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psnet.ahrq.gov/node/45192/psn-pdf
December 04, 2016 - Evidence summary and recommendations for improved
communication during care transitions.
December 4, 2016
Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved
Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj.230.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/837316/psn-pdf
June 01, 2022 - 2022 Updated Results for the AHRQ Surveys on Patient
Safety Culture (SOPS) Diagnostic Safety Supplemental
Items.
June 1, 2022
Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality; April
2022. AHRQ Publication No. 22-0027.
https://psnet.ahrq.gov/issue/2022-updated-results-a…
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psnet.ahrq.gov/node/836773/psn-pdf
March 23, 2022 - Association between operative autonomy of surgical
residents and patient outcomes.
March 23, 2022
Oliver JB, Kunac A, McFarlane JL, et al. Association between operative autonomy of surgical residents and
patient outcomes. JAMA Surg. 2022;157(3):211-219. doi:10.1001/jamasurg.2021.6444.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/73136/psn-pdf
April 14, 2021 - Nurse's Achilles Heel: using big data to determine
workload factors that impact near misses.
April 14, 2021
Campbell AA, Harlan T, Campbell M, et al. Nurse's Achilles Heel: using big data to determine workload
factors that impact near misses. J Nurs Scholarsh. 2021;53(3):333-342. doi:10.1111/jnu.12652.
https://psn…
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psnet.ahrq.gov/node/863209/psn-pdf
February 28, 2024 - Emergency department volume and delayed diagnosis of
serious pediatric conditions.
February 28, 2024
Michelson KA, Rees CA, Florin TA, et al. Emergency department volume and delayed diagnosis of serious
pediatric conditions. JAMA Pediatr. 2024;178(4):362-368. doi:10.1001/jamapediatrics.2023.6672.
https://psnet.ahr…
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psnet.ahrq.gov/node/34641/psn-pdf
March 03, 2011 - Study of the deaths associated with anesthesia and
surgery: based on a study of 599, 548 anesthesias in ten
institutions 1948-1952, inclusive.
March 3, 2011
BEECHER HK, TODD DP. A study of the deaths associated with anesthesia and surgery: based on a study
of 599, 548 anesthesias in ten institutions 1948-1952, inc…
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psnet.ahrq.gov/node/34829/psn-pdf
April 06, 2011 - Use of medical emergency team responses to reduce
hospital cardiopulmonary arrests.
April 6, 2011
Devita MA, Braithwaite RS, Mahidhara R, et al. Use of medical emergency team responses to reduce
hospital cardiopulmonary arrests. Qual Saf Health Care. 2004;13(4):251-4.
https://psnet.ahrq.gov/issue/use-medical-emerg…
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psnet.ahrq.gov/node/60616/psn-pdf
June 24, 2020 - Nurse-reported bullying and documented adverse patient
events: an exploratory study in a US Hospital.
June 24, 2020
Arnetz JE, Neufcourt L, Sudan S, et al. Nurse-reported bullying and documented adverse patient events:
an exploratory study in a US Hospital. J Nurs Care Qual. 2020;35(3):206-212.
doi:10.1097/ncq.000…
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psnet.ahrq.gov/node/73563/psn-pdf
August 04, 2021 - Understanding complaints made about surgical
departments in a UK district general hospital.
August 4, 2021
Claydon O, Keeler B, Khanna A. Understanding complaints made about surgical departments in a UK
district general hospital. Int J Qual Health Care. 2021;33(3). doi:10.1093/intqhc/mzab095.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/74270/psn-pdf
January 19, 2022 - Adverse events associated with patient isolation: a
systematic literature review and meta-analysis.
January 19, 2022
Saliba R, Karam-Sarkis D, Zahar J-R, et al. Adverse events associated with patient isolation: a systematic
literature review and meta-analysis. J Hosp Infect. 2022;119:54-63. doi:10.1016/j.jhin.2021.…
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psnet.ahrq.gov/node/838321/psn-pdf
October 12, 2022 - Meeting the Moment: Addressing Barriers and Facilitating
Clinical Adoption of Artificial Intelligence in Medical
Diagnosis.
