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psnet.ahrq.gov/node/863211/psn-pdf
February 28, 2024 - Physician and nurse well-being, patient safety and
recommendations for interventions: cross-sectional
survey in hospitals in six European countries.
February 28, 2024
Aiken LH, Sermeus W, McKee M, et al. BMJ Open. 2024;14(2):e079931.
https://psnet.ahrq.gov/issue/physician-and-nurse-well-being-patient-safety-and-re…
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psnet.ahrq.gov/node/47618/psn-pdf
January 30, 2019 - Making care better in the pediatric intensive care unit.
January 30, 2019
Wolfe HA, Mack EH. Making care better in the pediatric intensive care unit. Transl Pediatr. 2018;7(4):267-
274. doi:10.21037/tp.2018.09.10.
https://psnet.ahrq.gov/issue/making-care-better-pediatric-intensive-care-unit
Pediatric critical care…
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psnet.ahrq.gov/node/50942/psn-pdf
February 26, 2020 - Understanding the roles of three academic communities
in a prospective learning health ecosystem for diagnostic
excellence.
February 26, 2020
Satterfield K, Rubin JC, Yang D, et al. Understanding the roles of three academic communities in a
prospective learning health ecosystem for diagnostic excellence. Learn Hea…
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psnet.ahrq.gov/node/845639/psn-pdf
March 08, 2023 - Identifying safety practices perceived as low value: an
exploratory survey of healthcare staff in the United
Kingdom and Australia.
March 8, 2023
Halligan D, Janes G, Conner M, et al. Identifying safety practices perceived as low value: an exploratory
survey of healthcare staff in the United Kingdom and Australia.…
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psnet.ahrq.gov/node/867637/psn-pdf
February 26, 2025 - Patient safety incident reporting and learning guidelines
implemented by health care professionals in specialized
care units: scoping review.
February 26, 2025
Gqaleni TM, Mkhize SW, Chironda G. Patient safety incident reporting and learning guidelines
implemented by health care professionals in specialized care u…
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psnet.ahrq.gov/node/867593/psn-pdf
January 22, 2025 - Becoming Hand Hygiene Heroes: implementation of an
infection prevention and control campaign for patient and
family hospital safety.
January 22, 2025
Cheng B, Chan M, Abi-Farrage D, et al. Becoming hand hygiene heroes: implementation of an infection
prevention and control campaign for patient and family hospital s…
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psnet.ahrq.gov/node/860394/psn-pdf
January 10, 2024 - Respectful Maternity Care: Dissemination and
Implementation of Perinatal Safety Culture to Improve
Equitable Maternal Healthcare Delivery and Outcomes.
January 10, 2024
Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture To Improve
Equitable Maternal Healthcare Delivery and Outc…
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psnet.ahrq.gov/node/47180/psn-pdf
November 15, 2018 - Efficacy and unintended consequences of hard-stop
alerts in electronic health record systems: a systematic
review.
November 15, 2018
Powers EM, Shiffman RN, Melnick ER, et al. Efficacy and unintended consequences of hard-stop alerts in
electronic health record systems: a systematic review. J Am Med Inform Assoc. 2…
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psnet.ahrq.gov/node/855434/psn-pdf
January 22, 2022 - A risk science perspective on the discussion concerning
Safety I, Safety II and Safety III.
January 22, 2022
Aven T. A risk science perspective on the discussion concerning Safety I, Safety II and Safety III. Reliability
Eng System Saf. 2022;217:108077. doi:10.1016/j.ress.2021.108077.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/74239/psn-pdf
January 12, 2022 - Evaluation of clinical practice guidelines on fall
prevention and management for older adults: a
systematic review.
January 12, 2022
Montero-Odasso MM, Kamkar N, Pieruccini-Faria F, et al. Evaluation of clinical practice guidelines on fall
prevention and management for older adults: a systematic review. JAMA Netw …
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psnet.ahrq.gov/node/44837/psn-pdf
February 03, 2016 - Impact of pharmacist involvement in the transitional care
of high-risk patients through medication reconciliation,
medication education, and postdischarge call-backs
(IPITCH Study).
