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psnet.ahrq.gov/node/836786/psn-pdf
January 01, 2023 - Safety implications of remote assessments for suspected
COVID-19: qualitative study in UK primary care.
March 23, 2022
Wieringa S, Neves AL, Rushforth A, et al. Safety implications of remote assessments for suspected
COVID-19: qualitative study in UK primary care. BMJ Qual Saf. 2023;32(12):732-741. doi:10.1136/bmjq…
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psnet.ahrq.gov/node/36577/psn-pdf
January 12, 2011 - Effects of teamwork training on adverse outcomes and
process of care in labor and delivery: a randomized
controlled trial.
January 12, 2011
Nielsen PE, Goldman MB, Mann S, et al. Effects of teamwork training on adverse outcomes and process of
care in labor and delivery: a randomized controlled trial. Obstet Gyneco…
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psnet.ahrq.gov/node/842416/psn-pdf
January 11, 2023 - A failure in the medication delivery system-how
disclosure and systems investigation improve patient
safety.
January 11, 2023
Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems
investigation improve patient safety. J Healthc Risk Manag. 2023;42(3-4):30-39. doi:10…
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psnet.ahrq.gov/node/42759/psn-pdf
April 24, 2017 - A longitudinal study of clinical peer review's impact on
quality and safety in US hospitals.
April 24, 2017
Edwards MT. A longitudinal study of clinical peer review's impact on quality and safety in U.S. hospitals. J
Healthc Manag. 2013;58(5):369-85.
https://psnet.ahrq.gov/issue/longitudinal-study-clinical-peer-re…
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psnet.ahrq.gov/node/46652/psn-pdf
July 14, 2018 - The effects of crew resource management on teamwork
and safety climate at Veterans Health Administration
facilities.
July 14, 2018
Schwartz ME, Welsh DE, Paull DE, et al. The effects of crew resource management on teamwork and
safety climate at Veterans Health Administration facilities. J Healthc Risk Manag. 2018;…
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psnet.ahrq.gov/node/44626/psn-pdf
November 04, 2015 - "SWARMing" to improve patient care: a novel approach to
root cause analysis.
November 4, 2015
Li J, Boulanger B, Norton J, et al. "SWARMing" to Improve Patient Care: A Novel Approach to Root Cause
Analysis. Jt Comm J Qual Patient Saf. 2015;41(11):494-501.
https://psnet.ahrq.gov/issue/swarming-improve-patient-care-…
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psnet.ahrq.gov/node/43101/psn-pdf
May 30, 2014 - Instituting a culture of professionalism: the establishment
of a Center for Professionalism and Peer Support.
May 30, 2014
Shapiro J, Whittemore A, Tsen LC. Instituting a culture of professionalism: the establishment of a center for
professionalism and peer support. Jt Comm J Qual Patient Saf. 2014;40(4):168-177.
…
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psnet.ahrq.gov/node/46197/psn-pdf
September 24, 2017 - Implementation and evaluation of a prototype consumer
reporting system for patient safety events.
September 24, 2017
Weingart SN, Weissman JS, Zimmer KP, et al. Implementation and evaluation of a prototype consumer
reporting system for patient safety events. Int J Qual Health Care. 2017;29(4):521-526.
doi:10.1093/…
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psnet.ahrq.gov/node/45535/psn-pdf
January 23, 2017 - Surgical specimen management: a descriptive study of
648 adverse events and near misses.
January 23, 2017
Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648
adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/44462/psn-pdf
January 22, 2016 - An overview of research priorities in surgical simulation:
what the literature shows has been achieved during the
21st century and what remains.
January 22, 2016
Johnston MJ, Paige JT, Aggarwal R, et al. An overview of research priorities in surgical simulation: what
the literature shows has been achieved during t…
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psnet.ahrq.gov/node/60987/psn-pdf
October 07, 2020 - Process failures that increase the risk of infection
through respiratory droplets: a study of patient safety
events reported by hospitals across Pennsylvania.
