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psnet.ahrq.gov/issue/relationship-staff-information-sharing-and-advice-networks-patient-safety-outcomes
June 22, 2011 - Study
Relationship of staff information sharing and advice networks to patient safety outcomes.
Citation Text:
Brewer BB, Carley KM, Benham-Hutchins MM, et al. Relationship of Staff Information Sharing and Advice Networks to Patient Safety Outcomes. J Nurs Adm. 2018;48(9):437-444. doi:10…
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psnet.ahrq.gov/issue/impact-relocation-new-critical-care-building-pediatric-safety-events
May 27, 2020 - Study
Impact of a relocation to a new critical care building on pediatric safety events.
Citation Text:
Furthmiller A, Sahay R, Zhang B, et al. Impact of a relocation to a new critical care building on pediatric safety events. J Hosp Med. 2024;19(5):589-595. doi:10.1002/jhm.13324.
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psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysis-deaths-surgical-care
June 23, 2009 - Study
Building a framework for trust: critical event analysis of deaths in surgical care.
Citation Text:
Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical care. BMJ. 2005;330(7500):1139-42.
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psnet.ahrq.gov/issue/if-no-one-stops-me-ill-make-mistake-again-changing-prescribing-behaviours-through-feedback
July 01, 2017 - Study
'If no-one stops me, I'll make the mistake again': changing prescribing behaviours through feedback; a Perceptual Control Theory perspective.
Citation Text:
Ferguson J, Keyworth C, Tully MP. 'If no-one stops me, I'll make the mistake again': Changing prescribing behaviours through …
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psnet.ahrq.gov/issue/emergency-intubation-children-outside-operating-room
May 27, 2011 - Study
Emergency intubation of children outside of the operating room.
Citation Text:
Long E, Barrett MJ, Peters C, et al. Emergency intubation of children outside of the operating room. Paediatr Anaesth. 2020;30(3):319-330. doi:10.1111/pan.13784.
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psnet.ahrq.gov/issue/innovative-approach-reconstruct-bedside-handoff-using-simple-rules-complexity-science-promote
November 16, 2022 - Commentary
Innovative approach to reconstruct bedside handoff: using simple rules of complexity science to promote partnership with patients.
Citation Text:
Anthony MK, Kloos J, Beam P, et al. Innovative Approach to Reconstruct Bedside Handoff: Using Simple Rules of Complexity Science to…
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psnet.ahrq.gov/issue/improving-patient-safety-automated-laboratory-based-adverse-event-grading
October 19, 2022 - Study
Improving patient safety via automated laboratory-based adverse event grading.
Citation Text:
Niland JC, Stiller T, Neat J, et al. Improving patient safety via automated laboratory-based adverse event grading. J Am Med Inform Assoc. 2012;19(1):111-5. doi:10.1136/amiajnl-2011-0005…
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psnet.ahrq.gov/issue/effect-electronic-prescribing-medication-errors-and-adverse-drug-events-systematic-review
October 30, 2013 - Review
The effect of electronic prescribing on medication errors and adverse drug events: a systematic review.
Citation Text:
Ammenwerth E, Schnell-Inderst P, Machan C, et al. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. J Am M…
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psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
March 01, 2011 - What Have We Learned About Safe Inpatient Handovers?
Sunil Kripalani, MD, MSc | March 1, 2011
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Citation Text:
Kripalani S. What Have We Learned About Safe Inpatient Handovers?. PSNet [internet]. …
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psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
November 27, 2023 - The Role of Undergraduate Nursing Education in Patient Safety
Joan Stanley, PhD, NP, FAAN, FAANP; Bryan M. Gale, MA; Sarah E. Mossburg, RN, PhD | November 27, 2023
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Stanley J, Ga…
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psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety
May 01, 2013 - Strengthening the Business Case for Patient Safety
Peter K. Lindenauer, MD, MSc | May 1, 2013
Also Read a Conversation
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Citation Text:
Lindenauer PK. Strengthening the Business Case for Patient Safety. PSNet [internet]. …
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psnet.ahrq.gov/node/45148/psn-pdf
April 24, 2018 - Safety of overlapping surgery at a high-volume referral
center.