October 12, 2022
Adler-Milstein J, Aggarwal N, Ahmed M, et al. NAM Perspectives. Washington DC: National Academy of
Medicine; 2022.
https://psnet.ahrq.gov/issue/meeting-moment-addressing-bar…
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psnet.ahrq.gov/node/45919/psn-pdf
July 05, 2017 - Managing the patient identification crisis in healthcare
and laboratory medicine.
July 5, 2017
Lippi G, Mattiuzzi C, Bovo C, et al. Managing the patient identification crisis in healthcare and laboratory
medicine. Clin Biochem. 2017;50(10-11):562-567. doi:10.1016/j.clinbiochem.2017.02.004.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/34795/psn-pdf
December 23, 2008 - Preventable adverse drug events in hospitalized patients:
a comparative study of intensive care and general care
units.
December 23, 2008
Cullen DJ, Sweitzer BJ, Bates DW, et al. Preventable adverse drug events in hospitalized patients. Crit
Care Med. 1997;25(8):1289-1297. doi:10.1097/00003246-199708000-00014.
ht…
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psnet.ahrq.gov/node/866077/psn-pdf
June 05, 2024 - Associations between patient safety culture and
workplace safety culture in hospital settings.
June 5, 2024
Hesgrove B, Zebrak K, Yount N, et al. Associations between patient safety culture and workplace safety
culture in hospital settings. BMC Health Serv Res. 2024;24(1):568. doi:10.1186/s12913-024-10984-3.
https…
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psnet.ahrq.gov/node/867349/psn-pdf
December 11, 2024 - Prevalence and Burden of Healthcare-Associated
Infections (HAIs), 2016–2021. HCUP Statistical Brief #313.
December 11, 2024
Miller MA, Umscheid CA, Dowell J, et al. Prevalence And Burden Of Healthcare-Associated Infections
(Hais), 2016–2021. Hcup Statistical Brief #313. Rockville, MD: Agency for Healthcare Research…
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psnet.ahrq.gov/node/845353/psn-pdf
March 01, 2023 - Inadequate Outpatient Mental Health Triage and Care of a
Patient at the Chico Community-Based Outpatient Clinic
in California.
March 1, 2023
Washington, DC: VA Office of the Inspector General; February 2, 2023. Report no. 22-01363-52.
https://psnet.ahrq.gov/issue/inadequate-outpatient-mental-health-triage-and…
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psnet.ahrq.gov/node/34067/psn-pdf
January 04, 2017 - Does full disclosure of medical errors affect malpractice
liability? The jury is still out.
January 4, 2017
Kachalia A, Shojania KG, Hofer TP, et al. Does full disclosure of medical errors affect malpractice liability?
The jury is still out. Jt Comm J Qual Saf. 2003;29(10):503-11.
https://psnet.ahrq.gov/issue/does…
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psnet.ahrq.gov/node/847541/psn-pdf
April 12, 2023 - Improving medication safety in a paediatric hospital: a
mixed-methods evaluation of a newly implemented
computerised provider order entry system.
April 12, 2023
Liang MQ, Thibault M, Jouvet P, et al. BMJ Health Care Inform. 2023;30(1):e100622.
https://psnet.ahrq.gov/issue/improving-medication-safety-paediatric-hos…
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psnet.ahrq.gov/node/39913/psn-pdf
October 13, 2010 - The frequency of diagnostic errors in radiologic reports
depends on the patient's age.
October 13, 2010
Diaz S, Ekberg O. The frequency of diagnostic errors in radiologic reports depends on the patient's age.
Acta Radiol. 2010;51(8):934-8. doi:10.3109/02841851.2010.503192.
https://psnet.ahrq.gov/issue/frequency-di…
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psnet.ahrq.gov/node/839820/psn-pdf
November 09, 2022 - Patients who die by suicide: a study of treatment patterns
and patient safety incidents in Norway.
November 9, 2022
Krvavac S, Jansson B, Bukholm IRK, et al. Patients who die by suicide: a study of treatment patterns and
patient safety incidents in Norway. Int J Environ Res Public Health. 2022;19(17):10686.
doi:10…