October 7, 2020
Harper A, Kukielka E, Jones RM. Process failures that increase the risk of infection through respiratory
droplets: a study of patient safety…
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psnet.ahrq.gov/node/39543/psn-pdf
May 19, 2010 - Hospital Survey on Patient Safety Culture: 2010 User
Comparative Database Report.
May 19, 2010
Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and
Quality; March 2010. AHRQ Publication No. 10-0026.
https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-20…
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psnet.ahrq.gov/node/44527/psn-pdf
March 18, 2016 - Measuring and improving patient safety through health
information technology: the Health IT Safety Framework.
March 18, 2016
Singh H, Sittig DF. Measuring and improving patient safety through health information technology: The
Health IT Safety Framework. BMJ Qual Saf. 2016;25(4):226-32. doi:10.1136/bmjqs-2015-00448…
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psnet.ahrq.gov/node/38538/psn-pdf
January 02, 2017 - Rating recommendations for consumers about patient
safety: sense, common sense, or nonsense?
January 2, 2017
Weingart SN, Morway L, Brouillard D, et al. Rating recommendations for consumers about patient safety:
sense, common sense, or nonsense? Jt Comm J Qual Patient Saf. 2009;35(4):206-15.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/38467/psn-pdf
March 11, 2009 - Patients' perceptions of safety if interpersonal continuity
of care were to be disrupted.
March 11, 2009
Pandhi N, Schumacher J, Flynn KE, et al. Patients' perceptions of safety if interpersonal continuity of care
were to be disrupted. Health Expect. 2008;11(4):400-8. doi:10.1111/j.1369-7625.2008.00503.x.
https://…
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psnet.ahrq.gov/node/73314/psn-pdf
May 26, 2021 - An evidence-based tool (PE for PS) for healthcare
managers to assess patient engagement for patient safety
in healthcare organizations.
May 26, 2021
Aho-Glele U, Pomey M-P, Gomes de Sousa MR, et al. An evidence-based tool (PE for PS) for healthcare
managers to assess patient engagement for patient safety in health…
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psnet.ahrq.gov/node/47153/psn-pdf
October 12, 2018 - Clinicians' perceptions of medication errors with opioids
in cancer and palliative care services: a priority setting
report.
October 12, 2018
Heneka N, Shaw T, Azzi C, et al. Clinicians' perceptions of medication errors with opioids in cancer and
palliative care services: a priority setting report. Support Care Ca…
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psnet.ahrq.gov/node/47098/psn-pdf
August 15, 2018 - Accuracy of pediatric trauma field triage: a systematic
review.
August 15, 2018
van der Sluijs R, van Rein EAJ, Wijnand JGJ, et al. Accuracy of Pediatric Trauma Field Triage: A
Systematic Review. JAMA Surg. 2018;153(7):671-676. doi:10.1001/jamasurg.2018.1050.
https://psnet.ahrq.gov/issue/accuracy-pediatric-trauma-…
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psnet.ahrq.gov/node/38217/psn-pdf
April 26, 2017 - Patient safety climate in US hospitals: variation by
management level.
April 26, 2017
Singer SJ, Falwell A, Gaba DM, et al. Patient safety climate in US hospitals: variation by management
level. Med Care. 2008;46(11):1149-56. doi:10.1097/MLR.0b013e31817925c1.
https://psnet.ahrq.gov/issue/patient-safety-climate-us-…
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psnet.ahrq.gov/node/43965/psn-pdf
July 16, 2015 - Decision making in trauma settings: simulation to
improve diagnostic skills.
July 16, 2015
Murray DJ, Freeman BD, Boulet JR, et al. Decision making in trauma settings: simulation to improve
diagnostic skills. Simul Healthc. 2015;10(3):139-145. doi:10.1097/SIH.0000000000000073.
https://psnet.ahrq.gov/issue/decision…