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psnet.ahrq.gov/node/847533/psn-pdf
April 12, 2023 - Linking patient safety climate with missed nursing care in
labor and delivery units: findings from the LaborRNs
survey.
April 12, 2023
Zhong J, Simpson KR, Spetz J, et al. Linking patient safety climate with missed nursing care in labor and
delivery units: findings from the LaborRNs survey. J Patient Saf. 2023;19(…
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psnet.ahrq.gov/node/73370/psn-pdf
June 09, 2021 - Burnout and its relationship to self-reported quality of
patient care and adverse events during COVID-19: a
cross-sectional online survey among nurses.
June 9, 2021
Kakemam E, Chegini Z, Rouhi A, et al. Burnout and its relationship to self?reported quality of patient care
and adverse events during COVID?19: a cros…
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psnet.ahrq.gov/node/44247/psn-pdf
November 03, 2015 - Effects of interdisciplinary team care interventions on
general medical wards: a systematic review.
November 3, 2015
Pannick S, Davis R, Ashrafian H, et al. Effects of Interdisciplinary Team Care Interventions on General
Medical Wards: A Systematic Review. JAMA Intern Med. 2015;175(8):1288-98.
doi:10.1001/jamainte…
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psnet.ahrq.gov/node/73066/psn-pdf
March 24, 2021 - Patient harm resulting from medication reconciliation
process failures: a study of serious events reported by
Pennsylvania hospitals.
March 24, 2021
Harper A, Kukielka E, Jones RM. Patient harm resulting from medication reconciliation process failures: a
study of serious events reported by Pennsylvania hospitals. …
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psnet.ahrq.gov/node/73427/psn-pdf
June 23, 2021 - Incidence and OR team awareness of “near-miss” and
retained surgical sharps: a national survey on United
States operating rooms.
June 23, 2021
Weprin SA, Meyer D, Li R, et al. Incidence and OR team awareness of “near-miss” and retained surgical
sharps: a national survey on United States operating rooms. Patient Sa…
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psnet.ahrq.gov/node/841149/psn-pdf
December 07, 2022 - A structured approach to EHR surveillance of diagnostic
error in acute care: an exploratory analysis of two
institutionally-defined case cohorts.
December 7, 2022
Malik MA, Motta-Calderon D, Piniella N, et al. A structured approach to EHR surveillance of diagnostic
error in acute care: an exploratory analysis of t…
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psnet.ahrq.gov/node/43474/psn-pdf
August 28, 2017 - Racial and ethnic disparities in patient safety.
August 28, 2017
Okoroh JS, Uribe EF, Weingart SN. Racial and Ethnic Disparities in Patient Safety. J Patient Saf.
2017;13(3):153-161. doi:10.1097/PTS.0000000000000133.
https://psnet.ahrq.gov/issue/racial-and-ethnic-disparities-patient-safety
Prior studies have raise…
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psnet.ahrq.gov/node/837628/psn-pdf
July 06, 2022 - Multilevel factors associated with time to biopsy after
abnormal screening mammography results by race and
ethnicity.
July 6, 2022
Lawson MB, Bissell MCS, Miglioretti DL, et al. Multilevel factors associated with time to biopsy after
abnormal screening mammography results by race and ethnicity. JAMA Oncol. 2022;8(…
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psnet.ahrq.gov/node/73207/psn-pdf
May 05, 2021 - Diagnostic accuracy of prehospital triage tools for
identifying major trauma in elderly injured patients: a
systematic review.
May 5, 2021
Fuller G, Pandor A, Essat M, et al. Diagnostic accuracy of prehospital triage tools for identifying major
trauma in elderly injured patients: a systematic review. J Trauma Acut…
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psnet.ahrq.gov/node/863748/psn-pdf
March 06, 2024 - Scaling the EQUIPPED medication safety program:
traditional and hub-and-spoke implementation models.
March 6, 2024
Vandenberg AE, Hwang U, Das S, et al. Scaling the EQUIPPED medication safety program: traditional and
hub?and?spoke implementation models. J Am Geriatr Soc. 2024;72(7):2184-2194. doi:10.1111/jgs.18746.…
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psnet.ahrq.gov/node/73177/psn-pdf
April 28, 2021 - The association of nursing home characteristics and
quality with adverse events after a hospitalization.
