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psnet.ahrq.gov/node/44737/psn-pdf
December 16, 2015 - How effective are incident-reporting systems for
improving patient safety? A systematic literature review.
December 16, 2015
Stavropoulou C, Doherty C, Tosey P. Milbank Q. 2015;93(4):826-866.
https://psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety-
systematic-literature
…
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psnet.ahrq.gov/node/44968/psn-pdf
January 23, 2017 - Financial incentives and mortality: taking pay for
performance a step too far.
January 23, 2017
Gupta K, Wachter R, Kachalia A. Financial incentives and mortality: taking pay for performance a step too
far. BMJ Qual Saf. 2017;26(2):164-168. doi:10.1136/bmjqs-2015-004835.
https://psnet.ahrq.gov/issue/financial-ince…
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psnet.ahrq.gov/node/47258/psn-pdf
January 09, 2019 - The effect of cognitive load and task complexity on
automation bias in electronic prescribing.
January 9, 2019
Lyell D, Magrabi F, Coiera E. The Effect of Cognitive Load and Task Complexity on Automation Bias in
Electronic Prescribing. Hum Factors. 2018;60(7):1008-1021. doi:10.1177/0018720818781224.
https://psnet.…
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psnet.ahrq.gov/node/42922/psn-pdf
April 12, 2014 - Successful implementation of standardized
multidisciplinary bedside rounds, including daily goals, in
a pediatric ICU.
April 12, 2014
Seigel J, Whalen L, Burgess E, et al. Successful implementation of standardized multidisciplinary bedside
rounds, including daily goals, in a pediatric ICU. Jt Comm J Qual Patient S…
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psnet.ahrq.gov/node/48018/psn-pdf
July 31, 2019 - PEARLS for systems integration: a modified PEARLS
framework for debriefing systems-focused simulations.
July 31, 2019
Dubé MM, Reid J, Kaba A, et al. PEARLS for Systems Integration: A Modified PEARLS Framework for
Debriefing Systems-Focused Simulations. Simul Healthc. 2019;14(5):333-342.
doi:10.1097/SIH.0000000000…
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psnet.ahrq.gov/node/837961/psn-pdf
August 31, 2022 - Risk reduction strategy to decrease incidence of retained
surgical items.
August 31, 2022
Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained
surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264.
https://psnet.ahrq.gov/issue/risk-reduc…
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psnet.ahrq.gov/node/44579/psn-pdf
September 01, 2016 - Increased appropriateness of customized alert
acknowledgement reasons for overridden medication
alerts in a computerized provider order entry system.
September 1, 2016
Dekarske BM, Zimmerman CR, Chang R, et al. Increased appropriateness of customized alert
acknowledgement reasons for overridden medication alerts i…
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psnet.ahrq.gov/node/44049/psn-pdf
September 12, 2016 - A systematic review to identify the factors that affect
failure to rescue and escalation of care in surgery.
September 12, 2016
Johnston MJ, Arora S, King D, et al. A systematic review to identify the factors that affect failure to rescue
and escalation of care in surgery. Surgery. 2015;157(4):752-63. doi:10.1016/j…
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psnet.ahrq.gov/node/60676/psn-pdf
July 15, 2020 - Northeastern University Hospital Surge Capacity Planning
Model: Bed, Ventilator, and PPE 1-30 Day Demand.
July 15, 2020
Rockville, MD; Agency for Healthcare Research and Quality: 2020.
https://psnet.ahrq.gov/issue/northeastern-university-hospital-surge-capacity-planning-model-bed-ventilator-
and-ppe-1-30
The COVI…
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psnet.ahrq.gov/node/48010/psn-pdf
May 22, 2019 - In-situ interprofessional perinatal drills: the impact of a
structured debrief on maximizing training while sensing
patient safety threats.
May 22, 2019
Greer JA, Haischer-Rollo G, Delorey D, et al. In-situ Interprofessional Perinatal Drills: The Impact of a
Structured Debrief on Maximizing Training While Sensing …
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psnet.ahrq.gov/node/47832/psn-pdf
February 27, 2019 - Another round of the blame game: a paralyzing criminal
indictment that recklessly "overrides" just culture.
