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psnet.ahrq.gov/node/42884/psn-pdf
February 06, 2014 - Application of a theoretical framework for behavior
change to hospital workers' real-time explanations for
noncompliance with hand hygiene guidelines.
February 6, 2014
Fuller C, Besser S, Savage J, et al. Application of a theoretical framework for behavior change to hospital
workers' real-time explanations for non…
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psnet.ahrq.gov/node/846454/psn-pdf
March 22, 2023 - Society for Maternal-Fetal Medicine Special Statement:
curriculum outline on patient safety and quality for
maternal-fetal medicine fellows.
March 22, 2023
Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and quality for
maternal-fetal medicine fellows. Am J Obstet Gyneco…
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psnet.ahrq.gov/node/45412/psn-pdf
November 18, 2016 - The multidisciplinary approach to GI cancer results in
change of diagnosis and management of patients.
Multidisciplinary care impacts diagnosis and
management of patients.
November 18, 2016
Meguid C, Schulick RD, Schefter TE, et al. The Multidisciplinary Approach to GI Cancer Results in Change
of Diagnosis and Ma…
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psnet.ahrq.gov/node/45768/psn-pdf
July 02, 2017 - What patients' complaints and praise tell the health
practitioner: implications for health care quality. A
qualitative research study.
July 2, 2017
Mattarozzi K, Sfrisi F, Caniglia F, et al. What patients' complaints and praise tell the health practitioner:
implications for health care quality. A qualitative resea…
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psnet.ahrq.gov/node/50706/psn-pdf
December 04, 2019 - Improving end-of-rotation transitions of care among ICU
patients
December 4, 2019
Denson JL, Knoeckel J, Kjerengtroen S, et al. Improving end-of-rotation transitions of care among ICU
patients. BMJ Qual Saf. 2019;29(3):250-259. doi:10.1136/bmjqs-2019-009867.
https://psnet.ahrq.gov/issue/improving-end-rotation-tran…
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psnet.ahrq.gov/node/47366/psn-pdf
October 31, 2018 - Patient and family engagement in incident investigations:
exploring hospital manager and incident investigators'
experiences and challenges.
October 31, 2018
Kok J, Leistikow I, Bal R. Patient and family engagement in incident investigations: exploring hospital
manager and incident investigators' experiences and c…
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psnet.ahrq.gov/node/39638/psn-pdf
July 02, 2014 - Teaching quality improvement and patient safety to
trainees: a systematic review.
July 2, 2014
Wong BM, Etchells E, Kuper A, et al. Teaching quality improvement and patient safety to trainees: a
systematic review. Acad Med. 2010;85(9):1425-39. doi:10.1097/ACM.0b013e3181e2d0c6.
https://psnet.ahrq.gov/issue/teaching…
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psnet.ahrq.gov/node/47103/psn-pdf
August 22, 2018 - Understanding procedural violations using Safety-I and
Safety-II: the case of community pharmacies.
August 22, 2018
Jones CEL, Phipps D, Ashcroft DM. Understanding procedural violations using Safety-I and Safety-II: The
case of community pharmacies. Saf Sci. 2018;105:114-120. doi:10.1016/j.ssci.2018.02.002.
https:…
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psnet.ahrq.gov/node/39029/psn-pdf
October 21, 2009 - Nurses' perceptions of subspecialization in pediatric
cardiac intensive care unit: quality and patient safety
implications.
October 21, 2009
Kane JM, Preze E. Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality
and patient safety implications. J Nurs Care Qual. 2009;24(4):354…
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psnet.ahrq.gov/node/46579/psn-pdf
April 11, 2018 - Electronic medicine can send you test results quickly. But
what if they're scary?
April 11, 2018
Boodman SG. Washington Post. March 26, 2018.
https://psnet.ahrq.gov/issue/electronic-medicine-can-send-you-test-results-quickly-what-if-theyre-scary
Although providing patients with access to physician notes and test r…
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psnet.ahrq.gov/node/45617/psn-pdf
November 30, 2016 - Walking a tightrope: balancing the risk of diagnostic error
in inpatient pediatrics.
