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November 03, 2015 - Vaccination errors reported to the Vaccine Adverse Event
Reporting System (VAERS), United States, 2000–2013.
November 3, 2015
Hibbs BF, Moro PL, Lewis P, et al. Vaccination errors reported to the Vaccine Adverse Event Reporting
System, (VAERS) United States, 2000-2013. Vaccine. 2015;33(28):3171-3178.
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April 05, 2017 - Use and implementation of standard operating
procedures and checklists in prehospital emergency
medicine: a literature review.
April 5, 2017
Chen C, Kan T, Li S, et al. Use and implementation of standard operating procedures and checklists in
prehospital emergency medicine: a literature review. Am J Emerg Med. 201…
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November 13, 2024 - Adverse events in patients transitioning from the
emergency department to the inpatient setting.
November 13, 2024
Tsilimingras D, Schnipper JL, Zhang L, et al. Adverse events in patients transitioning from the emergency
department to the inpatient setting. J Patient Saf. 2024;20(8):564-570.
doi:10.1097/pts.000000…
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November 13, 2024 - Could breaks reduce general practitioner burnout and
improve safety? A daily diary study.
November 13, 2024
Hall LH, Johnson J, Watt I, et al. Could breaks reduce general practitioner burnout and improve safety? A
daily diary study. PLoS ONE. 2024;19(8):e0307513. doi:10.1371/journal.pone.0307513.
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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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January 29, 2020 - Failure mode and effects analysis to reduce risk of
heparin use.
January 29, 2020
Pino FA, Weidemann DK, Schroeder LL, et al. Failure mode and effects analysis to reduce risk of heparin
use. Am J Health Syst Pharm. 2019;76(23):1972-1979. doi:10.1093/ajhp/zxz229.
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October 13, 2015 - Characterising 'near miss' events in complex
laparoscopic surgery through video analysis.
October 13, 2015
Bonrath EM, Gordon LE, Grantcharov T. Characterising 'near miss' events in complex laparoscopic surgery
through video analysis. BMJ Qual Saf. 2015;24(8):516-21. doi:10.1136/bmjqs-2014-003816.
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February 25, 2015 - Application of the aviation black box principle in pediatric
cardiac surgery: tracking all failures in the pediatric
cardiac operating room.
February 25, 2015
Bowermaster R, Miller M, Ashcraft T, et al. Application of the aviation black box principle in pediatric
cardiac surgery: tracking all failures in the pedia…
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July 27, 2022 - Predictors and outcomes of patient safety culture: a
cross-sectional comparative study.
July 27, 2022
Mrayyan MT. Predictors and outcomes of patient safety culture: a cross-sectional comparative study. BMJ
Open Qual. 2022;11(3):e001889. doi:10.1136/bmjoq-2022-001889.
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June 12, 2019 - Lives Lost, Lives Saved: An Updated Comparative
Analysis of Avoidable Deaths at Hospitals Graded by The
Leapfrog Group.
June 12, 2019
Austin M, Derk J. Baltimore, MD: Armstrong Institute for Patient Safety and Quality, and Johns Hopkins
Medicine; May 2019.
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April 29, 2020 - Prevalence of harmful diagnostic errors in hospitalised
adults: a systematic review and meta-analysis.
April 29, 2020
Gunderson CG, Bilan VP, Holleck JL, et al. Prevalence of harmful diagnostic errors in hospitalised adults: a
systematic review and meta-analysis. BMJ Qual Saf. 2020;29(12):1008-1018. doi:10.1136/bmj…
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June 16, 2011 - Measuring safety culture in the ambulatory setting: The
Safety Attitudes Questionnaire—Ambulatory Version.
June 16, 2011
Modak I, Sexton B, Lux TR, et al. Measuring safety culture in the ambulatory setting: the safety attitudes
questionnaire--ambulatory version. J Gen Intern Med. 2007;22(1):1-5.
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May 27, 2020 - Nursing home workers warned government about safety
violations before COVID-19 outbreaks and deaths.
May 27, 2020
Ellis B, Hicken M. CNN. May 14, 2020.
https://psnet.ahrq.gov/issue/nursing-home-workers-warned-government-about-safety-violations-covid-19-
outbreaks-and-deaths
Long-term care and skilled nursing faci…
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February 24, 2011 - Measuring errors and adverse events in health care.
February 24, 2011
Thomas EJ, Petersen LA. Measuring errors and adverse events in health care. J Gen Intern Med.
2003;18(1). doi:10.1046/j.1525-1497.2003.20147.x.
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This article discusses t…
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May 26, 2021 - Healthcare professionals experience of psychological
safety, voice, and silence.
May 26, 2021
O'Donovan R, De Brún A, McAuliffe E. Healthcare professionals experience of psychological safety, voice,
and silence. Front Psychol. 2021;12:626689. doi:10.3389/fpsyg.2021.626689.
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May 26, 2021 - Maintaining maternal-newborn safety during the COVID-
19 pandemic.
May 26, 2021
Patrick NA, Johnson TS. Maintaining maternal-newborn safety during the COVID-19 pandemic. Nurs
Womens Health. 2021;25(3):212-220. doi:10.1016/j.nwh.2021.03.003.
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January 20, 2016 - System hazards in managing laboratory test requests and
results in primary care: medical protection database
analysis and conceptual model.
January 20, 2016
Bowie P, Price J, Hepworth N, et al. System hazards in managing laboratory test requests and results in
primary care: medical protection database analysis and…
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January 01, 2021 - Physician task load and the risk of burnout among US
physicians in a national survey.
December 2, 2020
Harry EM, Sinsky CA, Dyrbye LN, et al. Physician task load and the risk of burnout among US physicians in
a national survey. Jt Comm J Qual Patient Saf. 2021;47(2):76-85. doi:10.1016/j.jcjq.2020.09.011.
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August 05, 2009 - Lost in translation: challenges and opportunities in
physician-to-physician communication during patient
handoffs.
August 5, 2009
Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to-
physician communication during patient handoffs. Acad Med. 2005;80(12):1094-9.
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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…