April 24, 2018
Hyder JA, Hanson KT, Storlie CB, et al. Safety of Overlapping Surgery at a High-volume Referral Center.
Ann Surg. 2017;265(4):639-644. doi:10.1097/SLA.0000000000002084.
https://psnet.ahrq.gov/issue/safety-overlapping-surgery-high-volume…
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psnet.ahrq.gov/node/44767/psn-pdf
January 20, 2016 - "What's psychology got to do with it?" Applying
psychological theory to understanding failures in modern
healthcare settings.
January 20, 2016
Rydon-Grange M. 'What's Psychology got to do with it?' Applying psychological theory to understanding
failures in modern healthcare settings. J Med Ethics. 2015;41(11):880-…
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psnet.ahrq.gov/node/38470/psn-pdf
March 11, 2009 - Quality and strength of patient safety climate on
medical–surgical units.
March 11, 2009
Hughes LC, Chang YK, Mark BA. Quality and strength of patient safety climate on medical-surgical units.
Health Care Manag Rev. 2009;34(1):19-28. doi:10.1097/01.HMR.0000342976.07179.3a.
https://psnet.ahrq.gov/issue/quality-and-…
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psnet.ahrq.gov/node/867229/psn-pdf
January 01, 2025 - Feasibility of prospective error reporting in home
palliative care: a mixed methods study.
December 4, 2024
Kurahashi AM, Kim G, Parry N, et al. Feasibility of prospective error reporting in home palliative care: a
mixed methods study. Palliat Med. 2025;39(1):22-30. doi:10.1177/02692163241288774.
https://psnet.ahr…
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psnet.ahrq.gov/node/47059/psn-pdf
May 16, 2018 - Participating in a multisite study exploring operational
failures encountered by frontline nurses: lessons learned.
May 16, 2018
Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures
Encountered by Frontline Nurses: Lessons Learned. J Nurs Adm. 2018;48(4):203-208.
do…
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psnet.ahrq.gov/node/40994/psn-pdf
December 18, 2014 - Implementing medication reconciliation in outpatient
pediatrics.
December 18, 2014
Rappaport DI, Collins B, Koster A, et al. Implementing medication reconciliation in outpatient pediatrics.
Pediatrics. 2011;128(6):e1600-7. doi:10.1542/peds.2011-0993.
https://psnet.ahrq.gov/issue/implementing-medication-reconciliat…
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psnet.ahrq.gov/node/47022/psn-pdf
July 19, 2018 - Thoughtless design of the electronic health record drives
overuse, but purposeful design can nudge improved
patient care.
July 19, 2018
Vaughn VM, Linder JA. Thoughtless design of the electronic health record drives overuse, but purposeful
design can nudge improved patient care. BMJ Qual Saf. 2018;27(8):583-586. d…
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psnet.ahrq.gov/node/46794/psn-pdf
May 17, 2018 - Implementation of diagnostic pauses in the ambulatory
setting.
May 17, 2018
Huang GC, Kriegel G, Wheaton C, et al. Implementation of diagnostic pauses in the ambulatory setting.
BMJ Qual Saf. 2018;27(6):492-497. doi:10.1136/bmjqs-2017-007192.
https://psnet.ahrq.gov/issue/implementation-diagnostic-pauses-ambulatory…
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psnet.ahrq.gov/node/858164/psn-pdf
December 13, 2023 - Risk-adjusted cumulative sum for early detection of
hospitals with excess perioperative mortality.
December 13, 2023
Chen VW, Chidi AP, Dong Y, et al. Risk-adjusted cumulative sum for early detection of hospitals with
excess perioperative mortality. JAMA Surg. 2023;158(11):1176. doi:10.1001/jamasurg.2023.3673.
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