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psnet.ahrq.gov/node/853618/psn-pdf
September 20, 2023 - Improving patients' intensive care admission through
multidisciplinary simulation-based crisis resource
management: a qualitative study.
September 20, 2023
Jensen JF, Ramos J, Ørom M?L, et al. Improving patients' intensive care admission through
multidisciplinary simulation?based crisis resource management: a qual…
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psnet.ahrq.gov/node/38323/psn-pdf
April 27, 2010 - Medication errors among adults and children with cancer
in the outpatient setting.
April 27, 2010
Walsh KE, Dodd KS, Seetharaman K, et al. Medication errors among adults and children with cancer in the
outpatient setting. J Clin Oncol. 2009;27(6):891-6. doi:10.1200/JCO.2008.18.6072.
https://psnet.ahrq.gov/issue/me…
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psnet.ahrq.gov/node/46034/psn-pdf
April 05, 2017 - Design and reliability of a specific instrument to evaluate
patient safety for patients with acute myocardial
infarction treated in a predefined care track: a
retrospective patient record review study in a single
tertiary hospital in the Netherlands.
April 5, 2017
Eindhoven DC, Borleffs JW, Dietz MF, et al. Desig…
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psnet.ahrq.gov/node/44680/psn-pdf
February 24, 2018 - Measurement is essential for improving diagnosis and
reducing diagnostic error: a report from the Institute of
Medicine.
February 24, 2018
McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing
Diagnostic Error: A Report From the Institute of Medicine. JAMA. 2015;314(23):2…
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psnet.ahrq.gov/node/50778/psn-pdf
January 08, 2020 - A mixed methods study examining teamwork shared
mental models of interprofessional teams during hospital
discharge.
January 8, 2020
Manges K, Groves PS, Farag A, et al. A mixed methods study examining teamwork shared mental models
of interprofessional teams during hospital discharge. BMJ Qual Saf. 2020;29(6):499-5…
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psnet.ahrq.gov/node/43655/psn-pdf
December 19, 2014 - Systematic biases in group decision-making: implications
for patient safety.
December 19, 2014
Mannion R, Thompson C. Systematic biases in group decision-making: implications for patient safety. Int J
Qual Health Care. 2014;26(6):606-12. doi:10.1093/intqhc/mzu083.
https://psnet.ahrq.gov/issue/systematic-biases-gro…
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psnet.ahrq.gov/node/867340/psn-pdf
December 11, 2024 - Multiple points of system failure underpin continuous
subcutaneous infusion safety incidents in palliative care:
a mixed methods analysis.
December 11, 2024
Brown AJ, Yardley S, Bowers B, et al. Multiple points of system failure underpin continuous subcutaneous
infusion safety incidents in palliative care: a mixed…
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psnet.ahrq.gov/node/47059/psn-pdf
May 16, 2018 - Participating in a multisite study exploring operational
failures encountered by frontline nurses: lessons learned.
May 16, 2018
Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures
Encountered by Frontline Nurses: Lessons Learned. J Nurs Adm. 2018;48(4):203-208.
do…
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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-…
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psnet.ahrq.gov/node/45500/psn-pdf
September 28, 2016 - PIPc study: development of indicators of potentially
inappropriate prescribing in children (PIPc) in primary
care using a modified Delphi technique.
September 28, 2016
Barry E, O'Brien K, Moriarty F, et al. PIPc study: development of indicators of potentially inappropriate
prescribing in children (PIPc) in primary…
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psnet.ahrq.gov/node/849334/psn-pdf
May 24, 2023 - I like what you are saying, but only if I feel safe:
psychological safety moderates the relationship between
voice and perceived contribution to healthcare team
effectiveness.
May 24, 2023
Weiss M, Morrison EW, Szyld D. I like what you are saying, but only if I feel safe: psychological safety
moderates the relati…
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psnet.ahrq.gov/node/73540/psn-pdf
January 01, 2022 - Getting the whole story: integrating patient complaints
and staff reports of unsafe care.
July 28, 2021
van Dael J, Gillespie A, Reader TW, et al. Getting the whole story: Integrating patient complaints and staff
reports of unsafe care. J Health Serv Res Policy. 2022;27(1):41-49. doi:10.1177/13558196211029323.
htt…
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psnet.ahrq.gov/node/60223/psn-pdf
January 01, 2021 - The effects of harm events on 30-day readmission in
surgical patients.
April 15, 2020
Kandagatla P, Su W-TK, Adrianto I, et al. The effects of harm events on 30-day readmission in surgical
patients. J Healthc Qual. 2021;43(2):101-109. doi:10.1097/jhq.0000000000000261.
https://psnet.ahrq.gov/issue/effects-harm-even…
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psnet.ahrq.gov/node/848359/psn-pdf
May 03, 2023 - Medical line entanglement: the unspoken patient safety
hazard of medical devices.
May 3, 2023
Larimer C, Sumner V, Wander D. Medical line entanglement: the unspoken patient safety hazard of
medical devices. Nutr Clin Pract. 2023;38(6):1296-1308. doi:10.1002/ncp.11000.
https://psnet.ahrq.gov/issue/medical-line-enta…
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psnet.ahrq.gov/node/45327/psn-pdf
September 27, 2016 - A concept analysis of undergraduate nursing students
speaking up for patient safety in the patient care
environment.
September 27, 2016
Fagan A, Parker V, Jackson D. A concept analysis of undergraduate nursing students speaking up for
patient safety in the patient care environment. J Adv Nurs. 2016;72(10):2346-235…
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psnet.ahrq.gov/node/37891/psn-pdf
June 09, 2011 - Classifying and predicting errors of inpatient medication
reconciliation.
June 9, 2011
Pippins JR, Gandhi TK, Hamann C, et al. Classifying and predicting errors of inpatient medication
reconciliation. J Gen Intern Med. 2008;23(9):1414-22. doi:10.1007/s11606-008-0687-9.
https://psnet.ahrq.gov/issue/classifying-and-…
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psnet.ahrq.gov/node/45964/psn-pdf
March 22, 2017 - What is known: examining the empirical literature in
resident work hours using 30 influential articles.
March 22, 2017
Philibert I. What Is Known: Examining the Empirical Literature in Resident Work Hours Using 30 Influential
Articles. J Grad Med Educ. 2016;8(5):795-805. doi:10.4300/JGME-D-16-00642.1.
https://psne…
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psnet.ahrq.gov/node/844541/psn-pdf
February 15, 2023 - Factors differentiating nursing homes with strong
resident safety climate: a qualitative study of leadership
and staff perspectives.
February 15, 2023
Engle RL, Gillespie C, Clark VA, et al. Factors differentiating nursing homes with strong resident safety
climate: a qualitative study of leadership and staff persp…
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psnet.ahrq.gov/node/35813/psn-pdf
April 06, 2011 - Simulation based teamwork training for emergency
department staff: does it improve clinical team
performance when added to an existing didactic
teamwork curriculum?
April 6, 2011
Shapiro MJ, Morey JC, Small SD, et al. Simulation based teamwork training for emergency department
staff: does it improve clinical team…