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psnet.ahrq.gov/node/47514/psn-pdf
October 31, 2018 - Making Hospitals Safe for People With Diabetes.
October 31, 2018
Watts E, Rayman G. Diabetes UK. London, UK; 2018.
https://psnet.ahrq.gov/issue/making-hospitals-safe-people-diabetes
Chronic disease management can add complexity to inpatient care regimens. Researchers worked with
patients, system leaders, and clini…
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psnet.ahrq.gov/node/60625/psn-pdf
June 24, 2020 - Medical bias: from pain pills to COVID-19, racial
discrimination in health care festers.
June 24, 2020
O'Donnell J, Alltucker K. Medical bias: from pain pills to COVID-19, racial discrimination in health care
festers. USA Today. 2020;Jun 14.
https://psnet.ahrq.gov/issue/medical-bias-pain-pills-covid-19-racial-disc…
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psnet.ahrq.gov/node/46621/psn-pdf
November 22, 2017 - Patient involvement for improved patient safety: a
qualitative study of nurses' perceptions and experiences.
November 22, 2017
Skagerström J, Ericsson C, Nilsen P, et al. Patient involvement for improved patient safety: A qualitative
study of nurses' perceptions and experiences. Nurs Open. 2017;4(4):230-239. doi:10…
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psnet.ahrq.gov/node/865667/psn-pdf
April 24, 2024 - Impact of short-notice accreditation assessments on
hospitals' patient safety and quality culture--a scoping
review.
April 24, 2024
Scanlan R, Flenady T, Judd J. Impact of short?notice accreditation assessments on hospitals' patient
safety and quality culture- a scoping review. J Adv Nurs. 2024;80(10):3965-3976. d…
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psnet.ahrq.gov/node/34873/psn-pdf
February 18, 2011 - Nurse-staffing levels and the quality of care in hospitals.
February 18, 2011
Needleman J, Buerhaus P, Mattke S, et al. Nurse-staffing levels and the quality of care in hospitals. N Engl
J Med. 2002;346(22):1715-22.
https://psnet.ahrq.gov/issue/nurse-staffing-levels-and-quality-care-hospitals
The relationship betw…
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psnet.ahrq.gov/node/864862/psn-pdf
March 20, 2024 - Global Burden of Preventable Medication-related Harm in
Health Care: A Systematic Review.
March 20, 2024
Geneva, Switzerland: World Health Organization; 2023. ISBN: 9789240088887.
https://psnet.ahrq.gov/issue/global-burden-preventable-medication-related-harm-health-care-systematic-
review
The Medication Without H…
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psnet.ahrq.gov/node/50400/psn-pdf
October 02, 2019 - The role of personal health information management in
promoting patient safety in the home: a qualitative
analysis
October 2, 2019
Demiris G, Lin S-Y, Turner AM. The role of personal health information management in promoting patient
safety in the home: a qualitative analysis. Stud Health Technol Inform . 2019;264…
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psnet.ahrq.gov/node/855437/psn-pdf
November 15, 2023 - Advancing Diagnostic Excellence for Maternal Health
Care: Proceedings of a Workshop–in Brief.
November 15, 2023
National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies
Press; 2023. ISBN: 9780309711937.
https://psnet.ahrq.gov/issue/advancing-diagnostic-excellence-maternal-h…
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psnet.ahrq.gov/node/850911/psn-pdf
June 21, 2023 - International perspectives on modifications to the
surgical safety checklist.
June 21, 2023
Turley N, Elam M, Brindle ME. International perspectives on modifications to the surgical safety checklist.
JAMA Netw Open. 2023;6(6):e2317183. doi:10.1001/jamanetworkopen.2023.17183.
https://psnet.ahrq.gov/issue/internatio…
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psnet.ahrq.gov/node/853436/psn-pdf
September 13, 2023 - Long-term sustainability and adaptation of I-PASS
handovers.
September 13, 2023
Ryan SL, Logan M, Liu X, et al. Long-term sustainability and adaptation of I-PASS handovers. Jt Comm J
Qual Patient Saf. 2023;19(12):689-697. doi:10.1016/j.jcjq.2023.07.007.
https://psnet.ahrq.gov/issue/long-term-sustainability-and-ada…
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psnet.ahrq.gov/node/47032/psn-pdf
May 23, 2018 - Clinical dental faculty members' perceptions of diagnostic
errors and how to avoid them.
