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psnet.ahrq.gov/node/838074/psn-pdf
January 01, 2023 - Online patient feedback as a safety valve: an automated
language analysis of unnoticed and unresolved safety
incidents.
September 14, 2022
Gillespie A, Reader TW. Online patient feedback as a safety valve: an automated language analysis of
unnoticed and unresolved safety incidents. Risk Anal. 2023;43(7):1463-1477.…
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psnet.ahrq.gov/node/44163/psn-pdf
October 13, 2015 - Characterising 'near miss' events in complex
laparoscopic surgery through video analysis.
October 13, 2015
Bonrath EM, Gordon LE, Grantcharov T. Characterising 'near miss' events in complex laparoscopic surgery
through video analysis. BMJ Qual Saf. 2015;24(8):516-21. doi:10.1136/bmjqs-2014-003816.
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psnet.ahrq.gov/node/38334/psn-pdf
January 14, 2009 - Adverse Events in Hospitals: State Reporting Systems.
January 14, 2009
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; December 2008. Report No. OEI-06-07-00471.
https://psnet.ahrq.gov/issue/adverse-events-hospitals-state-reporting-systems
The Tax Relief an…
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psnet.ahrq.gov/node/837731/psn-pdf
July 27, 2022 - Predictors and outcomes of patient safety culture: a
cross-sectional comparative study.
July 27, 2022
Mrayyan MT. Predictors and outcomes of patient safety culture: a cross-sectional comparative study. BMJ
Open Qual. 2022;11(3):e001889. doi:10.1136/bmjoq-2022-001889.
https://psnet.ahrq.gov/issue/predictors-and-out…
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psnet.ahrq.gov/node/46623/psn-pdf
July 02, 2019 - Factors contributing to medication errors made when
using computerized order entry in pediatrics: a
systematic review.
July 2, 2019
Tolley CL, Forde NE, Coffey KL, et al. Factors contributing to medication errors made when using
computerized order entry in pediatrics: a systematic review. J Am Med Info Assoc. 2017…
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psnet.ahrq.gov/node/74191/psn-pdf
December 15, 2021 - Race differences in reported "near miss" patient safety
events in health care system high reliability
organizations.
December 15, 2021
Thomas AD, Pandit C, Krevat S. Race differences in reported "near miss" patient safety events in health
care system high reliability organizations. J Patient Saf. 2021;17(8):e1605-…
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psnet.ahrq.gov/node/46042/psn-pdf
July 12, 2017 - Implementation science for ambulatory care safety: a
novel method to develop context-sensitive interventions
to reduce quality gaps in monitoring high-risk patients.
July 12, 2017
McDonald KM, Su G, Lisker S, et al. Implementation science for ambulatory care safety: a novel method to
develop context-sensitive inte…
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psnet.ahrq.gov/node/852450/psn-pdf
August 16, 2023 - Incidence and severity of medication reconciliation
discrepancies in trauma patients.
August 16, 2023
Dunbar EG, Massey AC, Lee YL, et al. Incidence and severity of medication reconciliation discrepancies in
trauma patients. Am Surg. 2023;89(7):3272-3274. doi:10.1177/00031348231161686.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/36743/psn-pdf
June 16, 2011 - Measuring safety culture in the ambulatory setting: The
Safety Attitudes Questionnaire—Ambulatory Version.
June 16, 2011
Modak I, Sexton B, Lux TR, et al. Measuring safety culture in the ambulatory setting: the safety attitudes
questionnaire--ambulatory version. J Gen Intern Med. 2007;22(1):1-5.
https://psnet.ahrq…
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psnet.ahrq.gov/node/73060/psn-pdf
March 24, 2021 - How much and what local adaptation is acceptable? A
comparison of 24 surgical safety checklists in
Switzerland.
March 24, 2021
Fridrich A, Imhof A, Schwappach DLB. How much and what local adaptation is acceptable? A comparison
of 24 surgical safety checklists in Switzerland. J Patient Saf. 2021;17(3):217-222.
doi…
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psnet.ahrq.gov/node/843079/psn-pdf
January 25, 2023 - Electronic health record use issues and diagnostic error:
a scoping review and framework.
