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psnet.ahrq.gov/node/47926/psn-pdf
May 22, 2019 - The Canadian Quality and Patient Safety Framework for
Health and Social Services.
May 22, 2019
Canadian Patient Safety Institute and Health Standards Organization.
https://psnet.ahrq.gov/issue/canadian-quality-and-patient-safety-framework-health-and-social-services
This 5-year framework aims to guide the activitie…
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psnet.ahrq.gov/node/847723/psn-pdf
April 19, 2023 - Efforts to improve the safety culture of the elderly in
nursing homes: a qualitative study.
April 19, 2023
Indarwati R, Efendi F, Fauziningtyas R, et al. Efforts to improve the safety culture of the elderly in nursing
homes: a qualitative study. Risk Manag Healthc Policy. 2023;16:393-400. doi:10.2147/rmhp.s399826.
…
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psnet.ahrq.gov/node/851456/psn-pdf
July 19, 2023 - Nurses and nursing students as second victims: a
scoping review.
July 19, 2023
Sahay A, McKenna L. Nurses and nursing students as second victims: a scoping review. Nurs Outlook.
2023;71(4):101992. doi:10.1016/j.outlook.2023.101992.
https://psnet.ahrq.gov/issue/nurses-and-nursing-students-second-victims-scoping-rev…
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psnet.ahrq.gov/node/846454/psn-pdf
March 22, 2023 - Society for Maternal-Fetal Medicine Special Statement:
curriculum outline on patient safety and quality for
maternal-fetal medicine fellows.
March 22, 2023
Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and quality for
maternal-fetal medicine fellows. Am J Obstet Gyneco…
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psnet.ahrq.gov/node/39638/psn-pdf
July 02, 2014 - Teaching quality improvement and patient safety to
trainees: a systematic review.
July 2, 2014
Wong BM, Etchells E, Kuper A, et al. Teaching quality improvement and patient safety to trainees: a
systematic review. Acad Med. 2010;85(9):1425-39. doi:10.1097/ACM.0b013e3181e2d0c6.
https://psnet.ahrq.gov/issue/teaching…
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psnet.ahrq.gov/node/41571/psn-pdf
October 29, 2012 - Adverse drug events caused by serious medication
administration errors.
October 29, 2012
Kale A, Keohane C, Maviglia SM, et al. Adverse drug events caused by serious medication administration
errors. BMJ Qual Saf. 2012;21(11):933-8. doi:10.1136/bmjqs-2012-000946.
https://psnet.ahrq.gov/issue/adverse-drug-events-ca…
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psnet.ahrq.gov/node/844545/psn-pdf
February 15, 2023 - Providers' and patients' perspectives on diagnostic errors
in the acute care setting.
February 15, 2023
Schnock KO, Garber A, Fraser H, et al. Providers' and patients' perspectives on diagnostic errors in the
acute care setting. Jt Comm J Qual Patient Saf. 2023;49(2):89-97. doi:10.1016/j.jcjq.2022.11.009.
https://…
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psnet.ahrq.gov/node/866193/psn-pdf
June 26, 2024 - Preventable or potentially inappropriate psychotropics
and adverse health outcomes in older adults: systematic
review and meta-analysis.
June 26, 2024
Corvaisier M, Brangier A, Annweiler C, et al. Preventable or potentially inappropriate psychotropics and
adverse health outcomes in older adults: systematic review …
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psnet.ahrq.gov/node/47183/psn-pdf
May 11, 2019 - Incorporation of quality and safety principles in
maintenance of certification: a qualitative analysis of
American Board of Medical Specialties member boards.
May 11, 2019
Davis JJ, Price DW, Kraft W, et al. Incorporation of Quality and Safety Principles in Maintenance of
Certification: A Qualitative Analysis of A…
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psnet.ahrq.gov/node/45850/psn-pdf
July 02, 2017 - Learning from the design, development and
implementation of the Medication Safety Thermometer.
