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psnet.ahrq.gov/node/39349/psn-pdf
March 23, 2011 - Promoting patient safety through prospective risk
identification: example from peri-operative care.
March 23, 2011
Smith AF, Boult M, Woods I, et al. Promoting patient safety through prospective risk identification: example
from peri-operative care. Qual Saf Health Care. 2010;19(1):69-73. doi:10.1136/qshc.2008.0280…
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psnet.ahrq.gov/node/44538/psn-pdf
October 21, 2015 - Timing of the diagnosis of attention-deficit/hyperactivity
disorder and autism spectrum disorder.
October 21, 2015
Miodovnik A, Harstad E, Sideridis G, et al. Timing of the Diagnosis of Attention-Deficit/Hyperactivity
Disorder and Autism Spectrum Disorder. Pediatrics. 2015;136(4):e830-7. doi:10.1542/peds.2015-1502.…
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psnet.ahrq.gov/node/851060/psn-pdf
June 28, 2023 - An integrative systematic review of employee silence and
voice in healthcare: what are we really measuring.
June 28, 2023
Lainidi O, Jendeby MK, Montgomery A, et al. An integrative systematic review of employee silence and
voice in healthcare: what are we really measuring? Front Psychiatry. 2023;14:111579.
doi:10.…
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psnet.ahrq.gov/node/39303/psn-pdf
February 17, 2010 - Patient misidentification in laboratory medicine: a
qualitative analysis of 227 root cause analysis reports in
the Veterans Health Administration.
February 17, 2010
Dunn EJ, Moga PJ. Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause
analysis reports in the Veterans Health A…
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psnet.ahrq.gov/node/40736/psn-pdf
January 04, 2012 - Preventing wrong site, procedure, and patient events
using a common cause analysis.
January 4, 2012
Mallett R, Conroy M, Saslaw LZ, et al. Preventing wrong site, procedure, and patient events using a
common cause analysis. Am J Med Qual. 2012;27(1):21-9. doi:10.1177/1062860611412066.
https://psnet.ahrq.gov/issue/p…
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psnet.ahrq.gov/node/48189/psn-pdf
August 14, 2019 - Professionalism lapses and adverse childhood
experiences: reflections from the island of last resort.
August 14, 2019
Williams BW. Professionalism Lapses and Adverse Childhood Experiences: Reflections From the Island of
Last Resort. Acad Med. 2019;94(8):1081-1083. doi:10.1097/ACM.0000000000002793.
https://psnet.ah…
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psnet.ahrq.gov/node/73531/psn-pdf
January 01, 2022 - Patient safety monitoring in acute care in a decentralized
national health care system: conceptual framework and
initial set of actionable indicators.
July 28, 2021
Barbara L, Roberta DB, Vanda R, et al. Patient safety monitoring in acute care in a decentralized national
health care system: conceptual framework an…
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psnet.ahrq.gov/node/45465/psn-pdf
September 07, 2016 - Improving patient safety culture in primary care: a
systematic review.
September 7, 2016
Verbakel NJ, Langelaan M, Verheij TJM, et al. Improving Patient Safety Culture in Primary Care: A
Systematic Review. J Patient Saf. 2016;12(3):152-8. doi:10.1097/PTS.0000000000000075.
https://psnet.ahrq.gov/issue/improving-pat…
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psnet.ahrq.gov/node/73963/psn-pdf
October 13, 2021 - Patient perceptions of safety in primary care: a qualitative
study to inform care.
October 13, 2021
Lasser EC, Heughan JA-A, Lai AY, et al. Patient perceptions of safety in primary care: a qualitative study to
inform care. Curr Med Res Opin. 2021;37(11):1991-1999. doi:10.1080/03007995.2021.1976736.
https://psnet.a…
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psnet.ahrq.gov/node/45212/psn-pdf
November 23, 2016 - The impact of implementation of family-initiated
escalation of care for the deteriorating patient in hospital:
a systematic review.
November 23, 2016
Gill FJ, Leslie GD, Marshall AP. The Impact of Implementation of Family-Initiated Escalation of Care for the
Deteriorating Patient in Hospital: A Systematic Review. …
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psnet.ahrq.gov/node/861769/psn-pdf
January 31, 2024 - Psychological safety and hierarchy in operating room
debriefing: reflexive thematic analysis.
