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psnet.ahrq.gov/node/853074/psn-pdf
February 06, 2024 - Patient Experience, Patient Safety, and Provider Well-
Being: Associations and Paths for Quality Improvement.
February 6, 2024
Rockville, MD: Agency for Healthcare Research and Quality; January 2024. AHRQ Publication no.
24-0030.
https://psnet.ahrq.gov/issue/patient-experience-patient-safety-and-provider-well…
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psnet.ahrq.gov/node/837810/psn-pdf
August 10, 2022 - Society for Maternal-Fetal Medicine Special Statement:
cognitive bias and medical error in obstetrics-challenges
and opportunities.
August 10, 2022
Atallah F, Hamm RF, Davidson CM, et al. Society for Maternal-Fetal Medicine Special Statement: Cognitive
bias and medical error in obstetrics-challenges and opportunit…
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psnet.ahrq.gov/node/46395/psn-pdf
September 06, 2017 - Deprescribing: a simple method for reducing
polypharmacy.
September 6, 2017
McGrath K, Hajjar ER, Kumar C, et al. Deprescribing: A simple method for reducing polypharmacy. J Fam
Pract. 2017;66(7):436-445. https://www.mdedge.com/familymedicine/article/141753/practice-
management/deprescribing-simple-method-reducing…
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psnet.ahrq.gov/node/74097/psn-pdf
November 24, 2021 - Inattentional blindness in anesthesiology: a gorilla is
worth one thousand words.
November 24, 2021
De Cassai A, Negro S, Geraldini F, et al. Inattentional blindness in anesthesiology: a gorilla is worth one
thousand words. PLoS One. 2021;16(9):e0257508. doi:10.1371/journal.pone.0257508.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/45499/psn-pdf
May 03, 2017 - Patient safety and interprofessional education: a report of
key issues from two interprofessional workshops.
May 3, 2017
Anderson ES, Gray R, Price K. Patient safety and interprofessional education: A report of key issues from
two interprofessional workshops. J Interprof Care. 2017;31(2):154-163.
doi:10.1080/13561…
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psnet.ahrq.gov/node/44705/psn-pdf
January 01, 2017 - Team dynamics, clinical work satisfaction, and patient
care coordination between primary care providers: a
mixed methods study.
December 7, 2016
Song H, Ryan M, Tendulkar S, et al. Team dynamics, clinical work satisfaction, and patient care
coordination between primary care providers: A mixed methods study. Health…
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psnet.ahrq.gov/node/45584/psn-pdf
November 02, 2016 - Discrepancies between prescribed and actual pediatric
home parenteral nutrition solutions.
November 2, 2016
Raphael BP, Murphy M, Gura KM, et al. Discrepancies Between Prescribed and Actual Pediatric Home
Parenteral Nutrition Solutions. Nutr Clin Pract. 2016;31(5):654-658. doi:10.1177/0884533616639410.
https://psn…
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psnet.ahrq.gov/node/50385/psn-pdf
January 01, 2020 - How hospitals select their patient safety priorities: an
exploratory study of four Veterans Health Administration
hospitals.
September 25, 2019
George J, Parker VA, Sullivan JL, et al. How hospitals select their patient safety priorities. Health Care
Manag Rev. 2020;45(4):E56-E67. doi:10.1097/hmr.0000000000000260.…
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psnet.ahrq.gov/node/45869/psn-pdf
March 25, 2017 - Data-driven implementation of alarm reduction
interventions in a cardiovascular surgical ICU.
March 25, 2017
Allan SH, Doyle PA, Sapirstein A, et al. Data-Driven Implementation of Alarm Reduction Interventions in a
Cardiovascular Surgical ICU. Jt Comm J Qual Patient Saf. 2017;43(2):62-70.
doi:10.1016/j.jcjq.2016.1…
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psnet.ahrq.gov/node/44384/psn-pdf
August 12, 2015 - Effective followership: a standardized algorithm to
resolve clinical conflicts and improve teamwork.
August 12, 2015
Sculli GL, Fore AM, Sine DM, et al. Effective followership: A standardized algorithm to resolve clinical
conflicts and improve teamwork. J Healthc Risk Manag. 2015;35(1):21-30. doi:10.1002/jhrm.21174…
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psnet.ahrq.gov/node/73372/psn-pdf
June 09, 2021 - Impact of COVID-19 on inpatient clinical emergencies: a
single-center experience.
