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psnet.ahrq.gov/node/43626/psn-pdf
November 05, 2014 - Effects of skilled nursing facility structure and process
factors on medication errors during nursing home
admission.
November 5, 2014
Lane SJ, Troyer JL, Dienemann JA, et al. Effects of skilled nursing facility structure and process factors on
medication errors during nursing home admission. Health Care Manag Rev…
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psnet.ahrq.gov/node/48029/psn-pdf
May 29, 2019 - Patient safety and quality outcomes for ED patients
admitted to alternative care area inpatient beds.
May 29, 2019
Lee MO, Arthofer R, Callagy P, et al. Patient safety and quality outcomes for ED patients admitted to
alternative care area inpatient beds. Am J Emerg Med. 2019;38(2):272-277.
doi:10.1016/j.ajem.2019.…
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psnet.ahrq.gov/node/45746/psn-pdf
December 14, 2016 - Moving toward improved teamwork in cancer care: the
role of psychological safety in team communication.
December 14, 2016
Jain AK, Fennell ML, Chagpar AB, et al. Moving Toward Improved Teamwork in Cancer Care: The Role of
Psychological Safety in Team Communication. J Oncol Pract. 2016;12(11):1000-1011.
https://psn…
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psnet.ahrq.gov/node/47587/psn-pdf
February 13, 2019 - Comfort with uncertainty: reframing our conceptions of
how clinicians navigate complex clinical situations.
February 13, 2019
Ilgen JS, Eva KW, de Bruin A, et al. Comfort with uncertainty: reframing our conceptions of how clinicians
navigate complex clinical situations. Adv Health Sci Edu: Theory Pract. 2019;24(4):…
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psnet.ahrq.gov/node/45700/psn-pdf
September 01, 2018 - Resolving malpractice claims after tort reform: experience
in a self-insured Texas public academic health system.
September 1, 2018
Sage WM, Harding MC, Thomas EJ. Resolving Malpractice Claims after Tort Reform: Experience in a Self-
Insured Texas Public Academic Health System. Health Serv Res. 2016;51 Suppl 3:2615…
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psnet.ahrq.gov/node/47481/psn-pdf
January 23, 2019 - Implementation of a second victim program in the
neonatal intensive care unit: an interim analysis of
employee satisfaction.
January 23, 2019
Merandi J, Winning AM, Liao NN, et al. Implementation of a second victim program in the neonatal
intensive care unit: An interim analysis of employee satisfaction. J Patient…
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psnet.ahrq.gov/node/42149/psn-pdf
December 23, 2016 - Medical device alarm safety in hospitals.
December 23, 2016
Medical device alarm safety in hospitals. Sentinel event alert. 2013;(50):1-3.
https://psnet.ahrq.gov/issue/medical-device-alarm-safety-hospitals
The cacophony of alarms in hospitals has led many health care providers to become desensitized to them,
a con…
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psnet.ahrq.gov/node/46871/psn-pdf
July 14, 2018 - Understanding diagnostic safety in emergency medicine:
a case?by?case review of closed ED malpractice claims.
July 14, 2018
Lemoine N, Dajer A, Konwinski J, et al. Understanding diagnostic safety in emergency medicine: A case-
by-case review of closed ED malpractice claims. J Healthc Risk Manag. 2018;38(1):48-53.
…
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psnet.ahrq.gov/node/74854/psn-pdf
February 23, 2022 - Nursing guidelines for comprehensive harm prevention
strategies for adult patients in acute hospitals: an
integrative review and synthesis.
February 23, 2022
Redley B, Douglas T, Hoon L, et al. Nursing guidelines for comprehensive harm prevention strategies for
adult patients in acute hospitals: An integrative rev…
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psnet.ahrq.gov/node/866735/psn-pdf
September 18, 2024 - Achieving diagnostic excellence: roadmaps to develop
and use patient-reported measures with an equity lens.
September 18, 2024
McDonald KM, Gleason KT, Jajodia A, et al. Achieving diagnostic excellence: roadmaps to develop and
use patient-reported measures with an equity lens. Int J Health Policy Manag. 2024;13:804…
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psnet.ahrq.gov/node/46201/psn-pdf
September 27, 2017 - Risk factors for patient-reported errors during cancer
follow-up: results from a national survey in Denmark.
