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psnet.ahrq.gov/node/45023/psn-pdf
April 17, 2018 - Lean Hospitals: Improving Quality, Patient Safety, and
Employee Engagement, Third Edition.
April 17, 2018
Graban M. Boca Raton, FL: Productivity Press; 2016. ISBN: 9781498743259.
https://psnet.ahrq.gov/issue/lean-hospitals-improving-quality-patient-safety-and-employee-engagement-
third-edition
Lean methodology fo…
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digital.ahrq.gov/organization/state-university-new-york-buffalo
January 01, 2023 - State University of New York at Buffalo
Implementing Personalized Cross-Sector Transitional Care Management to Promote Care Continuity, Reduce Low-Value Utilization, and Reduce the Burden of Treatment for High-Need, High-Cost Patients
Description
This research will integrate c…
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psnet.ahrq.gov/node/867519/psn-pdf
January 15, 2025 - High-risk medication errors: insight from the UK National
Reporting and Learning System.
January 15, 2025
Alrowily A, Alfaraidy K, Almutairi S, et al. High-risk medication errors: Insight from the UK National
Reporting and learning system. Explor Res Clin Soc Pharm. 2025;17:100531.
doi:10.1016/j.rcsop.2024.100531.…
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psnet.ahrq.gov/node/39173/psn-pdf
November 02, 2014 - Transforming healthcare: a safety imperative.
November 2, 2014
Leape L, Berwick D, Clancy C, et al. Transforming healthcare: a safety imperative. Qual Saf Health Care.
2009;18(6):424-8. doi:10.1136/qshc.2009.036954.
https://psnet.ahrq.gov/issue/transforming-healthcare-safety-imperative
Although significant progres…
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psnet.ahrq.gov/node/867017/psn-pdf
October 23, 2024 - Clinicians' use of health information exchange
technologies for medication reconciliation in the U.S.
Department of Veterans Affairs: a qualitative analysis.
October 23, 2024
Snyder ME, Nguyen KA, Patel H, et al. Clinicians' use of health information exchange technologies for
medication reconciliation in the U.S. …
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psnet.ahrq.gov/node/73087/psn-pdf
March 31, 2021 - Developing open disclosure strategies to medical error
using simulation in final-year medical students: linking
mindset and experiential learning to lifelong reflective
practice.
March 31, 2021
Lane AS, Roberts C. Developing open disclosure strategies to medical error using simulation in final-year
medical studen…
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psnet.ahrq.gov/node/50865/psn-pdf
February 05, 2020 - Understanding principles of high reliability organizations
through the eyes of VIONE: a clinical program to improve
patient safety by deprescribing potentially inappropriate
medications and reducing polypharmacy.
February 5, 2020
Battar S, Dickerson KRW, Sedgwick C, et al. Understanding principles of high reliabil…
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psnet.ahrq.gov/node/838067/psn-pdf
September 14, 2022 - The Psychological Safety Scale of the Safety,
Communication, Operational, Reliability, and Engagement
(SCORE) survey: a brief, diagnostic, and actionable
metric for the ability to speak up in healthcare settings.
September 14, 2022
Adair KC, Heath A, Frye MA, et al. The Psychological Safety Scale of the Safety, Co…
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psnet.ahrq.gov/node/838246/psn-pdf
October 05, 2022 - The impact of electronic health record interoperability on
safety and quality of care in high-income countries:
systematic review.
October 5, 2022
Li E, Clarke J, Ashrafian H, et al. The impact of electronic health record interoperability on safety and
quality of care in high-income countries: systematic review. J…
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psnet.ahrq.gov/node/854994/psn-pdf
January 01, 2024 - Contextual factors influencing the implementation of a
multifaceted intervention to improve teamwork and
quality for hospitalized patients: a multi-site qualitative
comparative case study.
