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psnet.ahrq.gov/node/839815/psn-pdf
November 09, 2022 - A longitudinal evaluation of computed tomography
radiation incidents within a multisite NHS trust.
November 9, 2022
Adamson HK, Foster B, Clarke R, et al. A longitudinal evaluation of computed tomography radiation
incidents within a multisite NHS trust. J Patient Saf. 2022;18(7):e1096-e1101.
doi:10.1097/pts.000000…
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psnet.ahrq.gov/node/864857/psn-pdf
March 20, 2024 - Safety on the ground: using critical incident technique to
explore the factors influencing medical registrars'
provision of safe care.
March 20, 2024
Ralston K, Smith SE, Kerins J, et al. Safety on the ground: using critical incident technique to explore the
factors influencing medical registrars’ provision of saf…
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psnet.ahrq.gov/node/43666/psn-pdf
March 14, 2016 - Interdisciplinary Quality Improvement Conference: using
a revised morbidity and mortality format to focus on
systems-based patient safety issues in a VA hospital:
design and outcomes.
March 14, 2016
Gerstein WH, Ledford J, Cooper J, et al. Interdisciplinary Quality Improvement Conference: using a revised
morbidit…
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psnet.ahrq.gov/node/74245/psn-pdf
January 14, 2024 - Surveys on Patient Safety Culture (SOPS) Ambulatory
Surgery Center Survey: User Database Report.
January 14, 2024
Hare R, Tyler ER, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality; December
2023. AHRQ Publication no. 23(24)-0095.
https://psnet.ahrq.gov/issue/surveys-patient-safety-culture…
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psnet.ahrq.gov/node/73464/psn-pdf
July 07, 2021 - Errors in breast imaging: how to reduce errors and
promote a safety environment.
July 7, 2021
Sivarajah R, Dinh ML, Chetlen A. Errors in breast imaging: how to reduce errors and promote a safety
environment. J Breast Imaging. 2021;3(2):221-230. doi:10.1093/jbi/wbaa118.
https://psnet.ahrq.gov/issue/errors-breast-im…
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psnet.ahrq.gov/node/61069/psn-pdf
October 28, 2020 - Exploring psychological safety in healthcare teams to
inform the development of interventions: combining
observational, survey and interview data.
October 28, 2020
O’Donovan R, McAuliffe E. Exploring psychological safety in healthcare teams to inform the development
of interventions: combining observational, surve…
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psnet.ahrq.gov/issue/centre-patient-safety-and-service-quality
August 01, 2024 - Multi-use Website
Centre for Patient Safety and Service Quality.
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February 17, 2009
This research program was established to explo…
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psnet.ahrq.gov/node/38334/psn-pdf
January 14, 2009 - Adverse Events in Hospitals: State Reporting Systems.
January 14, 2009
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; December 2008. Report No. OEI-06-07-00471.
https://psnet.ahrq.gov/issue/adverse-events-hospitals-state-reporting-systems
The Tax Relief an…
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psnet.ahrq.gov/node/853964/psn-pdf
September 27, 2023 - Surgeon's narcissism, hostility, stress, bullying, meaning
in life and work environment: a two-centered analysis.
September 27, 2023
El Boghdady M, Ewalds-Kvist BM. Surgeon’s narcissism, hostility, stress, bullying, meaning in life and work
environment: a two-centered analysis. Langenbecks Arch Surg. 2023;408(1):34…
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psnet.ahrq.gov/node/47725/psn-pdf
March 06, 2019 - Overcoming human barriers to safety event reporting in
radiology.
March 6, 2019
Siewert B, Brook OR, Swedeen S, et al. Overcoming Human Barriers to Safety Event Reporting in
Radiology. Radiographics. 2019;39(1):251-263. doi:10.1148/rg.2019180135.
https://psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-…
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psnet.ahrq.gov/node/850163/psn-pdf
June 07, 2023 - Managing near-miss reporting in hospitals: the dynamics
between staff members’ willingness to report and
management’s handling of near-miss events.
