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psnet.ahrq.gov/node/852798/psn-pdf
August 23, 2023 - Patient handoffs and multi-specialty trainee perspectives
across an institution: informing recommendations for
health systems and an expanded conceptual framework
for handoffs.
August 23, 2023
Williams SR, Sebok-Syer SS, Caretta-Weyer H, et al. Patient handoffs and multi-specialty trainee
perspectives across an i…
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psnet.ahrq.gov/node/866404/psn-pdf
July 31, 2024 - Patient and caregiver perspectives on causes and
prevention of ambulatory adverse events: multilingual
qualitative study.
July 31, 2024
Sharma AE, Tran AS, Dy M, et al. Patient and caregiver perspectives on causes and prevention of
ambulatory adverse events: multilingual qualitative study. BMJ Qual Saf. 2024;Epub …
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psnet.ahrq.gov/node/866435/psn-pdf
August 07, 2024 - Handoffs and transitions of care: a systematic review,
meta-analysis, and practice management guideline from
the Eastern Association for the Surgery of Trauma.
August 7, 2024
Appelbaum RD, Puzio TJ, Bauman Z, et al. Handoffs and transitions of care: a systematic review, meta-
analysis, and practice management guid…
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psnet.ahrq.gov/node/34698/psn-pdf
January 04, 2017 - Using Health Care Failure Mode and Effect Analysis: the
VA National Center for Patient Safety's prospective risk
analysis system.
January 4, 2017
DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the VA
National Center for Patient Safety's prospective risk analysis s…
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psnet.ahrq.gov/node/74718/psn-pdf
February 02, 2022 - Medication-related interventions to improve medication
safety and patient outcomes on transition from adult
intensive care settings: a systematic review and meta-
analysis.
February 2, 2022
Bourne RS, Jennings JK, Panagioti M, et al. Medication-related interventions to improve medication safety
and patient outcom…
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psnet.ahrq.gov/node/843080/psn-pdf
January 25, 2023 - Bad things can happen: are medical students aware of
patient centered care and safety?
January 25, 2023
Gillissen A, Kochanek T, Zupanic M, et al. Bad things can happen: are medical students aware of patient
centered care and safety? Diagnosis (Berl). 2023;10(2):110-120. doi:10.1515/dx-2022-0072.
https://psnet.ahr…
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psnet.ahrq.gov/node/37818/psn-pdf
April 30, 2012 - ASHP national survey of pharmacy practice in hospital
settings: prescribing and transcribing—2007.
April 30, 2012
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital
settings: prescribing and transcribing--2007. Am J Health Syst Pharm. 2008;65(9):827-43.
doi:10.2146/aj…
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psnet.ahrq.gov/node/43908/psn-pdf
February 18, 2015 - Adoption factors associated with electronic health record
among long-term care facilities: a systematic review.
February 18, 2015
Kruse CS, Mileski M, Alaytsev V, et al. Adoption factors associated with electronic health record among
long-term care facilities: a systematic review. BMJ Open. 2015;5(1):e006615. doi:1…
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psnet.ahrq.gov/node/841769/psn-pdf
December 21, 2022 - Negative emotions experienced by healthcare staff
following medication administration errors: a descriptive
study using text-mining and content analysis of incident
data.
December 21, 2022
Mahat S, Rafferty AM, Vehviläinen-Julkunen K, et al. Negative emotions experienced by healthcare staff
following medication a…
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psnet.ahrq.gov/node/850340/psn-pdf
June 14, 2023 - Assertive communication training for nurses to speak up
in cases of medical errors: a systematic review and meta-
analysis.
June 14, 2023
Chen H-W, Wu J-C, Kang Y-N, et al. Assertive communication training for nurses to speak up in cases of
medical errors: a systematic review and meta-analysis. Nurse Educ Today. 2…
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psnet.ahrq.gov/node/45171/psn-pdf
August 01, 2016 - Weekly variation in health-care quality by day and time of
admission: a nationwide, registry-based, prospective
cohort study of acute stroke care.
August 1, 2016
Bray BD, Cloud GC, James MA, et al. Weekly variation in health-care quality by day and time of admission:
a nationwide, registry-based, prospective cohor…
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psnet.ahrq.gov/node/73490/psn-pdf
July 14, 2021 - Use of prescribing safety quality improvement reports in
UK general practices: a qualitative assessment.
July 14, 2021
Khan NF, Booth HP, Myles P, et al. Use of prescribing safety quality improvement reports in UK general
practices: a qualitative assessment. BMC Health Serv Res. 2021;21(1). doi:10.1186/s12913-021-0…
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psnet.ahrq.gov/node/39197/psn-pdf
January 06, 2010 - Resident fatigue: is there a patient safety issue?
January 6, 2010
Mitchell CD, Mooty CR, Dunn EL, et al. Resident fatigue: is there a patient safety issue? Am J Surg.
2009;198(6):811-6. doi:10.1016/j.amjsurg.2009.04.028.
https://psnet.ahrq.gov/issue/resident-fatigue-there-patient-safety-issue
Regulations limiting…
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psnet.ahrq.gov/node/60670/psn-pdf
July 08, 2020 - Patient safety concerns in COVID-19–related events: a
study of 343 event reports from 71 hospitals in
Pennsylvania.
July 8, 2020
Taylor M, Kepner S, Gardner LA, et al. Patient safety concerns in COVID-19–related events: a study of 343
event reports from 71 hospitals in Pennsylvania. Patient Saf. 2020;2(2):16-27. d…
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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/72592/psn-pdf
December 23, 2020 - Home health staff perspectives on infection prevention
and control: implications for Coronavirus Disease 2019.
December 23, 2020
Pogorzelska-Maziarz M, Chastain AM, Mangal S, et al. Home health staff perspectives on infection
prevention and control: implications for Coronavirus Disease 2019. J Am Med Dir Assoc.
20…
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psnet.ahrq.gov/node/50862/psn-pdf
February 05, 2020 - Assessment of nursing home reporting of major injury
falls for quality measurement on Nursing Home Compare.
February 5, 2020
Sanghavi P, Pan S, Caudry D. Assessment of nursing home reporting of major injury falls for quality
measurement on nursing home compare. Health Serv Res. 2020;55(2):201-210. doi:10.1111/1475-…
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psnet.ahrq.gov/node/839323/psn-pdf
November 02, 2022 - Comparison of quality measures from US hospitals with
physician vs nonphysician chief executive officers.
November 2, 2022
See H, Shreve L, Hartzell S, et al. Comparison of quality measures from US hospitals with physician vs
nonphysician chief executive officers. JAMA Netw Open. 2022;5(10):e2236621.
doi:10.1001/j…
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psnet.ahrq.gov/node/853432/psn-pdf
September 13, 2023 - Healthcare leaders' and elected politicians' approach to
support-systems and requirements for complying with
quality and safety regulation in nursing homes - a case
study.
September 13, 2023
Magerøy MR, Braut GS, Macrae C, et al. Healthcare leaders’ and elected politicians’ approach to support-
systems and requir…
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psnet.ahrq.gov/node/45708/psn-pdf
October 31, 2017 - Development and preliminary testing of the Coordination
Process Error Reporting Tool (CPERT), a prospective
clinical surveillance mechanism for teamwork errors in
the pediatric cardiac ICU.
October 31, 2017
Bates KE, Shea JA, Bird GL, et al. Development and Preliminary Testing of the Coordination Process Error
Re…