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psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
March 27, 2024 - (The Blueprint for Health is Vermont's health care reform initiative to increase access to affordable
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psnet.ahrq.gov/node/60267/psn-pdf
March 01, 2021 - (The
Blueprint for Health is Vermont's health care reform initiative to increase access to affordable
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psnet.ahrq.gov/node/36167/psn-pdf
June 29, 2011 - Nurses' and nursing assistants' perceptions of patient
safety culture in nursing homes.
June 29, 2011
Hughes C, Lapane KL. Nurses' and nursing assistants' perceptions of patient safety culture in nursing
homes. Int J Qual Health Care. 2006;18(4):281-6.
https://psnet.ahrq.gov/issue/nurses-and-nursing-assistants-per…
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psnet.ahrq.gov/node/851184/psn-pdf
July 05, 2023 - What causes delays in diagnosing blood cancers? A rapid
review of the evidence.
July 5, 2023
Black GB, Boswell L, Harris J, et al. What causes delays in diagnosing blood cancers? A rapid review of
the evidence. Prim Health Care Res Dev. 2023;24:e26. doi:10.1017/s1463423623000129.
https://psnet.ahrq.gov/issue/what-…
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psnet.ahrq.gov/node/46886/psn-pdf
August 01, 2018 - Support strategies for health care professionals who are
second victims.
August 1, 2018
Hauk L. Support strategies for health care professionals who are second victims. AORN J. 2018;107(6):P7-
P9. doi:10.1002/aorn.12291.
https://psnet.ahrq.gov/issue/support-strategies-health-care-professionals-who-are-second-victi…
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psnet.ahrq.gov/node/837062/psn-pdf
May 11, 2022 - Moving on after critical incidents in health care: a
qualitative study of the perspectives and experiences of
second victims
May 11, 2022
Buhlmann M, Ewens B, Rashidi A. Moving on after critical incidents in health care: a qualitative study of the
perspectives and experiences of second victims. J Adv Nurs. 2022;78…
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psnet.ahrq.gov/node/47175/psn-pdf
July 19, 2018 - Resolving the productivity paradox of health information
technology: a time for optimism.
July 19, 2018
Wachter R, Howell MD. Resolving the Productivity Paradox of Health Information Technology: A Time for
Optimism. JAMA. 2018;320(1):25-26. doi:10.1001/jama.2018.5605.
https://psnet.ahrq.gov/issue/resolving-product…
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psnet.ahrq.gov/node/47846/psn-pdf
March 06, 2019 - Assessment of the FDA Risk Evaluation and Mitigation
Strategy for transmucosal immediate-release fentanyl
products.
March 6, 2019
Rollman JE, Heyward J, Olson L, et al. Assessment of the FDA Risk Evaluation and Mitigation Strategy for
Transmucosal Immediate-Release Fentanyl Products. JAMA. 2019;321(7):676-685.
do…
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psnet.ahrq.gov/node/837663/psn-pdf
July 13, 2022 - Long-term risk of overdose or mental health crisis after
opioid dose tapering.
July 13, 2022
Fenton JJ, Magnan E, Tseregounis IE, et al. Long-term risk of overdose or mental health crisis after opioid
dose tapering. JAMA Netw Open. 2022;5(6):e2216726. doi:10.1001/jamanetworkopen.2022.16726.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/45537/psn-pdf
July 27, 2018 - Patient Safety in Ambulatory Settings.
July 27, 2018
Shekelle PG, Sarkar U, Shojania K, et al. Technical Brief No. 27. Rockville, MD: Agency for Healthcare
Research and Quality; October 2016. AHRQ Publication No. 16-EHC033-EF.
https://psnet.ahrq.gov/issue/patient-safety-ambulatory-settings
Most patient safety rese…
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psnet.ahrq.gov/node/47368/psn-pdf
September 12, 2018 - Using co-design to develop a collective leadership
intervention for healthcare teams to improve safety
culture.