February 3, 2016
Phatak A, Prusi R, Ward B, et al. Impact of pharmacist involvement in the transitional care of high-risk
patients t…
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psnet.ahrq.gov/node/47380/psn-pdf
September 05, 2018 - Operating management system for high reliability:
leadership, accountability, learning and innovation in
healthcare.
September 5, 2018
Day RM, Demski RJ, Pronovost PJ, et al. Operating management system for high reliability: Leadership,
accountability, learning and innovation in healthcare. J Patient Saf Risk Mana…
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psnet.ahrq.gov/node/43678/psn-pdf
April 22, 2015 - 'Connecting the dots': leveraging visual analytics to make
sense of patient safety event reports.
April 22, 2015
Ratwani RM, Fong A. 'Connecting the dots': leveraging visual analytics to make sense of patient safety
event reports. J Am Med Inform Assoc. 2015;22(2):312-7. doi:10.1136/amiajnl-2014-002963.
https://ps…
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psnet.ahrq.gov/node/46288/psn-pdf
August 23, 2017 - Supporting nursing, midwifery and allied health
professional students to raise concerns with the quality
of care: a review of the research literature.
August 23, 2017
Milligan F, Wareing M, Preston-Shoot M, et al. "Supporting nursing, midwifery and allied health professional
students to raise concerns with the qua…
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psnet.ahrq.gov/node/50802/psn-pdf
January 15, 2020 - Use of error management theory to quantify and
characterize residents' error recovery strategies.
January 15, 2020
Pugh CM, Law KE, Cohen ER, et al. Use of error management theory to quantify and characterize
residents’ error recovery strategies. Am J Surg. 2020;219(2):214-220. doi:10.1016/j.amjsurg.2019.11.013.
h…
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psnet.ahrq.gov/node/72523/psn-pdf
December 02, 2020 - Clinical decision support improves the appropriateness of
laboratory test ordering in primary care without
increasing diagnostic error: the ELMO cluster randomized
trial.
December 2, 2020
Delvaux N, Piessens V, Burghgraeve TD, et al. Clinical decision support improves the appropriateness of
laboratory test orderi…
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psnet.ahrq.gov/node/45152/psn-pdf
November 18, 2016 - Department of Veterans Affairs Chief Resident in Quality
and Patient Safety Program: a model to spread change.
November 18, 2016
Watts B, Paull DE, Williams LC, et al. Department of Veterans Affairs Chief Resident in Quality and Patient
Safety Program: A Model to Spread Change. Am J Med Qual. 2016;31(6):598-600.
h…
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psnet.ahrq.gov/node/73169/psn-pdf
April 21, 2021 - Application of emergency preparedness principles to a
pharmacy department’s approach to a “black swan”
event: the COVID-19 pandemic.
April 21, 2021
Waldron KM, Schenkat DH, Rao KV, et al. Application of emergency preparedness principles to a
pharmacy department’s approach to a “black swan” event: the COVID-19 pand…
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psnet.ahrq.gov/node/837762/psn-pdf
August 03, 2022 - A scoping review of real-time automated clinical
deterioration alerts and evidence of impacts on
hospitalised patient outcomes.
August 3, 2022
Blythe R, Parsons R, White NM, et al. A scoping review of real-time automated clinical deterioration alerts
and evidence of impacts on hospitalised patient outcomes. BMJ Qu…
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psnet.ahrq.gov/node/847054/psn-pdf
April 05, 2023 - Patient generated research priorities to improve
diagnostic safety: a systematic prioritization exercise.
April 5, 2023
Zwaan L, Smith KM, Giardina TD, et al. Patient generated research priorities to improve diagnostic safety:
a systematic prioritization exercise. Patient Educ Couns. 2023;110:107650.
doi:10.1016/j…