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psnet.ahrq.gov/node/47787/psn-pdf
February 20, 2019 - How to be a very safe maternity unit: an ethnographic
study.
February 20, 2019
Liberati EG, Tarrant C, Willars J, et al. How to be a very safe maternity unit: An ethnographic study. Soc
Sci Med. 2019;223:64-72. doi:10.1016/j.socscimed.2019.01.035.
https://psnet.ahrq.gov/issue/how-be-very-safe-maternity-unit-ethnog…
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psnet.ahrq.gov/node/37690/psn-pdf
April 16, 2008 - How willing are patients to question healthcare staff on
issues related to the quality and safety of their
healthcare? An exploratory study.
April 16, 2008
Davis R, Koutantji M, Vincent C. How willing are patients to question healthcare staff on issues related to
the quality and safety of their healthcare? An expl…
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psnet.ahrq.gov/node/45037/psn-pdf
February 15, 2017 - Disclosing large scale adverse events in the US Veterans
Health Administration: lessons from media responses.
February 15, 2017
Maguire EM, Bokhour BG, Asch SM, et al. Disclosing large scale adverse events in the US Veterans
Health Administration: lessons from media responses. Public Health. 2016;135:75-82.
doi:10…
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psnet.ahrq.gov/node/74257/psn-pdf
January 19, 2022 - Early prescribing outcomes after exporting the EQUIPPED
medication safety improvement programme.
January 19, 2022
Vaughan CP, Hwang U, Vandenberg AE, et al. Early prescribing outcomes after exporting the EQUIPPED
medication safety improvement programme. BMJ Open Qual. 2021;10(4):e001369. doi:10.1136/bmjoq-
2021-00…
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psnet.ahrq.gov/node/38877/psn-pdf
April 08, 2011 - Computerized order entry with limited decision support to
prevent prescription errors in a PICU.
April 8, 2011
Kadmon G, Bron-Harlev E, Nahum E, et al. Computerized order entry with limited decision support to
prevent prescription errors in a PICU. Pediatrics. 2009;124(3):935-940. doi:10.1542/peds.2008-2737.
https…
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psnet.ahrq.gov/node/840170/psn-pdf
November 16, 2022 - Predicting dispensing errors in community pharmacies:
an application of the Systematic Human Error Reduction
and Prediction Approach (SHERPA).
November 16, 2022
Ashour A, Phipps DL, Ashcroft DM. PLoS ONE. 2022;17(1):e0261672.
https://psnet.ahrq.gov/innovation/predicting-dispensing-errors-community-pharmacies-…
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psnet.ahrq.gov/node/46892/psn-pdf
June 13, 2018 - AHRQ National Scorecard on Hospital-Acquired
Conditions Updated Baseline Rates and Preliminary
Results 2014–2016.
June 13, 2018
Rockville, MD: Agency for Healthcare Research and Quality; June 2018.
https://psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-
and-prelim…
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psnet.ahrq.gov/node/47000/psn-pdf
May 09, 2018 - 'Broken hospital windows': debating the theory of
spreading disorder and its application to healthcare
organizations.
May 9, 2018
Churruca K, Ellis LA, Braithwaite J. 'Broken hospital windows': debating the theory of spreading disorder
and its application to healthcare organizations. BMC Health Serv Res. 2018;18(1…
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psnet.ahrq.gov/node/865973/psn-pdf
May 29, 2024 - Physician antipsychotic overprescribing letters and
cognitive, behavioral, and physical health outcomes
among people with dementia: a secondary analysis of a
randomized clinical trial.
May 29, 2024
Harnisch M, Barnett ML, Coussens S, et al. Physician antipsychotic overprescribing letters and cognitive,
behavioral…
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psnet.ahrq.gov/node/44453/psn-pdf
June 21, 2016 - Inadequacies of physical examination as a cause of
medical errors and adverse events: a collection of
vignettes.
June 21, 2016
Verghese A, Charlton B, Kassirer JP, et al. Inadequacies of Physical Examination as a Cause of Medical
Errors and Adverse Events: A Collection of Vignettes. Am J Med. 2015;128(12):1322-4.e…
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psnet.ahrq.gov/node/41250/psn-pdf
December 21, 2014 - Disclosure of "nonharmful" medical errors and other
events: duty to disclose.
