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psnet.ahrq.gov/node/50942/psn-pdf
February 26, 2020 - Understanding the roles of three academic communities
in a prospective learning health ecosystem for diagnostic
excellence.
February 26, 2020
Satterfield K, Rubin JC, Yang D, et al. Understanding the roles of three academic communities in a
prospective learning health ecosystem for diagnostic excellence. Learn Hea…
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psnet.ahrq.gov/node/837972/psn-pdf
September 01, 2022 - Patient safety: where to aim when zero harm is not the
target-a case for learning and resilience.
September 1, 2022
Stockwell DC, Kayes DC, Thomas EJ. Patient safety: where to aim when zero harm is not the target-a case
for learning and resilience. J Patient Saf. 2022;18(5):e877-e882. doi:10.1097/pts.00000000000009…
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psnet.ahrq.gov/node/861774/psn-pdf
January 31, 2024 - Grand rounds in methodology: key considerations for
implementing machine learning solutions in quality
improvement initiatives.
January 31, 2024
Verma AA, Trbovich PL, Mamdani MM, et al. Grand rounds in methodology: key considerations for
implementing machine learning solutions in quality improvement initiatives. …
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psnet.ahrq.gov/node/837143/psn-pdf
January 01, 2023 - Understanding the factors influencing implementation of
a new national patient safety policy in England: lessons
from 'Learning from Deaths'.
May 18, 2022
Lalani M, Morgan S, Basu A, et al. Understanding the factors influencing implementation of a new national
patient safety policy in England: lessons from ‘Learni…
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psnet.ahrq.gov/node/837502/psn-pdf
June 22, 2022 - Toward safer opioid prescribing in HIV care (TOWER): a
mixed-methods, cluster-randomized trial.
June 22, 2022
Cedillo G, George MC, Deshpande R, et al. Toward safer opioid prescribing in HIV care (TOWER): a
mixed-methods, cluster-randomized trial. Addict Sci Clin Pract. 2022;17(1):28. doi:10.1186/s13722-022-
00311…
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psnet.ahrq.gov/issue/center-consumer-health-care-information-patient-safety-center
February 04, 2025 - Multi-use Website
Center for Consumer Health Care Information Patient Safety Center.
Save
Save to your library
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March 6, 2005
The Center's efforts for pati…
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psnet.ahrq.gov/node/72684/psn-pdf
January 27, 2021 - National Partnership for Maternal Safety: consensus
bundle on support after a severe maternal event.
January 27, 2021
Morton CH, Hall MF, Shaefer SJM, et al. National Partnership for Maternal Safety: Consensus Bundle on
Support After a Severe Maternal Event. J Obstet Gynecol Neonatal Nurs. 2021;50(1):88-101.
doi:1…
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psnet.ahrq.gov/node/867690/psn-pdf
March 05, 2025 - Trends of diagnostic adverse events in hospital deaths:
longitudinal analyses of four retrospective record review
studies.
March 5, 2025
Hooftman J, Zwaan L, Sikkens JJ, et al. Trends of diagnostic adverse events in hospital deaths:
longitudinal analyses of four retrospective record review studies. Diagnosis (Berl…
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psnet.ahrq.gov/node/867684/psn-pdf
March 05, 2025 - Development of a preliminary patient safety classification
system for generative AI.
March 5, 2025
Hose B-Z, Handley JL, Biro J, et al. Development of a preliminary patient safety classification system for
generative AI. BMJ Qual Saf. 2025;34(2):130-132. doi:10.1136/bmjqs-2024-017918.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/867691/psn-pdf
March 05, 2025 - Surgeon perception and attitude towards the moral
imperative of institutionally addressing second-victim
syndrome in surgery.
March 5, 2025
Hsiao L-H, Kopar PK. Surgeon perception and attitude towards the moral imperative of institutionally
addressing second-victim syndrome in surgery. J Am Coll Surg. 2025;240(2):…
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psnet.ahrq.gov/node/60644/psn-pdf
July 01, 2020 - Adverse events and burnout: the moderating effects of
workgroup identification and safety climate.