September 12, 2018
Ward ME, De Brún A, Beirne D, et al. Using Co-Design to Develop a Collective Leadership Intervention for
Healthcare Teams to Improve Safety Culture. Int J Environ Res Public Health. 20…
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psnet.ahrq.gov/node/34707/psn-pdf
September 29, 2017 - National Patient Safety Foundation agenda for research
and development in patient safety.
September 29, 2017
Cooper JB, Gaba DM, Liang B, et al. The National Patient Safety Foundation agenda for research and
development in patient safety. MedGenMed. 2000;2(3):E38.
https://psnet.ahrq.gov/issue/national-patient-safe…
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psnet.ahrq.gov/node/60297/psn-pdf
January 01, 2021 - A call for the application of patient safety culture in
medical humanitarian action: a literature review.
May 6, 2020
Biquet J-M, Schopper D, Sprumont D, et al. A call for the application of patient safety culture in medical
humanitarian action: a literature review. J Patient Saf. 2021;17(8):e1732-e1737.
doi:10.10…
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psnet.ahrq.gov/node/41245/psn-pdf
March 29, 2012 - The occurrence of wrong-site surgery self-reported by
candidates for certification by the American Board of
Orthopaedic Surgery.
March 29, 2012
James MA, Seiler JG, Harrast JJ, et al. The occurrence of wrong-site surgery self-reported by candidates
for certification by the American Board of Orthopaedic Surgery. J …
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psnet.ahrq.gov/node/47385/psn-pdf
April 27, 2019 - Reasons for repeat rapid response team calls, and
associations with in-hospital mortality.
April 27, 2019
Chalwin R, Giles L, Salter A, et al. Reasons for Repeat Rapid Response Team Calls, and Associations with
In-Hospital Mortality. Jt Comm J Qual Patient Saf. 2019;45(4):268-275. doi:10.1016/j.jcjq.2018.10.005.
h…
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psnet.ahrq.gov/node/865920/psn-pdf
May 22, 2024 - Role of knowledge and reasoning processes as
predictors of resident physicians' susceptibility to
anchoring bias in diagnostic reasoning: a randomised
controlled experiment.
May 22, 2024
Mamede S, Zandbergen A, de Carvalho-Filho MA, et al. Role of knowledge and reasoning processes as
predictors of resident physic…
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psnet.ahrq.gov/node/39872/psn-pdf
February 25, 2013 - The Essential Guide for Patient Safety Officers, Second
Edition.
February 25, 2013
Leonard M, Frankel A, Federico F, et al, eds. Oakbrook Terrace, IL: Joint Commission Resources, Institute
for Healthcare Improvement; 2013. ISBN: 9781599407036.
https://psnet.ahrq.gov/issue/essential-guide-patient-safety-officers-se…
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psnet.ahrq.gov/node/866818/psn-pdf
September 25, 2024 - Academic half day improves resident perception of
education without compromising patient safety.
September 25, 2024
Spence MC, Sugarman A, Uong A, et al. Academic half day improves resident perception of education
without compromising patient safety. Acad Pediatr. 2024;24(6):1010-1016. doi:10.1016/j.acap.2024.02.00…
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psnet.ahrq.gov/node/60958/psn-pdf
September 30, 2020 - Characteristics and unexpected COVID-19 diagnoses in
resuscitation room patients during the COVID-19 outbreak
- a retrospective case series.
September 30, 2020
Bergrath S, Aretz O, Haake H, et al. Characteristics and unexpected COVID-19 diagnoses in resuscitation
room patients during the COVID-19 outbreak - a retr…
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psnet.ahrq.gov/node/45855/psn-pdf
March 15, 2017 - The development and implementation of cognitive aids
for critical events in pediatric anesthesia: the Society for
Pediatric Anesthesia Critical Events Checklists.
March 15, 2017
Clebone A, Burian BK, Watkins SC, et al. The Development and Implementation of Cognitive Aids for
Critical Events in Pediatric Anesthesia…