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psnet.ahrq.gov/node/73534/psn-pdf
July 28, 2021 - "It's a big part of being good surgeons": surgical trainees'
perceptions of error recovery in the operating room.
July 28, 2021
Gabrysz-Forget F, Zahabi S, Young M, et al. "It's a big part of being good surgeons": surgical trainees'
perceptions of error recovery in the operating room. J Surg Educ. 2021;78(6):2020-2…
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psnet.ahrq.gov/node/60757/psn-pdf
August 05, 2020 - Identifying no-harm incidents in home healthcare: a
cohort study using trigger tool methodology.
August 5, 2020
Lindblad M, Unbeck M, Nilsson L, et al. Identifying no-harm incidents in home healthcare: a cohort study
using trigger tool methodology. BMC Health Serv Res. 2020;20(1):289. doi:10.1186/s12913-020-05139-z…
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psnet.ahrq.gov/node/40410/psn-pdf
May 11, 2011 - Evaluation of the role of the critical care pharmacist in
identifying and avoiding or minimizing significant
drug–drug interactions in medical intensive care patients.
May 11, 2011
Rivkin A, Yin H. Evaluation of the role of the critical care pharmacist in identifying and avoiding or
minimizing significant drug-dru…
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psnet.ahrq.gov/node/44669/psn-pdf
January 22, 2016 - Safety standards: implementing fall prevention
interventions and sustaining lower fall rates by promoting
the culture of safety on an inpatient rehabilitation unit.
January 22, 2016
Leone RM, Adams RJ. Safety Standards: Implementing Fall Prevention Interventions and Sustaining Lower
Fall Rates by Promoting the Cul…
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psnet.ahrq.gov/node/842428/psn-pdf
January 11, 2023 - The development of the concept of return-on-investment
from large-scale quality improvement programmes in
healthcare: an integrative systematic literature review.
January 11, 2023
Thusini S’thembile, Milenova M, Nahabedian N, et al. The development of the concept of return-on-
investment from large-scale quality i…
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psnet.ahrq.gov/node/73318/psn-pdf
May 26, 2021 - Interprofessional and intraprofessional communication
about older people's medications across transitions of
care.
May 26, 2021
Manias E, Bucknall T, Woodward-Kron R, et al. Interprofessional and intraprofessional communication
about older people's medications across transitions of care. Int J Environ Res Public H…
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psnet.ahrq.gov/node/866563/psn-pdf
August 21, 2024 - Leadership and the high reliability transformation: a
qualitative study at Truman VA medical center.
August 21, 2024
Leonard C, Gilmartin HM, Starr LM, et al. Leadership and the high reliability transformation: a qualitative
study at Truman VA medical center. J Healthc Risk Manag. 2024;44(1):17-23. doi:10.1002/jhrm…
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psnet.ahrq.gov/node/60293/psn-pdf
May 06, 2020 - Blueprint for restructuring a department of surgery in
concert with the health care system during a pandemic:
the University of Wisconsin Experience.
May 6, 2020
Zarzaur BL, Stahl CC, Greenberg JA, et al. Blueprint for restructuring a department of surgery in concert
with the health care system during a pandemic: …
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psnet.ahrq.gov/node/40816/psn-pdf
March 21, 2017 - Professionalism: a necessary ingredient in a culture of
safety.
March 21, 2017
Dupree E, Anderson R, McEvoy MD, et al. Professionalism: a necessary ingredient in a culture of safety. Jt
Comm J Qual Patient Saf. 2011;37(10):447-55.
https://psnet.ahrq.gov/issue/professionalism-necessary-ingredient-culture-safety
Di…
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psnet.ahrq.gov/node/47996/psn-pdf
January 01, 2021 - Building an ambulatory safety program at an academic
health system.
May 15, 2019
Desai S, Fiumara K, Kachalia A. Building an Ambulatory Safety Program at an Academic Health System. J
Patient Saf. 2021;17(2):e84-e90. doi:10.1097/PTS.0000000000000594.
https://psnet.ahrq.gov/issue/building-ambulatory-safety-program-a…
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psnet.ahrq.gov/node/839826/psn-pdf
November 09, 2022 - Professional behavior and value erosion: a qualitative
study of physicians and the electronic health record.
