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psnet.ahrq.gov/issue/instruments-measuring-patient-safety-competencies-nursing-scoping-review
November 09, 2022 - Review
Instruments for measuring patient safety competencies in nursing: a scoping review.
Citation Text:
Mortensen M, Naustdal KI, Uibu E, et al. Instruments for measuring patient safety competencies in nursing: a scoping review. BMJ Open Qual. 2022;11(2):e001751. doi:10.1136/bmjoq-2021…
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psnet.ahrq.gov/issue/health-care-workers-second-victims-medical-errors
April 07, 2021 - Study
Health care workers as second victims of medical errors.
Citation Text:
Edrees HH, Paine LA, Feroli R, et al. Health care workers as second victims of medical errors. Pol Arch Med Wewn. 2011;121(4):101-108.
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-center-education-and-research-therapeutics/annual-summary/2011
January 01, 2011 - Health Information Technology Center for Education and Research on Therapeutics - 2011
Project Name
Health Information Technology Center for Education and Research on Therapeutics
Principal Investigator
Bates, David
Organization
Brigham and Women's Hospital
Funding Me…
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psnet.ahrq.gov/issue/assessing-perceived-level-institutional-support-second-victim-after-patient-safety-event
April 07, 2021 - Study
Assessing the perceived level of institutional support for the second victim after a patient safety event.
Citation Text:
Joesten L, Cipparrone N, Okuno-Jones S, et al. Assessing the perceived level of institutional support for the second victim after a patient safety event. J Pati…
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psnet.ahrq.gov/issue/implementing-patient-safety-interventions-your-hospital-what-try-and-what-avoid
June 03, 2010 - Review
Implementing patient safety interventions in your hospital: what to try and what to avoid.
Citation Text:
Ranji SR, Shojania KG. Implementing patient safety interventions in your hospital: what to try and what to avoid. Med Clin North Am. 2008;92(2):275-93, vii-viii. doi:10.1016…
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www.ahrq.gov/cahps/about-cahps/patient-experience/prems-proms/index.html
February 01, 2025 - What Are Patient-Reported Measures?
Patient-Reported Experience Measures (PREMs) and Patient-Reported Outcome Measures (PROMs) are both important tools for measuring and improving quality of care. PREMs focus on patients’ experiences with healthcare services. PROMs focus on patients’ self-reported health stat…
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psnet.ahrq.gov/issue/covid-19-and-patient-safety-time-tap-our-investment-high-reliability
July 21, 2021 - Commentary
COVID-19 and patient safety: time to tap into our investment in high reliability.
Citation Text:
Adelman JS, Gandhi TK. COVID-19 and patient safety: time to tap into our investment in high reliability. J Patient Saf. 2021;17(4):331-333. doi:10.1097/pts.0000000000000843.
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psnet.ahrq.gov/issue/exploring-psychological-safety-healthcare-teams-inform-development-interventions-combining
March 18, 2020 - Study
Exploring psychological safety in healthcare teams to inform the development of interventions: combining observational, survey and interview data.
Citation Text:
O’Donovan R, McAuliffe E. Exploring psychological safety in healthcare teams to inform the development of interventions:…
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psnet.ahrq.gov/issue/cost-benefit-analysis-support-program-nursing-staff
October 26, 2016 - Study
Classic
Cost–benefit analysis of a support program for nursing staff.
Citation Text:
Moran D, Wu AW, Connors C, et al. Cost-Benefit Analysis of a Support Program for Nursing Staff. J Patient Saf. 2020;16(4):e250-e254. doi:10.1097/pts.0000000000000376.
Co…
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psnet.ahrq.gov/issue/integrated-approach-reduce-perinatal-adverse-events-standardized-processes-interdisciplinary
September 01, 2018 - Study
Integrated approach to reduce perinatal adverse events: standardized processes, interdisciplinary teamwork training, and performance feedback.
Citation Text:
Riley W, Begun JW, Meredith L, et al. Integrated Approach to Reduce Perinatal Adverse Events: Standardized Processes, Interd…
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psnet.ahrq.gov/issue/improving-handoffs-perioperative-environment-conceptual-framework-key-theories-system-factors
November 16, 2022 - Commentary
Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success.
Citation Text:
Starmer AJ, Michael MM, Spector ND, et al. Improving handoffs in the perioperative environment: a conc…
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www.ahrq.gov/diagnostic-safety/tools/engaging-patients-improve.html
April 01, 2025 - Toolkit for Engaging Patients To Improve Diagnostic Safety
Diagnostic errors occur in all care settings and one in three patients will experience a diagnostic error firsthand. Research suggests that communication breakdowns during the patient-provider encounter are a leading contributor to diagnostic errors.
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psnet.ahrq.gov/issue/disclosing-and-reporting-practice-errors-nurses-residential-long-term-care-settings
April 02, 2015 - Review
Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic review.
Citation Text:
Vaismoradi M, Vizcaya-Moreno F, Jordan S, et al. Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic r…
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psnet.ahrq.gov/issue/incident-reporting-improve-patient-safety-effects-process-variance-pediatric-patient-safety
June 07, 2017 - Study
Incident reporting to improve patient safety: the effects of process variance on pediatric patient safety in the emergency department.
Citation Text:
OʼConnell KJ, Shaw KN, Ruddy RM, et al. Incident Reporting to Improve Patient Safety: The Effects of Process Variance on Pediatric P…
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psnet.ahrq.gov/issue/err-human-building-safer-health-system
July 08, 2016 - Book/Report
Classic
To Err Is Human: Building a Safer Health System.
Citation Text:
To Err Is Human: Building a Safer Health System. Kohn KT, Corrigan JM, Donaldson MS, eds. Washington, DC: Committee on Quality Health Care in America, Institute of Medicine: Nati…
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psnet.ahrq.gov/issue/manifestations-high-reliability-principles-hospital-units-varying-safety-profiles-qualitative
December 16, 2015 - Study
Manifestations of high-reliability principles on hospital units with varying safety profiles: a qualitative analysis.
Citation Text:
Mossburg SE, Weaver SJ, Pillari MS, et al. Manifestations of High-Reliability Principles on Hospital Units With Varying Safety Profiles: A Qualitativ…
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psnet.ahrq.gov/issue/incidence-adverse-events-and-negligence-hospitalized-patients-results-harvard-medical
February 18, 2011 - Study
Classic
Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I.
Citation Text:
Brennan TA, Leape LL, Laird NM, et al. Incidence of Adverse Events and Negligence in Hospitalized Patients. N Eng…
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psnet.ahrq.gov/issue/physicians-perceptions-preparedness-reporting-and-experiences-related-impaired-and
February 10, 2015 - Study
Classic
Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues.
Citation Text:
DesRoches CM, Rao SR, Fromson J, et al. Physicians' perceptions, preparedness for reporting, and experiences relat…
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psnet.ahrq.gov/issue/staffing-matters-every-shift
January 20, 2021 - Commentary
Staffing matters—every shift.
Citation Text:
West G, Patrician PA, Loan L. Staffing matters-every shift: data from the Military Nursing Outcomes Database can be used to demonstrate that the right number and mix of nurses prevent errors. Am J Nurs. 2012;112(12):22-7; discussi…
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psnet.ahrq.gov/issue/analysis-patient-physician-concordance-understanding-chemotherapy-treatment-plans-among
January 11, 2023 - Study
Analysis of patient-physician concordance in the understanding of chemotherapy treatment plans among patients with cancer.
Citation Text:
Almalki H, Absi A, Alghamdi A, et al. Analysis of patient-physician concordance in the understanding of chemotherapy treatment plans among patie…