September 27, 2017
Christiansen AH, Lipczak H, Knudsen JL, et al. Risk factors for patient-reported errors during cancer follow-
up: Results from a national survey in Denmark. Cancer Epidemiol. 2017;49:38-45…
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psnet.ahrq.gov/node/851647/psn-pdf
July 26, 2023 - Statewide perinatal quality improvement, teamwork, and
communication activities in Oklahoma and Texas.
July 26, 2023
Stierman EK, O'Brien BT, Stagg J, et al. Statewide perinatal quality improvement, teamwork, and
communication activities in Oklahoma and Texas. Qual Manag Health Care. 2023;32(3):177-188.
doi:10.109…
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psnet.ahrq.gov/node/72731/psn-pdf
February 10, 2021 - Problems in care and avoidability of death after discharge
from intensive care: a multi-centre retrospective case
record review study.
February 10, 2021
Vollam S, Gustafson O, Young JD, et al. Problems in care and avoidability of death after discharge from
intensive care: a multi-centre retrospective case record r…
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psnet.ahrq.gov/node/843417/psn-pdf
February 01, 2023 - "Do no harm": promoting anti-racist policing in pediatric
emergency departments through 20 practice change
considerations.
February 1, 2023
Wells JM, Walker VP. "Do no harm": promoting anti-racist policing in pediatric emergency departments
through 20 practice change considerations. Health Promot Pract. 2023:15248…
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psnet.ahrq.gov/node/72706/psn-pdf
February 03, 2021 - Impact of alarm fatigue on the work of nurses in an
intensive care environment--a systematic review.
February 3, 2021
Lewandowska K, Weisbrot M, Cieloszyk A, et al. Impact of alarm fatigue on the work of nurses in an
intensive care environment--a systematic review. Int J Environ Res Public Health. 2020;17(22):8409.…
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psnet.ahrq.gov/node/40839/psn-pdf
December 30, 2014 - How event reporting by US hospitals has changed from
2005 to 2009.
December 30, 2014
Farley DO, Haviland AM, Haas A, et al. How event reporting by US hospitals has changed from 2005 to
2009. BMJ Qual Saf. 2011;21(1). doi:10.1136/bmjqs-2011-000114.
https://psnet.ahrq.gov/issue/how-event-reporting-us-hospitals-has-c…
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psnet.ahrq.gov/node/47893/psn-pdf
April 08, 2019 - Challenges with implementing the Centers for Disease
Control and Prevention opioid guideline: a consensus
panel report.
April 8, 2019
Kroenke K, Alford DP, Argoff C, et al. Challenges with Implementing the Centers for Disease Control and
Prevention Opioid Guideline: A Consensus Panel Report. Pain Med. 2019;20(4):7…
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psnet.ahrq.gov/node/837137/psn-pdf
May 18, 2022 - Exploring system features of primary care practices that
promote better providers' clinical work satisfaction: a
qualitative comparative analysis.
May 18, 2022
Liu L, Chien AT, Singer SJ. Exploring system features of primary care practices that promote better
providers’ clinical work satisfaction. Health Care Mana…
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psnet.ahrq.gov/node/73917/psn-pdf
October 06, 2021 - Reporting of health information technology system-
related patient safety incidents: the effects of
organizational justice.
October 6, 2021
Gluschkoff K, Kaihlanen A, Palojoki S, et al. Reporting of health information technology system-related
patient safety incidents: the effects of organizational justice. Safety…
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psnet.ahrq.gov/node/866744/psn-pdf
September 18, 2024 - Care Concerns and Deficiencies in Facility Leaders’ and
Staff’s Responses Following a Medical Emergency at the
Carl T. Hayden VA Medical Center in Phoenix, Arizona.
September 18, 2024
Care Concerns And Deficiencies In Facility Leaders’ And Staff’s Responses Following A Medical
Emergency At The Carl T. Hayden Va Me…