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psnet.ahrq.gov/node/73321/psn-pdf
May 26, 2021 - Support for healthcare professionals after surgical patient
safety incidents: a qualitative descriptive study in 5
teaching hospitals.
May 26, 2021
Serou N, Husband AK, Forrest SP, et al. Support for healthcare professionals after surgical patient safety
incidents: a qualitative descriptive study in 5 teaching hos…
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psnet.ahrq.gov/node/47537/psn-pdf
November 14, 2018 - Developing a learning health system: insights from a
qualitative process evaluation of a pharmacist-led
electronic audit and feedback intervention to improve
medication safety in primary care.
November 14, 2018
Jeffries M, Keers RN, Phipps D, et al. Developing a learning health system: Insights from a qualitative
…
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psnet.ahrq.gov/node/46732/psn-pdf
June 07, 2018 - The SAGES Fundamental Use of Surgical Energy program
(FUSE): history, development, and purpose.
June 7, 2018
Fuchshuber P, Schwaitzberg S, Jones D, et al. The SAGES Fundamental Use of Surgical Energy program
(FUSE): history, development, and purpose. Surg Endosc. 2018;32(6):2583-2602. doi:10.1007/s00464-
017-5933-…
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psnet.ahrq.gov/node/848361/psn-pdf
May 03, 2023 - More than algorithms: an analysis of safety events
involving ML-enabled medical devices reported to the
FDA.
May 3, 2023
Lyell D, Wang Y, Coiera E, et al. More than algorithms: an analysis of safety events involving ML-enabled
medical devices reported to the FDA. J Am Med Inform Assoc. 2023;30(7):1227-1236.
doi:1…
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psnet.ahrq.gov/node/45137/psn-pdf
May 18, 2016 - Less is more: a project to reduce the number of PIMs
(potentially inappropriate medications) on an elderly care
ward.
May 18, 2016
Aung TH, Beck AJ, Siese T, et al. Less is more: a project to reduce the number of PIMs (potentially
inappropriate medications) on an elderly care ward. BMJ Qual Improv Rep. 2016;5(1).
…
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psnet.ahrq.gov/node/72857/psn-pdf
March 17, 2021 - Results and lessons from a hospital-wide initiative
incentivised by delivery system reform to improve
infection prevention and sepsis care.
March 17, 2021
Sreeramoju P, Voy-Hatter K, White C, et al. Results and lessons from a hospital-wide initiative incentivised
by delivery system reform to improve infection prev…
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psnet.ahrq.gov/node/862985/psn-pdf
February 21, 2024 - A qualitative study of systems-level factors that affect
rural obstetric nurses' work during clinical emergencies.
February 21, 2024
Bernstein SL, Picciolo M, Grills E, et al. A qualitative study of systems-level factors that affect rural obstetric
nurses' work during clinical emergencies. Jt Comm J Qual Patient Sa…
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psnet.ahrq.gov/node/60942/psn-pdf
September 23, 2020 - More than an apple a day: factors associated with
avoidance of doctor visits among transgender, gender
nonconforming, and nonbinary people in the USA.
September 23, 2020
Lerner JE, Martin JI, Gorsky GS. More than an apple a day: factors associated with avoidance of doctor
visits among transgender, gender nonconfor…
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psnet.ahrq.gov/node/50868/psn-pdf
February 05, 2020 - Adverse medication events related to hospitalization in
the United States: a comparison between adults with
intellectual and developmental disabilities and those
without.
February 5, 2020
Erickson SR, Kamdar N, Wu C-H. Adverse Medication Events Related to Hospitalization in the United
States: A Comparison Between…
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psnet.ahrq.gov/node/41211/psn-pdf
January 03, 2017 - He thought the "lady in the door" was the "lady in the
window": a qualitative study of patient identification
practices.