April 28, 2021
Field TS, Fouayzi H, Crawford S, et al. The association of nursing home characteristics and quality with
adverse events after a hospitalization. J Am Med Dir Assoc. 2021;22(10):2196-2200.
doi:10.…
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psnet.ahrq.gov/node/38964/psn-pdf
November 27, 2009 - Development of a measure of patient safety event
learning responses.
November 27, 2009
Ginsburg LR, Chuang Y-T, Norton PG, et al. Development of a measure of patient safety event learning
responses. Health Serv Res. 2009;44(6):2123-47. doi:10.1111/j.1475-6773.2009.01021.x.
https://psnet.ahrq.gov/issue/development-…
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psnet.ahrq.gov/node/40509/psn-pdf
June 08, 2011 - Can an electronic prescribing system detect doctors who
are more likely to make a serious prescribing error?
June 8, 2011
Coleman JJ, Hemming K, Nightingale PG, et al. Can an electronic prescribing system detect doctors who
are more likely to make a serious prescribing error? J R Soc Med. 2011;104(5):208-218.
doi:…
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psnet.ahrq.gov/node/42652/psn-pdf
October 31, 2014 - Safety in numbers: the development of Leapfrog's
composite patient safety score for US hospitals.
October 31, 2014
Austin M, D'Andrea G, Birkmeyer JD, et al. Safety in numbers: the development of Leapfrog's composite
patient safety score for U.S. hospitals. J Patient Saf. 2014;10(1):64-71.
doi:10.1097/PTS.0b013e31…
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psnet.ahrq.gov/node/73414/psn-pdf
June 23, 2021 - Promoting the psychological well-being of healthcare
providers facing the burden of adverse events: a
systematic review of second victim support resources.
June 23, 2021
Busch IM, Moretti F, Campagna I, et al. Promoting the psychological well-being of healthcare providers
facing the burden of adverse events: a sys…
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psnet.ahrq.gov/node/45937/psn-pdf
September 29, 2017 - Opioid-prescribing patterns of emergency physicians and
risk of long-term use.
September 29, 2017
Barnett ML, Olenski AR, Jena AB. Opioid-Prescribing Patterns of Emergency Physicians and Risk of Long-
Term Use. N Engl J Med. 2017;376(7):663-673. doi:10.1056/NEJMsa1610524.
https://psnet.ahrq.gov/issue/opioid-prescr…
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psnet.ahrq.gov/node/40492/psn-pdf
March 23, 2012 - Racial disparities in the frequency of patient safety
events: results from the National Medicare Patient Safety
Monitoring System.
March 23, 2012
Metersky M, Hunt D, Kliman R, et al. Racial disparities in the frequency of patient safety events: results
from the National Medicare Patient Safety Monitoring System. M…
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psnet.ahrq.gov/node/73206/psn-pdf
May 05, 2021 - Treatment patterns and clinical outcomes after the
introduction of the Medicare Sepsis Performance Measure
(SEP-1).
May 5, 2021
Barbash IJ, Davis BS, Yabes JG, et al. Treatment patterns and clinical outcomes after the introduction of
the Medicare Sepsis Performance Measure (SEP-1). Ann Intern Med. 2021;174(7):927-…
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psnet.ahrq.gov/node/61098/psn-pdf
November 04, 2020 - Nursing home staff turnover and perceived patient safety
culture: results from a national survey.
November 4, 2020
Temkin-Greener H, Cen X, Li Y. Nursing home staff turnover and perceived patient safety culture: results
from a national survey. Gerontologist. 2020;60(7):1303-1311. doi:10.1093/geront/gnaa015.
https:…
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psnet.ahrq.gov/node/866854/psn-pdf
January 01, 2025 - Charting diagnostic safety: exploring patient-provider
discordance in medical record documentation.
October 2, 2024
Giardina TD, Vaghani V, Upadhyay DK, et al. Charting diagnostic safety: exploring patient-provider
discordance in medical record documentation. J Gen Intern Med. 2025;40(4):773-781. doi:10.1007/s11606…