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psnet.ahrq.gov/node/73171/psn-pdf
April 21, 2021 - Patient safety and quality improvement adaptation during
the COVID-19 pandemic.
April 21, 2021
Sterling RS, Berry SA, Herzke C, et al. Patient safety and quality improvement adaptation during the
COVID-19 pandemic. Am J Med Qual. 2021;36(1):57-59. doi:10.1097/01.jmq.0000733448.50484.a8.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/73155/psn-pdf
April 22, 2021 - Identifying errors and safety considerations in patients
undergoing thrombolysis for acute ischemic stroke.
April 22, 2021
Dancsecs KA, Nestor M, Bailey A, et al. Identifying errors and safety considerations in patients undergoing
thrombolysis for acute ischemic stroke. Am J Emerg Med. 2021;47:90-94. doi:10.1016/j.…
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psnet.ahrq.gov/node/35696/psn-pdf
July 13, 2010 - Readiness to report medical treatment errors: the effects
of safety procedures, safety information, and priority of
safety.
July 13, 2010
Naveh E, Katz-Navon T, Stern Z. Readiness to report medical treatment errors: the effects of safety
procedures, safety information, and priority of safety. Med Care. 2006;44(2):…
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psnet.ahrq.gov/node/73918/psn-pdf
October 06, 2021 - How and when organization identification promotes
safety voice among healthcare professionals.
October 6, 2021
Hu X, Casey T. How and when organization identification promotes safety voice among healthcare
professionals. J Adv Nurs. 2021;77(9):3733-3744. doi:10.1111/jan.14868.
https://psnet.ahrq.gov/issue/how-and-…
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psnet.ahrq.gov/node/849328/psn-pdf
May 24, 2023 - Assessing the impact of hospital mergers and
acquisitions on safety culture with proactive risk
assessments
May 24, 2023
Folcarelli P, Hoffman J, Janes M, et al. Assessing the impact of hospital mergers and acquisitions on safety
culture with proactive risk assessments. J Healthc Risk Manag. 2023;43(1):26-31. doi:…
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psnet.ahrq.gov/node/866558/psn-pdf
August 21, 2024 - Near-miss and maternal sepsis mortality: a qualitative
study of survivors and support persons.
August 21, 2024
Bauer ME, Perez SL, Main EK, et al. Near-miss and maternal sepsis mortality: a qualitative study of
survivors and support persons. Eur J Obstet Gynecol Reprod Biol. 2024;299:136-142.
doi:10.1016/j.ejogrb.…
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psnet.ahrq.gov/node/47536/psn-pdf
March 09, 2019 - Evaluation of wound photography for remote
postoperative assessment of surgical site infections.
March 9, 2019
Broman KK, Gaskill CE, Faqih A, et al. Evaluation of Wound Photography for Remote Postoperative
Assessment of Surgical Site Infections. JAMA Surg. 2019;154(2):117-124.
doi:10.1001/jamasurg.2018.3861.
htt…
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psnet.ahrq.gov/node/43893/psn-pdf
March 04, 2015 - Impact of incorporating pharmacy claims data into
electronic medication reconciliation.
March 4, 2015
Phansalkar S, Her QL, Tucker AD, et al. Impact of incorporating pharmacy claims data into electronic
medication reconciliation. Am J Health Syst Pharm. 2015;72(3):212-7. doi:10.2146/ajhp140082.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/61059/psn-pdf
October 28, 2020 - Long-term effects of teamwork training on
communication and teamwork climate in ambulatory
reproductive health care.
October 28, 2020
Dodge LE, Nippita S, Hacker MR, et al. Long?term effects of teamwork training on communication and
teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 202…
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psnet.ahrq.gov/node/856588/psn-pdf
November 29, 2023 - It depends who you ask: divergences in staff and external
stakeholder narratives about the causes of a healthcare
failure.
