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psnet.ahrq.gov/node/37630/psn-pdf
February 15, 2011 - The Accreditation Council for Graduate Medical
Education's limits on residents' work hours and patient
safety.
February 15, 2011
Jagsi R, Weinstein DF, Shapiro J, et al. The Accreditation Council for Graduate Medical Education's limits
on residents' work hours and patient safety. A study of resident experiences an…
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psnet.ahrq.gov/node/43176/psn-pdf
July 03, 2014 - Patient safety in the era of the 80-hour workweek.
July 3, 2014
Shelton J, Kummerow K, Phillips S, et al. Patient safety in the era of the 80-hour workweek. J Surg Educ.
2014;71(4):551-9. doi:10.1016/j.jsurg.2013.12.011.
https://psnet.ahrq.gov/issue/patient-safety-era-80-hour-workweek
Regulations intended to reduc…
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psnet.ahrq.gov/node/36105/psn-pdf
May 27, 2011 - Computerized provider order entry implementation: no
association with increased mortality rates in an intensive
care unit.
May 27, 2011
Del Beccaro MA, Jeffries HE, Eisenberg MA, et al. Computerized provider order entry implementation: no
association with increased mortality rates in an intensive care unit. Pediat…
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psnet.ahrq.gov/node/43367/psn-pdf
May 01, 2015 - Promoting Patient Safety Through Effective Health
Information Technology Risk Management.
May 1, 2015
Schneider EC, Ridgely MS, Meeker D, Hunter LE, Khodyakov D, Rudin R. RAND Health. Washington, DC:
Office of the National Coordinator for Health Information Technology; May 2014. RR-654-DHHSNCH.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/41052/psn-pdf
February 20, 2012 - Health professional networks as a vector for improving
healthcare quality and safety: a systematic review.
February 20, 2012
Cunningham FC, Ranmuthugala G, Plumb J, et al. Health professional networks as a vector for improving
healthcare quality and safety: a systematic review. BMJ Qual Saf. 2012;21(3):239-49. doi:…
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psnet.ahrq.gov/node/37843/psn-pdf
March 04, 2011 - Front-line staff perspectives on opportunities for
improving the safety and efficiency of hospital work
systems.
March 4, 2011
Tucker AL, Singer SJ, Hayes J, et al. Front-line staff perspectives on opportunities for improving the safety
and efficiency of hospital work systems. Health Serv Res. 2008;43(5 Pt 2):1807…
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psnet.ahrq.gov/node/41317/psn-pdf
January 31, 2013 - Variation in 17 obstetric care pathways: potential danger
for health professionals and patient safety?
January 31, 2013
Sarrechia M, Van Gerven E, Hermans L, et al. Variation in 17 obstetric care pathways: potential danger for
health professionals and patient safety? J Adv Nurs. 2013;69(2):278-85. doi:10.1111/j.136…
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psnet.ahrq.gov/node/42211/psn-pdf
April 24, 2013 - An organizational assessment of disruptive clinician
behavior: findings and implications.
April 24, 2013
Walrath JM, Dang D, Nyberg D. An Organizational Assessment of Disruptive Clinician Behavior. J Nurs
Care Qual. 2012;28(2):110-121. doi:10.1097/ncq.0b013e318270d2ba.
https://psnet.ahrq.gov/issue/organizational-a…
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psnet.ahrq.gov/node/40072/psn-pdf
April 04, 2011 - Perceptions of hospital safety climate and incidence of
readmission.
April 4, 2011
Hansen LO, Williams M, Singer SJ. Perceptions of hospital safety climate and incidence of readmission.
Health Serv Res. 2011;46(2):596-616. doi:10.1111/j.1475-6773.2010.01204.x.
https://psnet.ahrq.gov/issue/perceptions-hospital-safe…
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psnet.ahrq.gov/node/47491/psn-pdf
November 07, 2018 - Integrating patient safety education into early medical
education utilizing cadaver, sponges, and an inter-
professional team.