January 31, 2024
McElroy C, Skegg E, Mudgway M, et al. Psychological safety and hierarchy in operating room debriefing:
reflexive thematic analysis. J Surg Res. 2023;295:567-573. doi:10.1016/j.jss.2023.11.054.
https://psn…
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psnet.ahrq.gov/node/73988/psn-pdf
October 20, 2021 - The relationship between high-reliability practice and
hospital-acquired conditions among the Solutions for
Patient Safety Collaborative.
October 20, 2021
Randall KH, Slovensky D, Weech-Maldonado R, et al. The relationship between high-reliability practice and
hospital-acquired conditions among the Solutions for P…
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psnet.ahrq.gov/node/860391/psn-pdf
January 10, 2024 - Neonatal near-miss audits: a systematic review and a call
to action.
January 10, 2024
Medeiros PB, Bailey C, Pollock D, et al. Neonatal near-miss audits: a systematic review and a call to
action. BMC Pediatr. 2023;23(1):573. doi:10.1186/s12887-023-04383-6.
https://psnet.ahrq.gov/issue/neonatal-near-miss-audits-sys…
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psnet.ahrq.gov/node/39460/psn-pdf
March 23, 2011 - Applying root cause analysis to improve patient safety:
decreasing falls in postpartum women.
March 23, 2011
Chen K-H, Chen L-R, Su S. Applying root cause analysis to improve patient safety: decreasing falls in
postpartum women. Qual Saf Health Care. 2010;19(2):138-43. doi:10.1136/qshc.2008.028787.
https://psnet.a…
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psnet.ahrq.gov/node/866190/psn-pdf
June 26, 2024 - What is diagnostic safety? A review of safety science
paradigms and rethinking paths to improving diagnosis.
June 26, 2024
Choi JJ. What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving
diagnosis. Diagnosis (Berl). 2024;11(4):369-373. doi:10.1515/dx-2024-0008.
https://ps…
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psnet.ahrq.gov/node/50936/psn-pdf
February 26, 2020 - Sitters as a patient safety strategy to reduce hospital
falls: a systematic review.
February 26, 2020
Greeley AM, Tanner EP, Mak S, et al. Sitters as a Patient Safety Strategy to Reduce Hospital Falls. Ann
Intern Med. 2020;172(5):317-324. doi:10.7326/m19-2628.
https://psnet.ahrq.gov/issue/sitters-patient-safety-st…
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psnet.ahrq.gov/node/72772/psn-pdf
February 24, 2021 - Measurement and monitoring patient safety in prehospital
care: a systematic review.
February 24, 2021
O’Connor P, O’malley R, Oglesby A-M, et al. Measurement and monitoring patient safety in prehospital
care: a systematic review. Int J Health Care Qual. 2021;33(1):mzab013. doi:10.1093/intqhc/mzab013.
https://psnet…
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psnet.ahrq.gov/node/40958/psn-pdf
January 19, 2012 - Do older patients' perceptions of safety highlight barriers
that could make their care safer during organisational
care transfers?
January 19, 2012
Scott J, Dawson P, Jones D. Do older patients' perceptions of safety highlight barriers that could make their
care safer during organisational care transfers? BMJ Qual…
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psnet.ahrq.gov/node/866399/psn-pdf
July 31, 2024 - Typology of solutions addressing diagnostic disparities:
gaps and opportunities.
July 31, 2024
Dukhanin V, Wiegand AA, Sheikh T, et al. Typology of solutions addressing diagnostic disparities: gaps
and opportunities. Diagnosis (Berl). 2024;11(4):389-399. doi:10.1515/dx-2024-0026.
https://psnet.ahrq.gov/issue/typol…
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psnet.ahrq.gov/node/72735/psn-pdf
February 10, 2021 - Deficiencies in Inpatient Mental Health Care Coordination
and Processes Prior to a Patient's Death by Suicide, Harry
S. Truman Memorial Veterans' Hospital in Columbia,
Missouri.
February 10, 2021
Washington, DC: Department of Veterans Affairs, Office of Inspector General. January 5, 2021. Report No.
20-01521-48. …