November 29, 2023
Hald EJ, Gillespie A, Reader TW. It depends who you ask: divergences in staff and external stakeholder
narratives about the causes of a healthcare failure. J Contingencies Cr…
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psnet.ahrq.gov/node/73473/psn-pdf
January 01, 2022 - Improving safety recommendations before
implementation: a simulation-based event analysis to
optimize interventions designed to prevent recurrence of
adverse events.
July 7, 2021
Langevin M, Ward N, Fitzgibbons C, et al. Improving safety recommendations before implementation: a
simulation-based event analysis to …
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psnet.ahrq.gov/node/40645/psn-pdf
November 26, 2012 - Rapid-response teams.
November 26, 2012
Jones D, DeVita MA, Bellomo R. Rapid-response teams. N Engl J Med. 2011;365(2):139-46.
doi:10.1056/NEJMra0910926.
https://psnet.ahrq.gov/issue/rapid-response-teams
Delays in clinical deterioration recognition and failures to rescue lead to serious adverse events. Rapid
resp…
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psnet.ahrq.gov/node/46312/psn-pdf
August 15, 2018 - Improving adherence to long-term opioid therapy
guidelines to reduce opioid misuse in primary care: a
cluster-randomized trial.
August 15, 2018
Liebschutz JM, Xuan Z, Shanahan CW, et al. Improving Adherence to Long-term Opioid Therapy
Guidelines to Reduce Opioid Misuse in Primary Care. JAMA Intern Med. 2017;177(9)…
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psnet.ahrq.gov/node/73169/psn-pdf
April 21, 2021 - Application of emergency preparedness principles to a
pharmacy department’s approach to a “black swan”
event: the COVID-19 pandemic.
April 21, 2021
Waldron KM, Schenkat DH, Rao KV, et al. Application of emergency preparedness principles to a
pharmacy department’s approach to a “black swan” event: the COVID-19 pand…
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psnet.ahrq.gov/node/866596/psn-pdf
August 28, 2024 - Electronic Test Result Communication in the Era of the
21st Century Cures Act
August 28, 2024
Bradford A, Ehsan S, Shahid U, et al. Electronic Test Result Communication In The Era Of The 21St
Century Cures Act. Rockville, MD: Agency for Healthcare Research and Quality; July 2024. AHRQ
Publication No. 24-0010-3-EF
…
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psnet.ahrq.gov/node/867090/psn-pdf
November 06, 2024 - Health services under pressure: a scoping review and
development of a taxonomy of adaptive strategies.
November 6, 2024
Page B, Irving D, Amalberti R, et al. Health services under pressure: a scoping review and development of
a taxonomy of adaptive strategies. BMJ Qual Saf. 2023;33(11):738-747. doi:10.1136/bmjqs-20…
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psnet.ahrq.gov/node/45487/psn-pdf
July 21, 2020 - Annotated bibliography: an update to: "Understanding
ambulatory care practices in the context of patient safety
and quality improvement."
July 21, 2020
Kumar PR, Nash DB. Annotated Bibliography: An Update to “Understanding Ambulatory Care Practices in
the Context of Patient Safety and Quality Improvement”. Am J Me…
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psnet.ahrq.gov/node/46506/psn-pdf
October 11, 2017 - Getting Ahead of Harm Before It Happens: A Guide About
Proactive Analysis for Improving Surgical Care Safety.
October 11, 2017
Wiley K, Davies JM. Edmonton, AB: Canadian Patient Safety Institute; 2017.
https://psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-
surgical-car…
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psnet.ahrq.gov/node/60743/psn-pdf
July 29, 2020 - The confused and bewildered hospital: adverse event
discovery, pay-for-performance, and big data tools as
halfway technologies.
July 29, 2020
Furrow BR. The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big
data tools as halfway technologies. Am J Law Med. 2020;46(2-3):219-235…
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psnet.ahrq.gov/node/46987/psn-pdf
August 01, 2018 - Between demarcation and discretion: the medical-
administrative boundary as a locus of safety in high-
volume organisational routines.
August 1, 2018
Grant S, Guthrie B. Between demarcation and discretion: The medical-administrative boundary as a locus
of safety in high-volume organisational routines. Soc Sci Med.…