January 3, 2017
Phipps E, Turkel M, Mackenzie ER, et al. He thought the "lady in the door" was the "lady in the window": a
qualitative study of patient identification practices. Jt Comm J Qual P…
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psnet.ahrq.gov/node/47505/psn-pdf
March 19, 2019 - Measuring the teamwork performance of teams in crisis
situations: a systematic review of assessment tools and
their measurement properties.
March 19, 2019
Boet S, Etherington N, Larrigan S, et al. Measuring the teamwork performance of teams in crisis situations:
a systematic review of assessment tools and their me…
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psnet.ahrq.gov/node/837500/psn-pdf
June 22, 2022 - Analysis of hospital-level readmission rates and variation
in adverse events among patients with pneumonia in the
United States.
June 22, 2022
Wang Y, Eldridge N, Metersky ML, et al. Analysis of hospital-level readmission rates and variation in
adverse events among patients with pneumonia in the United States. JAM…
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psnet.ahrq.gov/node/866950/psn-pdf
October 16, 2024 - Impact of team performance on the surgical safety
checklist on patient outcomes: an operating room black
box analysis.
October 16, 2024
Al Abbas AI, Meier J, Daniel W, et al. Impact of team performance on the surgical safety checklist on
patient outcomes: an operating room black box analysis. Surg Endosc. 2024;38(…
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psnet.ahrq.gov/node/44501/psn-pdf
January 22, 2016 - Patient safety perceptions in pediatric out-of-hospital
emergency care: Children's Safety Initiative.
January 22, 2016
Guise J-M, Meckler G, O'Brien K, et al. Patient Safety Perceptions in Pediatric Out-of-Hospital Emergency
Care: Children's Safety Initiative. J Pediatr. 2015;167(5):1143-8.e1. doi:10.1016/j.jpeds.2…
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psnet.ahrq.gov/node/45252/psn-pdf
September 04, 2016 - Pediatric airway management and prehospital patient
safety: results of a national Delphi survey by the
Children's Safety Initiative-Emergency Medical Services
for Children.
September 4, 2016
Hansen M, Meckler G, O?Brien K, et al. Pediatric Airway Management and Prehospital Patient Safety:
Results of a National De…
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psnet.ahrq.gov/issue/youre-boss-hospital
February 28, 2024 - Newspaper/Magazine Article
You're the boss at the hospital.
Save
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November 28, 2016
This article shares guidelines for accompanying a fa…
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psnet.ahrq.gov/node/47118/psn-pdf
August 08, 2018 - Wrong-site nerve blocks: a systematic literature review to
guide principles for prevention.
August 8, 2018
Deutsch ES, Yonash RA, Martin DE, et al. Wrong-site nerve blocks: A systematic literature review to guide
principles for prevention. J Clin Anesth. 2018;46:101-111. doi:10.1016/j.jclinane.2017.12.008.
https:/…
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psnet.ahrq.gov/node/836961/psn-pdf
April 20, 2022 - Coping and recovery in surgical residents after adverse
events: the second victim phenomenon.
April 20, 2022
Khansa I, Pearson GD. Coping and recovery in surgical residents after adverse events: the second victim
phenomenon. Plast Reconstr Surg Glob Open. 2022;10(3):e4203. doi:10.1097/gox.0000000000004203.
https:/…
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psnet.ahrq.gov/node/849317/psn-pdf
May 24, 2023 - Implementing an electronic root cause analysis reporting
system to decrease hospital-acquired pressure injuries.
May 24, 2023
Armstrong AA. Implementing an electronic root cause analysis reporting system to decrease hospital-
acquired pressure injuries. J Healthc Qual. 2023;45(3):125-132. doi:10.1097/jhq.0000000000…
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psnet.ahrq.gov/node/850930/psn-pdf
June 21, 2023 - Patient safety in emergency departments: a problem for
health care systems? An international survey.
June 21, 2023
Petrino R, Tuunainen E, Bruzzone G, et al. Patient safety in emergency departments: a problem for health
care systems? An international survey. Eur J Emerg Med. 2023;30(4):280-286.
doi:10.1097/mej.000…