patient-safety
The Betsy Lehman Center is a nonregulatory Massachusetts state agency named for Betsy Lehman, the
Boston Globe columni…
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psnet.ahrq.gov/node/72762/psn-pdf
February 17, 2021 - Optimizing Health IT for Safe Integration of Behavioral
Health and Primary Care.
February 17, 2021
Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2021.
https://psnet.ahrq.gov/issue/optimizing-health-it-safe-integration-behavioral-health-and-primary-care
Effective integration of hea…
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psnet.ahrq.gov/node/846451/psn-pdf
March 22, 2023 - Reducing risks in complex care transitions in rural areas:
a grounded theory.
March 22, 2023
Winqvist I, Näppä U, Rönning H, et al. Reducing risks in complex care transitions in rural areas: a
grounded theory. Int J Qual Stud Health Well-being. 2023;18(1):2185964.
doi:10.1080/17482631.2023.2185964.
https://psnet.…
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psnet.ahrq.gov/node/863756/psn-pdf
March 06, 2024 - Preoperative communication between anesthesia,
surgery, and primary care providers for older surgical
patients.
March 6, 2024
Ron D, Gunn CM, Havidich JE, et al. Preoperative communication between anesthesia, surgery, and
primary care providers for older surgical patients. Jt Comm J Qual Patient Saf. 2024;50(5):32…
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psnet.ahrq.gov/node/36566/psn-pdf
January 10, 2007 - Department of Defense Health Care Quality.
January 10, 2007
Washington DC: Office of the Assistant Secretary of Defense; Tricare Management Activity: 2011.
https://psnet.ahrq.gov/issue/department-defense-health-care-quality
This report series discusses activities and achievements of the U.S. Department of Defense's…
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psnet.ahrq.gov/node/38578/psn-pdf
April 22, 2009 - Patient safety and collaboration of the intensive care unit
team.
April 22, 2009
Despins LA. Patient safety and collaboration of the intensive care unit team. Crit Care Nurse.
2009;29(2):85-91. doi:10.4037/ccn2009281.
https://psnet.ahrq.gov/issue/patient-safety-and-collaboration-intensive-care-unit-team
This arti…
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psnet.ahrq.gov/node/41892/psn-pdf
December 19, 2012 - Improving Patient and Worker Safety—Opportunities for
Synergy, Collaboration and Innovation.
December 19, 2012
Oakbrook Terrace, IL: Joint Commission; 2012.
https://psnet.ahrq.gov/issue/improving-patient-and-worker-safety-opportunities-synergy-collaboration-and-
innovation
This monograph highlights opportunities …
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psnet.ahrq.gov/node/33882/psn-pdf
June 01, 2019 - Building a Safety Program Using Principles of Resilience
Engineering
June 1, 2019
Hegde S, Fairbanks RJ, Bisantz A. Building a Safety Program Using Principles of Resilience Engineering.
PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
Persp…
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psnet.ahrq.gov/node/72499/psn-pdf
November 25, 2020 - Transformational improvement in quality care and health
systems: the next decade.
November 25, 2020
Braithwaite J, Vincent CA, Garcia-Elorrio E, et al. Transformational improvement in quality care and health
systems: the next decade. BMC Med. 2020;18(1):340. doi:10.1186/s12916-020-01739-y.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/837140/psn-pdf
May 18, 2022 - Nursing surveillance: a concept analysis
May 18, 2022
Halverson CC, Scott Tilley D. Nursing surveillance: a concept analysis. Nurs Forum. 2022;57(3):454-460.
doi:10.1111/nuf.12702.
https://psnet.ahrq.gov/issue/nursing-surveillance-concept-analysis
Nursing surveillance is an intervention for maintaining patient saf…
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psnet.ahrq.gov/node/47872/psn-pdf
March 27, 2019 - Overview of the Environmental Scan of Primary Care-
Based Effort To Reduce Readmissions.
March 27, 2019
Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research and Quality;
March 2019. AHRQ Publication No. 18(19)-0055-EF.
https://psnet.ahrq.gov/issue/overview-environmental-scan-primar…
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psnet.ahrq.gov/node/34623/psn-pdf
January 28, 2015 - Australian Commission on Safety and Quality in Health
Care.
January 28, 2015
Australian Commission for Safety and Quality in Health Care.
https://psnet.ahrq.gov/issue/australian-commission-safety-and-quality-health-care
Established in January 2006, the Commission leads and coordinates improvements in safety and qu…
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psnet.ahrq.gov/primer/pharmacists-role-medication-safety
March 14, 2018 - Pharmacist's Role in Medication Safety
Citation Text:
The Pharmacist's Role in Medication Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/node/867390/psn-pdf
December 18, 2024 - Quality of care and quality of life: balancing patient safety
and physician burnout.
December 18, 2024
Minkoff H, O'Brien J, Berkowitz R. Quality of care and quality of life: balancing patient safety and physician
burnout. Obstet Gynecol. 2024;144(3):e50-e55. doi:10.1097/aog.0000000000005681.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/864859/psn-pdf
March 20, 2024 - Team relations and role perceptions during anesthesia
crisis management in magnetic-resonance imaging
settings: a mixed-methods exploration.
March 20, 2024
Schroeck H, Whitty MA, Hatton B, et al. Team relations and role perceptions during anesthesia crisis
management in magnetic-resonance imaging settings: a mixed…
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psnet.ahrq.gov/node/867184/psn-pdf
November 20, 2024 - Adverse mental health inpatient experiences: qualitative
systematic review of international literature.
November 20, 2024
Hallett N, Dickinson R, Eneje E, et al. Adverse mental health inpatient experiences: qualitative systematic
review of international literature. Int J Nurs Stud. 2024;161:104923. doi:10.1016/j.ij…
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psnet.ahrq.gov/node/43318/psn-pdf
July 02, 2014 - Sign up to Safety.
July 2, 2014
National Health Service.
https://psnet.ahrq.gov/issue/sign-safety
Through a coordinated effort to set goals and devise plans to improve safety in hospitals, the Sign up to
Safety campaign aims to prevent 6000 patient deaths in the next 3 years in National Health Service
facilities.…