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psnet.ahrq.gov/node/43363/psn-pdf
September 12, 2016 - Escalation of care and failure to rescue: a multicenter,
multiprofessional qualitative study.
September 12, 2016
Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter,
multiprofessional qualitative study. Surgery. 2014;155(6):989-94. doi:10.1016/j.surg.2014.01.016.
https://ps…
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psnet.ahrq.gov/node/50427/psn-pdf
September 04, 2019 - Correlation between hospital finances and quality and
safety of patient care.
September 4, 2019
Akinleye DD, McNutt L-A, Lazariu V, et al. Correlation between hospital finances and quality and safety of
patient care. PLoS One. 2019;14(8):e0219124. doi:10.1371/journal.pone.0219124.
https://psnet.ahrq.gov/issue/corr…
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psnet.ahrq.gov/node/46794/psn-pdf
May 17, 2018 - Implementation of diagnostic pauses in the ambulatory
setting.
May 17, 2018
Huang GC, Kriegel G, Wheaton C, et al. Implementation of diagnostic pauses in the ambulatory setting.
BMJ Qual Saf. 2018;27(6):492-497. doi:10.1136/bmjqs-2017-007192.
https://psnet.ahrq.gov/issue/implementation-diagnostic-pauses-ambulatory…
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psnet.ahrq.gov/node/849334/psn-pdf
May 24, 2023 - I like what you are saying, but only if I feel safe:
psychological safety moderates the relationship between
voice and perceived contribution to healthcare team
effectiveness.
May 24, 2023
Weiss M, Morrison EW, Szyld D. I like what you are saying, but only if I feel safe: psychological safety
moderates the relati…
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psnet.ahrq.gov/node/60223/psn-pdf
January 01, 2021 - The effects of harm events on 30-day readmission in
surgical patients.
April 15, 2020
Kandagatla P, Su W-TK, Adrianto I, et al. The effects of harm events on 30-day readmission in surgical
patients. J Healthc Qual. 2021;43(2):101-109. doi:10.1097/jhq.0000000000000261.
https://psnet.ahrq.gov/issue/effects-harm-even…
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psnet.ahrq.gov/node/867038/psn-pdf
October 30, 2024 - From reporting to improving: how root cause analysis in
teams shape patient safety culture.
October 30, 2024
Tsamasiotis C, Fiard G, Bouzat P, et al. From reporting to improving: how root cause analysis in teams
shape patient safety culture. Risk Manag Healthc Policy. 2024;17:1847-1858. doi:10.2147/rmhp.s466852.
h…
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psnet.ahrq.gov/node/60048/psn-pdf
March 18, 2020 - 'Immunising' physicians against availability bias in
diagnostic reasoning: a randomised controlled
experiment.
March 18, 2020
Mamede S, de Carvalho-Filho MA, de Faria RMD, et al. ‘Immunising’ physicians against availability bias in
diagnostic reasoning: a randomised controlled experiment. BMJ Qual Saf. 2020;29(7):…
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psnet.ahrq.gov/node/846442/psn-pdf
March 22, 2023 - Heatwaves, hospitals and health system resilience in
England: a qualitative assessment of frontline
perspectives from the hot summer of 2019.
March 22, 2023
Brooks K, Landeg O, Kovats S, et al. Heatwaves, hospitals and health system resilience in England: a
qualitative assessment of frontline perspectives from the…
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psnet.ahrq.gov/node/45327/psn-pdf
September 27, 2016 - A concept analysis of undergraduate nursing students
speaking up for patient safety in the patient care
environment.
September 27, 2016
Fagan A, Parker V, Jackson D. A concept analysis of undergraduate nursing students speaking up for
patient safety in the patient care environment. J Adv Nurs. 2016;72(10):2346-235…
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psnet.ahrq.gov/node/45942/psn-pdf
January 01, 2021 - Medication safety in two intensive care units of a
community teaching hospital after electronic health
record implementation: sociotechnical and human factors
engineering considerations.
March 15, 2017
Carayon P, Wetterneck TB, Cartmill R, et al. Medication Safety in Two Intensive Care Units of a
Community Teachi…
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psnet.ahrq.gov/node/45446/psn-pdf
November 16, 2016 - Evidence-based interventions to reduce adverse events in
hospitals: a systematic review of systematic reviews.