February 27, 2019
ISMP Medication Safety Alert! Acute Care Edition. February 14, 2019;24.
https://psnet.ahrq.gov/issue/another-round-blame-game-paralyzing-criminal-indictment-recklessly-
overrides-just-cultu…
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psnet.ahrq.gov/node/72832/psn-pdf
March 10, 2021 - Communication and Transparency as a Means to
Strengthening Workplace Culture During COVID-19.
March 10, 2021
Nadkarni A, Levy-Carrick NC, Kroll DS, et al. Communication And Transparency As A Means To
Strengthening Workplace Culture During Covid-19. National Academy of Medicine; 2021.
doi:10.31478/202103a.
https:/…
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psnet.ahrq.gov/node/47799/psn-pdf
March 20, 2019 - Deep Medicine: How Artificial Intelligence Can Make
Healthcare Human Again.
March 20, 2019
Topol E. New York, NY: Basic Books; 2019. ISBN: 9781541644632.
https://psnet.ahrq.gov/issue/deep-medicine-how-artificial-intelligence-can-make-healthcare-human-again
This book explores how advancements in technology can impr…
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psnet.ahrq.gov/node/853975/psn-pdf
September 27, 2023 - Strategies for Improving Clinician Psychological Safety in
Reporting and Discussing Diagnostic Error.
September 27, 2023
Amin D, Cosby K. Rockville, MD: Agency for Healthcare Research and Quality; September 2023.
Publication No. 23-0040-6-EF.
https://psnet.ahrq.gov/issue/strategies-improving-clinician-psychologica…
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psnet.ahrq.gov/node/60960/psn-pdf
September 30, 2020 - COVID-19 pandemic preparation: using simulation for
systems-based learning to prepare the largest healthcare
workforce and system in Canada.
September 30, 2020
Dubé MM, Kaba A, Cronin T, et al. COVID-19 pandemic preparation: using simulation for systems-based
learning to prepare the largest healthcare workforce an…
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psnet.ahrq.gov/node/46707/psn-pdf
October 13, 2018 - Medication errors involving nursing students: a
systematic review.
October 13, 2018
Asensi-Vicente J, Jiménez-Ruiz I, Vizcaya-Moreno F. Medication Errors Involving Nursing Students: A
Systematic Review. Nurse Educ. 2018;43(5):E1-E5. doi:10.1097/NNE.0000000000000481.
https://psnet.ahrq.gov/issue/medication-errors-i…
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psnet.ahrq.gov/node/44839/psn-pdf
February 03, 2016 - Engaging frontline staff in performance improvement: the
American Organization of Nurse Executives
implementation of Transforming Care at the Bedside
collaborative.
February 3, 2016
Needleman J, Pearson ML, Upenieks V, et al. Engaging Frontline Staff in Performance Improvement: The
American Organization of Nurse …
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psnet.ahrq.gov/node/838930/psn-pdf
October 26, 2022 - Artificial Intelligence in Health Care: Benefits and
Challenges of Machine Learning Technologies for Medical
Diagnostics.
October 26, 2022
Washington DC: United States Government Accountability Office and National Academy of
Medicine; September 2022. Report no. GAO-22-104629.
https://psnet.ahrq.gov/issue/ar…
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psnet.ahrq.gov/node/840489/psn-pdf
November 30, 2022 - A longitudinal study on the impact of simulation on
positive deviance through speaking up.
November 30, 2022
M. Violato E. A longitudinal study on the impact of simulation on positive deviance through speaking up.
Can J Respir Ther. 2022;58:137-142. doi:10.29390/cjrt-2022-006.
https://psnet.ahrq.gov/issue/longitud…
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psnet.ahrq.gov/node/47586/psn-pdf
March 20, 2019 - Wrong-patient blood transfusion error: leveraging
technology to overcome human error in intraoperative
blood component administration.
March 20, 2019
Hensley NB, Koch CG, Pronovost P, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology
to Overcome Human Error in Intraoperative Blood Component Admin…