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psnet.ahrq.gov/node/73313/psn-pdf
May 26, 2021 - Maintaining maternal-newborn safety during the COVID-
19 pandemic.
May 26, 2021
Patrick NA, Johnson TS. Maintaining maternal-newborn safety during the COVID-19 pandemic. Nurs
Womens Health. 2021;25(3):212-220. doi:10.1016/j.nwh.2021.03.003.
https://psnet.ahrq.gov/issue/maintaining-maternal-newborn-safety-during-co…
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psnet.ahrq.gov/node/836919/psn-pdf
April 13, 2022 - Psychological intervention to improve communication
and patient safety in obstetrics: examination of the health
action process approach.
April 13, 2022
Derksen C, Kötting L, Keller FM, et al. Psychological intervention to improve communication and patient
safety in obstetrics: examination of the health action proc…
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psnet.ahrq.gov/node/73085/psn-pdf
January 01, 2022 - Multiple meanings of resilience: health professionals'
experiences of a dual element training intervention
designed to help them prepare for coping with error.
March 31, 2021
Janes G, Harrison R, Johnson J, et al. Multiple meanings of resilience: health professionals' experiences of
a dual element training interve…
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psnet.ahrq.gov/node/35540/psn-pdf
August 05, 2009 - Lost in translation: challenges and opportunities in
physician-to-physician communication during patient
handoffs.
August 5, 2009
Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to-
physician communication during patient handoffs. Acad Med. 2005;80(12):1094-9.
…
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psnet.ahrq.gov/node/866640/psn-pdf
September 04, 2024 - Improving resident physician participation in reporting
patient safety and quality concerns.
September 4, 2024
Craig SR, Smith HL, Shaeffer PJ. Improving resident physician participation in reporting patient safety and
quality concerns. Ochsner J. 2024;24(2):118-123. doi:10.31486/toj.24.0016.
https://psnet.ahrq.go…
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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/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/72657/psn-pdf
January 20, 2021 - Establishing a multi-institutional quality and patient
safety consortium: collaboration across affiliates in a
community-based medical school.
January 20, 2021
Hillman E, Paul J, Neustadt M, et al. Establishing a multi-institutional quality and patient safety consortium:
collaboration across affiliates in a commun…
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psnet.ahrq.gov/node/73632/psn-pdf
January 01, 2022 - I-PSI: short- and long-term efficacy of a comprehensive
initiative to promote patient safety event reporting by
trainees.
August 25, 2021
Prabhu V, Mikhly M, Chung R, et al. I-PSI: short- and long-term efficacy of a comprehensive initiative to
promote patient safety event reporting by trainees. Am J Med Qual. 2022…
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psnet.ahrq.gov/node/45529/psn-pdf
October 11, 2017 - Increasing compliance with the World Health Organization
surgical safety checklist—a regional health system's
experience.
October 11, 2017
Gitelis ME, Kaczynski A, Shear T, et al. Increasing compliance with the World Health Organization Surgical
Safety Checklist-A regional health system's experience. Am J Surg. 20…
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psnet.ahrq.gov/node/38144/psn-pdf
October 15, 2008 - Do faculty and resident physicians discuss their medical
errors?
October 15, 2008
Kaldjian LC, Forman-Hoffman VL, Jones EW, et al. Do faculty and resident physicians discuss their
medical errors? J Med Ethics. 2008;34(10):717-22. doi:10.1136/jme.2007.023713.
https://psnet.ahrq.gov/issue/do-faculty-and-resident-phy…
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psnet.ahrq.gov/node/72794/psn-pdf
March 03, 2021 - Intraoperative sentinel events in the era of surgical safety
checklists: results of a national survey.
March 3, 2021
Cramer JD, Balakrishnan K, Roy S, et al. Intraoperative sentinel events in the era of surgical safety
checklists: results of a national survey. OTO Open. 2020;4(4):2473974X2097573.
doi:10.1177/24739…
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psnet.ahrq.gov/node/73560/psn-pdf
August 04, 2021 - Barcode medication administration technology use in
hospital practice: a mixed-methods observational study
of policy deviations.
August 4, 2021
Mulac A, Mathiesen L, Taxis K, et al. Barcode medication administration technology use in hospital
practice: a mixed-methods observational study of policy deviations. BMJ …
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psnet.ahrq.gov/node/844754/psn-pdf
September 18, 2019 - How do stakeholders experience the adoption of
electronic prescribing systems in hospitals? A systematic
review and thematic synthesis of qualitative studies.
September 18, 2019
Farre A, Heath G, Shaw K, et al. How do stakeholders experience the adoption of electronic prescribing
systems in hospitals? A systematic…
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psnet.ahrq.gov/node/865677/psn-pdf
April 24, 2024 - The impact of adding a 2-way video monitoring system on
falls and costs for high-risk inpatients.
April 24, 2024
Sosa MA, Soares M, Patel S, et al. The impact of adding a 2-way video monitoring system on falls and
costs for high-risk inpatients. J Patient Saf. 2024;20(3):186-191. doi:10.1097/pts.0000000000001197.
…
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psnet.ahrq.gov/node/855096/psn-pdf
November 08, 2023 - Systematic workup of transfusion reactions reveals
passive co-reporting of handling errors.
November 8, 2023
Nitsche E, Dreßler J, Henschler R. Systematic workup of transfusion reactions reveals passive co-reporting
of handling errors. J Blood Med. 2023;14:435-443. doi:10.2147/jbm.s411188.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/60892/psn-pdf
September 09, 2020 - Applying thematic synthesis to interpretation and
commentary in epidemiological studies: identifying what
contributes to successful interventions to promote hand
hygiene in patient care.
September 9, 2020
Drey N, Gould D, Purssell E, et al. Applying thematic synthesis to interpretation and commentary in
epidemiol…
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psnet.ahrq.gov/node/42909/psn-pdf
December 12, 2014 - Does applying technology throughout the medication use
process improve patient safety with antineoplastics?
December 12, 2014
Bubalo J, Warden BA, Wiegel JJ, et al. Does applying technology throughout the medication use process
improve patient safety with antineoplastics? J Oncol Pharm Pract. 2014;20(6):445-60.
do…
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psnet.ahrq.gov/node/865342/psn-pdf
March 27, 2024 - Development and evaluation of I-PASS-to-PICU: a
standard electronic template to improve referral
communication for inter-facility transfers to the pediatric
intensive care unit.
March 27, 2024
Parikh NR, Francisco LS, Balikai SC, et al. Development and evaluation of I-PASS-to-PICU: a standard
electronic template …
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psnet.ahrq.gov/node/43289/psn-pdf
July 09, 2014 - Designing a critical care nurse–led rapid response team
using only available resources: 6 years later.
July 9, 2014
Mitchell A, Schatz M, Francis H. Designing a critical care nurse-led rapid response team using only
available resources: 6 years later. Crit Care Nurse. 2014;34(3):41-55; quiz 56. doi:10.4037/ccn20144…