November 30, 2016
Berkwitt A, Osborn R, Grossman M. Walking a Tightrope: Balancing the Risk of Diagnostic Error in
Inpatient Pediatrics. Hosp Pediatr. 2016;6(9):566-8. doi:10.1542/hpeds.2016-0043.
https://psnet.ahrq.gov/issue/walk…
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psnet.ahrq.gov/node/44316/psn-pdf
March 20, 2017 - Improving Patient Safety: The Intersection of Safety
Culture, Clinician and Staff Support, and Patient Safety
Organizations.
March 20, 2017
Miller RG, Scott SD, Hirschinger LE. Jefferson City, MO: Center for Patient Safety; September 2015.
https://psnet.ahrq.gov/issue/improving-patient-safety-intersection-safety-c…
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psnet.ahrq.gov/node/836826/psn-pdf
March 30, 2022 - Pediatric trainee perspectives on the decision to disclose
medical errors.
March 30, 2022
Lin M, Horwitz LI, Gross RS, et al. Pediatric trainee perspectives on the decision to disclose medical errors.
J Patient Saf. 2022;18(2):e470-e476. doi:10.1097/pts.0000000000000848.
https://psnet.ahrq.gov/issue/pediatric-trai…
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psnet.ahrq.gov/node/848089/psn-pdf
April 26, 2023 - Patient Safety Advisory: fentanyl counterfeit prescription
medications that contain fentanyl and patient safety.
April 26, 2023
Jewell ML, Jewell HL, Singer R, et al. Patient Safety Advisory: fentanyl counterfeit prescription medications
that contain fentanyl and patient safety. Aesthetic Plast Surg. 2023;47(3):123…
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psnet.ahrq.gov/node/73659/psn-pdf
September 01, 2021 - Using a patient safety/quality improvement model to
assess telehealth for psychiatry and behavioral health
services among special populations during COVID-19 and
beyond.
September 1, 2021
Li L, Childs AW. J Psychiatr Pract. 2021;27(4):245-253.
https://psnet.ahrq.gov/issue/using-patient-safetyquality-improvement-m…
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psnet.ahrq.gov/node/46132/psn-pdf
September 24, 2017 - The "Quality Minute"—a new, brief, and structured
technique for quality improvement education during the
morbidity and mortality conference.
September 24, 2017
Hoffman RL, Morris JB, Kelz RR. The “Quality Minute”—A New, Brief, and Structured Technique for Quality
Improvement Education During the Morbidity and Mort…
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psnet.ahrq.gov/node/837770/psn-pdf
August 03, 2022 - Impact of an electronic health record alert on
inappropriate prescribing of high-risk medications to
patients with concurrent "do not give" orders.
August 3, 2022
Smith K, Durant KM, Zimmerman C. Impact of an electronic health record alert on inappropriate prescribing
of high-risk medications to patients with conc…
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psnet.ahrq.gov/node/47624/psn-pdf
March 06, 2019 - The association between organizational culture and the
ability to benefit from "just culture" training.
March 6, 2019
David DS. The Association Between Organizational Culture and the Ability to Benefit From "Just Culture"
Training. J Patient Saf. 2019;15(1):e3-e7. doi:10.1097/PTS.0000000000000561.
https://psnet.ah…
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psnet.ahrq.gov/node/839316/psn-pdf
January 01, 2023 - Patient voices in hospital safety during the COVID-19
pandemic.
November 2, 2022
Groves PS, Bunch JL, Hanrahan KM, et al. Patient voices in hospital safety during the COVID-19
pandemic. Clin Nurs Res. 2023;32(1):105-114. doi:10.1177/10547738221129711.
https://psnet.ahrq.gov/issue/patient-voices-hospital-safety-dur…
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psnet.ahrq.gov/node/47732/psn-pdf
February 06, 2019 - Surgical safety checklists in children's surgery: surgeons'
attitudes and review of the literature.
February 6, 2019
Roybal J, Tsao KJ, Rangel S, et al. Surgical Safety Checklists in Children's Surgery: Surgeons' Attitudes
and Review of the Literature. Pediatr Qual Saf. 2018;3(5):e108. doi:10.1097/pq9.0000000000000…