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psnet.ahrq.gov/node/866203/psn-pdf
June 26, 2024 - How a major public hospital is protecting doctors by
silencing the patients who accuse them.
June 26, 2024
Kamb L. NBC News. June 14, 2024,
https://psnet.ahrq.gov/issue/how-major-public-hospital-protecting-doctors-silencing-patients-who-accuse-
them
Transparency is a primary element of an organizational safety cu…
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psnet.ahrq.gov/node/60676/psn-pdf
July 15, 2020 - Northeastern University Hospital Surge Capacity Planning
Model: Bed, Ventilator, and PPE 1-30 Day Demand.
July 15, 2020
Rockville, MD; Agency for Healthcare Research and Quality: 2020.
https://psnet.ahrq.gov/issue/northeastern-university-hospital-surge-capacity-planning-model-bed-ventilator-
and-ppe-1-30
The COVI…
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psnet.ahrq.gov/node/45504/psn-pdf
January 01, 2018 - Hospital nurses' work environment characteristics and
patient safety outcomes: a literature review.
December 16, 2017
Lee SE, Scott LD. Hospital Nurses' Work Environment Characteristics and Patient Safety Outcomes: A
Literature Review. West J Nurs Res. 2018;40(1):121-145. doi:10.1177/0193945916666071.
https://psne…
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psnet.ahrq.gov/node/47837/psn-pdf
May 11, 2019 - Association of hospital employee satisfaction with patient
safety and satisfaction within Veterans Affairs medical
centers.
May 11, 2019
Kang R, Kunkel ST, Columbo JA, et al. Association of Hospital Employee Satisfaction with Patient Safety
and Satisfaction within Veterans Affairs Medical Centers. Am J Med. 2019;1…
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psnet.ahrq.gov/node/37859/psn-pdf
June 25, 2008 - What can we learn about patient safety from information
sources within an acute hospital: a step on the ladder of
integrated risk management?
June 25, 2008
Hogan H, Olsen S, Scobie S, et al. What can we learn about patient safety from information sources within
an acute hospital: a step on the ladder of integrated…
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psnet.ahrq.gov/node/837306/psn-pdf
June 01, 2022 - Mortality due to hospital-acquired infection after cardiac
surgery.
June 1, 2022
Massart N, Mansour A, Ross JT, et al. Mortality due to hospital-acquired infection after cardiac surgery. J
Thorac Cardiovasc Surg. 2022;163(6):2131-2140.e3. doi:10.1016/j.jtcvs.2020.08.094.
https://psnet.ahrq.gov/issue/mortality-due-…
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psnet.ahrq.gov/node/47394/psn-pdf
January 27, 2019 - Evaluating the implementation of Project Re-Engineered
Discharge (RED) in five Veterans Health Administration
(VHA) hospitals.
January 27, 2019
Sullivan JL, Shin MH, Engle RL, et al. Evaluating the Implementation of Project Re-Engineered Discharge
(RED) in Five Veterans Health Administration (VHA) Hospitals. Jt Co…
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psnet.ahrq.gov/node/44926/psn-pdf
January 23, 2017 - How might health services capture patient-reported safety
concerns in a hospital setting? An exploratory pilot study
of three mechanisms.
January 23, 2017
O'Hara JK, Armitage G, Reynolds C, et al. How might health services capture patient-reported safety
concerns in a hospital setting? An exploratory pilot study o…
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psnet.ahrq.gov/node/60003/psn-pdf
January 01, 2021 - Systemic causes of in-hospital intravenous medication
errors: a systematic review.
March 4, 2020
Kuitunen S, Niittynen I, Airaksinen M, et al. Systemic causes of in-hospital intravenous medication errors: a
systematic review. J Patient Saf. 2021;17(8):e1660-e1668. doi:10.1097/pts.0000000000000632.
https://psnet.ah…
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psnet.ahrq.gov/node/34761/psn-pdf
November 15, 2016 - The Girl Who Died Twice: Every Patient's Nightmare: the
Libby Zion Case and the Hidden Hazards of Hospitals.
November 15, 2016
Robins NS. New York NY: Delacorte Press; 1995. ISBN: 9780385308090.
https://psnet.ahrq.gov/issue/girl-who-died-twice-every-patients-nightmare-libby-zion-case-and-hidden-
hazards-hosp…
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psnet.ahrq.gov/node/837976/psn-pdf
August 31, 2022 - Does seasonal variation in orthopaedic trauma volume
correlate with adverse hospital events and burnout?
August 31, 2022
Waldron J, Denisiuk M, Sharma R, et al. Does seasonal variation in orthopaedic trauma volume correlate
with adverse hospital events and burnout? Injury. 2022;53(6):2053-2059. doi:10.1016/j.injury…
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psnet.ahrq.gov/node/46689/psn-pdf
January 01, 2020 - Assessing patients' perceptions of safety culture in the
hospital setting: development and initial evaluation of the
patients' perceptions of safety culture scale.
February 28, 2018
Monaca C, Bestmann B, Kattein M, et al. Assessing Patients' Perceptions of Safety Culture in the Hospital
Setting: Development and In…
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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors
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March 3, 2021
Innovation…
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psnet.ahrq.gov/node/46805/psn-pdf
September 25, 2018 - Factors associated with hospital admission after
outpatient surgery in the Veterans Health Administration.
September 25, 2018
Mull HJ, Rosen AK, O'Brien WJ, et al. Factors Associated with Hospital Admission after Outpatient Surgery
in the Veterans Health Administration. Health Serv Res. 2018;53(5):3855-3880. doi:10…
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psnet.ahrq.gov/node/40232/psn-pdf
February 23, 2011 - Large scale organisational intervention to improve patient
safety in four UK hospitals: mixed method evaluation.
February 23, 2011
Benning A, Ghaleb M, Suokas A, et al. Large scale organisational intervention to improve patient safety in
four UK hospitals: mixed method evaluation. BMJ. 2011;342(feb03 1):d195. doi:1…
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psnet.ahrq.gov/node/73258/psn-pdf
May 12, 2021 - Rate of sepsis hospitalizations after misdiagnosis in adult
emergency department patients: a look-forward analysis
with administrative claims data using Symptom-Disease
Pair Analysis of Diagnostic Error methodology in an
integrated health system.
May 12, 2021
Horberg MA, Nassery N, Rubenstein KB, et al. Rate of s…
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psnet.ahrq.gov/issue/2012-user-comparative-database-report-medical-office-survey-patient-safety-culture
November 30, 2016 - Book/Report
2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture.
Citation Text:
2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture. Sorra J, Famolaro T, Dyer N, Smith S, Liu H, Ragan M. Rockville, MD: Agency for Healt…
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psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-medical-office-survey-2024-user-database-report
January 14, 2024 - Book/Report
Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report.
Citation Text:
Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report. Hare R, Tyler ER, Tapia A, et al. Rockville, MD: Agency for Healthcare Research…
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psnet.ahrq.gov/issue/using-kotters-change-model-implementing-bedside-handoff-quality-improvement-project
September 23, 2020 - Commentary
Using Kotter's change model for implementing bedside handoff: a quality improvement project.
Citation Text:
Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.…
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psnet.ahrq.gov/issue/pursuit-quality-and-safety-8-year-study-clinical-peer-review-best-practices-us-hospitals
April 13, 2017 - Study
In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals.
Citation Text:
Edwards MT. In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals. Int J Qual Health Care. 2018;30(8):602-607.…