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psnet.ahrq.gov/node/836990/psn-pdf
April 27, 2022 - Anatomy of a cyberattack: part 4: quality assurance and
error reduction, billing and compliance, transition to
uptime.
April 27, 2022
Frisch NK, Gibson PC, Stowman AM, et al. Anatomy of a cyberattack: part 4: quality assurance and error
reduction, billing and compliance, transition to uptime. Am J Emerg Med. 2022;…
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psnet.ahrq.gov/node/72483/psn-pdf
November 18, 2020 - ACGME Summary Report: The Pursuing Excellence
Pathway Leaders Patient Safety Collaborative.
November 18, 2020
Passiment M, Wagner R, Weiss KB for the Pursuing Excellence in Clinical Learning Environments:
Pathway Leaders Patient Safety Collaborative. Chicago, IL: Accreditation Council for Graduate Medical
Educatio…
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psnet.ahrq.gov/node/841150/psn-pdf
December 07, 2022 - Quality improvement as a primary approach to change in
healthcare: a precarious, self-limiting choice?
December 7, 2022
Mandel KE, Cady SH. Quality improvement as a primary approach to change in healthcare: a precarious,
self-limiting choice? BMJ Qual Saf. 2022;31(12):860-866. doi:10.1136/bmjqs-2021-014447.
https:…
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psnet.ahrq.gov/node/73916/psn-pdf
January 01, 2022 - Use of heuristics during the clinical decision process
from family care physicians in real conditions.
October 6, 2021
Fernández?Aguilar C, Martín?Martín JJ, Minué Lorenzo S, et al. Use of heuristics during the clinical
decision process from family care physicians in real conditions. J Eval Clin Pract. 2022;28(1):1…
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psnet.ahrq.gov/node/865520/psn-pdf
April 10, 2024 - The prevalence of incivility in hospitals and the effects of
incivility on patient safety culture and outcomes: a
systematic review and meta-analysis.
April 10, 2024
Freedman B, Li WW, Liang Z, et al. The prevalence of incivility in hospitals and the effects of incivility on
patient safety culture and outcomes: a …
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psnet.ahrq.gov/node/47776/psn-pdf
August 20, 2021 - FDA Safety Communication: update--robotically-assisted
surgical devices in mastectomy.
August 20, 2021
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 20, 2021.
https://psnet.ahrq.gov/issue/fda-safety-communication-caution-when-using-robotically-assisted-surgical-
devices-womens
…
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psnet.ahrq.gov/node/48040/psn-pdf
July 24, 2019 - Potentially inappropriate prescribing among older
persons: a meta-analysis of observational studies.
July 24, 2019
Liew TM, Lee CS, Shawn KLG, et al. Potentially Inappropriate Prescribing Among Older Persons: A Meta-
Analysis of Observational Studies. Ann Fam Med. 2019;17(3):257-266. doi:10.1370/afm.2373.
https://…
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psnet.ahrq.gov/node/73588/psn-pdf
August 11, 2021 - Reporting of death in US Food and Drug Administration
medical device adverse event reports in categories other
than death.
August 11, 2021
Lalani C, Kunwar EM, Kinard M, et al. Reporting of death in US Food and Drug Administration medical
device adverse event reports in categories other than death. JAMA Intern Med…
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psnet.ahrq.gov/node/73679/psn-pdf
September 08, 2021 - Why an open disclosure procedure is and is not followed
after an avoidable adverse event.
September 8, 2021
Carrillo I, Mira JJ, Guilabert M, et al. Why an open disclosure procedure is and is not followed after an
avoidable adverse event. J Patient Saf. 2021;17(6):e529-e533. doi:10.1097/pts.0000000000000405.
https…
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psnet.ahrq.gov/node/34709/psn-pdf
February 18, 2011 - Views of practicing physicians and the public on medical
errors.