July 1, 2020
Vogus TJ, Ramanujam R, Novikov Z, et al. Adverse events and burnout: the moderating effects of
workgroup identification and safety climate. Med Care. 2020;58(7):594-600.
doi:10.1097/mlr.0000000000001341.…
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psnet.ahrq.gov/node/45235/psn-pdf
September 19, 2016 - Patient safety culture and the second victim
phenomenon: connecting culture to staff distress in
nurses.
September 19, 2016
Quillivan RR, Burlison JD, Browne EK, et al. Patient Safety Culture and the Second Victim Phenomenon:
Connecting Culture to Staff Distress in Nurses. Jt Comm J Qual Patient Saf. 2016;42(8):37…
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psnet.ahrq.gov/node/46060/psn-pdf
October 31, 2017 - Do hospitals support second victims? Collective insights
from patient safety leaders in Maryland.
October 31, 2017
Edrees HH, Morlock L, Wu AW. Do Hospitals Support Second Victims? Collective Insights From Patient
Safety Leaders in Maryland. Jt Comm J Qual Saf. 2017;43(9):471-483. doi:10.1016/j.jcjq.2017.01.008.
h…
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psnet.ahrq.gov/node/72571/psn-pdf
December 16, 2020 - Nurses' influence on consumers' experience of safety in
acute mental health units: a qualitative study.
December 16, 2020
Cutler NA, Sim J, Halcomb E, et al. Nurses' influence on consumers' experience of safety in acute mental
health units: a qualitative study. J Clin Nurs. 2020;29(21-22):4379-4386. doi:10.1111/joc…
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psnet.ahrq.gov/node/73293/psn-pdf
May 19, 2021 - Exploring the barriers and facilitators of psychological
safety in primary care teams: a qualitative study.
May 19, 2021
Remtulla R, Hagana A, Houbby N, et al. Exploring the barriers and facilitators of psychological safety in
primary care teams: a qualitative study. BMC Health Serv Res. 2021;21(1):269. doi:10.1186…
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psnet.ahrq.gov/node/74002/psn-pdf
October 27, 2021 - EMS non-conveyance: a safe practice to decrease ED
crowding or a threat to patient safety?
October 27, 2021
Paulin J, Kurola J, Koivisto M, et al. EMS non-conveyance: A safe practice to decrease ED crowding or a
threat to patient safety? BMC Emerg Med. 2021;21(1):115. doi:10.1186/s12873-021-00508-1.
https://psnet.…
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psnet.ahrq.gov/node/73184/psn-pdf
April 28, 2021 - Interprofessional training and communication practices
among clinicians in the postoperative ICU handoff.
April 28, 2021
Massa S, Wu J, Wang C, et al. Interprofessional training and communication practices among clinicians in
the postoperative ICU handoff. Jt Comm J Qual Patient Saf. 2021;47(4):242-249.
doi:10.101…
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psnet.ahrq.gov/node/60763/psn-pdf
August 05, 2020 - Supporting the emotional well-being of health care
workers during the COVID-19 pandemic.
August 5, 2020
Wu AW, Buckle P, Haut ER, et al. Supporting the emotional well-being of health care workers during the
COVID-19 pandemic. J Patient Saf Risk Manag. 2020;25(3):93-96. doi:10.1177/2516043520931971.
https://psnet.a…
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psnet.ahrq.gov/node/47545/psn-pdf
December 19, 2018 - Adverse events during dental care for children:
implications for practitioner health and wellness.
December 19, 2018
Nainar SMH. Adverse events during dental care for children: implications for practitioner health and
wellness. Pediatr Dent. 2018;40(5):323-326.
https://psnet.ahrq.gov/issue/adverse-events-during-de…
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psnet.ahrq.gov/node/843320/psn-pdf
February 01, 2023 - Society for Maternal-Fetal Medicine Special Statement:
telemedicine in obstetrics-quality and safety
considerations.
February 1, 2023
Healy A, Davidson C, Allbert J, et al. Society for Maternal-Fetal Medicine Special Statement: telemedicine
in obstetrics-quality and safety considerations. Am J Obstet Gynecol. 2023…