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psnet.ahrq.gov/node/865667/psn-pdf
April 24, 2024 - Impact of short-notice accreditation assessments on
hospitals' patient safety and quality culture--a scoping
review.
April 24, 2024
Scanlan R, Flenady T, Judd J. Impact of short?notice accreditation assessments on hospitals' patient
safety and quality culture- a scoping review. J Adv Nurs. 2024;80(10):3965-3976. d…
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psnet.ahrq.gov/node/47583/psn-pdf
December 05, 2018 - Interpersonal and organizational dynamics are key drivers
of failure to rescue.
December 5, 2018
Smith ME, Wells EE, Friese CR, et al. Interpersonal And Organizational Dynamics Are Key Drivers Of
Failure To Rescue. Health Aff (Millwood). 2018;37(11):1870-1876. doi:10.1377/hlthaff.2018.0704.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/46650/psn-pdf
July 12, 2018 - Towards a more patient-centered approach to medication
safety.
July 12, 2018
Lee JL, Dy SM, Gurses AP, et al. Towards a More Patient-Centered Approach to Medication Safety. J
Patient Exp. 2018;5(2):83-87. doi:10.1177/2374373517727532.
https://psnet.ahrq.gov/issue/towards-more-patient-centered-approach-medication-s…
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psnet.ahrq.gov/node/73429/psn-pdf
June 23, 2021 - Wrong Site Surgery - Wrong Patient: Invasive Procedures
in Outpatient Settings.
June 23, 2021
Farnborough, UK: Healthcare Safety Investigation Branch; June 2021.
https://psnet.ahrq.gov/issue/wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settings
Wrong site/wrong patent surgery is a persisten…
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psnet.ahrq.gov/node/47341/psn-pdf
August 29, 2018 - AORN Position Statement on Criminalization of Human
Errors in the Perioperative Setting.
August 29, 2018
AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting. AORN J.
2018;108(1):64-65. doi:10.1002/aorn.12292.
https://psnet.ahrq.gov/issue/aorn-position-statement-criminalization-h…
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psnet.ahrq.gov/node/849126/psn-pdf
May 17, 2023 - The family's contribution to patient safety.
May 17, 2023
Correia T, Martins MM, Barroso F, et al. The family's contribution to patient safety. Nurs Rep.
2023;13(2):634-643. doi:10.3390/nursrep13020056.
https://psnet.ahrq.gov/issue/familys-contribution-patient-safety
Family involvement in care can have mixed resul…
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psnet.ahrq.gov/node/43178/psn-pdf
July 28, 2014 - Safety measurement and monitoring in healthcare: a
framework to guide clinical teams and healthcare
organisations in maintaining safety.
July 28, 2014
Vincent CA, Burnett S, Carthey J. Safety measurement and monitoring in healthcare: a framework to guide
clinical teams and healthcare organisations in maintaining s…
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psnet.ahrq.gov/node/41117/psn-pdf
March 04, 2015 - The effectiveness of integrated health information
technologies across the phases of medication
management: a systematic review of randomized
controlled trials.
March 4, 2015
McKibbon A, Lokker C, Handler S, et al. The effectiveness of integrated health information technologies
across the phases of medication man…
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psnet.ahrq.gov/node/47872/psn-pdf
March 27, 2019 - Overview of the Environmental Scan of Primary Care-
Based Effort To Reduce Readmissions.
March 27, 2019
Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research and Quality;
March 2019. AHRQ Publication No. 18(19)-0055-EF.
https://psnet.ahrq.gov/issue/overview-environmental-scan-primar…
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psnet.ahrq.gov/node/44326/psn-pdf
October 21, 2015 - Safety first! Using a checklist for intrafacility transport of
adult intensive care patients.
October 21, 2015
Comeau OY, Armendariz-Batiste J, Woodby SA. Safety First! Using a Checklist for Intrafacility Transport of
Adult Intensive Care Patients. Crit Care Nurse. 2015;35(5):16-25. doi:10.4037/ccn2015991.
https:/…
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psnet.ahrq.gov/node/47129/psn-pdf
September 05, 2018 - Impact of medication reconciliation for improving
transitions of care.
