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psnet.ahrq.gov/node/837681/psn-pdf
September 11, 2023 - Compendium of Strategies to Prevent HAIs in Acute Care
Hospitals 2022.
September 11, 2023
Infect Control Hosp Epidemiol. 2022-2023.
https://psnet.ahrq.gov/issue/compendium-strategies-prevent-hais-acute-care-hospitals-2022
Health care–associated infections (HAIs) affect patients both during and after hospitalizatio…
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psnet.ahrq.gov/node/851910/psn-pdf
August 02, 2023 - Relationship between in-hospital adverse events and
hospital performance on 30-day all-cause mortality and
readmission for patients with heart failure.
August 2, 2023
Wang Y, Eldridge N, Metersky ML, et al. Relationship between in-hospital adverse events and hospital
performance on 30-Day all-cause mortality and r…
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psnet.ahrq.gov/node/45374/psn-pdf
April 24, 2018 - Two-year longitudinal assessment of physicians'
perceptions after replacement of a longstanding
homegrown electronic health record: does a J-curve of
satisfaction really exist?
April 24, 2018
Hanauer DA, Branford GL, Greenberg G, et al. Two-year longitudinal assessment of physicians'
perceptions after replacement…
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psnet.ahrq.gov/node/41043/psn-pdf
May 24, 2012 - Toward improving patient safety through voluntary peer-
to-peer assessment.
May 24, 2012
Hudson DW, Holzmueller CG, Pronovost P, et al. Toward improving patient safety through voluntary peer-
to-peer assessment. Am J Med Qual. 2012;27(3):201-9. doi:10.1177/1062860611421981.
https://psnet.ahrq.gov/issue/toward-impr…
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psnet.ahrq.gov/node/34666/psn-pdf
December 22, 2009 - Error reduction and performance improvement in the
emergency department through formal teamwork training:
evaluation results of the MedTeams project.
December 22, 2009
Morey JC, Simon R, Jay G, et al. Error reduction and performance improvement in the emergency
department through formal teamwork training: evaluati…
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psnet.ahrq.gov/node/862989/psn-pdf
February 21, 2024 - Peer support and second victim programs for anesthesia
professionals involved in stressful or traumatic clinical
events.
February 21, 2024
Finney RE, Jacob AK. Peer support and second victim programs for anesthesia professionals involved in
stressful or traumatic clinical events. Adv Anesth. 2023;41(1):39-52. doi:…
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psnet.ahrq.gov/node/60232/psn-pdf
April 15, 2020 - Sustaining innovations in complex health care
environments: a multiple-case study of rapid response
teams.
April 15, 2020
Stolldorf DP, Havens DS, Jones CB. Sustaining innovations in complex health care environments: a
multiple-case study of rapid response teams. J Patient Saf. 2020;16(1).
doi:10.1097/pts.0000000…
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psnet.ahrq.gov/node/47187/psn-pdf
September 05, 2018 - Supporting clinicians after adverse events: development
of a clinician peer support program.
September 5, 2018
Lane MA, Newman BM, Taylor MZ, et al. Supporting Clinicians After Adverse Events: Development of a
Clinician Peer Support Program. J Patient Saf. 2018;14(3):e56-e60. doi:10.1097/PTS.0000000000000508.
http…
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psnet.ahrq.gov/node/46437/psn-pdf
April 25, 2018 - The emotional impact of errors or adverse events on
healthcare providers in the NICU: the protective role of
coworker support.
April 25, 2018
Winning AM, Merandi JM, Lewe D, et al. The emotional impact of errors or adverse events on healthcare
providers in the NICU: The protective role of coworker support. J Adv N…
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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/44688/psn-pdf
February 23, 2018 - Improving diagnosis in health care—the next imperative
for patient safety.
February 23, 2018
Singh H, Graber ML. Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. New
Engl J Med. 2015;373(26):2493-2495. doi:10.1056/NEJMp1512241.
https://psnet.ahrq.gov/issue/improving-diagnosis-health-care…
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psnet.ahrq.gov/node/61118/psn-pdf
January 01, 2021 - Bracing for the storm: one health care system's planning
for the COVID-19 surge.
November 11, 2020
Kim CS, Meo N, Little D, et al. Bracing for the storm: one health care system's planning for the COVID-19
surge. Jt Comm J Qual Patient Saf. 2021;47(1):60-68. doi:10.1016/j.jcjq.2020.09.007.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/45348/psn-pdf
September 14, 2016 - Integrating teamwork, clinician occupational well-being
and patient safety—development of a conceptual
framework based on a systematic review.
September 14, 2016
Welp A, Manser T. Integrating teamwork, clinician occupational well-being and patient safety - development
of a conceptual framework based on a systemati…
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psnet.ahrq.gov/node/47143/psn-pdf
January 30, 2019 - E-learning on risk management. An opportunity for
sharing knowledge and experiences in patient safety.
January 30, 2019
Agra Y, García-Álvarez V, Aibar-Remón C, et al. E-learning on risk management. An opportunity for
sharing knowledge and experiences in patient safety. Int J Health Care Qual. 2019;31(8):639-646.
…
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psnet.ahrq.gov/node/851355/psn-pdf
July 12, 2023 - Assessing the impact of a new pediatric healthcare
facility on medication administration: a human factors
approach.
July 12, 2023
Godin MR, Nasr AS. Assessing the impact of a new pediatric healthcare facility on medication
administration: a human factors approach. J Nurs Adm. 2023;53(6):331-336.
doi:10.1097/nna.0…
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psnet.ahrq.gov/node/43543/psn-pdf
November 05, 2014 - A patient safety approach to setting pass/fail standards
for basic procedural skills checklists.
November 5, 2014
Yudkowsky R, Tumuluru S, Casey P, et al. A patient safety approach to setting pass/fail standards for basic
procedural skills checklists. Simul Healthc. 2014;9(5):277-82. doi:10.1097/SIH.000000000000004…
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psnet.ahrq.gov/node/45452/psn-pdf
August 24, 2016 - What price must we pay for safety? Excessive cost of
EPINEPHrine auto-injectors leads to error-prone use of
ampuls or vials and unprepared consumers.
August 24, 2016
ISMP Medication Safety Alert! Acute Care Edition. August 11, 2016;21:1-3.
https://psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-e…
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psnet.ahrq.gov/node/38861/psn-pdf
August 26, 2009 - Survey evaluation of the National Patient Safety Agency’s
Root Cause Analysis training programme in England and
Wales: knowledge, beliefs and reported practices.
August 26, 2009
Wallace LM, Spurgeon P, Adams S, et al. Survey evaluation of the National Patient Safety Agency's Root
Cause Analysis training programme …
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psnet.ahrq.gov/node/43416/psn-pdf
August 13, 2014 - Compliance with a time-out procedure intended to
prevent wrong surgery in hospitals: results of a national
patient safety programme in the Netherlands.
August 13, 2014
van Schoten SM, Kop V, de Blok C, et al. Compliance with a time-out procedure intended to prevent wrong
surgery in hospitals: results of a national…
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psnet.ahrq.gov/node/60297/psn-pdf
January 01, 2021 - A call for the application of patient safety culture in
medical humanitarian action: a literature review.
May 6, 2020
Biquet J-M, Schopper D, Sprumont D, et al. A call for the application of patient safety culture in medical
humanitarian action: a literature review. J Patient Saf. 2021;17(8):e1732-e1737.
doi:10.10…