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psnet.ahrq.gov/node/40260/psn-pdf
February 08, 2017 - A case for safety leadership team training of hospital
managers.
February 8, 2017
Singer SJ, Hayes J, Cooper JB, et al. A case for safety leadership team training of hospital managers.
Health Care Manage Rev. 2011;36(2):188-200. doi:10.1097/HMR.0b013e318208cd1d.
https://psnet.ahrq.gov/issue/case-safety-leadership-…
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psnet.ahrq.gov/node/60670/psn-pdf
July 08, 2020 - Patient safety concerns in COVID-19–related events: a
study of 343 event reports from 71 hospitals in
Pennsylvania.
July 8, 2020
Taylor M, Kepner S, Gardner LA, et al. Patient safety concerns in COVID-19–related events: a study of 343
event reports from 71 hospitals in Pennsylvania. Patient Saf. 2020;2(2):16-27. d…
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psnet.ahrq.gov/node/865709/psn-pdf
May 01, 2024 - Safety in teletriage by nurses and physicians in the
United States and Israel: narrative review and qualitative
study.
May 1, 2024
Haimi M, Wheeler SQ. Safety in teletriage by nurses and physicians in the United States and Israel:
narrative review and qualitative study. JMIR Hum Factors. 2024;11:e50676. doi:10.219…
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psnet.ahrq.gov/node/841476/psn-pdf
December 14, 2022 - Barriers and facilitators to reporting medical device-
related pressure ulcers: a qualitative exploration of
international practice.
December 14, 2022
Crunden EA, Worsley PR, Coleman SB, et al. Barriers and facilitators to reporting medical device-related
pressure ulcers: a qualitative exploration of international…
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psnet.ahrq.gov/node/854261/psn-pdf
October 04, 2023 - Identifying and prioritizing educational content from a
malpractice claims database for clinical reasoning
education in the vocational training of general
practitioners.
October 4, 2023
van Sassen CGM, van den Berg PJ, Mamede S, et al. Identifying and prioritizing educational content from
a malpractice claims dat…
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psnet.ahrq.gov/node/60759/psn-pdf
August 05, 2020 - Private patient rooms and hospital-acquired methicillin-
resistant Staphylococcus aureus: hospital-level analysis
of administrative data from the United States.
August 5, 2020
Park S-H, Stockbridge EL, Miller TL, et al. Private patient rooms and hospital-acquired methicillin-resistant
Staphylococcus aureus: a hosp…
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psnet.ahrq.gov/node/43651/psn-pdf
November 18, 2016 - Ebola US Patient Zero: lessons on misdiagnosis and
effective use of electronic health records.
November 18, 2016
Upadhyay DK, Sittig DF, Singh H. Ebola US Patient Zero: lessons on misdiagnosis and effective use of
electronic health records. Diagnosis (Berl). 2014;1(4):283-287. doi:10.1515/dx-2014-0064.
https://psn…
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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/35436/psn-pdf
September 15, 2009 - Hospital nurse staffing and patient mortality, emotional
exhaustion, and job dissatisfaction.
September 15, 2009
Halm M, Peterson M, Kandels M, et al. Hospital nurse staffing and patient mortality, emotional exhaustion,
and job dissatisfaction. Clin Nurse Spec. 2005;19(5):241-254.
https://psnet.ahrq.gov/issue/hosp…
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psnet.ahrq.gov/node/46325/psn-pdf
November 30, 2018 - Physician Burnout.
November 30, 2018
Rockville, MD: Agency for Healthcare Research and Quality; July 2017. AHRQ Publication No. 17-M018-1-
EF.
https://psnet.ahrq.gov/issue/physician-burnout
Clinician burnout can affect patient safety. This report highlights AHRQ-supported research to examine
burnout in health car…
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psnet.ahrq.gov/node/866565/psn-pdf
August 21, 2024 - Crowdsourced feedback to improve resident physician
error disclosure skills: a randomized clinical trial.
