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psnet.ahrq.gov/node/38131/psn-pdf
January 02, 2017 - The Team Checkup Tool: evaluating QI team activities and
giving feedback to senior leaders.
January 2, 2017
Lubomski LH, Marsteller JA, Hsu Y-J, et al. The team checkup tool: evaluating QI team activities and giving
feedback to senior leaders. Jt Comm J Qual Patient Saf. 2008;34(10):619-23, 561.
https://psnet.ahrq…
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psnet.ahrq.gov/node/851452/psn-pdf
July 19, 2023 - Factors influencing in-hospital prescribing errors: a
systematic review.
July 19, 2023
Mahomedradja RF, Schinkel M, Sigaloff KCE, et al. Factors influencing in?hospital prescribing errors: a
systematic review. Br J Clin Pharmacol. 2023;89(6):1724-1735. doi:10.1111/bcp.15694.
https://psnet.ahrq.gov/issue/factors-in…
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psnet.ahrq.gov/node/40258/psn-pdf
March 02, 2011 - Enhancing patient safety and resident education during
the academic year-end transfer of outpatients: lessons
from the suicide of a psychiatric patient.
March 2, 2011
Young JQ, Eisendrath SJ. Enhancing patient safety and resident education during the academic year-end
transfer of outpatients: lessons from the suic…
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psnet.ahrq.gov/node/43384/psn-pdf
June 15, 2017 - Patient involvement in patient safety: a qualitative study
of nursing staff and patient perceptions.
June 15, 2017
Bishop A, Macdonald M. Patient Involvement in Patient Safety: A Qualitative Study of Nursing Staff and
Patient Perceptions. J Patient Saf. 2017;13(2):82-87. doi:10.1097/PTS.0000000000000123.
https://p…
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psnet.ahrq.gov/node/47894/psn-pdf
April 03, 2019 - What does safety commitment mean to leaders? A multi-
method investigation.
April 3, 2019
Fruhen LS, Griffin MA, Andrei DM. What does safety commitment mean to leaders? A multi-method
investigation. J Safety Res. 2019;68:203-214. doi:10.1016/j.jsr.2018.12.011.
https://psnet.ahrq.gov/issue/what-does-safety-commitme…
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psnet.ahrq.gov/node/41018/psn-pdf
December 21, 2011 - What stands in the way of technology-mediated patient
safety improvements? A study of facilitators and barriers
to physicians' use of electronic health records.
December 21, 2011
Holden RJ. What stands in the way of technology-mediated patient safety improvements?: a study of
facilitators and barriers to physician…
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psnet.ahrq.gov/node/47642/psn-pdf
April 07, 2019 - Identification of warning signs during selection of
surgical trainees.
April 7, 2019
Hagelsteen K, Johansson B-M, Bergenfelz A, et al. Identification of Warning Signs During Selection of
Surgical Trainees. J Surg Educ. 2019;76(3):684-693. doi:10.1016/j.jsurg.2018.12.002.
https://psnet.ahrq.gov/issue/identification…
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psnet.ahrq.gov/node/72796/psn-pdf
March 03, 2021 - Patient safety. Factors for and perceived consequences
of nursing errors by nursing staff in home care services.
March 3, 2021
Jachan DE, Müller?Werdan U, Lahmann NA. Patient safety. Factors for and perceived consequences of
nursing errors by nursing staff in home care services. Nurs Open. 2021;8(2):755-765.
doi:1…
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psnet.ahrq.gov/node/48043/psn-pdf
October 01, 2023 - Health Services Safety Investigations Body.
October 1, 2023
Lytchett House, 13 Freeland Park, Wareham Road, Poole, Dorset, BH16 6FA.
https://psnet.ahrq.gov/issue/health-services-safety-investigations-body
Independent investigations examine system weaknesses in health care to inform improvement, reduce risk,
and pr…
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psnet.ahrq.gov/node/41203/psn-pdf
December 18, 2014 - A multicenter collaborative approach to reducing
pediatric codes outside the ICU.
December 18, 2014
Hayes LW, Dobyns EL, DiGiovine B, et al. A multicenter collaborative approach to reducing pediatric codes
outside the ICU. Pediatrics. 2012;129(3):e785-91. doi:10.1542/peds.2011-0227.
https://psnet.ahrq.gov/issue/mu…
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psnet.ahrq.gov/node/50867/psn-pdf
February 05, 2020 - Cognitive testing of older clinicians prior to
recredentialing.