June 9, 2021
Mitchell OJL, Neefe S, Ginestra JC, et al. Impact of COVID-19 on inpatient clinical emergencies: a single-
center experience. Resusc Plus. 2021;6:100135. doi:10.1016/j.resplu.2021.100135.
https://psnet.ahrq.gov/issue/imp…
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psnet.ahrq.gov/node/846152/psn-pdf
March 15, 2023 - Coworker abuse in healthcare: voices of mistreated
workers.
March 15, 2023
Evans WR, Mullen DM, Burke-Smalley L. Coworker abuse in healthcare: voices of mistreated workers. J
Health Organ Manag. 2023;37(2):236-249. doi:10.1108/jhom-05-2022-0131.
https://psnet.ahrq.gov/issue/coworker-abuse-healthcare-voices-mistrea…
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psnet.ahrq.gov/node/46175/psn-pdf
September 24, 2017 - Applying lessons from social psychology to transform the
culture of error disclosure.
September 24, 2017
Han J, LaMarra D, Vapiwala N. Applying lessons from social psychology to transform the culture of error
disclosure. Med Educ. 2017;51(10):996-1001. doi:10.1111/medu.13345.
https://psnet.ahrq.gov/issue/applying-…
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psnet.ahrq.gov/node/46426/psn-pdf
September 28, 2017 - Toward more proactive approaches to safety in the
electronic health record era.
September 28, 2017
Sittig DF, Singh H. Toward More Proactive Approaches to Safety in the Electronic Health Record Era. Jt
Comm J Qual Patient Saf. 2017;43(10):540-547. doi:10.1016/j.jcjq.2017.06.005.
https://psnet.ahrq.gov/issue/toward…
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psnet.ahrq.gov/node/73524/psn-pdf
July 21, 2021 - Intravenous admixture preparation considerations, Parts
9-A and 9-B: error prevention in intravenous admixture
preparation.
July 21, 2021
Allen LV, Jr. Int J Pharm Compd. 2021;25:131-139; 222-229.
https://psnet.ahrq.gov/issue/intravenous-admixture-preparation-considerations-parts-9-and-9-b-error-
prevention-…
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psnet.ahrq.gov/node/73071/psn-pdf
March 24, 2021 - Modifications to medical emergency team activation
criteria and implications for patient safety: a point
prevalence study.
March 24, 2021
Sprogis SK, Street M, Currey J, et al. Modifications to medical emergency team activation criteria and
implications for patient safety: a point prevalence study. Aust Crit Care.…
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psnet.ahrq.gov/node/847044/psn-pdf
April 05, 2023 - Perioperative safety determinants in ethnic patient
groups.
April 5, 2023
Bloo G, Calsbeek H, Westert GP, et al. Perioperative safety determinants in ethnic patient groups. J Patient
Saf Risk Manag. 2023;28(1):31-46. doi:10.1177/25160435231151545.
https://psnet.ahrq.gov/issue/perioperative-safety-determinants-ethn…
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psnet.ahrq.gov/node/853978/psn-pdf
September 27, 2023 - Fragmented: A Doctor's Quest to Piece Together
American Health Care.
September 27, 2023
Yurkiewicz I. New York, NY: WW Norton & Company, Inc; 2023. ISBN: 9780393881196.
https://psnet.ahrq.gov/issue/doctors-quest-piece-together-american-health-care
Disjointed health care processes contribute to missed test resu…
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psnet.ahrq.gov/node/864381/psn-pdf
March 13, 2024 - Patient safety near misses – still missing opportunities to
learn.
March 13, 2024
Woodier N, Burnett C, Sampson P, et al. Patient safety near misses – still missing opportunities to learn. J
Patient Saf Risk Manag. 2023;29(1):47-53. doi:10.1177/25160435231220430.
https://psnet.ahrq.gov/issue/patient-safety-near-mi…
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psnet.ahrq.gov/node/73696/psn-pdf
September 15, 2021 - Factors related to serious safety events in a children's
hospital patient safety collaborative.
September 15, 2021
Burrus S, Hall M, Tooley E, et al. Factors related to serious safety events in a children's hospital patient
safety collaborative. Pediatrics. 2021;148(3):e2020030346. doi:10.1542/peds.2020-030346.
ht…