August 21, 2024
White AA, King AM, D’Addario AE, et al. Crowdsourced feedback to improve resident physician error
disclosure skills: a randomized clinical trial. JAMA Netw Open. 2024;7(8):e2425923.
doi:10.1001…
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psnet.ahrq.gov/node/40119/psn-pdf
January 05, 2011 - Effects of learning climate and registered nurse staffing
on medication errors.
January 5, 2011
Chang YK, Mark BA. Effects of Learning Climate and Registered Nurse Staffing on Medication Errors. Nurs
Res. 2010;60(1). doi:10.1097/nnr.0b013e3181ff73cc.
https://psnet.ahrq.gov/issue/effects-learning-climate-and-regist…
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psnet.ahrq.gov/node/36738/psn-pdf
August 02, 2011 - Barriers and motivators for making error reports from
family medicine offices: a report from the American
Academy of Family Physicians National Research
Network (AAFP NRN).
August 2, 2011
Elder NC, Graham D, Brandt E, et al. Barriers and motivators for making error reports from family medicine
offices: a report f…
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psnet.ahrq.gov/node/47806/psn-pdf
January 01, 2021 - Pursuing patient safety at the intersection of design,
systems engineering, and health care delivery research:
an ongoing assessment.
February 27, 2019
Henriksen K, Rodrick D, Grace EN, et al. Pursuing Patient Safety at the Intersection of Design, Systems
Engineering, and Health Care Delivery Research: An Ongoing …
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psnet.ahrq.gov/node/35531/psn-pdf
May 27, 2011 - U.S. adoption of computerized physician order entry
systems.
May 27, 2011
Cutler DM, Feldman NE, Horwitz JR. U.S. adoption of computerized physician order entry systems. Health
Aff (Millwood). 2005;24(6):1654-63.
https://psnet.ahrq.gov/issue/us-adoption-computerized-physician-order-entry-systems
This study discov…
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psnet.ahrq.gov/node/72682/psn-pdf
January 27, 2021 - Healthcare failure mode and effect analysis (HFMEA) as
an effective mechanism in preventing infection caused by
accompanying caregivers during COVID-19-experience of
a city medical center in Taiwan.
January 27, 2021
Tiao C-H, Tsai L-C, Chen L-C, et al. Healthcare Failure Mode and Effect Analysis (HFMEA) as an Effe…
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psnet.ahrq.gov/node/837969/psn-pdf
August 31, 2022 - Comparing the variability of ingredient, strength, and
dose form information from electronic prescriptions with
RxNorm drug product descriptions.
August 31, 2022
Lester CA, Flynn AJ, Marshall VD, et al. Comparing the variability of ingredient, strength, and dose form
information from electronic prescriptions with …
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psnet.ahrq.gov/node/862604/psn-pdf
February 14, 2024 - A text mining approach to categorize patient safety event
reports by medication error type.
February 14, 2024
Boxley C, Fujimoto M, Ratwani RM, et al. A text mining approach to categorize patient safety event reports
by medication error type. Sci Rep. 2023;13(1):18354. doi:10.1038/s41598-023-45152-w.
https://psnet…
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psnet.ahrq.gov/node/866909/psn-pdf
October 09, 2024 - General practitioners' risk literacy and real-world
prescribing of potentially hazardous drugs: a cross-
sectional study.
October 9, 2024
Wegwarth O, Hoffmann TC, Goldacre B, et al. General practitioners’ risk literacy and real-world prescribing
of potentially hazardous drugs: a cross-sectional study. BMJ Qual Saf…
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psnet.ahrq.gov/node/60645/psn-pdf
July 01, 2020 - How health care systems let our patients down: a
systematic review into suicide deaths.
July 1, 2020
Wyder M, Ray MK, Roennfeldt H, et al. How health care systems let our patients down: a systematic review
into suicide deaths. Int J Qual Health Care. 2020;32(5):285-291. doi:10.1093/intqhc/mzaa011.
https://psnet.ah…