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psnet.ahrq.gov/node/72835/psn-pdf
March 10, 2021 - In Conversation With... Libby Hoy and Stephen Hoy
March 10, 2021
In Conversation With.. Libby Hoy and Stephen Hoy. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
Editor’s Note: Libby Hoy, Patient Family Advisor (PFA), is the Founder and CEO of Patient Family
Cente…
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psnet.ahrq.gov/node/846751/psn-pdf
March 29, 2023 - High-fidelity simulation’s impact on clinical reasoning and
patient safety: a scoping review.
March 29, 2023
El Hussein MT, Hirst SP. High-fidelity simulation’s impact on clinical reasoning and patient safety: a
scoping review. J Nurs Reg. 2023;13(4):54-65. doi:10.1016/s2155-8256(23)00028-5.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/862131/psn-pdf
February 07, 2024 - Prospective study of the multisite spread of a medication
safety intervention: factors common to hospitals with
improved outcomes.
February 7, 2024
Kaplan HC, Goldstein SL, Rubinson C, et al. Prospective study of the multisite spread of a medication
safety intervention: factors common to hospitals with improved ou…
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psnet.ahrq.gov/node/45487/psn-pdf
July 21, 2020 - Annotated bibliography: an update to: "Understanding
ambulatory care practices in the context of patient safety
and quality improvement."
July 21, 2020
Kumar PR, Nash DB. Annotated Bibliography: An Update to “Understanding Ambulatory Care Practices in
the Context of Patient Safety and Quality Improvement”. Am J Me…
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psnet.ahrq.gov/node/47327/psn-pdf
August 22, 2018 - US internal medicine program director perceptions of
alignment of graduate medical education and institutional
resources for engaging residents in quality and safety.
August 22, 2018
Chacko KM, Halvorsen AJ, Swenson SL, et al. US Internal Medicine Program Director Perceptions of
Alignment of Graduate Medical Educa…
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psnet.ahrq.gov/node/47725/psn-pdf
March 06, 2019 - Overcoming human barriers to safety event reporting in
radiology.
March 6, 2019
Siewert B, Brook OR, Swedeen S, et al. Overcoming Human Barriers to Safety Event Reporting in
Radiology. Radiographics. 2019;39(1):251-263. doi:10.1148/rg.2019180135.
https://psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-…
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psnet.ahrq.gov/node/42115/psn-pdf
March 20, 2013 - Medication reconciliation during transitions of care as a
patient safety strategy: a systematic review.
March 20, 2013
Kwan JL, Lo L, Sampson M, et al. Medication reconciliation during transitions of care as a patient safety
strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):397-403. doi:10.7326/0003-4…
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psnet.ahrq.gov/node/35392/psn-pdf
June 16, 2011 - Measuring patient safety climate: a review of surveys.
June 16, 2011
Colla JB, Bracken AC, Kinney LM, et al. Measuring patient safety climate: a review of surveys. Qual Saf
Health Care. 2005;14(5):364-6.
https://psnet.ahrq.gov/issue/measuring-patient-safety-climate-review-surveys
This systematic review compares th…
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psnet.ahrq.gov/node/41359/psn-pdf
November 21, 2016 - The relationship between organizational culture and
family satisfaction in critical care.
November 21, 2016
Dodek P, Wong H, Heyland DK, et al. The relationship between organizational culture and family
satisfaction in critical care. Crit Care Med. 2012;40(5):1506-12. doi:10.1097/CCM.0b013e318241e368.
https://psne…
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psnet.ahrq.gov/node/72804/psn-pdf
March 03, 2021 - How to do no harm: empowering local leaders to make
care safer in low-resource settings.
March 3, 2021
Vincent CA, Mboga M, Gathara D, et al. How to do no harm: empowering local leaders to make care safer
in low-resource settings. Arch Dis Child. 2021;106(4):333-337. doi:10.1136/archdischild-2020-320631.
https://p…
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psnet.ahrq.gov/node/41132/psn-pdf
March 13, 2012 - Spreading a medication administration intervention
organizationwide in six hospitals.
March 13, 2012
Kliger J, Singer SJ, Hoffman F, et al. Spreading a medication administration intervention organizationwide
in six hospitals. Jt Comm J Qual Patient Saf. 2012;38(2):51-60.
https://psnet.ahrq.gov/issue/spreading-medi…
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psnet.ahrq.gov/node/859349/psn-pdf
January 01, 2024 - Investigating the influence of selected leadership styles
on patient safety and quality of care: a systematic review
and meta-analysis.
December 20, 2023
Singh A, Yeravdekar R, Jadhav S. Investigating the influence of selected leadership styles on patient safety
and quality of care: a systematic review and meta-an…
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psnet.ahrq.gov/node/44753/psn-pdf
April 12, 2019 - Is bias in the eye of the beholder? A vignette study to
assess recognition of cognitive biases in clinical case
workups.
April 12, 2019
Zwaan L, Monteiro SD, Sherbino J, et al. Is bias in the eye of the beholder? A vignette study to assess
recognition of cognitive biases in clinical case workups. BMJ Qual Saf. 201…
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psnet.ahrq.gov/node/39602/psn-pdf
August 09, 2013 - Postoperative handover: problems, pitfalls, and
prevention of error.
August 9, 2013
Nagpal K, Arora S, Abboudi M, et al. Postoperative handover: problems, pitfalls, and prevention of error.
Ann Surg. 2010;252(1):171-6. doi:10.1097/SLA.0b013e3181dc3656.
https://psnet.ahrq.gov/issue/postoperative-handover-problems-p…
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psnet.ahrq.gov/node/45519/psn-pdf
November 01, 2017 - Morbidity and mortality conferences: a narrative review of
strategies to prioritize quality improvement.
November 1, 2017
Giesbrecht V, Au S. Morbidity and Mortality Conferences: A Narrative Review of Strategies to Prioritize
Quality Improvement. Jt Comm J Qual Patient Saf. 2016;42(11):516-527. doi:10.1016/S1553-
…
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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/845348/psn-pdf
February 02, 2012 - Liquid-based Papanicolaou tests in endometrial
carcinoma diagnosis: performance, error root cause
analysis, and quality improvement.
February 2, 2012
Sams SB, Currens HS, Raab SS. Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis:
performance, error root cause analysis, and quality improvement. Am…
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psnet.ahrq.gov/node/73114/psn-pdf
April 07, 2021 - Clinical and financial implications of second-opinion
surgical pathology review.
April 7, 2021
Johnson SM, Samulski TD, O’Connor SM, et al. Clinical and financial implications of second-opinion
surgical pathology review. Am J Clin Pathol. 2021;156(4):559-568. doi:10.1093/ajcp/aqaa263.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/47909/psn-pdf
May 29, 2019 - Teaching novice clinicians how to reduce diagnostic
waste and errors by applying the Toyota Production
System.
May 29, 2019
Radhakrishnan NS, Singh H, Southwick FS. Teaching novice clinicians how to reduce diagnostic waste
and errors by applying the Toyota Production System. Diagnosis (Berl). 2019;6(2):179-185. do…
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psnet.ahrq.gov/node/44456/psn-pdf
September 02, 2015 - Tackling communication barriers between long-term care
facility and emergency department transfers to improve
medication safety in older adults.
September 2, 2015
Callinan SM, Brandt NJ. Tackling communication barriers between long-term care facility and emergency
department transfers to improve medication safety …