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psnet.ahrq.gov/node/862991/psn-pdf
February 21, 2024 - Exploring the role of guidelines in contributing to
medication errors: a descriptive analysis of national
patient safety incident data.
February 21, 2024
Jones MD, Liu S, Powell F, et al. Exploring the role of guidelines in contributing to medication errors: a
descriptive analysis of national patient safety incide…
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psnet.ahrq.gov/node/39497/psn-pdf
February 10, 2015 - The value from investments in health information
technology at the U.S. Department of Veterans Affairs.
February 10, 2015
Byrne CM, Mercincavage LM, Pan EC, et al. The value from investments in health information technology
at the U.S. Department of Veterans Affairs. Health Aff (Millwood). 2010;29(4):629-638.
doi:…
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psnet.ahrq.gov/node/72784/psn-pdf
February 24, 2021 - Advancing diagnostic safety research: results of a
systematic research priority setting exercise.
February 24, 2021
Zwaan L, El-Kareh R, Meyer AND, et al. Advancing diagnostic safety research: results of a systematic
research priority setting exercise. J Gen Intern Med. 2021;36(10):2943-2951. doi:10.1007/s11606-020…
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psnet.ahrq.gov/node/48008/psn-pdf
May 22, 2019 - Patients as diagnostic collaborators: sharing visit notes
to promote accuracy and safety.
May 22, 2019
Blease CR, Bell SK. Patients as diagnostic collaborators: sharing visit notes to promote accuracy and
safety. Diagnosis (Berl). 2019;6(3):213-221. doi:10.1515/dx-2018-0106.
https://psnet.ahrq.gov/issue/patients-d…
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psnet.ahrq.gov/node/840153/psn-pdf
November 16, 2022 - Team debriefing in the COVID-19 pandemic: a qualitative
study of a hospital-wide clinical event debriefing program
and a novel qualitative model to analyze debriefing
content.
November 16, 2022
Welch-Horan TB, Mullan PC, Momin Z, et al. Team debriefing in the COVID-19 pandemic: a qualitative
study of a hospital-w…
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psnet.ahrq.gov/node/73083/psn-pdf
March 31, 2021 - Suicide as an incident of severe patient harm: a
retrospective cohort study of investigations after suicide
in Swedish healthcare in a 13-year perspective.
March 31, 2021
Fröding E, Gäre BA, Westrin Å, et al. Suicide as an incident of severe patient harm: a retrospective cohort
study of investigations after suicid…
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psnet.ahrq.gov/node/850916/psn-pdf
June 21, 2023 - Awareness of racial and ethnic bias and potential
solutions to address bias with use of health care
algorithms.
June 21, 2023
Jain A, Brooks JR, Alford CC, et al. Awareness of racial and ethnic bias and potential solutions to address
bias with use of health care algorithms. JAMA Health Forum. 2023;4(6):e231197.
d…
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psnet.ahrq.gov/node/40341/psn-pdf
November 30, 2016 - Hospital Survey on Patient Safety Culture: 2011 User
Comparative Database Report.
November 30, 2016
Sorra J, Famolaro T, Dyer N, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2011.
AHRQ Publication No. 11-0030.
https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2011-user-…
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psnet.ahrq.gov/node/43447/psn-pdf
November 20, 2015 - Evaluating the effect of safety culture on error reporting:
a comparison of managerial and staff perspectives.
November 20, 2015
Richter J, McAlearney AS, Pennell ML. Evaluating the effect of safety culture on error reporting: a
comparison of managerial and staff perspectives. Am J Med Qual. 2015;30(6):550-8.
doi:…
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psnet.ahrq.gov/node/850344/psn-pdf
June 14, 2023 - Green Cross method in a postanaesthesia care unit: a
qualitative study of the healthcare professionals'
experiences after 3 years, including the COVID-19
pandemic period.
June 14, 2023
Birkeli GH, Ballangrud R, Jacobsen HK, et al. Green Cross method in a postanaesthesia care unit: a
qualitative study of the healt…
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psnet.ahrq.gov/node/45475/psn-pdf
October 11, 2017 - Perceptions of quality and safety and experience of
adverse events in 27 European Union healthcare systems,
2009–2013.
October 11, 2017
Filippidis FT, Mian SS, Millett C. Perceptions of quality and safety and experience of adverse events in 27
European Union healthcare systems, 2009-2013. Int J Qual Health Care. 2…
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psnet.ahrq.gov/node/36255/psn-pdf
February 02, 2011 - Interns' compliance with Accreditation Council for
Graduate Medical Education work-hour limits.
February 2, 2011
Landrigan CP, Barger LK, Cade BE, et al. Interns' compliance with accreditation council for graduate
medical education work-hour limits. JAMA. 2006;296(9):1063-70.
https://psnet.ahrq.gov/issue/interns-c…
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psnet.ahrq.gov/node/36986/psn-pdf
June 18, 2013 - Changes in hospital mortality associated with residency
work-hour regulations.
June 18, 2013
Shetty KD, Bhattacharya J. Changes in hospital mortality associated with residency work-hour regulations.
Ann Intern Med. 2007;147(2):73-80.
https://psnet.ahrq.gov/issue/changes-hospital-mortality-associated-residency-work…
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psnet.ahrq.gov/node/40250/psn-pdf
July 09, 2012 - Patient involvement in patient safety: how willing are
patients to participate?
July 9, 2012
Davis R, Sevdalis N, Vincent C. Patient involvement in patient safety: How willing are patients to
participate? BMJ Qual Saf. 2011;20(1):108-114. doi:10.1136/bmjqs.2010.041871.
https://psnet.ahrq.gov/issue/patient-involvem…
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psnet.ahrq.gov/node/855086/psn-pdf
November 08, 2023 - Psychological safety as a new ACGME requirement: a
comprehensive all-in-one guide to radiology residency
programs.
November 8, 2023
Mohamed I, Hom GL, Jiang S, et al. Psychological safety as a new ACGME requirement: a comprehensive
all-in-one guide to radiology residency programs. Acad Radiol. 2023;30(12):3137-314…
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psnet.ahrq.gov/node/866349/psn-pdf
July 24, 2024 - A multifaceted risk management program to improve the
reporting rate of patient safety incidents in primary care:
a cluster-randomised controlled trial.
July 24, 2024
Chanelière M, Buchet-Poyau K, Keriel-Gascou M, et al. A multifaceted risk management program to
improve the reporting rate of patient safety inciden…
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psnet.ahrq.gov/node/850166/psn-pdf
June 07, 2023 - Classification of health information technology safety
events in a pediatric tertiary care hospital.
June 7, 2023
Khan A, Karavite DJ, Muthu N, et al. Classification of health information technology safety events in a
pediatric tertiary care hospital. J Patient Saf. 2023;19(4):251-257. doi:10.1097/pts.0000000000001…
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psnet.ahrq.gov/node/50886/psn-pdf
February 12, 2020 - Identifying risks areas related to medication
administrations - text mining analysis using free-text
descriptions of incident reports.
February 12, 2020
Härkänen M, Paananen J, Murrells T, et al. Identifying risks areas related to medication administrations -
text mining analysis using free-text descriptions of in…
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psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
April 27, 2022 - Future lessons learned from this project will be valuable for reducing ADEs from PIMs.
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psnet.ahrq.gov/node/33700/psn-pdf
October 01, 2010 - PP: One of the key lessons that I've learned is that there are different types of problems in safety