May 23, 2018
Nikdel C, Nikdel K, Ibarra-Noriega A, et al. Clinical Dental Faculty Members' Perceptions of Diagnostic
Errors and How to Avoid Them. J Dent Educ. 2018;82(4):340-348. doi:10.21815/JDE.018.037.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/47730/psn-pdf
January 23, 2019 - Assessment of a simulated case-based measurement of
physician diagnostic performance.
January 23, 2019
Chatterjee S, Desai S, Manesh R, et al. Assessment of a Simulated Case-Based Measurement of
Physician Diagnostic Performance. JAMA Netw Open. 2019;2(1):e187006.
doi:10.1001/jamanetworkopen.2018.7006.
https://psn…
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psnet.ahrq.gov/node/38060/psn-pdf
April 11, 2011 - Iatrogenesis in neonatal intensive care units:
observational and interventional, prospective, multicenter
study.
April 11, 2011
Kugelman A, Inbar-Sanado E, Shinwell ES, et al. Iatrogenesis in neonatal intensive care units:
observational and interventional, prospective, multicenter study. Pediatrics. 2008;122(3):55…
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psnet.ahrq.gov/node/50839/psn-pdf
January 29, 2020 - Mid Staffs scandal: 10 years on, inquiry chair worries NHS
staff too scared to speak up.
January 29, 2020
Lintern S. The Independent. January 15, 2020.
https://psnet.ahrq.gov/issue/mid-staffs-scandal-10-years-inquiry-chair-worries-nhs-staff-too-scared-speak
The Francis report is a primary example of a large-scale …
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psnet.ahrq.gov/node/48140/psn-pdf
July 31, 2019 - Impact of critical event checklists on anaesthetist
performance in simulated operating theatre emergencies.
July 31, 2019
Siddiqui A, Ng E, Burrows C, et al. Impact of Critical Event Checklists on Anaesthetist Performance in
Simulated Operating Theatre Emergencies. Cureus. 2019;11(4):e4376. doi:10.7759/cureus.4376.…
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psnet.ahrq.gov/node/40132/psn-pdf
May 25, 2011 - Information needs in operating room teams: what is right,
what is wrong, and what is needed?
May 25, 2011
Forrest D, Healey A, Shirafkan H, et al. Information needs in operating room teams: what is right, what is
wrong, and what is needed? Surg Endosc. 2011;25(6):1913-20. doi:10.1007/s00464-010-1486-z.
https://psn…
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psnet.ahrq.gov/node/34797/psn-pdf
October 06, 2015 - Adapting to new technologies in the operating room.
October 6, 2015
Cook RI, Woods DD. Adapting to New Technology in the Operating Room. Hum Factors. 2006;38(4):593-
613. doi:10.1518/001872096778827224.
https://psnet.ahrq.gov/issue/adapting-new-technologies-operating-room
New technology continues to offer great ad…
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psnet.ahrq.gov/node/35510/psn-pdf
February 19, 2010 - Simulation study of rested versus sleep-deprived
anesthesiologists.
February 19, 2010
Howard SK, Gaba DM, Smith B, et al. Simulation study of rested versus sleep-deprived anesthesiologists.
Anesthesiology. 2003;98(6):1345-1355. doi:10.1097/00000542-200306000-00008.
https://psnet.ahrq.gov/issue/simulation-study-res…
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psnet.ahrq.gov/node/34742/psn-pdf
July 20, 2016 - Culture at Work in Aviation and Medicine: National,
Organizational, and Professional Influences.
July 20, 2016
Helmreich RL, Merritt AC. Brookfield, VT: Ashgate; 1998. ISBN: 9780291398536.
https://psnet.ahrq.gov/issue/culture-work-aviation-and-medicine-national-organizational-and-professional-
influences
This boo…
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psnet.ahrq.gov/node/35069/psn-pdf
June 22, 2009 - Towards an organization with a memory: exploring the
organizational generation of adverse events in health
care.
June 22, 2009
Smith D, Toft B. Towards an organization with a memory: exploring the organizational generation of
adverse events in health care. Health Serv Manage Res. 2005;18(2). doi:10.1258/0951484053…