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psnet.ahrq.gov/node/44804/psn-pdf
November 18, 2016 - The investigators
developed themes and lessons learned through semistructured interviews with hospital
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psnet.ahrq.gov/node/45962/psn-pdf
April 24, 2018 - In this study, researchers described lessons learned
from creating a leadership role that bridges quality
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psnet.ahrq.gov/node/39422/psn-pdf
March 23, 2011 - Organisational readiness: exploring the preconditions for
success in organisation-wide patient safety improvement
programmes.
March 23, 2011
Burnett S, Benn J, Pinto A, et al. Organisational readiness: exploring the preconditions for success in
organisation-wide patient safety improvement programmes. Qual Saf Heal…
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psnet.ahrq.gov/node/73219/psn-pdf
May 05, 2021 - Clinical supervision in general practice training: the
interweaving of supervisor, trainee and patient
entrustment with clinical oversight, patient safety and
trainee learning.
May 5, 2021
Sturman N, Parker M, Jorm C. Clinical supervision in general practice training: the interweaving of
supervisor, trainee and p…
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psnet.ahrq.gov/node/74257/psn-pdf
January 19, 2022 - Early prescribing outcomes after exporting the EQUIPPED
medication safety improvement programme.
January 19, 2022
Vaughan CP, Hwang U, Vandenberg AE, et al. Early prescribing outcomes after exporting the EQUIPPED
medication safety improvement programme. BMJ Open Qual. 2021;10(4):e001369. doi:10.1136/bmjoq-
2021-00…
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psnet.ahrq.gov/node/867337/psn-pdf
December 11, 2024 - Perspectives on anesthesia and perioperative patient
safety: past, present, and future.
December 11, 2024
Kanjia MK, Kurth CD, Hyman D, et al. Perspectives on anesthesia and perioperative patient safety: past,
present, and future. Anesthesiology. 2024;141(5):835-848. doi:10.1097/aln.0000000000005164.
https://psnet…
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psnet.ahrq.gov/node/863748/psn-pdf
March 06, 2024 - Scaling the EQUIPPED medication safety program:
traditional and hub-and-spoke implementation models.
March 6, 2024
Vandenberg AE, Hwang U, Das S, et al. Scaling the EQUIPPED medication safety program: traditional and
hub?and?spoke implementation models. J Am Geriatr Soc. 2024;72(7):2184-2194. doi:10.1111/jgs.18746.…
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psnet.ahrq.gov/node/47000/psn-pdf
May 09, 2018 - 'Broken hospital windows': debating the theory of
spreading disorder and its application to healthcare
organizations.
May 9, 2018
Churruca K, Ellis LA, Braithwaite J. 'Broken hospital windows': debating the theory of spreading disorder
and its application to healthcare organizations. BMC Health Serv Res. 2018;18(1…
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psnet.ahrq.gov/node/42232/psn-pdf
May 08, 2013 - The Measurement and Monitoring of Safety.
May 8, 2013
Vincent C, Burnett S, Carthey J. London, UK: Health Foundation; April 2013. ISBN: 9781906461447.
https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety
Despite great effort, health care organizations are still learning how to identify safety problems, es…
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psnet.ahrq.gov/node/36089/psn-pdf
March 03, 2011 - The impact of the 80-hour resident workweek on surgical
residents and attending surgeons.
March 3, 2011
Hutter MM, Kellogg KC, Ferguson CM, et al. The impact of the 80-hour resident workweek on surgical
residents and attending surgeons. Ann Surg. 2006;243(6):864-71; discussion 871-5.
https://psnet.ahrq.gov/issue/i…
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psnet.ahrq.gov/node/867084/psn-pdf
November 06, 2024 - Effectiveness of artificial intelligence (AI) in clinical
decision support systems and care delivery.
November 6, 2024
Ouanes K, Farhah N. Effectiveness of artificial intelligence (AI) in clinical decision support systems and
care delivery. J Med Syst. 2024;48(1):74. doi:10.1007/s10916-024-02098-4.
https://psnet.a…
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psnet.ahrq.gov/node/47502/psn-pdf
June 02, 2019 - Failure to debrief after critical events in anesthesia is
associated with failures in communication during the
event.
June 2, 2019
Arriaga AF, Sweeney RE, Clapp JT, et al. Failure to Debrief after Critical Events in Anesthesia Is
Associated with Failures in Communication during the Event. Anesthesiology. 2019;130(…
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psnet.ahrq.gov/node/854626/psn-pdf
October 18, 2023 - Developing surgical and anesthesia resident patient
safety competencies through systems-based event
analysis. Guide to curricular development and evaluation
of longer-term resident perceptions.
October 18, 2023
Bagian JP, Paull DE, DeRosier JM. Developing surgical and anesthesia resident patient safety
competenci…
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psnet.ahrq.gov/node/844050/psn-pdf
February 08, 2023 - Using automated methods to detect safety problems with
health information technology: a scoping review.
February 8, 2023
Surian D, Wang Y, Coiera E, et al. Using automated methods to detect safety problems with health
information technology: a scoping review. J Am Med Inform Assoc. 2022;30(2):382-392.
doi:10.1093/…
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psnet.ahrq.gov/node/34735/psn-pdf
June 16, 2014 - goals to create unified reporting mechanisms, support an
open learning culture, ensure that lessons learned
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psnet.ahrq.gov/node/37478/psn-pdf
February 22, 2011 - adversedrugevent
https://psnet.ahrq.gov/issue/intravenous-medication-safety-and-smart-infusion-systems-lessons-learned-and-future
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psnet.ahrq.gov/node/45490/psn-pdf
September 01, 2018 - collaboration-regulators-support-quality-and-accountability-following-medical-errors
https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
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psnet.ahrq.gov/node/34849/psn-pdf
May 14, 2012 - improving-patient-safety-five-years-after-iom-report
https://psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned
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psnet.ahrq.gov/node/45350/psn-pdf
October 21, 2016 - This report discusses the need to ensure that lessons
learned in military trauma care are acted on and
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psnet.ahrq.gov/node/47505/psn-pdf
March 19, 2019 - A past PSNet perspective explored insights learned from experience with the
AHRQ-supported teamwork