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psnet.ahrq.gov/node/34807/psn-pdf
January 01, 2019 - The Quality in Australian Health Care Study.
November 18, 2015
Wilson RML, Runciman WB, Gibberd RW, et al. The Quality in Australian Health Care Study. Med J Aust.
2019;163(9):458-471. doi:10.5694/j.1326-5377.1995.tb124691.x.
https://psnet.ahrq.gov/issue/quality-australian-health-care-study
In order to estimate pa…
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psnet.ahrq.gov/node/34784/psn-pdf
June 24, 2015 - The potential for improved teamwork to reduce medical
errors in the emergency department.
June 24, 2015
Risser DT, Rice MM, Salisbury ML, et al. The potential for improved teamwork to reduce medical errors in
the emergency department. Ann Emerg Med. 2005;34(3):373-383. doi:10.1016/s0196-0644(99)70134-4.
https://ps…
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psnet.ahrq.gov/node/838082/psn-pdf
September 14, 2022 - Organizational factors that promote error reporting in
healthcare: a scoping review.
September 14, 2022
Wawersik D, Palaganas J. Organizational factors that promote error reporting in healthcare: a scoping
review. J Healthc Manag. 2022;67(4):283-301. doi:10.1097/jhm-d-21-00166.
https://psnet.ahrq.gov/issue/organiz…
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psnet.ahrq.gov/node/35104/psn-pdf
April 06, 2011 - Crisis management during anaesthesia: the development
of an anaesthetic crisis management manual.
April 6, 2011
Runciman WB, Kluger MT, Morris RW, et al. Crisis management during anaesthesia: the development of
an anaesthetic crisis management manual. Qual Saf Health Care. 2005;14(3):e1.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/837666/psn-pdf
July 13, 2022 - Developing and aligning a safety event taxonomy for
inpatient psychiatry.
July 13, 2022
Barnes T, Fontaine T, Bautista C, et al. Developing and aligning a safety event taxonomy for inpatient
psychiatry. J Patient Saf. 2022;18(4):e704-e713. doi:10.1097/pts.0000000000000935.
https://psnet.ahrq.gov/issue/developing-a…
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psnet.ahrq.gov/node/837139/psn-pdf
May 18, 2022 - Multispecialty physician online survey reveals that
burnout related to adverse event involvement may be
mitigated by peer support.
May 18, 2022
Gupta K, Rivadeneira NA, Lisker S, et al. Multispecialty physician online survey reveals that burnout related
to adverse event involvement may be mitigated by peer support…
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psnet.ahrq.gov/node/836852/psn-pdf
April 06, 2022 - Frequency and nature of communication and handoff
failures in medical malpractice claims.
April 6, 2022
Humphrey KE, Sundberg M, Milliren CE, et al. Frequency and nature of communication and handoff
failures in medical malpractice claims. J Patient Saf. 2022;18(2):130-137.
doi:10.1097/pts.0000000000000937.
https:…
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psnet.ahrq.gov/node/39858/psn-pdf
September 22, 2010 - Problems after discharge and understanding of
communication with their primary care physicians (PCPs)
among hospitalized seniors: a mixed methods study.
September 22, 2010
Arora V, Prochaska ML, Farnan JM, et al. Problems after discharge and understanding of communication
with their primary care physicians among h…
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psnet.ahrq.gov/node/855001/psn-pdf
November 01, 2023 - Rethinking Patient Safety: A Discussion Guide for
Patients, Healthcare Providers and Leaders.
November 1, 2023
Gilbert R, Asselbergs M, Davis D, et al. Healthcare Excellence Canada; 2023.
https://psnet.ahrq.gov/issue/rethinking-patient-safety-discussion-guide-patients-healthcare-providers-and-
leaders
Patient saf…
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psnet.ahrq.gov/node/838133/psn-pdf
January 01, 2023 - Nurse managers' leadership, patient safety, and quality of
care: a systematic review.
September 21, 2022
Lee SE, Hyunjie L, Sang S. Nurse managers' leadership, patient safety, and quality of care: a systematic
review. West J Nurs Res. 2023;45(2):176-185. doi:10.1177/01939459221114079.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/862605/psn-pdf
February 14, 2024 - Physician perspectives on addressing anti-Black racism.
