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psnet.ahrq.gov/node/73509/psn-pdf
July 21, 2021 - NHS ‘Learning from Deaths’ reports: a qualitative and
quantitative document analysis of the first year of a
countrywide patient safety programme.
July 21, 2021
Brummell Z, Vindrola-Padros C, Braun D, et al. NHS ‘Learning from Deaths’ reports: a qualitative and
quantitative document analysis of the first year of a …
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psnet.ahrq.gov/node/47537/psn-pdf
November 14, 2018 - Developing a learning health system: insights from a
qualitative process evaluation of a pharmacist-led
electronic audit and feedback intervention to improve
medication safety in primary care.
November 14, 2018
Jeffries M, Keers RN, Phipps D, et al. Developing a learning health system: Insights from a qualitative
…
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psnet.ahrq.gov/node/44774/psn-pdf
June 21, 2016 - Association of safety culture with surgical site infection
outcomes.
June 21, 2016
Fan CJ, Pawlik TM, Daniels T, et al. Association of safety culture with surgical site infection outcomes. J
Am Coll Surg. 2016;222(2):122-128. doi:10.1016/j.jamcollsurg.2015.11.008.
https://psnet.ahrq.gov/issue/association-safety-cu…
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psnet.ahrq.gov/node/45091/psn-pdf
February 14, 2017 - The interplay between teamwork, clinicians' emotional
exhaustion, and clinician-rated patient safety: a
longitudinal study.
February 14, 2017
Welp A, Meier LL, Manser T. The interplay between teamwork, clinicians' emotional exhaustion, and
clinician-rated patient safety: a longitudinal study. Crit Care. 2016;20(1)…
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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/45651/psn-pdf
November 16, 2016 - Improving patient safety through the involvement of
patients: development and evaluation of novel
interventions to engage patients in preventing patient
safety incidents and protecting them against unintended
harm.
November 16, 2016
Wright J, Lawton R, O’Hara J, et al. Improving Patient Safety Through The Involve…
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psnet.ahrq.gov/node/867342/psn-pdf
December 11, 2024 - Does one size fit all? Developing an evaluation strategy to
assess large language models for patient safety event
report analysis.
December 11, 2024
Fong A, Adams KT, Boxley C, et al. Does one size fit all? Developing an evaluation strategy to assess
large language models for patient safety event report analysis. …
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psnet.ahrq.gov/node/43205/psn-pdf
April 04, 2018 - Placing Diagnosis Errors on the Policy Agenda.
April 4, 2018
Berenson RA, Upadhyay D, Kaye DR. Washington, DC: Urban Institute. Princeton, NJ: Robert Wood
Johnson Foundation; 2014.
https://psnet.ahrq.gov/issue/placing-diagnosis-errors-policy-agenda
This comprehensive policy brief emphasizes the importance of addre…
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psnet.ahrq.gov/node/47111/psn-pdf
September 26, 2018 - Inter- and intra-disciplinary collaboration and patient
safety outcomes in U.S. acute care hospital units: a
cross-sectional study.
September 26, 2018
Ma C, Park SH, Shang J. Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S.
acute care hospital units: A cross-sectional study. Int J Nu…
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psnet.ahrq.gov/node/46848/psn-pdf
October 13, 2018 - Identifying what is known about improving operating
room to intensive care handovers: a scoping review.
October 13, 2018
Zjadewicz K, Deemer KS, Coulthard J, et al. Identifying What Is Known About Improving Operating Room
to Intensive Care Handovers: A Scoping Review. Am J Med Qual. 2018;33(5):540-548.
doi:10.1177…
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psnet.ahrq.gov/node/45355/psn-pdf
September 28, 2016 - Getting it right for patient safety: specimen collection
process improvement from operating room to pathology.
September 28, 2016
D'Angelo R, Mejabi O. Getting It Right for Patient Safety: Specimen Collection Process Improvement From
Operating Room to Pathology. Am J Clin Pathol. 2016;146(1):8-17. doi:10.1093/ajcp/…
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psnet.ahrq.gov/node/45240/psn-pdf
June 15, 2016 - Is technology the best medicine? Three practice
theoretical perspectives on medication administration
technologies in nursing.
June 15, 2016
Boonen MJ, Vosman FJ, Niemeijer AR. Is technology the best medicine? Three practice theoretical
perspectives on medication administration technologies in nursing. Nurs Inq. 2…
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psnet.ahrq.gov/node/849120/psn-pdf
May 17, 2023 - Systematic literature review on the effectiveness and
safety of paediatric hospital-at-home care as a substitute
for hospital care.
May 17, 2023
Detollenaere J, Van Ingelghem I, Van den Heede K, et al. Systematic literature review on the effectiveness
and safety of paediatric hospital-at-home care as a substitute …
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psnet.ahrq.gov/node/47118/psn-pdf
August 08, 2018 - Wrong-site nerve blocks: a systematic literature review to
guide principles for prevention.
August 8, 2018
Deutsch ES, Yonash RA, Martin DE, et al. Wrong-site nerve blocks: A systematic literature review to guide
principles for prevention. J Clin Anesth. 2018;46:101-111. doi:10.1016/j.jclinane.2017.12.008.
https:/…
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psnet.ahrq.gov/node/73120/psn-pdf
April 07, 2021 - Medication reconciliation during hospitalization and in
hospital-home interface: an observational retrospective
study.
April 7, 2021
Volpi E, Giannelli A, Toccafondi G, et al. Medication reconciliation during hospitalization and in hospital-
home interface: an observational retrospective study. J Patient Saf. 2021…
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psnet.ahrq.gov/node/45700/psn-pdf
September 01, 2018 - Resolving malpractice claims after tort reform: experience
in a self-insured Texas public academic health system.
September 1, 2018
Sage WM, Harding MC, Thomas EJ. Resolving Malpractice Claims after Tort Reform: Experience in a Self-
Insured Texas Public Academic Health System. Health Serv Res. 2016;51 Suppl 3:2615…
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psnet.ahrq.gov/node/866556/psn-pdf
August 21, 2024 - Digital maturity as a predictor of quality and safety
outcomes in US hospitals: cross-sectional observational
study.
August 21, 2024
Snowdon A, Hussein A, Danforth M, et al. Digital maturity as a predictor of quality and safety outcomes in
US hospitals: cross-sectional observational study. J Med Internet Res. 2024…
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psnet.ahrq.gov/node/867229/psn-pdf
January 01, 2025 - Feasibility of prospective error reporting in home
palliative care: a mixed methods study.
December 4, 2024
Kurahashi AM, Kim G, Parry N, et al. Feasibility of prospective error reporting in home palliative care: a
mixed methods study. Palliat Med. 2025;39(1):22-30. doi:10.1177/02692163241288774.
https://psnet.ahr…
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psnet.ahrq.gov/node/45833/psn-pdf
January 30, 2018 - The impact of electronic medical records on hospital-
acquired adverse safety events: differential effects
between single-source and multiple-source systems.
January 30, 2018
Bae J, Rask KJ, Becker ER. The Impact of Electronic Medical Records on Hospital-Acquired Adverse
Safety Events: Differential Effects Between…
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psnet.ahrq.gov/node/44515/psn-pdf
February 23, 2018 - The Expert Panel Report to Texas Health Resources
Leadership on the 2014 Ebola Events.
February 23, 2018
Cortese D, Abbott P, Chassin M, Lyon GM III, Riley WJ. Dallas, TX: Texas Health Resources Leadership;
2015.
https://psnet.ahrq.gov/issue/expert-panel-report-texas-health-resources-leadership-2014-ebola-events
…