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psnet.ahrq.gov/node/60552/psn-pdf
June 03, 2020 - Personal protective equipment for preventing highly
infectious diseases due to exposure to contaminated
body fluids in healthcare staff.
June 3, 2020
Verbeek JH, Rajamaki B, Ijaz S, et al. Personal protective equipment for preventing highly infectious
diseases due to exposure to contaminated body fluids in healthc…
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psnet.ahrq.gov/node/50369/psn-pdf
January 01, 2020 - Association of registered nurse and nursing support
staffing with inpatient hospital mortality.
September 25, 2019
Needleman J, Liu J, Shang J, et al. Association of registered nurse and nursing support staffing with
inpatient hospital mortality. BMJ Qual Saf. 2020;29(1):10-18. doi:10.1136/bmjqs-2018-009219.
https…
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psnet.ahrq.gov/node/37254/psn-pdf
January 02, 2017 - Creating a fair and just culture: one institution's path
toward organizational change.
January 2, 2017
Connor M, Duncombe D, Barclay E, et al. Creating a fair and just culture: one institution's pat toward
organizational change. Jt Comm J Qual Patient Saf. 2007;33(10):617-24.
https://psnet.ahrq.gov/issue/creating-…
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psnet.ahrq.gov/node/47088/psn-pdf
May 02, 2018 - Medical Office Survey on Patient Safety Culture: 2018
User Database Report.
May 2, 2018
Famolaro T, Yount N, Hare R, et al. Rockville, MD: Agency for Healthcare Research and Quality; April
2018. AHRQ Publication No. 18-0030-EF.
https://psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture-2018-user-dat…
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psnet.ahrq.gov/node/844801/psn-pdf
January 01, 2021 - A mixed-methods study of challenges experienced by
clinical teams in measuring improvement.
September 11, 2019
Woodcock T, Liberati EG, Dixon-Woods M. A mixed-methods study of challenges experienced by clinical
teams in measuring improvement. BMJ Qual Saf. 2021;30(2):106-115. doi:10.1136/bmjqs-2018-009048.
https:/…
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psnet.ahrq.gov/node/48095/psn-pdf
June 26, 2019 - Exposure to incivility hinders clinical performance in a
simulated operative crisis.
June 26, 2019
Katz D, Blasius K, Isaak R, et al. Exposure to incivility hinders clinical performance in a simulated operative
crisis. BMJ Qual Saf. 2019;28(9):750-757. doi:10.1136/bmjqs-2019-009598.
https://psnet.ahrq.gov/issue/ex…
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psnet.ahrq.gov/node/38616/psn-pdf
June 08, 2009 - Cost and workforce implications of subjecting all
physicians to aviation industry work-hour restrictions.
June 8, 2009
Payette M, Chatterjee A, Weeks WB. Cost and workforce implications of subjecting all physicians to
aviation industry work-hour restrictions. Am J Surg. 2009;197(6):820-5; discussion 826-7.
doi:1…
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psnet.ahrq.gov/node/38077/psn-pdf
January 31, 2011 - Building physician work hour regulations from first
principles and best evidence.
January 31, 2011
Volpp KG, Landrigan CP. Building physician work hour regulations from first principles and best evidence.
JAMA. 2008;300(10):1197-9. doi:10.1001/jama.300.10.1197.
https://psnet.ahrq.gov/issue/building-physician-work-…
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psnet.ahrq.gov/node/39951/psn-pdf
October 27, 2010 - Making inpatient medication reconciliation patient
centered, clinically relevant and implementable: a
consensus statement on key principles and necessary
first steps.
October 27, 2010
Greenwald JL, Halasyamani L, Greene J, et al. Making inpatient medication reconciliation patient centered,
clinically relevant and…
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psnet.ahrq.gov/node/37484/psn-pdf
April 01, 2010 - Using patient safety indicators to estimate the impact of
potential adverse events on outcomes.
April 1, 2010
Rivard PE, Luther SL, Christiansen CL, et al. Using Patient Safety Indicators to Estimate the Impact of
Potential Adverse Events on Outcomes. Med Care Res Rev. 2008;65(1):67-87.
doi:10.1177/107755870730961…
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psnet.ahrq.gov/node/39142/psn-pdf
December 02, 2009 - Resident and RN perceptions of the impact of a medical
emergency team on education and patient safety in an
academic medical center.
