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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/72602/psn-pdf
December 23, 2020 - Patient safety in chiropractic teaching programs: a mixed
methods study.
December 23, 2020
Pohlman KA, Salsbury SA, Funabashi M, et al. Patient safety in chiropractic teaching programs: a mixed
methods study. Chiropr Man Therap. 2020;28(1):50. doi:10.1186/s12998-020-00339-0.
https://psnet.ahrq.gov/issue/patient-sa…
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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/43175/psn-pdf
December 12, 2014 - Interventions to improve safe and effective medicines use
by consumers: an overview of systematic reviews.
December 12, 2014
Ryan R, Santesso N, Lowe D, et al. Interventions to improve safe and effective medicines use by
consumers: an overview of systematic reviews. Cochrane Database Syst Rev. 2014;(4):CD007768.
d…
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psnet.ahrq.gov/node/854821/psn-pdf
October 25, 2023 - Factors determining safety culture in hospitals: a scoping
review.
October 25, 2023
Carvalho REFL de, Bates DW, Syrowatka A, et al. Factors determining safety culture in hospitals: a
scoping review. BMJ Open Qual. 2023;12(4):e002310. doi:10.1136/bmjoq-2023-002310.
https://psnet.ahrq.gov/issue/factors-determining-s…
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psnet.ahrq.gov/node/46002/psn-pdf
October 13, 2018 - Exploring physician perspectives of residency holdover
handoffs: a qualitative study to understand an
increasingly important type of handoff.
October 13, 2018
Duong JA, Jensen TP, Morduchowicz S, et al. Exploring Physician Perspectives of Residency Holdover
Handoffs: A Qualitative Study to Understand an Increasing…
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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/43005/psn-pdf
March 05, 2014 - "Chance favors only the prepared mind": preparing minds
to systematically reduce hazards in the testing process in
primary care.
March 5, 2014
Singh R, Hickner J, Mold J, et al. "Chance favors only the prepared mind": preparing minds to
systematically reduce hazards in the testing process in primary care. J Patien…
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psnet.ahrq.gov/node/34803/psn-pdf
January 05, 2017 - Systematic root cause analysis of adverse drug events in
a tertiary referral hospital.
January 5, 2017
Rex JH, Turnbull JE, Allen SJ, et al. Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary
Referral Hospital. Jt Comm J Qual Improv. 2016;26(10). doi:10.1016/s1070-3241(00)26048-3.
https://psnet.ah…
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psnet.ahrq.gov/node/40324/psn-pdf
April 14, 2011 - To what extent are adverse events found in patient
records reported by patients and healthcare professionals
via complaints, claims and incident reports?
April 14, 2011
Christiaans-Dingelhoff I, Smits M, Zwaan L, et al. To what extent are adverse events found in patient
records reported by patients and healthcare …
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psnet.ahrq.gov/node/41561/psn-pdf
August 01, 2012 - Few Adverse Events in Hospitals Were Reported to State
Adverse Event Reporting Systems.
August 1, 2012
Wright S. Washington, DC: US Department of Health and Human Services, Office of the Inspector General;
July 2012. Report No. OEI-06-09-00092.
https://psnet.ahrq.gov/issue/few-adverse-events-hospitals-were-reporte…
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psnet.ahrq.gov/node/45718/psn-pdf
August 03, 2017 - PReSaFe: A model of barriers and facilitators to patients
providing feedback on experiences of safety.
August 3, 2017
De Brún A, Heavey E, Waring J, et al. PReSaFe: A model of barriers and facilitators to patients providing
feedback on experiences of safety. Health Expect. 2017;20(4):771-778. doi:10.1111/hex.12516.…
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psnet.ahrq.gov/node/43667/psn-pdf
November 12, 2014 - Learning from preventable deaths: exploring case record
reviewers' narratives using change analysis.
November 12, 2014
Hogan H, Healey F, Neale G, et al. Learning from preventable deaths: exploring case record reviewers'
narratives using change analysis. J R Soc Med. 2014;107(9):365-75. doi:10.1177/0141076814532394…
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psnet.ahrq.gov/node/60803/psn-pdf
August 12, 2020 - Interprofessional/interdisciplinary teamwork during the
early COVID-19 pandemic: experience from a children's
hospital within an academic health center.
August 12, 2020
Natale JAE, Boehmer J, Blumberg DA, et al. Interprofessional/interdisciplinary teamwork during the early
COVID-19 pandemic: experience from a chil…
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psnet.ahrq.gov/node/844768/psn-pdf
September 11, 2019 - Standardized orders for titrating vasopressors: do efforts
to improve safety slow delivery of care?
September 11, 2019
Baker DW, Campbell R. Standardized Orders for Titrating Vasopressors: Do Efforts to Improve Safety Slow
Delivery of Care? Jt Comm J Qual Patient Saf. 2019;45(9):589-590. doi:10.1016/j.jcjq.2019.07.…
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psnet.ahrq.gov/node/50938/psn-pdf
February 26, 2020 - Risks and medication errors analysis to evaluate the
impact of a chemotherapy compounding workflow
management system on cancer patients' safety.
February 26, 2020
Marzal-Alfaro MB, Rodriguez-Gonzalez CG, Escudero-Vilaplana V, et al. Risks and medication errors
analysis to evaluate the impact of a chemotherapy comp…
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psnet.ahrq.gov/node/837068/psn-pdf
May 11, 2022 - Barriers and enablers to nurses' use of harm prevention
strategies for older patients in hospital: a cross-sectional
survey.
May 11, 2022
Redley B, Taylor N, Hutchinson A. Barriers and enablers to nurses' use of harm prevention strategies for
older patients in hospital: a cross?sectional survey. J Adv Nurs. 2022;7…
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psnet.ahrq.gov/node/45848/psn-pdf
November 19, 2018 - New Horizons in Patient Safety: Understanding
Communication: Case Studies for Physicians.
November 19, 2018
Hannawa AF, Wu AW, Juhasz RS, eds. Berlin, Germany: DeGruyter; 2017. ISBN: 9783110455014.
https://psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies-
physicians
Poor c…
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psnet.ahrq.gov/node/46420/psn-pdf
September 20, 2017 - Adverse events in Veterans Affairs inpatient psychiatric
units: staff perspectives on contributing and protective
factors.
September 20, 2017
True G, Frasso R, Cullen SW, et al. Adverse events in veterans affairs inpatient psychiatric units: Staff
perspectives on contributing and protective factors. Gen Hosp Psych…
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psnet.ahrq.gov/node/60724/psn-pdf
July 29, 2020 - The safety of health care for ethnic minority patients: a
systematic review.
July 29, 2020
Chauhan A, Walton M, Manias E, et al. The safety of health care for ethnic minority patients: a systematic
review. Int J Equity Health. 2020;19(1):118. doi:10.1186/s12939-020-01223-2.
https://psnet.ahrq.gov/issue/safety-heal…