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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/38572/psn-pdf
April 22, 2009 - Development and validation of the SURgical PAtient
Safety System (SURPASS) checklist.
April 22, 2009
de Vries EN, Hollmann MW, Smorenburg SM, et al. Development and validation of the SURgical PAtient
Safety System (SURPASS) checklist. Qual Saf Health Care. 2009;18(2):121-6.
doi:10.1136/qshc.2008.027524.
https://p…
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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
…
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psnet.ahrq.gov/node/41054/psn-pdf
January 27, 2012 - The impact of nontechnical skills on technical
performance in surgery: a systematic review.
January 27, 2012
Hull L, Arora S, Aggarwal R, et al. The impact of nontechnical skills on technical performance in surgery: a
systematic review. J Am Coll Surg. 2012;214(2):214-230. doi:10.1016/j.jamcollsurg.2011.10.016.
ht…
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psnet.ahrq.gov/node/34939/psn-pdf
June 16, 2011 - The effect of executive walk rounds on nurse safety
climate attitudes: a randomized trial of clinical units.
June 16, 2011
Thomas EJ, Sexton B, Neilands TB, et al. The effect of executive walk rounds on nurse safety climate
attitudes: a randomized trial of clinical units[ISRCTN85147255] [corrected]. BMC Health Serv…
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psnet.ahrq.gov/node/39297/psn-pdf
January 22, 2017 - A checklist to identify inpatient suicide hazards in
Veterans Affairs hospitals.
January 22, 2017
Mills PD, Watts V, Miller S, et al. A checklist to identify inpatient suicide hazards in veterans affairs
hospitals. Jt Comm J Qual Patient Saf. 2010;36(2):87-93.
https://psnet.ahrq.gov/issue/checklist-identify-inpati…
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psnet.ahrq.gov/node/73962/psn-pdf
October 13, 2021 - Building a program of expanded peer support for the
entire health care team: no one left behind.
October 13, 2021
Klatt TE, Sachs JF, Huang C-C, et al. Building a program of expanded peer support for the entire health
care team: no one left behind. Jt Comm J Qual Patient Saf. 2021;47(12):759-767.
doi:10.1016/j.jcj…
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psnet.ahrq.gov/node/37927/psn-pdf
March 10, 2011 - A randomized trial of electronic clinical reminders to
improve medication laboratory monitoring.
March 10, 2011
Matheny ME, Sequist TD, Seger AC, et al. A randomized trial of electronic clinical reminders to improve
medication laboratory monitoring. J Am Med Inform Assoc. 2008;15(4):424-9. doi:10.1197/jamia.M2602.
…
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psnet.ahrq.gov/node/837203/psn-pdf
May 25, 2022 - Engaging with ethnic minority consumers to improve
safety in cancer services: a national stakeholder analysis.
May 25, 2022
Joseph K, Newman B, Manias E, et al. Engaging with ethnic minority consumers to improve safety in
cancer services: a national stakeholder analysis. Patient Educ Couns. 2022;105(8):2778-2784.
…
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psnet.ahrq.gov/node/61093/psn-pdf
November 04, 2020 - Impact of a nationwide prospective drug utilization review
program to improve prescribing safety of potentially
inappropriate medications in older adults: an interrupted
time series with segmented regression analysis.
November 4, 2020
Jang S, Jeong S, Kang E, et al. Impact of a nationwide prospective drug utilizat…
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psnet.ahrq.gov/node/47838/psn-pdf
June 02, 2019 - Exploring leadership within a systems approach to
reduce health care–associated infections: a scoping
review of one work system model.
June 2, 2019
Knobloch MJ, Thomas K, Musuuza J, et al. Exploring leadership within a systems approach to reduce
health care-associated infections: A scoping review of one work syste…
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psnet.ahrq.gov/node/40116/psn-pdf
January 05, 2011 - Organisational culture: variation across hospitals and
connection to patient safety climate.
January 5, 2011
Speroff T, Nwosu S, Greevy R, et al. Organisational culture: variation across hospitals and connection to
patient safety climate. Qual Saf Health Care. 2010;19(6):592-6. doi:10.1136/qshc.2009.039511.
https:…
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psnet.ahrq.gov/node/854817/psn-pdf
October 25, 2023 - Impact of leadership walkarounds on operational, cultural
and clinical outcomes: a systematic review.
October 25, 2023
Foster M, MHA BS, Mazur L. Impact of leadership walkarounds on operational, cultural and clinical
outcomes: a systematic review. BMJ Open Qual. 2023;12(4):e002284. doi:10.1136/bmjoq-2023-002284.
h…
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psnet.ahrq.gov/node/73286/psn-pdf
May 19, 2021 - Engineering care transitions: clinician perceptions of
barriers to safe medication management during
transitions of patient care.
May 19, 2021
Hannum SM, Abebe E, Xiao Y, et al. Engineering care transitions: clinician perceptions of barriers to safe
medication management during transitions of patient care. Appl Er…
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psnet.ahrq.gov/node/48051/psn-pdf
June 05, 2019 - Estimating the attributable cost of physician burnout in
the United States.
June 5, 2019
Han S, Shanafelt TD, Sinsky CA, et al. Estimating the Attributable Cost of Physician Burnout in the United
States. Ann Intern Med. 2019;170(11):784-790. doi:10.7326/M18-1422.
https://psnet.ahrq.gov/issue/estimating-attributabl…
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psnet.ahrq.gov/node/44355/psn-pdf
September 02, 2015 - Effect of a real-time pediatric ICU safety bundle
dashboard on quality improvement measures.
September 2, 2015
Shaw SJ, Jacobs B, Stockwell DC, et al. Effect of a Real-Time Pediatric ICU Safety Bundle Dashboard on
Quality Improvement Measures. Jt Comm J Qual Patient Saf. 2015;41(9):414-420.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/42351/psn-pdf
June 19, 2013 - Integrating patient safety and clinical pharmacy services
into the care of a high-risk, ambulatory population: a
collaborative approach.
June 19, 2013
Robbins CM, Stillwell T, Johnson D, et al. Integrating Patient Safety and Clinical Pharmacy Services Into
the Care of a High-Risk, Ambulatory Population. J Patient …
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psnet.ahrq.gov/node/46543/psn-pdf
July 11, 2018 - Impact of an inpatient electronic prescribing system on
prescribing error causation: a qualitative evaluation in an
English hospital.
July 11, 2018
Puaar SJ, Franklin BD. Impact of an inpatient electronic prescribing system on prescribing error causation:
a qualitative evaluation in an English hospital. BMJ Qual S…
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psnet.ahrq.gov/node/73090/psn-pdf
March 31, 2021 - Learning from safety incidents in high reliability
organizations: a systematic review of learning tools that
could be adapted and used in healthcare.
March 31, 2021
Serou N, Sahota LM, Husband AK, et al. Learning from safety incidents in high-reliability organizations: a
systematic review of learning tools that co…
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psnet.ahrq.gov/node/61057/psn-pdf
October 28, 2020 - Improving Diagnostic Quality and Safety/Reducing
Diagnostic Error: Measurement Considerations. Final
Report
October 28, 2020
Washington DC; National Quality Forum: October 6, 2020.
https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safetyreducing-diagnostic-error-
measurement-considerations
With input…