November 7, 2018
Kutaimy R, Zhang L, Blok D, et al. Integrating patient safety education into early medical education utilizing
cadaver, sponges, and an inter-professional team. BMC Med Ed…
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psnet.ahrq.gov/node/46904/psn-pdf
August 20, 2018 - Effect of a pediatric early warning system on all-cause
mortality in hospitalized pediatric patients.
August 20, 2018
Parshuram CS, Dryden-Palmer K, Farrell C, et al. Effect of a Pediatric Early Warning System on All-Cause
Mortality in Hospitalized Pediatric Patients: The EPOCH Randomized Clinical Trial. JAMA.
201…
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psnet.ahrq.gov/issue/e-collection-safety-and-error-prevention-health
June 24, 2020 - Journal Article
E-collection: Safety and Error Prevention in Health.
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May 3, 2017
The increasing implementation of health informati…
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psnet.ahrq.gov/node/36979/psn-pdf
February 28, 2011 - Changes in outcomes for internal medicine inpatients
after work-hour regulations.
February 28, 2011
Horwitz LI, Kosiborod M, Lin Z, et al. Changes in outcomes for internal medicine inpatients after work-hour
regulations. Ann Intern Med. 2007;147(2):97-103.
https://psnet.ahrq.gov/issue/changes-outcomes-internal-med…
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psnet.ahrq.gov/node/46250/psn-pdf
July 26, 2017 - Surgical residents' work hours and well-being in year 2 of
the FIRST trial.
July 26, 2017
Dahlke AR, Quinn CM, Chung JW, et al. Surgical Residents' Work Hours and Well-Being in Year 2 of the
FIRST Trial. New Engl J Med. 2017;377(2):192-194. doi:10.1056/NEJMc1703812.
https://psnet.ahrq.gov/issue/surgical-residents-…
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psnet.ahrq.gov/node/39892/psn-pdf
September 20, 2011 - How does routine disclosure of medical error affect
patients' propensity to sue and their assessment of
provider quality?: Evidence from survey data.
September 20, 2011
Helmchen LA, Richards MR, McDonald TB. How does routine disclosure of medical error affect patients'
propensity to sue and their assessment of pro…
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psnet.ahrq.gov/node/39294/psn-pdf
January 03, 2017 - Patient handoffs: standardized and reliable measurement
tools remain elusive.
January 3, 2017
Patterson ES, Wears RL. Patient handoffs: standardized and reliable measurement tools remain elusive. Jt
Comm J Qual Patient Saf. 2010;36(2):52-61.
https://psnet.ahrq.gov/issue/patient-handoffs-standardized-and-reliable-m…
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psnet.ahrq.gov/node/60887/psn-pdf
September 09, 2020 - Human-based errors involving smart infusion pumps: a
catalog of error types and prevention strategies.
September 9, 2020
Kirkendall ES, Timmons K, Huth H, et al. Human-based errors involving smart infusion pumps: a catalog of
error types and prevention strategies. Drug Saf. 2020;43(11):1073-1087. doi:10.1007/s40264…
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psnet.ahrq.gov/node/845631/psn-pdf
March 08, 2023 - Evaluation of policies limiting opioid exposure on opioid
prescribing and patient pain in opioid-naive patients
undergoing elective surgery in a large American health
system.
March 8, 2023
Rennert L, Howard KA, Walker KB, et al. Evaluation of policies limiting opioid exposure on opioid
prescribing and patient pai…
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psnet.ahrq.gov/node/866320/psn-pdf
January 01, 2025 - Rapid response systems, antibiotic stewardship and
medication reconciliation: a scoping review on
implementation factors, activities and outcomes.
July 17, 2024
Ohlsen JT, Søfteland E, Akselsen PE, et al. Rapid response systems, antibiotic stewardship and
medication reconciliation: a scoping review on implementati…
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psnet.ahrq.gov/node/39813/psn-pdf
October 11, 2010 - Code debriefing from the Department of Veterans Affairs
(VA) Medical Team Training Program improves the
cardiopulmonary resuscitation code process.
October 11, 2010
Percarpio KB, Harris FS, Hatfield BA, et al. Code debriefing from the Department of Veterans Affairs (VA)
Medical Team Training program improves the c…