July 2, 2017
Rostami P, Power M, Harrison A, et al. Learning from the design, development and implementation of the
Medication Safety Thermometer. Int J Qual Health Care. 2017;29(2):301-309. doi:10.1093/intqhc/mzw149.
ht…
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psnet.ahrq.gov/node/47864/psn-pdf
April 08, 2019 - Healthcare scandals and the failings of doctors: do
official inquiries hold the profession to account?
April 8, 2019
Mannion R, Davies H, Powell M, et al. Healthcare scandals and the failings of doctors. J Health Organ
Manag. 2019;33(2):221-240. doi:10.1108/JHOM-04-2018-0126.
https://psnet.ahrq.gov/issue/healthcar…
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psnet.ahrq.gov/node/863208/psn-pdf
February 28, 2024 - Exploring clinical lessons learned by experienced
hospitalists from diagnostic errors and successes.
February 28, 2024
Kotwal S, Howell M, Zwaan L, et al. Exploring clinical lessons learned by experienced hospitalists from
diagnostic errors and successes. J Gen Intern Med. 2024;39(8):1386-1392. doi:10.1007/s11606-0…
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psnet.ahrq.gov/node/45772/psn-pdf
January 11, 2017 - Technical Series on Safer Primary Care.
January 11, 2017
Geneva, Switzerland: World Health Organization; 2016.
https://psnet.ahrq.gov/issue/technical-series-safer-primary-care
Much of patient safety research has focused on the hospital setting, but a majority of health care is
delivered in the ambulatory setting. …
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psnet.ahrq.gov/node/39895/psn-pdf
September 21, 2011 - Improving America's Hospitals: The Joint Commission's
Annual Report on Quality and Safety 2010.
September 21, 2011
Oakbrook Terrace, IL: The Joint Commission; September 2010.
https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-
safety-2010
In the fifth report on t…
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psnet.ahrq.gov/node/45924/psn-pdf
March 15, 2017 - Patient safety incidents are common in primary care: a
national prospective active incident reporting survey.
March 15, 2017
Michel P, Brami J, Chanelière M, et al. Patient safety incidents are common in primary care: A national
prospective active incident reporting survey. PLoS One. 2017;12(2):e0165455.
doi:10.13…
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digital.ahrq.gov/2018-year-review/research-dissemination
January 01, 2018 - Research Dissemination
Dissemination of key research findings from the Health IT-funded work is critical to knowledge transfer and replication of successful health IT strategies that impact patient safety, optimize EHR design, and reduce provider burden.
The Health IT-funded researc…
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psnet.ahrq.gov/node/50738/psn-pdf
January 01, 2020 - Effectiveness of interventions to improve adverse drug
reaction reporting by healthcare professionals over the
last decade: A systematic review
December 11, 2019
Li R, Zaidi STR, Chen T, et al. Effectiveness of interventions to improve adverse drug reaction reporting by
healthcare professionals over the last decad…
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psnet.ahrq.gov/node/72643/psn-pdf
January 13, 2021 - Ockenden Report. Emerging Fndings and
Recommendations from the Independent Review of
Maternity Services at the Shrewsbury and Telford
Hospital NHS Trust.
January 13, 2021
London UK: Crown Copyright; December 10, 2020. ISBN: 9781528623049.
https://psnet.ahrq.gov/issue/ockenden-report-emerging-fndings-a…
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psnet.ahrq.gov/node/34055/psn-pdf
March 07, 2005 - What is driving hospitals' patient-safety efforts?
March 7, 2005
Devers KJ, Pham HH, Liu G. What is driving hospitals' patient-safety efforts? Health Aff (Millwood).
2004;23(2):103-15.
https://psnet.ahrq.gov/issue/what-driving-hospitals-patient-safety-efforts
This study evaluated the role professionalism, regulati…
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psnet.ahrq.gov/node/867753/psn-pdf
March 12, 2025 - Enhancing patient safety and risk management through
clinical pathways in oncology.
March 12, 2025
Milanesi M, Fiorito R, Caloccia L, et al. Enhancing patient safety and risk management through clinical
pathways in oncology. BMJ Open Qual. 2025;14(1):e003012. doi:10.1136/bmjoq-2024-003012.
https://psnet.ahrq.gov/i…