November 16, 2016
Zegers M, Hesselink G, Geense W, et al. Evidence-based interventions to reduce adverse events in
hospitals: a systematic review of systematic reviews. BMJ Open. 2016;6(9):e012555.
doi:10…
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psnet.ahrq.gov/node/47942/psn-pdf
July 01, 2019 - Responding to health information technology reported
safety events: insights from patient safety event reports.
July 1, 2019
Adams KT, Kim TC, Fong A, et al. J Patient Saf Risk Manag. 2019;24:118–124.
https://psnet.ahrq.gov/issue/responding-health-information-technology-reported-safety-events-insights-
patient-saf…
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psnet.ahrq.gov/node/39106/psn-pdf
June 30, 2011 - Uncomfortable prescribing decisions in hospitals: the
impact of teamwork.
June 30, 2011
Lewis PJ, Tully MP. Uncomfortable prescribing decisions in hospitals: the impact of teamwork. J R Soc
Med. 2009;102(11):481-8. doi:10.1258/jrsm.2009.090150.
https://psnet.ahrq.gov/issue/uncomfortable-prescribing-decisions-hospi…
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psnet.ahrq.gov/node/838629/psn-pdf
October 19, 2022 - Assessing the dangers of a hospital stay for patients with
developmental disability In England, 2017–19.
October 19, 2022
Friebel R, Maynou L. Assessing the dangers of a hospital stay for patients with developmental disability In
England, 2017–19. Health Aff (Millwood). 2022;41(10):1486-1495. doi:10.1377/hlthaff.20…
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psnet.ahrq.gov/node/47741/psn-pdf
March 06, 2019 - Association of overlapping surgery with perioperative
outcomes.
March 6, 2019
Sun E, Mello MM, Rishel CA, et al. Association of Overlapping Surgery With Perioperative Outcomes.
JAMA. 2019;321(8):762-772. doi:10.1001/jama.2019.0711.
https://psnet.ahrq.gov/issue/association-overlapping-surgery-perioperative-outcomes…
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psnet.ahrq.gov/node/60520/psn-pdf
May 27, 2020 - Epidemiology of and risk factors for coronavirus infection
in health care workers: a living rapid review.
May 27, 2020
Chou R, Dana T, Buckley DI, et al. Epidemiology of and risk factors for coronavirus infection in health care
workers: a living rapid review. Ann Intern Med. 2020;173(2):120-136. doi:10.7326/m20-163…
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psnet.ahrq.gov/node/60361/psn-pdf
May 20, 2020 - Novel, High-Impact Studies Evaluating Health System and
Healthcare Professional Responsiveness to COVID-19
(R01).
May 20, 2020
Rockville, MD: Agency for Healthcare Research and Quality; May 14, 2020.
https://psnet.ahrq.gov/issue/novel-high-impact-studies-evaluating-health-system-and-healthcare-
professional-respo…
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psnet.ahrq.gov/node/47882/psn-pdf
May 01, 2019 - Impact of oncology drug shortages on chemotherapy
treatment.
May 1, 2019
Alpert A, Jacobson M. Impact of Oncology Drug Shortages on Chemotherapy Treatment. Clin Pharmacol
Ther. 2019;106(2):415-421. doi:10.1002/cpt.1390.
https://psnet.ahrq.gov/issue/impact-oncology-drug-shortages-chemotherapy-treatment
Drug shorta…
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psnet.ahrq.gov/node/47346/psn-pdf
February 22, 2019 - The prevalence of dose errors among paediatric patients
in hospital wards with and without health information
technology: a systematic review and meta-analysis.
February 22, 2019
Gates PJ, Meyerson SA, Baysari M, et al. The Prevalence of Dose Errors Among Paediatric Patients in
Hospital Wards with and without Heal…
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psnet.ahrq.gov/node/48029/psn-pdf
May 29, 2019 - Patient safety and quality outcomes for ED patients
admitted to alternative care area inpatient beds.
May 29, 2019
Lee MO, Arthofer R, Callagy P, et al. Patient safety and quality outcomes for ED patients admitted to
alternative care area inpatient beds. Am J Emerg Med. 2019;38(2):272-277.
doi:10.1016/j.ajem.2019.…