November 1, 2023
Terwilliger IA, Johnson JK, Manojlovich M, et al. Contextual Factors Influencing the Implementation of a
Mul…
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psnet.ahrq.gov/node/50792/psn-pdf
January 15, 2020 - Lessons learned implementing a complex and innovative
patient safety learning laboratory project in a large
academic medical center
January 15, 2020
Businger AC, Fuller TE, Schnipper JL, et al. Lessons learned implementing a complex and innovative
patient safety learning laboratory project in a large academic medi…
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psnet.ahrq.gov/node/72730/psn-pdf
February 10, 2021 - From fable to reality at Parkland Hospital: the impact of
evidence-based design strategies on patient safety,
healing, and satisfaction in an adult inpatient
environment.
February 10, 2021
Rich RK, Jimenez FE, Puumala SE, et al. From Fable to Reality at Parkland Hospital: The Impact of
Evidence-Based Design Strat…
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psnet.ahrq.gov/node/60670/psn-pdf
July 08, 2020 - Patient safety concerns in COVID-19–related events: a
study of 343 event reports from 71 hospitals in
Pennsylvania.
July 8, 2020
Taylor M, Kepner S, Gardner LA, et al. Patient safety concerns in COVID-19–related events: a study of 343
event reports from 71 hospitals in Pennsylvania. Patient Saf. 2020;2(2):16-27. d…
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psnet.ahrq.gov/node/840480/psn-pdf
November 30, 2022 - Understanding how the design and implementation of
online consultations affect primary care quality:
systematic review of evidence with recommendations for
designers, providers, and researchers.
November 30, 2022
Darley S, Coulson T, Peek N, et al. Understanding how the design and implementation of online
consult…
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psnet.ahrq.gov/node/837069/psn-pdf
January 01, 2024 - Usability of a human factors-based clinical decision
support in the emergency department: lessons learned
for design and implementation.
May 11, 2022
Salwei ME, Hoonakker PLT, Carayon P, et al. Usability of a human factors-based clinical decision support
in the emergency department: lessons learned for design and …
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psnet.ahrq.gov/node/50750/psn-pdf
January 01, 2020 - Patterns in medication incidents: a 10-yr experience of a
cross-national anaesthesia incident reporting system.
December 18, 2019
Sanduende-Otero Y, Villalón-Coca J, Romero-García E, et al. Patterns in medication incidents: A 10-yr
experience of a cross-national anaesthesia incident reporting system. Br J Anaesth. …
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psnet.ahrq.gov/node/60361/psn-pdf
May 20, 2020 - Novel, High-Impact Studies Evaluating Health System and
Healthcare Professional Responsiveness to COVID-19
(R01).
May 20, 2020
Rockville, MD: Agency for Healthcare Research and Quality; May 14, 2020.
https://psnet.ahrq.gov/issue/novel-high-impact-studies-evaluating-health-system-and-healthcare-
professional-respo…
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psnet.ahrq.gov/node/847720/psn-pdf
April 19, 2023 - In situ simulation-based team training and its significance
for transfer of learning to clinical practice--a qualitative
focus group interview study of anaesthesia personnel.
April 19, 2023
Finstad AS, Aase I, Bjørshol CA, et al. In situ simulation-based team training and its significance for
transfer of learning …
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psnet.ahrq.gov/node/866200/psn-pdf
June 26, 2024 - Does an app a day keep the doctor away? AI symptom
checker applications, entrenched bias, and professional
responsibility.
June 26, 2024
Zawati M'n H, Lang M. Does an app a day keep the doctor away? AI symptom checker applications,
entrenched bias, and professional responsibility. J Med Internet Res. 2024;26:e5034…
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psnet.ahrq.gov/node/836772/psn-pdf
March 23, 2022 - Error reduction in trauma care: lessons from an
anonymized, national, multicenter mortality reporting
system.
March 23, 2022
Hamad DM, Mandell SP, Stewart RM, et al. Error reduction in trauma care: Lessons from an anonymized,
national, multicenter mortality reporting system. J Trauma Acute Care Surg. 2022;92(3):47…