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psnet.ahrq.gov/node/48061/psn-pdf
June 12, 2019 - Interventions to reduce burnout and improve resilience:
impact on a health system's outcomes.
June 12, 2019
Moffatt-Bruce SD, Nguyen MC, Steinberg B, et al. Interventions to Reduce Burnout and Improve
Resilience: Impact on a Health System's Outcomes. Clin Obstet Gynecol. 2019;62(3):432-443.
doi:10.1097/GRF.0000000…
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psnet.ahrq.gov/node/39210/psn-pdf
January 12, 2010 - Can aviation-based team training elicit sustainable
behavioral change?
January 12, 2010
Sax HC, Browne P, Mayewski RJ, et al. Can aviation-based team training elicit sustainable behavioral
change? Arch Surg. 2009;144(12):1133-1137. doi:10.1001/archsurg.2009.207.
https://psnet.ahrq.gov/issue/can-aviation-based-team…
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psnet.ahrq.gov/node/39892/psn-pdf
September 20, 2011 - How does routine disclosure of medical error affect
patients' propensity to sue and their assessment of
provider quality?: Evidence from survey data.
September 20, 2011
Helmchen LA, Richards MR, McDonald TB. How does routine disclosure of medical error affect patients'
propensity to sue and their assessment of pro…
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psnet.ahrq.gov/node/39813/psn-pdf
October 11, 2010 - Code debriefing from the Department of Veterans Affairs
(VA) Medical Team Training Program improves the
cardiopulmonary resuscitation code process.
October 11, 2010
Percarpio KB, Harris FS, Hatfield BA, et al. Code debriefing from the Department of Veterans Affairs (VA)
Medical Team Training program improves the c…
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psnet.ahrq.gov/node/41047/psn-pdf
November 26, 2014 - Failure to follow-up test results for ambulatory patients: a
systematic review.
November 26, 2014
Callen JL, Westbrook JI, Georgiou A, et al. Failure to Follow-Up Test Results for Ambulatory Patients: A
Systematic Review. J Gen Intern Med. 2011;27(10):1334-1348. doi:10.1007/s11606-011-1949-5.
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psnet.ahrq.gov/node/39571/psn-pdf
October 03, 2017 - Assessing legislative potential to institute error
transparency: a state comparison of malpractice claims
rates.
October 3, 2017
Perez B, DiDona T. Assessing Legislative Potential to Institute Error Transparency: A State Comparison of
Malpractice Claims Rates. Journal For Healthcare Quality. 2009;32(3). doi:10.111…
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psnet.ahrq.gov/node/45610/psn-pdf
November 01, 2017 - Economic value of pharmacist-led medication
reconciliation for reducing medication errors after
hospital discharge.
November 1, 2017
Najafzadeh M, Schnipper JL, Shrank WH, et al. Economic value of pharmacist-led medication reconciliation
for reducing medication errors after hospital discharge. Am J Manag Care. 201…
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psnet.ahrq.gov/node/45101/psn-pdf
July 01, 2017 - A systematic review of patient safety measures in adult
primary care.
July 1, 2017
Hatoun J, Chan J, Yaksic E, et al. A Systematic Review of Patient Safety Measures in Adult Primary Care.
Am J Med Qual. 2017;32(3):237-245. doi:10.1177/1062860616644328.
https://psnet.ahrq.gov/issue/systematic-review-patient-safety-…
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psnet.ahrq.gov/node/35494/psn-pdf
May 27, 2011 - Hospital implementation of computerized provider order
entry systems: results from the 2003 Leapfrog Group
quality and safety survey.
May 27, 2011
Hillman JM, Given RS. Hospital implementation of computerized provider order entry systems: results from
the 2003 leapfrog group quality and safety survey. J Healthc In…
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psnet.ahrq.gov/node/43064/psn-pdf
January 01, 2015 - Leadership, safety climate, and continuous quality
improvement: impact on process quality and patient
safety.