June 7, 2023
Caspi H, Perlman Y, Westreich S. Managing near-miss reporting in hospitals: the dynamics between staff
members’ willingness to report and management’s han…
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psnet.ahrq.gov/node/837633/psn-pdf
July 06, 2022 - Evaluation of feedback modalities and preferences
regarding feedback on decision-making in a pediatric
emergency department.
July 6, 2022
Graham JMK, Ambroggio L, Leonard JE, et al. Evaluation of feedback modalities and preferences
regarding feedback on decision-making in a pediatric emergency department. Diagnosi…
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psnet.ahrq.gov/node/34710/psn-pdf
February 18, 2011 - Fatigue among clinicians and the safety of patients.
February 18, 2011
Gaba DM, Howard SK. Patient safety: fatigue among clinicians and the safety of patients. New Engl J Med.
2002;347(16):1249-1255.
https://psnet.ahrq.gov/issue/fatigue-among-clinicians-and-safety-patients
Acknowledging the inevitable connection b…
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psnet.ahrq.gov/node/47566/psn-pdf
January 30, 2019 - Important factors for effective patient safety governance
auditing: a questionnaire survey.
January 30, 2019
van Gelderen SC, Zegers M, Robben PB, et al. Important factors for effective patient safety governance
auditing: a questionnaire survey. BMC Health Serv Res. 2018;18(1):798. doi:10.1186/s12913-018-3577-9.
h…
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psnet.ahrq.gov/node/40940/psn-pdf
December 31, 2011 - New 2011 survey of patients with complex care needs in
eleven countries finds that care is often poorly
coordinated.
December 31, 2011
Schoen C, Osborn R, Squires D, et al. New 2011 survey of patients with complex care needs in eleven
countries finds that care is often poorly coordinated. Health Aff (Millwood). 20…
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psnet.ahrq.gov/node/44228/psn-pdf
September 04, 2016 - Bridging the gap: a framework and strategies for
integrating the quality and safety mission of teaching
hospitals and graduate medical education.
September 4, 2016
Tess A, Vidyarthi A, Yang J, et al. Bridging the Gap: A Framework and Strategies for Integrating the Quality
and Safety Mission of Teaching Hospitals a…
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psnet.ahrq.gov/node/48032/psn-pdf
July 10, 2019 - Putting out fires: a qualitative study exploring the use of
patient complaints to drive improvement at three
academic hospitals.
July 10, 2019
Liu JJ, Rotteau L, Bell CM, et al. Putting out fires: a qualitative study exploring the use of patient complaints
to drive improvement at three academic hospitals. BMJ Qual…
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psnet.ahrq.gov/node/37448/psn-pdf
January 06, 2017 - Patient safety rounds in a pediatric tertiary care center.
January 6, 2017
Rinke ML, Zimmer KP, Lehmann CU, et al. Patient safety rounds in a pediatric tertiary care center. Jt
Comm J Qual Patient Saf. 2008;34(1):5-12.
https://psnet.ahrq.gov/issue/patient-safety-rounds-pediatric-tertiary-care-center
Executive walk…
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psnet.ahrq.gov/node/73285/psn-pdf
May 19, 2021 - The mindful path to nursing accuracy: a quasi-
experimental study on minimizing medication
administration errors.
May 19, 2021
Ekkens CL, Gordon PA. The mindful path to nursing accuracy: a quasi-experimental study on minimizing
medication administration errors. Holist Nurs Pract. 2021;35(3):115-122.
doi:10.1097/h…
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psnet.ahrq.gov/node/836715/psn-pdf
March 09, 2022 - Non-technical skills in surgery during the COVID-19
pandemic: an observational study.
March 9, 2022
Etheridge JC, Moyal-Smith R, Sonnay Y, et al. Non-technical skills in surgery during the COVID-19
pandemic: an observational study. Int J Surg. 2022;98:106210. doi:10.1016/j.ijsu.2021.106210.
https://psnet.ahrq.gov/…