February 5, 2020
Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA.
2020;323(2):179-180. doi:10.1001/jama.2019.18665.
https://psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing
In an…
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psnet.ahrq.gov/node/41420/psn-pdf
September 26, 2012 - Improving healthcare quality through organisational peer-
to-peer assessment: lessons from the nuclear power
industry.
September 26, 2012
Pronovost P, Hudson DW. Improving healthcare quality through organisational peer-to-peer assessment:
lessons from the nuclear power industry. BMJ Qual Saf. 2012;21(10):872-5.
h…
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psnet.ahrq.gov/node/50575/psn-pdf
October 23, 2019 - Dynamic pocket card for implementing ISBAR in shift
handover communication.
October 23, 2019
Schmidt T, Kocher DR, Mahendran P, et al. Dynamic Pocket Card for Implementing ISBAR in Shift
Handover Communication. Stud Health Technol Inform. 2019;267:224-229. doi:10.3233/SHTI190831.
https://psnet.ahrq.gov/issue/dynam…
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psnet.ahrq.gov/node/74048/psn-pdf
November 10, 2021 - Causes of use errors in ventilation devices--systematic
review.
November 10, 2021
Coldewey B, Diruf A, Röhrig R, et al. Causes of use errors in ventilation devices - systematic review. Appl
Ergon. 2021;98:103544. doi:10.1016/j.apergo.2021.103544.
https://psnet.ahrq.gov/issue/causes-use-errors-ventilation-devices-s…
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psnet.ahrq.gov/node/39658/psn-pdf
December 08, 2010 - Adverse events and comparison of systematic and
voluntary reporting from a paediatric intensive care unit.
December 8, 2010
Silas R, Tibballs J. Adverse events and comparison of systematic and voluntary reporting from a paediatric
intensive care unit. Qual Saf Health Care. 2010;19(6):568-71. doi:10.1136/qshc.2009.0…
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psnet.ahrq.gov/node/43995/psn-pdf
August 02, 2015 - Patient access to electronic health records during
hospitalization.
August 2, 2015
Pell JM, Mancuso M, Limon S, et al. Patient access to electronic health records during hospitalization.
JAMA Intern Med. 2015;175(5):856-858. doi:10.1001/jamainternmed.2015.121.
https://psnet.ahrq.gov/issue/patient-access-electronic…
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psnet.ahrq.gov/node/43461/psn-pdf
April 22, 2015 - Optimizing the patient handoff between EMS and the
emergency department.
April 22, 2015
Meisel ZF, Shea JA, Peacock NJ, et al. Optimizing the patient handoff between emergency medical
services and the emergency department. Ann Emerg Med. 2015;65(3):310-317.e1.
doi:10.1016/j.annemergmed.2014.07.003.
https://psnet.…
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psnet.ahrq.gov/node/50705/psn-pdf
January 01, 2020 - Closing the loop with ambulatory staff on safety reports.
December 4, 2019
Williams S, Fiumara K, Kachalia A, et al. Closing the Loop with Ambulatory Staff on Safety Reports. Jt
Comm J Qual Saf. 2020;46(1):44-50. doi:10.1016/j.jcjq.2019.09.009.
https://psnet.ahrq.gov/issue/closing-loop-ambulatory-staff-safety-repor…
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psnet.ahrq.gov/node/74128/psn-pdf
December 01, 2021 - Call to action: addressing pediatric fall safety in
ambulatory environments.
December 1, 2021
Benning S, Wolfe R, Banes M, et al. Call to action: addressing pediatric fall safety in ambulatory
environments. J Pediatr Nurs. 2021;61:372-377. doi:10.1016/j.pedn.2021.09.012.
https://psnet.ahrq.gov/issue/call-action-ad…
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psnet.ahrq.gov/node/41205/psn-pdf
June 15, 2012 - Quality assessment of spontaneous triggered adverse
event reports received by the Food and Drug
Administration.
June 15, 2012
Brajovic S, Piazza-Hepp T, Swartz L, et al. Quality assessment of spontaneous triggered adverse event
reports received by the Food and Drug Administration. Pharmacoepidemiol Drug Saf. 2012;…