November 9, 2022
Skeff KM, Brown-Johnson CG, Asch SM, et al. Professional behavior and value erosion: a qualitative study
of physicians and the electronic health record. J Healthc Manag. 2022;67(5):339-352. …
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psnet.ahrq.gov/node/35476/psn-pdf
February 22, 2010 - Taking the pulse of health care systems: experiences of
patients with health problems in six countries.
February 22, 2010
Schoen C, Osborn R, Huynh PT, et al. Taking The Pulse Of Health Care Systems: Experiences Of Patients
With Health Problems In Six Countries. doi:10.1377/hlthaff.w5.509.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/838023/psn-pdf
September 07, 2022 - Postdischarge adverse events among neonates admitted
to the neonatal intensive care unit.
September 7, 2022
Tsilimingras D, Natarajan G, Bajaj M, et al. Postdischarge adverse events among neonates admitted to the
neonatal intensive care unit. J Patient Saf. 2022;18(5):462-469. doi:10.1097/pts.0000000000000960.
htt…
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psnet.ahrq.gov/node/47919/psn-pdf
April 03, 2019 - How to Talk About Patient Safety.
April 3, 2019
Hendricks R, O'Neil M, Volmert A. Boston, MA: Betsy Lehman Center for Patient Safety; March 2019.
https://psnet.ahrq.gov/issue/how-talk-about-patient-safety
This report suggests that the field of patient safety needs to be reframed for the public. The report
recommen…
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psnet.ahrq.gov/node/47436/psn-pdf
December 21, 2018 - Views of nurses and other health and social care workers
on the use of assistive humanoid and animal-like robots
in health and social care: a scoping review.
December 21, 2018
Papadopoulos I, Koulouglioti C, Ali S. Views of nurses and other health and social care workers on the use
of assistive humanoid and animal…
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psnet.ahrq.gov/node/854633/psn-pdf
October 18, 2023 - A survey of pharmacists' perception of the work
environment and patient safety in community pharmacies
during the COVID-19 pandemic.
October 18, 2023
Ljungberg Persson C, Nordén Hägg A, Södergård B. A survey of pharmacists' perception of the work
environment and patient safety in community pharmacies during the CO…
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psnet.ahrq.gov/node/46984/psn-pdf
April 04, 2018 - Educator toolkits on second victim syndrome,
mindfulness and meditation, and positive psychology: the
2017 Resident Wellness Consensus Summit.
April 4, 2018
Chung AS, Smart J, Zdradzinski M, et al. Educator Toolkits on Second Victim Syndrome, Mindfulness and
Meditation, and Positive Psychology: The 2017 Resident W…
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psnet.ahrq.gov/node/836829/psn-pdf
March 30, 2022 - Safety in fragile, conflict-affected, and vulnerable
settings: An evidence scanning approach for identifying
patient safety interventions.
March 30, 2022
O’Brien N, Shaw A, Flott K, et al. Safety in fragile, conflict-affected, and vulnerable settings: an evidence
scanning approach for identifying patient safety in…
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psnet.ahrq.gov/node/43978/psn-pdf
September 01, 2016 - Optimizing smart pump technology by increasing critical
safety alerts and reducing clinically insignificant alerts.
September 1, 2016
Mansfield J, Jarrett S. Optimizing smart pump technology by increasing critical safety alerts and reducing
clinically insignificant alerts. Hosp Pharm. 2015;50(2):113-7. doi:10.1310/…
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psnet.ahrq.gov/node/43499/psn-pdf
September 03, 2014 - Older folks in hospitals: the contributing factors and
recommendations for incident prevention.
September 3, 2014
Mansah M, Griffiths R, Fernandez R, et al. Older folks in hospitals: the contributing factors and
recommendations for incident prevention. J Patient Saf. 2014;10(3):146-53.
doi:10.1097/PTS.0b013e318299…