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psnet.ahrq.gov/node/838915/psn-pdf
October 26, 2022 - Predictors of response rates of safety culture
questionnaires in healthcare: a systematic review and
analysis.
October 26, 2022
Ellis LA, Pomare C, Churruca K, et al. Predictors of response rates of safety culture questionnaires in
healthcare: a systematic review and analysis. BMJ Open. 2022;12(9):e065320. doi:10.…
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January 27, 2019 - Direct oral anticoagulants: a review of common
medication errors.
January 27, 2019
Barr D, Epps QJ. Direct oral anticoagulants: a review of common medication errors. J Thromb
Thrombolysis. 2019;47(1):146-154. doi:10.1007/s11239-018-1752-9.
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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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June 12, 2024 - Artificial intelligence in the provision of health care: an
American College of Physicians policy position paper.
June 12, 2024
Daneshvar N, Pandita D, Erickson S, et al. Artificial Intelligence in the Provision of Health Care: An
American College of Physicians Policy Position Paper. Ann Intern Med. 2024;177(7):964…
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psnet.ahrq.gov/node/838244/psn-pdf
October 05, 2022 - Standardization of pediatric noncardiac operating room to
intensive care unit handoffs improves communication
and patient care.
October 5, 2022
Hebballi NB, Gupta VS, Sheppard K, et al. Standardization of pediatric noncardiac operating room to
intensive care unit handoffs improves communication and patient care. J…
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psnet.ahrq.gov/node/73601/psn-pdf
August 18, 2021 - From implementation to sustainment: a large-scale
adverse event disclosure support program generated
through embedded research in the Veterans Health
Administration.
August 18, 2021
Elwy AR, Maguire EM, McCullough M, et al. From implementation to sustainment: a large-scale adverse
event disclosure support program…
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psnet.ahrq.gov/node/60598/psn-pdf
June 17, 2020 - Associations of workflow disruptions in the operating
room with surgical outcomes: a systematic review and
narrative synthesis.
June 17, 2020
Koch A, Burns J, Catchpole K, et al. Associations of workflow disruptions in the operating room with
surgical outcomes: a systematic review and narrative synthesis. BMJ Qual…
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May 11, 2022 - Compensation claims in Danish emergency care:
identifying hot spots and blind spots in the quality of
care.
May 11, 2022
Morsø L, Birkeland S, Walløe S, et al. Compensation claims in Danish emergency care: identifying hot
spots and blind spots in the quality of care. Jt Comm J Qual Patient Saf. 2022;48(5):271-279.…
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December 21, 2016 - The patient reporting and action for a safe environment
(PRASE) intervention: a feasibility study.
December 21, 2016
O'Hara JK, Lawton R, Armitage G, et al. The patient reporting and action for a safe environment (PRASE)
intervention: a feasibility study. BMC Health Serv Res. 2016;16(1):676.
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September 20, 2011 - Fall prevention in acute care hospitals: a randomized trial.
September 20, 2011
Dykes PC, Carroll DL, Hurley A, et al. Fall prevention in acute care hospitals: a randomized trial. JAMA.
2010;304(17):1912-1918. doi:10.1001/jama.2010.1567.
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psnet.ahrq.gov/node/853622/psn-pdf
January 01, 2024 - Enhancing patient safety: a national standard for cyber
resiliency in healthcare.
September 20, 2023
Samuelson-Kiraly C, Mitchell JI, Kingston D, et al. Enhancing patient safety: A national standard for cyber
resiliency in healthcare. Healthc Manage Forum. 2024;37(1):9-12. doi:10.1177/08404704231196138.
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January 01, 2021 - A program to provide clinicians with feedback on their
diagnostic performance in a learning health system.
October 28, 2020
Meyer AND, Upadhyay DK, Collins CA, et al. A program to provide clinicians with feedback on their
diagnostic performance in a learning health system. Jt Comm J Qual Patient Saf. 2021;47(2):120…
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October 24, 2018 - Root cause analysis of reported patient falls in ORs in the
Veterans Health Administration.
October 24, 2018
Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the
Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.1002/aorn.12372.
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February 04, 2015 - Patient safety skills in primary care: a national survey of
GP educators.
February 4, 2015
Ahmed M, Arora S, McKay J, et al. Patient safety skills in primary care: a national survey of GP educators.
BMC Fam Pract. 2014;15:206. doi:10.1186/s12875-014-0206-5.
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April 16, 2019 - Health care risk managers' consensus on the
management of inappropriate behaviors among hospital
staff.
April 16, 2019
Zadeh SE, Haussmann R, Barton CD. Health care risk managers' consensus on the management of
inappropriate behaviors among hospital staff. J Healthc Risk Manag. 2019;38(4):32-42.
doi:10.1002/jhrm.…
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June 23, 2021 - The psychological experiences of nurses after inpatient
suicide: a meta-synthesis of qualitative research studies.
June 23, 2021
Shao Q, Wang Y, Hou K, et al. The psychological experiences of nurses after inpatient suicide: a meta?
synthesis of qualitative research studies. J Adv Nurs. 2021;77(10):4005-4016. doi:10…
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psnet.ahrq.gov/node/851070/psn-pdf
June 28, 2023 - Diagnostic Safety Across Transitions of Care Throughout
the Healthcare System: Current State and a Call to Action.
June 28, 2023
Santhosh L, Cornell E, Rojas JC, et al. Rockville, MD: Agency for Healthcare Research and Quality; June
2023. AHRQ Publication No. 23-0040-1-EF.
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July 07, 2021 - Errors in breast imaging: how to reduce errors and
promote a safety environment.
July 7, 2021
Sivarajah R, Dinh ML, Chetlen A. Errors in breast imaging: how to reduce errors and promote a safety
environment. J Breast Imaging. 2021;3(2):221-230. doi:10.1093/jbi/wbaa118.
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August 09, 2023 - Redesign of health care systems to reduce diagnostic
errors: leveraging human experience and artificial
intelligence.
August 9, 2023
Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and
artificial intelligence. J Clin Outcomes Manag. 2023;30(3):67-70. doi:10.12788/j…
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psnet.ahrq.gov/node/73217/psn-pdf
May 05, 2021 - Assessing patients 2019 experiences with medical injury
reconciliation processes: item generation for a novel
survey questionnaire.
May 5, 2021
Schulz-Moore JS, Bismark M, Jenkinson C, et al. Assessing patients 2019 experiences with medical injury
reconciliation processes: item generation for a novel survey questi…