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psnet.ahrq.gov/node/47250/psn-pdf
September 26, 2018 - Hospital-acquired infections under pay-for-performance
systems: an administrative perspective on management
and change.
September 26, 2018
Vokes RA, Bearman G, Bazzoli GJ. Hospital-Acquired Infections Under Pay-for-Performance Systems: an
Administrative Perspective on Management and Change. Curr Infect Dis Rep. 20…
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psnet.ahrq.gov/node/39462/psn-pdf
April 21, 2010 - Comparing safety climate in naval aviation and hospitals:
implications for improving patient safety.
April 21, 2010
Singer SJ, Rosen AK, Zhao S, et al. Comparing safety climate in naval aviation and hospitals: implications
for improving patient safety. Health Care Manag Rev. 2010;35(2):134-146.
doi:10.1097/HMR.0b0…
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psnet.ahrq.gov/node/60352/psn-pdf
January 01, 2021 - Stakeholders in safety: patient reports on unsafe clinical
behaviors distinguish hospital mortality rates.
May 20, 2020
Reader TW, Gillespie A. Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish
hospital mortality rates. J Appl Psychol. 2021;106(3):439-451. doi:10.1037/apl0000507.
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May 04, 2022 - Indicators for implementation outcome monitoring of
reporting and learning systems in hospitals: an
underestimated need for patient safety.
May 4, 2022
Kuske S, Willmeroth T, Schneider J, et al. Indicators for implementation outcome monitoring of reporting
and learning systems in hospitals: an underestimated need …
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psnet.ahrq.gov/node/72798/psn-pdf
March 03, 2021 - Perceptual gaps between clinicians and technologists on
health information technology-related errors in hospitals:
observational study.
March 3, 2021
Ndabu T, Mulgund P, Sharman R, et al. Perceptual gaps between clinicians and technologists on health
information technology-related errors in hospitals: observationa…
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psnet.ahrq.gov/node/47027/psn-pdf
June 19, 2018 - Overdiagnosis and overtreatment as a quality problem:
insights from healthcare improvement research.
June 19, 2018
Armstrong N. Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement
research. BMJ Qual Saf. 2018;27(7):571-575. doi:10.1136/bmjqs-2017-007571.
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May 17, 2018 - Safe labeling practices to minimize medication errors in
anesthesia: 5 case reports and review of the literature.
May 17, 2018
Prakash S, Mullick P, Kumar A, et al. Safe Labeling Practices to Minimize Medication Errors in Anesthesia.
A & A Practice. 2017;10(10). doi:10.1213/xaa.0000000000000680.
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November 17, 2011 - Assessing the National Electronic Injury Surveillance
System—Cooperative Adverse Drug Event Surveillance
Project—six sites, United States, January 1–June 15,
2004.
November 17, 2011
Prevention C for DC and. Assessing the National Electronic Injury Surveillance System-Cooperative
Adverse Drug Event Surveillance pr…
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psnet.ahrq.gov/node/38054/psn-pdf
July 05, 2013 - Ticket to ride: reducing handoff risk during hospital
patient transport.
July 5, 2013
Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient
transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.98299.b5.
https://psnet.ahrq.gov/issue/ticket-…
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psnet.ahrq.gov/node/36262/psn-pdf
August 04, 2009 - Safety in the academic medical center: transforming
challenges into ingredients for improvement.
August 4, 2009
Blumenthal D, Ferris T. Safety in the academic medical center: transforming challenges into ingredients for
improvement. Acad Med. 2006;81(9):817-22.
https://psnet.ahrq.gov/issue/safety-academic-medical-…
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psnet.ahrq.gov/node/45830/psn-pdf
June 27, 2018 - Performance of vascular exposure and fasciotomy among
surgical residents before and after training compared with
experts.
June 27, 2018
Mackenzie CF, Garofalo E, Puche A, et al. Performance of Vascular Exposure and Fasciotomy Among
Surgical Residents Before and After Training Compared With Experts. JAMA Surg. 2017…
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psnet.ahrq.gov/node/73067/psn-pdf
March 24, 2021 - Changes in error patterns in unanticipated trauma deaths
during 20 years: in pursuit of zero preventable deaths.
March 24, 2021
LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during
20 years: In pursuit of zero preventable deaths. J Trauma Acute Care Surg. 2020;89…
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psnet.ahrq.gov/node/73580/psn-pdf
August 11, 2021 - Prevalence, nature, severity and preventability of adverse
drug events in mental health settings: findings from the
MedicAtion relateD harm in mEntal health hospitals
(MADE) study.
August 11, 2021
Alshehri GH, Ashcroft DM, Nguyen J, et al. Prevalence, nature, severity and preventability of adverse drug
events in …
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psnet.ahrq.gov/node/35577/psn-pdf
April 06, 2011 - Safety culture assessment in community pharmacy:
development, face validity, and feasibility of the
Manchester Patient Safety Assessment Framework.
April 6, 2011
Ashcroft DM, Morecroft C, Parker D, et al. Safety culture assessment in community pharmacy:
development, face validity, and feasibility of the Manchester…
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psnet.ahrq.gov/node/46182/psn-pdf
June 28, 2017 - What we know about designing an effective improvement
intervention (but too often fail to put into practice).
June 28, 2017
Marshall M, de Silva D, Cruickshank L, et al. What we know about designing an effective improvement
intervention (but too often fail to put into practice). BMJ Qual Saf. 2016;26(7). doi:10.113…
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psnet.ahrq.gov/node/36348/psn-pdf
March 09, 2009 - Reducing medical error in the Military Health System: how
can team training help?
March 9, 2009
Alonso A, Baker DP, Holtzman A, et al. Reducing medical error in the Military Health System: How can
team training help? Human Resource Management Review. 2006;16(3). doi:10.1016/j.hrmr.2006.05.006.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/856585/psn-pdf
November 29, 2023 - Overnight stay in the emergency department and
mortality in older patients.
November 29, 2023
Roussel M, Teissandier D, Yordanov Y, et al. Overnight stay in the emergency department and mortality in
older patients. JAMA Intern Med. 2023;183(12):1378-1385. doi:10.1001/jamainternmed.2023.5961.
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January 01, 2022 - Key considerations in ensuring a safe regional telehealth
care model: a systematic review.
May 26, 2021
Haveland S, Islam S. Key considerations in ensuring a safe regional telehealth care model: a systematic
review. Telemed J E Health. 2022;28(5):602-612. doi:10.1089/tmj.2020.0580.
https://psnet.ahrq.gov/issue/key…
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psnet.ahrq.gov/node/846760/psn-pdf
March 29, 2023 - Electronic health record-based prediction models for in-
hospital adverse drug event diagnosis or prognosis: a
systematic review.
March 29, 2023
Yasrebi-de Kom IAR, Dongelmans DA, de Keizer NF, et al. Electronic health record-based prediction
models for in-hospital adverse drug event diagnosis or prognosis: a syst…
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psnet.ahrq.gov/node/34889/psn-pdf
March 04, 2011 - Effect of electronic health records in ambulatory care:
retrospective, serial, cross sectional study.
March 4, 2011
Garrido T, Jamieson L, Zhou Y, et al. Effect of electronic health records in ambulatory care: retrospective,
serial, cross sectional study. BMJ. 2005;330(7491):581.
https://psnet.ahrq.gov/issue/effec…