December 21, 2014
Chamberlain CJ, Koniaris LG, Wu AW, et al. Disclosure of "nonharmful" medical errors and other events:
duty to disclose. Arch Surg. 2012;147(3):282-6. doi:10.1001/archsurg.2011.1005.
https://psnet.ahrq.gov/issue/disclos…
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psnet.ahrq.gov/node/42178/psn-pdf
April 10, 2013 - Outside case review of surgical pathology for referred
patients: the impact on patient care.
April 10, 2013
Swapp RE, Aubry MC, Salomão DR, et al. Outside case review of surgical pathology for referred patients:
the impact on patient care. Arch Pathol Lab Med. 2013;137(2):233-40. doi:10.5858/arpa.2012-0088-OA.
htt…
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psnet.ahrq.gov/node/855086/psn-pdf
November 08, 2023 - Psychological safety as a new ACGME requirement: a
comprehensive all-in-one guide to radiology residency
programs.
November 8, 2023
Mohamed I, Hom GL, Jiang S, et al. Psychological safety as a new ACGME requirement: a comprehensive
all-in-one guide to radiology residency programs. Acad Radiol. 2023;30(12):3137-314…
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psnet.ahrq.gov/node/39644/psn-pdf
June 30, 2010 - The effect of work hours on adverse events and errors in
health care.
June 30, 2010
Olds DM, Clarke S. The effect of work hours on adverse events and errors in health care. J Safety Res.
2010;41(2):153-62. doi:10.1016/j.jsr.2010.02.002.
https://psnet.ahrq.gov/issue/effect-work-hours-adverse-events-and-errors-healt…
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psnet.ahrq.gov/node/867082/psn-pdf
November 06, 2024 - Learning in radiation oncology: 12-month experience with
a new incident learning system.
November 6, 2024
Crouch K, Adamson L, Beldham?Collins R, et al. Learning in radiation oncology: 12?month experience with
a new incident learning system. J Med Radiat Sci. 2024;Epub Sep 15. doi:10.1002/jmrs.823.
https://psnet.a…
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psnet.ahrq.gov/node/36279/psn-pdf
May 27, 2011 - Evaluation of laboratory monitoring alerts within a
computerized physician order entry system for
medication orders.
May 27, 2011
Palen TE, Raebel MA, Lyons E, et al. Evaluation of laboratory monitoring alerts within a computerized
physician order entry system for medication orders. Am J Manag Care. 2006;12(7):389…
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psnet.ahrq.gov/node/38489/psn-pdf
November 25, 2009 - Evaluation of the contributions of an electronic web-
based reporting system: enabling action.
November 25, 2009
Levtzion-Korach O, Alcalai H, Orav EJ, et al. Evaluation of the contributions of an electronic web-based
reporting system: enabling action. J Patient Saf. 2009;52(1):9-15. doi:10.1097/PTS.0b013e318198dc8…
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psnet.ahrq.gov/node/42219/psn-pdf
July 22, 2013 - Parent perceptions of children's hospital safety climate.
July 22, 2013
Cox E, Carayon P, Hansen KW, et al. Parent perceptions of children's hospital safety climate. BMJ Qual
Saf. 2013;22(8):664-71. doi:10.1136/bmjqs-2012-001727.
https://psnet.ahrq.gov/issue/parent-perceptions-childrens-hospital-safety-climate
Pat…
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psnet.ahrq.gov/node/42509/psn-pdf
August 21, 2013 - Explaining Matching Michigan: an ethnographic study of
a patient safety program.
August 21, 2013
Dixon-Woods M, Leslie M, Tarrant C, et al. Explaining Matching Michigan: an ethnographic study of a
patient safety program. Implement Sci. 2013;8:70. doi:10.1186/1748-5908-8-70.
https://psnet.ahrq.gov/issue/explaining-…
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psnet.ahrq.gov/node/47313/psn-pdf
September 12, 2018 - The Lawrence D. Dorr Surgical Techniques &
Technologies Award: "Running two rooms" does not
compromise outcomes or patient safety in joint
arthroplasty.
September 12, 2018
Hamilton WG, Ho H, Parks NL, et al. The Lawrence D. Dorr Surgical Techniques & Technologies Award:
"Running Two Rooms" Does Not Compromise Out…