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psnet.ahrq.gov/node/865709/psn-pdf
May 01, 2024 - Safety in teletriage by nurses and physicians in the
United States and Israel: narrative review and qualitative
study.
May 1, 2024
Haimi M, Wheeler SQ. Safety in teletriage by nurses and physicians in the United States and Israel:
narrative review and qualitative study. JMIR Hum Factors. 2024;11:e50676. doi:10.219…
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psnet.ahrq.gov/node/38097/psn-pdf
January 02, 2017 - Adverse events during hospitalization: results of a patient
survey.
January 2, 2017
Fowler FJ, Epstein AM, Weingart SN, et al. Adverse events during hospitalization: results of a patient
survey. Jt Comm J Qual Patient Saf. 2008;34(10):583-90.
https://psnet.ahrq.gov/issue/adverse-events-during-hospitalization-resul…
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psnet.ahrq.gov/node/73435/psn-pdf
June 30, 2021 - Incidence, origins and avoidable harm of missed
opportunities in diagnosis: longitudinal patient record
review in 21 English general practices.
June 30, 2021
Cheraghi-Sohi S, Holland F, Singh H, et al. Incidence, origins and avoidable harm of missed opportunities
in diagnosis: longitudinal patient record review in…
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psnet.ahrq.gov/node/47198/psn-pdf
August 22, 2018 - Health IT Safe Practices for Closing the Loop.
August 22, 2018
Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018.
https://psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop
Inadequate follow-up of test results can contribute to missed and delayed diagnoses. Developing optimal…
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psnet.ahrq.gov/node/865976/psn-pdf
May 29, 2024 - What do patients and families observe about pediatric
safety?: A thematic analysis of real-time narratives.
May 29, 2024
Studenmund C, Lyndon A, Stotts JR, et al. What do patients and families observe about pediatric safety?:
A thematic analysis of real?time narratives. J Hosp Med. 2024;19(9):765-776. doi:10.1002/j…
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psnet.ahrq.gov/node/847048/psn-pdf
April 05, 2023 - Comparison of health care worker satisfaction before vs
after implementation of a communication and optimal
resolution program in acute care hospitals.
April 5, 2023
Friedson AI, Humphreys A, LeCraw F, et al. Comparison of health care worker satisfaction before vs after
implementation of a communication and optima…
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psnet.ahrq.gov/node/47202/psn-pdf
November 16, 2018 - Implementation, evaluation, and recommendations for
extension of AHRQ Common Formats to capture patient-
and carepartner-generated safety data.
November 16, 2018
Collins S, Couture B, Dykes PC, et al. Implementation, evaluation, and recommendations for extension of
AHRQ Common Formats to capture patient- and carep…
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psnet.ahrq.gov/node/44768/psn-pdf
February 03, 2016 - Recommendations and low-technology safety solutions
following neuromuscular blocking agent incidents.
February 3, 2016
Graudins L, Downey G, Bui T, et al. Recommendations and Low-Technology Safety Solutions Following
Neuromuscular Blocking Agent Incidents. Jt Comm J Qual Patient Saf. 2016;42(2):86-91.
https://psne…
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psnet.ahrq.gov/node/60643/psn-pdf
July 01, 2020 - Human factors considerations in using personal
protective equipment in the COVID-19 pandemic context:
a bi-national survey study.
July 1, 2020
Parush A, Wacht O, Gomes R, et al. Human Factors Considerations in Using Personal Protective
Equipment in the COVID-19 Pandemic Context: A Bi-national Survey Study (Preprin…
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psnet.ahrq.gov/node/46325/psn-pdf
November 30, 2018 - Physician Burnout.
November 30, 2018
Rockville, MD: Agency for Healthcare Research and Quality; July 2017. AHRQ Publication No. 17-M018-1-
EF.
https://psnet.ahrq.gov/issue/physician-burnout
Clinician burnout can affect patient safety. This report highlights AHRQ-supported research to examine
burnout in health car…
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psnet.ahrq.gov/node/45861/psn-pdf
April 05, 2017 - Assessing content validity and user perspectives on the
Team Check-up Tool: expert survey and user focus
groups.