February 14, 2024
Brown CE, Marshall AR, Cueva KL, et al. Physician perspectives on addressing anti-Black racism. JAMA
Netw Open. 2024;7(1):e2352818. doi:10.1001/jamanetworkopen.2023.52818.
https://psnet.ahrq.gov/issue/physician-perspectives-addressing-anti-bl…
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psnet.ahrq.gov/node/866105/psn-pdf
June 12, 2024 - Collective intelligence increases diagnostic accuracy in a
general practice setting.
June 12, 2024
Blanchard MD, Herzog SM, Kämmer JE, et al. Collective intelligence increases diagnostic accuracy in a
general practice setting. Med Decis Making. 2024;44(4):451-462. doi:10.1177/0272989x241241001.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/48157/psn-pdf
August 21, 2019 - Recommendations for using the Revised Safer Dx
instrument to help measure and improve diagnostic
safety.
August 21, 2019
Singh H, Khanna A, Spitzmueller C, et al. Recommendations for using the Revised Safer Dx Instrument to
help measure and improve diagnostic safety. Diagnosis (Berl). 2019;6(4):315-323. doi:10.151…
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psnet.ahrq.gov/node/837806/psn-pdf
August 10, 2022 - Do patient engagement IT functionalities influence patient
safety outcomes? A study of US hospitals.
August 10, 2022
Upadhyay S, Opoku-Agyeman W, Choi S, et al. Do patient engagement IT functionalities influence patient
safety outcomes? A study of US hospitals. J Public Health Manag Pract. 2022;28(5):505-512.
doi:…
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psnet.ahrq.gov/node/47879/psn-pdf
June 05, 2019 - The attitudes of nursing students and clinical instructors
towards reporting irregular incidents in the medical clinic.
June 5, 2019
Halperin O, Bronshtein O. The attitudes of nursing students and clinical instructors towards reporting
irregular incidents in the medical clinic. Nurse Educ Pract. 2019;36:34-39. doi:…
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psnet.ahrq.gov/node/836752/psn-pdf
March 16, 2022 - The necessary leadership skillsets for the high-reliability
organization framework adoption within acute healthcare
organizations.
March 16, 2022
Logan?Athmer AL. The necessary leadership skillsets for the high?reliability organization framework
adoption within acute healthcare organizations. J Healthc Risk Manag.…
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psnet.ahrq.gov/node/48010/psn-pdf
May 22, 2019 - In-situ interprofessional perinatal drills: the impact of a
structured debrief on maximizing training while sensing
patient safety threats.
May 22, 2019
Greer JA, Haischer-Rollo G, Delorey D, et al. In-situ Interprofessional Perinatal Drills: The Impact of a
Structured Debrief on Maximizing Training While Sensing …
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psnet.ahrq.gov/node/854826/psn-pdf
October 25, 2023 - Observing sources of system resilience using in situ
alarm simulations.
October 25, 2023
McLoone M, McNamara M, Jennings MA, et al. Observing sources of system resilience using in situ alarm
simulations. J Hosp Med. 2023;18(11):994-998. doi:10.1002/jhm.13217.
https://psnet.ahrq.gov/issue/observing-sources-system-r…
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psnet.ahrq.gov/node/42822/psn-pdf
December 18, 2013 - Automated adverse event detection collaborative:
electronic adverse event identification, classification, and
corrective actions across academic pediatric institutions.
December 18, 2013
Stockwell DC, Kirkendall E, Muething S, et al. Automated adverse event detection collaborative: electronic
adverse event identif…
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psnet.ahrq.gov/node/45347/psn-pdf
September 07, 2016 - Drug Shortages: Certain Factors Are Strongly Associated
With This Persistent Public Health Challenge.
September 7, 2016
Washington, DC: United States Government Accountability Office; July 7, 2016. Publication GAO-16-595.
https://psnet.ahrq.gov/issue/drug-shortages-certain-factors-are-strongly-associated-persistent…