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psnet.ahrq.gov/node/43472/psn-pdf
September 03, 2014 - Nighttime cross-coverage is associated with decreased
intensive care unit mortality. A single-center study.
September 3, 2014
Amaral ACK-B, Barros BS, Barros CCPP, et al. Nighttime cross-coverage is associated with decreased
intensive care unit mortality. A single-center study. Am J Respir Crit Care Med. 2014;189(1…
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psnet.ahrq.gov/node/73924/psn-pdf
October 06, 2021 - Publication of inspection frameworks: a qualitative study
exploring the impact on quality improvement and
regulation in three healthcare settings.
October 6, 2021
Weenink J-W, Wallenburg I, Leistikow I, et al. Publication of inspection frameworks: a qualitative study
exploring the impact on quality improvement and…
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psnet.ahrq.gov/node/862152/psn-pdf
February 07, 2024 - Risk identification and prediction of complaints and
misconduct against health practitioners: a scoping
review.
February 7, 2024
Wang Y, Ram SS, Scahill S. Risk identification and prediction of complaints and misconduct against health
practitioners: a scoping review. Int J Qual Health Care. 2024;36(1):mzad114. doi…
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psnet.ahrq.gov/node/72722/psn-pdf
February 10, 2021 - Knowledge, attitudes, and expectations of medical staff
toward medical error management policies in
humanitarian medicine: a qualitative study.
February 10, 2021
Biquet J-M, Schopper D, Sprumont D, et al. Knowledge, attitudes, and Expectations of Medical Staff
Toward Medical Error Management Policies in Humanitari…
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psnet.ahrq.gov/node/863750/psn-pdf
March 06, 2024 - "Plans are worthless, but planning is everything":
advancing patient safety by better managing the paradox
of planning versus adaptation.
March 6, 2024
Call RC, Espiritu SG, Barrows DA. “Plans are worthless, but planning is everything”: advancing patient
safety by better managing the paradox of planning versus ada…
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psnet.ahrq.gov/node/50451/psn-pdf
October 09, 2019 - Pharmacist-led, video-stimulated feedback to reduce
prescribing errors in doctors-in-training: A mixed
methods evaluation
October 9, 2019
Parker H, Farrell O, Bethune R, et al. Pharmacist-led, video-stimulated feedback to reduce prescribing
errors in doctors-in-training: A mixed methods evaluation. Br J Clin Pharm…
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psnet.ahrq.gov/node/50686/psn-pdf
January 01, 2020 - 'Whatever you cut, I can fix it': clinical supervisors'
interview accounts of allowing trainee failure while
guarding patient safety.
November 20, 2019
Klasen JM, Driessen E, Teunissen PW, et al. ‘Whatever you cut, I can fix it’: clinical supervisors’ interview
accounts of allowing trainee failure while guarding p…
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psnet.ahrq.gov/node/44316/psn-pdf
March 20, 2017 - Improving Patient Safety: The Intersection of Safety
Culture, Clinician and Staff Support, and Patient Safety
Organizations.
March 20, 2017
Miller RG, Scott SD, Hirschinger LE. Jefferson City, MO: Center for Patient Safety; September 2015.
https://psnet.ahrq.gov/issue/improving-patient-safety-intersection-safety-c…
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psnet.ahrq.gov/node/44470/psn-pdf
October 13, 2015 - Workplace training for senior trainees: a systematic
review and narrative synthesis of current approaches to
promote patient safety.
October 13, 2015
Walton M, Harrison R, Burgess A, et al. Workplace training for senior trainees: a systematic review and
narrative synthesis of current approaches to promote patient …
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digital.ahrq.gov/funding-mechanism/novel-high-impact-studies-evaluating-health-system-and-healthcare-professional
January 01, 2023 - Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID-19 (R01)
The Role of Telehealth in COVID-19 Response
Description
This research, using data from the country’s largest telehealth provider and claims from a large commercial…
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digital.ahrq.gov/principal-investigator/bellamy-gail
January 01, 2023 - Bellamy, Gail
Improving self-reporting of adverse drug events in a West Virginia hospital.
Citation
Schade CP, Hannah K, Ruddick P, et al. Improving self-reporting of adverse drug events in a West Virginia hospital. Am J Med Qual 2006 Sep-Oct;21(5):335-41. PMID: 16973950.
…
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psnet.ahrq.gov/node/867635/psn-pdf
February 26, 2025 - Diagnostic safety: needs assessment and informed
curriculum at an academic children's hospital.
February 26, 2025
Congdon M, Rasooly IR, Toto RL, et al. Diagnostic safety: needs assessment and informed curriculum at
an academic children's hospital. Pediatr Qual Saf. 2024;9(6):e773. doi:10.1097/pq9.0000000000000773.…
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psnet.ahrq.gov/node/867447/psn-pdf
January 08, 2025 - The influence of hospital physician integration on culture
of patient safety.
January 8, 2025
Upadhyay S, Chien L-C. The influence of hospital physician integration on culture of patient safety. J
Patient Saf. 2024;20(8):542-548. doi:10.1097/pts.0000000000001280.
https://psnet.ahrq.gov/issue/influence-hospital-phy…
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psnet.ahrq.gov/node/47670/psn-pdf
March 20, 2019 - Targeting the fear of safety reporting on a unit level.
March 20, 2019
Copeland D. Targeting the Fear of Safety Reporting on a Unit Level. J Nurs Adm. 2019;49(3):121-124.
doi:10.1097/NNA.0000000000000724.
https://psnet.ahrq.gov/issue/targeting-fear-safety-reporting-unit-level
Blame culture in health care settings …
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psnet.ahrq.gov/node/45877/psn-pdf
July 19, 2017 - Piece of my mind. Stories doctors tell.
July 19, 2017
Moniz T, Lingard LA, Watling C. Stories Doctors Tell. JAMA. 2017;318(2):124-125.
doi:10.1001/jama.2017.5518.
https://psnet.ahrq.gov/issue/piece-my-mind-stories-doctors-tell
The sharing of stories is a key method to provide context to drive change. The authors e…
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psnet.ahrq.gov/node/837307/psn-pdf
June 01, 2022 - Adverse event reviews in healthcare: what matters to
patients and their family? A qualitative study exploring
the perspective of patients and family.
June 1, 2022
McQueen JM, Gibson KR, Manson M, et al. Adverse event reviews in healthcare: what matters to patients
and their family? A qualitative study exploring th…
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psnet.ahrq.gov/node/42942/psn-pdf
February 22, 2024 - Targeted Medication Safety Best Practices for Hospitals.
February 22, 2024
Plymouth Meeting, PA: Institute for Safe Medication Practices; 2024.
https://psnet.ahrq.gov/issue/targeted-medication-safety-best-practices-hospitals
This updated report outlines 22 consensus-based best practices to ensure safe medication ad…
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psnet.ahrq.gov/node/852459/psn-pdf
August 16, 2023 - Reimagining Healthcare Teams: Leveraging the Patient-
Clinician-AI Triad To Improve Diagnostic Safety.
August 16, 2023
James C, Singh K, Valley TS, et al. Rockville, MD; Agency for Healthcare Research and Quality; July 2023.
AHRQ Publication No. 23-0040-4-EF.
https://psnet.ahrq.gov/issue/reimagining-healthcare-tea…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/unc-webcast-transcript.pdf
January 01, 2020 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center Webcast Transcript
January 2020 https://www.ahrq.gov/sops/index.html 1
Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Sa…
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effectivehealthcare.ahrq.gov/products/machine-learning-quality/research