April 5, 2017
Marsteller JA, Hsu Y-J, Chan KS, et al. Assessing content validity and user perspectives on the Team
Check-up Tool: expert survey and user focus groups. BMJ Qual Saf. 2017;26(4):288-295.
…
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psnet.ahrq.gov/node/42980/psn-pdf
February 17, 2017 - Disclosing adverse events to patients: international
norms and trends.
February 17, 2017
Wu AW, McCay L, Levinson W, et al. Disclosing Adverse Events to Patients: International Norms and
Trends. J Patient Saf. 2017;13(1):43-49. doi:10.1097/PTS.0000000000000107.
https://psnet.ahrq.gov/issue/disclosing-adverse-event…
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psnet.ahrq.gov/node/73294/psn-pdf
January 01, 2022 - Understanding the second victim experience among
multidisciplinary providers in obstetrics and gynecology.
May 19, 2021
Rivera-Chiauzzi E, Finney RE, Riggan KA, et al. Understanding the second victim experience among
multidisciplinary providers in obstetrics and gynecology. J Patient Saf. 2022;18(2):e463-e469.
doi…
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psnet.ahrq.gov/node/843415/psn-pdf
February 01, 2023 - Explaining the negative effects of patient participation in
patient safety: an exploratory qualitative study in an
academic tertiary healthcare centre in the Netherlands.
February 1, 2023
Van der Voorden M, Ahaus K, Franx A. Explaining the negative effects of patient participation in patient
safety: an exploratory…
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psnet.ahrq.gov/node/72855/psn-pdf
March 17, 2021 - We asked the experts: the WHO Surgical Safety Checklist
and the COVID-19 pandemic: recommendations for
content and implementation adaptations.
March 17, 2021
Panda N, Etheridge JC, Singh T, et al. The WHO Surgical Safety Checklist and the COVID-19 pandemic:
recommendations for content and implementation adaptation…
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psnet.ahrq.gov/node/849340/psn-pdf
May 24, 2023 - Death Inside Lemuel Shattuck Hospital: A Case Study on
Medical Treatment for Persons with Mental Health
Disabilities.
May 24, 2023
Massachusetts Protection and Advocacy. Boston, MA: Disability Law Center; May 8, 2023.
https://psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treat…
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psnet.ahrq.gov/node/851192/psn-pdf
July 05, 2023 - A "Do No Harm" novel safety checklist and research
approach to determine whether to launch an artificial
intelligence-based medical technology: introducing the
Biological-Psychological, Economic, and Social (BPES)
Framework.
July 5, 2023
Khan WU, Seto E. "Do No Harm" novel safety checklist and research approach t…
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psnet.ahrq.gov/node/73859/psn-pdf
September 22, 2021 - Exploring the factors that promote or diminish a
psychologically safe environment: a qualitative interview
study with critical care staff.
September 22, 2021
Grailey K, Leon-Villapalos C, Murray E, et al. Exploring the factors that promote or diminish a
psychologically safe environment: a qualitative interview stu…
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psnet.ahrq.gov/node/50832/psn-pdf
January 01, 2021 - Preventing critical failure. Can routinely collected data be
repurposed to predict avoidable patient harm? A
quantitative descriptive study.
January 29, 2020
Nowotny BM, Davies-Tuck M, Scott B, et al. Preventing critical failure. Can routinely collected data be
repurposed to predict avoidable patient harm? A quant…
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psnet.ahrq.gov/node/47537/psn-pdf
November 14, 2018 - Developing a learning health system: insights from a
qualitative process evaluation of a pharmacist-led
electronic audit and feedback intervention to improve
medication safety in primary care.
November 14, 2018
Jeffries M, Keers RN, Phipps D, et al. Developing a learning health system: Insights from a qualitative
…