December 12, 2014
McFadden KL, Stock GN, Gowen CR. Leadership, safety climate, and continuous quality improvement:
impact on process quality and patient safety. Health Care Manage Rev. 2015;40(1):24-34.
d…
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psnet.ahrq.gov/node/42211/psn-pdf
April 24, 2013 - An organizational assessment of disruptive clinician
behavior: findings and implications.
April 24, 2013
Walrath JM, Dang D, Nyberg D. An Organizational Assessment of Disruptive Clinician Behavior. J Nurs
Care Qual. 2012;28(2):110-121. doi:10.1097/ncq.0b013e318270d2ba.
https://psnet.ahrq.gov/issue/organizational-a…
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psnet.ahrq.gov/node/47973/psn-pdf
July 18, 2019 - Transition planning for the senior surgeon: guidance and
recommendations from the Society of Surgical Chairs.
July 18, 2019
Rosengart TK, Doherty G, Higgins R, et al. Transition Planning for the Senior Surgeon: Guidance and
Recommendations From the Society of Surgical Chairs. JAMA Surg. 2019;154(7):647-653.
doi:10…
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psnet.ahrq.gov/node/41298/psn-pdf
November 27, 2012 - Patient safety culture and the association with safe
resident care in nursing homes.
November 27, 2012
Thomas KS, Hyer K, Castle NG, et al. Patient safety culture and the association with safe resident care in
nursing homes. Gerontologist. 2012;52(6):802-811. doi:10.1093/geront/gns007.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/36907/psn-pdf
September 14, 2012 - Serious Reportable Events in Healthcare—2011 Update.
September 14, 2012
Washington DC: National Quality Forum; December 2011.
https://psnet.ahrq.gov/issue/serious-reportable-events-healthcare-2011-update
The National Quality Forum originally defined 27 health care "never events"—patient safety events that
pose ser…
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psnet.ahrq.gov/node/855419/psn-pdf
November 15, 2023 - Using stakeholder intervention refinement teams to
develop approaches for real-time integration of patient-
reported safety information during older adults’ hospital-
to-home-health care transitions.
November 15, 2023
Arbaje AI, Greyson S, Keita Fakeye M, et al. Using stakeholder intervention refinement teams to d…
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psnet.ahrq.gov/node/36184/psn-pdf
June 13, 2011 - Developing and implementing new safe practices:
voluntary adoption through statewide collaboratives.
June 13, 2011
Leape L, Rogers G, Hanna D, et al. Developing and implementing new safe practices: voluntary adoption
through statewide collaboratives. Qual Saf Health Care. 2006;15(4):289-95.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/44151/psn-pdf
July 03, 2016 - Safety incidents in the primary care office setting.
July 3, 2016
Rees P, Edwards A, Panesar S, et al. Safety incidents in the primary care office setting. Pediatrics.
2015;135(6):1027-35. doi:10.1542/peds.2014-3259.
https://psnet.ahrq.gov/issue/safety-incidents-primary-care-office-setting
Patient safety in outpat…
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psnet.ahrq.gov/node/41225/psn-pdf
March 29, 2012 - The impact of perioperative catastrophes on
anesthesiologists: results of a national survey.
March 29, 2012
Gazoni FM, Amato PE, Malik ZM, et al. The impact of perioperative catastrophes on anesthesiologists:
results of a national survey. Anesth Analg. 2012;114(3):596-603. doi:10.1213/ANE.0b013e318227524e.
https:/…
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psnet.ahrq.gov/node/37843/psn-pdf
March 04, 2011 - Front-line staff perspectives on opportunities for
improving the safety and efficiency of hospital work
systems.
March 4, 2011
Tucker AL, Singer SJ, Hayes J, et al. Front-line staff perspectives on opportunities for improving the safety
and efficiency of hospital work systems. Health Serv Res. 2008;43(5 Pt 2):1807…
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psnet.ahrq.gov/node/60320/psn-pdf
May 13, 2020 - Barriers and facilitators to healthcare workers' adherence
with infection prevention and control (IPC) guidelines for
respiratory infectious diseases: a rapid qualitative
evidence synthesis.
May 13, 2020
Houghton C, Meskell P, Delaney H, et al. Barriers and facilitators to healthcare workers’ adherence with
infec…