February 18, 2011
Blendon RJ, DesRoches CM, Brodie M, et al. Views of practicing physicians and the public on medical
errors. N Engl J Med. 2002;347(24):1933-40.
https://psnet.ahrq.gov/issue/views-practicing-physicians-and-public-medical-errors
In r…
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psnet.ahrq.gov/node/852794/psn-pdf
August 23, 2023 - The state of health, burnout, healthy behaviors, workplace
wellness support, and concerns of medication errors in
pharmacists during the COVID-19 pandemic.
August 23, 2023
Melnyk BM, Hsieh AP, Tan A, et al. The state of health, burnout, healthy behaviors, workplace wellness
support, and concerns of medication erro…
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psnet.ahrq.gov/node/836958/psn-pdf
April 20, 2022 - Crossover of the patient satisfaction surveys, adverse
events and patient complaints for continuous
improvement in radiotherapy department.
April 20, 2022
Cucchiaro SÉ, Princen F, Goreux JË, et al. Crossover of the patient satisfaction surveys, adverse events
and patient complaints for continuous improvement in ra…
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psnet.ahrq.gov/node/865975/psn-pdf
May 29, 2024 - A systematic review of workplace triggers of emotions in
the healthcare environment, the emotions experienced,
and the impact on patient safety.
May 29, 2024
Sattar R, Lawton R, Janes G, et al. A systematic review of workplace triggers of emotions in the healthcare
environment, the emotions experienced, and the im…
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psnet.ahrq.gov/node/72780/psn-pdf
February 24, 2021 - Perceptions of institutional support for “second victims”
are associated with safety culture and workforce well-
being.
February 24, 2021
Sexton JB, Adair KC, Profit J, et al. Perceptions of Institutional Support for “Second Victims” Are
Associated with Safety Culture and Workforce Well-Being. Jt Comm J Qual Saf. …
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psnet.ahrq.gov/node/45594/psn-pdf
December 19, 2017 - Teaching quality improvement and patient safety in
residency education: strategies for meaningful resident
quality and safety initiatives.
December 19, 2017
Morrison RJ, Bowe SN, Brenner MJ. Teaching Quality Improvement and Patient Safety in Residency
Education: Strategies for Meaningful Resident Quality and Safet…
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psnet.ahrq.gov/node/44043/psn-pdf
September 20, 2017 - Incident learning in pursuit of high reliability:
implementing a comprehensive, low-threshold reporting
program in a large, multisite radiation oncology
department.
September 20, 2017
Gabriel PE, Volz E, Bergendahl HW, et al. Incident learning in pursuit of high reliability: implementing a
comprehensive, low-thre…
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psnet.ahrq.gov/node/60793/psn-pdf
August 12, 2020 - Is there a link between nursing home reported quality and
COVID-19 cases? Evidence from California skilled nursing
facilities.
August 12, 2020
He M, Li Y, Fang F. Is There a link between nursing home reported quality and COVID-19 cases? Evidence
from California skilled nursing facilities. J Am Med Dir Assoc. 2020;…
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psnet.ahrq.gov/node/73169/psn-pdf
April 21, 2021 - Application of emergency preparedness principles to a
pharmacy department’s approach to a “black swan”
event: the COVID-19 pandemic.
April 21, 2021
Waldron KM, Schenkat DH, Rao KV, et al. Application of emergency preparedness principles to a
pharmacy department’s approach to a “black swan” event: the COVID-19 pand…
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psnet.ahrq.gov/node/35229/psn-pdf
January 02, 2017 - Patient Safety Leadership WalkRounds™ at Partners
HealthCare: learning from implementation.
January 2, 2017
Frankel A, Grillo SP, Baker EG, et al. Patient Safety Leadership WalkRounds at Partners Healthcare:
learning from implementation. Jt Comm J Qual Patient Saf. 2005;31(8):423-37.
https://psnet.ahrq.gov/issue/p…
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psnet.ahrq.gov/node/73444/psn-pdf
June 30, 2021 - Exploring patient safety outcomes for people with
learning disabilities in acute hospital settings: a scoping
review.
June 30, 2021
Louch G, Albutt AK, Harlow-Trigg J, et al. Exploring patient safety outcomes for people with learning
disabilities in acute hospital settings: a scoping review. BMJ Open. 2021;11(5):e…