January 25, 2023
Dixit RA, Boxley CL, Samuel S, et al. Electronic health record use issues and diagnostic error: a scoping
review and framework. J Patient Saf. 2023;19(1):e25-e30. doi:10.1097/pts.0000000000001081.
https://psn…
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psnet.ahrq.gov/node/73312/psn-pdf
May 26, 2021 - Healthcare professionals experience of psychological
safety, voice, and silence.
May 26, 2021
O'Donovan R, De Brún A, McAuliffe E. Healthcare professionals experience of psychological safety, voice,
and silence. Front Psychol. 2021;12:626689. doi:10.3389/fpsyg.2021.626689.
https://psnet.ahrq.gov/issue/healthcare-p…
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psnet.ahrq.gov/node/74263/psn-pdf
January 19, 2022 - "Some version, most of the time": the surgical safety
checklist, patient safety, and the everyday experience of
practice variation.
January 19, 2022
Hammond Mobilio M, Paradis E, Moulton C-A. “Some version, most of the time”: The surgical safety
checklist, patient safety, and the everyday experience of practice va…
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psnet.ahrq.gov/node/43040/psn-pdf
March 05, 2014 - Framework for analysing risk and safety in clinical
medicine.
March 5, 2014
Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine.
BMJ. 1998;316(7138):1154-1157.
https://psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine-0
This commentary outli…
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psnet.ahrq.gov/node/74113/psn-pdf
September 15, 2015 - Racial disparities in pain management of children with
appendicitis in emergency departments.
September 15, 2015
Goyal MK, Kuppermann N, Cleary SD, et al. Racial disparities in pain management of children with
appendicitis in emergency departments. JAMA Pediatr. 2015;169(11):996-1002.
doi:10.1001/jamapediatrics.20…
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psnet.ahrq.gov/node/837741/psn-pdf
July 27, 2022 - The impact of a 22-month multistep implementation
program on speaking-up behavior in an academic
anesthesia department.
July 27, 2022
Walther F, Schick C, Schwappach DLB, et al. The impact of a 22-month multistep implementation program
on speaking-up behavior in an academic anesthesia department. J Patient Saf. 20…
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psnet.ahrq.gov/node/866563/psn-pdf
August 21, 2024 - Leadership and the high reliability transformation: a
qualitative study at Truman VA medical center.
August 21, 2024
Leonard C, Gilmartin HM, Starr LM, et al. Leadership and the high reliability transformation: a qualitative
study at Truman VA medical center. J Healthc Risk Manag. 2024;44(1):17-23. doi:10.1002/jhrm…
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psnet.ahrq.gov/node/837794/psn-pdf
August 10, 2022 - Combined impact of Medicare's hospital pay for
performance programs on quality and safety outcomes is
mixed.
August 10, 2022
Waters TM, Burns N, Kaplan CM, et al. Combined impact of Medicare’s hospital pay for performance
programs on quality and safety outcomes is mixed. BMC Health Serv Res. 2022;22(1):958.
doi:1…
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psnet.ahrq.gov/node/73081/psn-pdf
March 31, 2021 - Health professionals' perspectives of safety issues in
mental health services: a qualitative study.
March 31, 2021
Albutt AK, Berzins K, Louch G, et al. Health professionals’ perspectives of safety issues in mental health
services: A qualitative study. nt J Ment Health Nurs. 2021;30(3):798-810. doi:10.1111/inm.1283…
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psnet.ahrq.gov/node/840151/psn-pdf
November 16, 2022 - Unintended consequences of patient online access to
health records: a qualitative study in UK primary care.
November 16, 2022
Turner A, Morris R, McDonagh L, et al. Unintended consequences of patient online access to health
records: a qualitative study in UK primary care. Br J Gen Pract. 2022;73(726):e67-e74.
doi:…