September 5, 2018
Redmond P, Grimes TC, McDonnell R, et al. Impact of medication reconciliation for improving transitions of
care. Cochrane Database Syst Rev. 2018;8(8):CD010791. doi:10.1002/14651858.CD010791.pub2.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/74207/psn-pdf
December 22, 2021 - The impact of health information management
professionals on patient safety: a systematic review.
December 22, 2021
Kemp T, Butler?Henderson K, Allen P, et al. The impact of health information management professionals
on patient safety: a systematic review. Health Info Libr J. 2021;38(4):248-258. doi:10.1111/hir.12…
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psnet.ahrq.gov/node/36427/psn-pdf
December 22, 2010 - Adverse events detected by clinical surveillance on an
obstetric service.
December 22, 2010
Forster AJ, Fung I, Caughey S, et al. Adverse events detected by clinical surveillance on an obstetric
service. Obstet Gynecol. 2006;108(5):1073-83.
https://psnet.ahrq.gov/issue/adverse-events-detected-clinical-surveillance…
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psnet.ahrq.gov/node/836856/psn-pdf
April 06, 2022 - To what extent are patients involved in researching safety
in acute mental healthcare?
April 6, 2022
Brierley-Jones L, Ramsey L, Canvin K, et al. To what extent are patients involved in researching safety in
acute mental healthcare? Res Involv Engagem. 2022;8(1):8. doi:10.1186/s40900-022-00337-x.
https://psnet.ahr…
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psnet.ahrq.gov/node/46697/psn-pdf
January 10, 2018 - Primary care providers' perspectives on errors of
omission.
January 10, 2018
Poghosyan L, Norful AA, Fleck E, et al. Primary Care Providers' Perspectives on Errors of Omission. J Am
Board Fam Med. 2017;30(6):733-742. doi:10.3122/jabfm.2017.06.170161.
https://psnet.ahrq.gov/issue/primary-care-providers-perspectives…
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psnet.ahrq.gov/node/43155/psn-pdf
May 07, 2014 - Problem-based training improves recognition of patient
hazards by advanced medical students during chart
review: a randomized controlled crossover study.
May 7, 2014
Holderried F, Heine D, Wagner R, et al. Problem-based training improves recognition of patient hazards by
advanced medical students during chart revi…
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psnet.ahrq.gov/node/39064/psn-pdf
October 28, 2009 - Use of failure mode and effects analysis for proactive
identification of communication and handoff failures from
organ procurement to transplantation.
October 28, 2009
Steinberger DM, Douglas S, Kirschbaum MS. Use of failure mode and effects analysis for proactive
identification of communication and handoff failur…
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psnet.ahrq.gov/node/37805/psn-pdf
February 15, 2011 - Designing and implementing a comprehensive quality and
patient safety management model: a paradigm for
perioperative improvement.
February 15, 2011
Herzer KR, Mark LJ, Michelson JD, et al. Designing and Implementing a Comprehensive Quality and
Patient Safety Management Model. J Patient Saf. 2008;4(2). doi:10.1097/…
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psnet.ahrq.gov/node/866411/psn-pdf
July 31, 2024 - Simulation to Improve Patient Safety: Getting Started.
July 31, 2024
Deutsch ES, Bajaj K. Simulation To Improve Patient Safety: Getting Started. Rockville, MD: Agency for
Healthcare Research and Quality; July 2024. Publication No. 24-0055.
https://psnet.ahrq.gov/issue/simulation-improve-patient-safety-getting-start…
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psnet.ahrq.gov/node/35069/psn-pdf
June 22, 2009 - Towards an organization with a memory: exploring the
organizational generation of adverse events in health
care.
June 22, 2009
Smith D, Toft B. Towards an organization with a memory: exploring the organizational generation of
adverse events in health care. Health Serv Manage Res. 2005;18(2). doi:10.1258/0951484053…