December 2, 2009
Sarani B, Sonnad SS, Bergey MR, et al. Resident and RN perceptions of the impact of a medical
emergency team on education and patient safety in an academic medical c…
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psnet.ahrq.gov/node/47058/psn-pdf
August 20, 2018 - The first U.S. study on nurses' evidence-based practice
competencies indicates major deficits that threaten
healthcare quality, safety, and patient outcomes.
August 20, 2018
Melnyk BM, Gallagher-Ford L, Zellefrow C, et al. The First U.S. Study on Nurses' Evidence-Based Practice
Competencies Indicates Major Deficit…
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psnet.ahrq.gov/node/37908/psn-pdf
June 10, 2010 - Incidence and characteristics of potential and actual
retained foreign object events in surgical patients.
June 10, 2010
Cima RR, Kollengode A, Garnatz J, et al. Incidence and characteristics of potential and actual retained
foreign object events in surgical patients. J Am Coll Surg. 2008;207(1):80-7.
doi:10.1016/…
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psnet.ahrq.gov/node/41455/psn-pdf
June 13, 2012 - Medication errors during medical emergencies in a large,
tertiary care, academic medical center.
June 13, 2012
Gokhman R, Seybert AL, Phrampus P, et al. Medication errors during medical emergencies in a large,
tertiary care, academic medical center. Resuscitation. 2012;83(4):482-7.
doi:10.1016/j.resuscitation.2011…
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psnet.ahrq.gov/node/42103/psn-pdf
January 07, 2015 - Indication-based prescribing prevents wrong-patient
medication errors in computerized provider order entry
(CPOE).
January 7, 2015
Galanter W, Falck S, Burns M, et al. Indication-based prescribing prevents wrong-patient medication errors
in computerized provider order entry (CPOE). J Am Med Inform Assoc. 2013;20(3…
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psnet.ahrq.gov/node/37462/psn-pdf
January 06, 2017 - Medication errors associated with code situations in U.S.
hospitals: direct and collateral damage.
January 6, 2017
Lipshutz AKM, Morlock LL, Shore AD, et al. Medication Errors Associated with Code Situations in U.S.
Hospitals: Direct and Collateral Damage. Jt Comm J Qual Patient Saf. 2016;34(1):46-56.
doi:10.1016/…
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psnet.ahrq.gov/node/42653/psn-pdf
January 07, 2015 - Exploring the sociotechnical intersection of patient safety
and electronic health record implementation.
January 7, 2015
Meeks DW, Takian A, Sittig DF, et al. Exploring the sociotechnical intersection of patient safety and
electronic health record implementation. J Am Med Inform Assoc. 2014;21(e1):e28-e34.
doi:10.…
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psnet.ahrq.gov/node/45356/psn-pdf
May 09, 2017 - Screening for medication errors using an outlier detection
system.
May 9, 2017
Schiff G, Volk LA, Volodarskaya M, et al. Screening for medication errors using an outlier detection system.
J Am Med Inform Assoc. 2017;24(2):281-287. doi:10.1093/jamia/ocw171.
https://psnet.ahrq.gov/issue/screening-medication-errors-u…
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psnet.ahrq.gov/node/847718/psn-pdf
April 19, 2023 - Effect of a Veterans Health Administration mandate to
case review patients with opioid prescriptions on
mortality among patients with opioid use disorder: a
secondary analysis of the STORM randomized control
trial.
April 19, 2023
Auty SG, Barr KD, Frakt AB, et al. Effect of a Veterans Health Administration mandat…
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psnet.ahrq.gov/node/865531/psn-pdf
April 10, 2024 - Implicit bias and patient care: mitigating bias, preventing
harm.
April 10, 2024
Barber Doucet H, Wilson T, Vrablik L, et al. Implicit bias and patient care: mitigating bias, preventing harm.
MedEdPORTAL. 2023;19:11343. doi:10.15766/mep_2374-8265.11343.
https://psnet.ahrq.gov/innovation/implicit-bias-and-patient-c…