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psnet.ahrq.gov/node/35448/psn-pdf
September 18, 2009 - Relationship between performance measurement and
accreditation: implications for quality of care and patient
safety.
September 18, 2009
Miller MR, Pronovost P, Donithan M, et al. Relationship between performance measurement and
accreditation: implications for quality of care and patient safety. Am J Med Qual. 2005…
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psnet.ahrq.gov/node/41045/psn-pdf
July 02, 2014 - Relating faults in diagnostic reasoning with diagnostic
errors and patient harm.
July 2, 2014
Zwaan L, Thijs A, Wagner C, et al. Relating faults in diagnostic reasoning with diagnostic errors and patient
harm. Acad Med. 2012;87(2):149-156. doi:10.1097/ACM.0b013e31823f71e6.
https://psnet.ahrq.gov/issue/relating-fau…
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psnet.ahrq.gov/node/43141/psn-pdf
April 30, 2014 - Engaging residents and fellows to improve institution-
wide quality: the first six years of a novel financial
incentive program.
April 30, 2014
Vidyarthi A, Green AL, Rosenbluth G, et al. Engaging residents and fellows to improve institution-wide
quality: the first six years of a novel financial incentive program.…
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psnet.ahrq.gov/node/47323/psn-pdf
September 26, 2018 - About politeness, face, and feedback: exploring resident
and faculty perceptions of how institutional feedback
culture influences feedback practices.
September 26, 2018
Ramani S, Könings KD, Mann K, et al. About Politeness, Face, and Feedback: Exploring Resident and
Faculty Perceptions of How Institutional Feedbac…
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psnet.ahrq.gov/node/38569/psn-pdf
May 20, 2009 - Reducing health care hazards: lessons from the
Commercial Aviation Safety Team.
May 20, 2009
Pronovost P, Goeschel CA, Olsen KL, et al. Reducing health care hazards: lessons from the commercial
aviation safety team. Health Aff (Millwood). 2009;28(3):w479-89. doi:10.1377/hlthaff.28.3.w479.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/839317/psn-pdf
November 02, 2022 - Implementation and facilitation of post-resuscitation
debriefing: a comparative crossover study of two post-
resuscitation debriefing frameworks.
November 2, 2022
Kam AJ, Gonsalves CL, Nordlund SV, et al. Implementation and facilitation of post-resuscitation debriefing:
a comparative crossover study of two post-re…
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psnet.ahrq.gov/node/73560/psn-pdf
August 04, 2021 - Barcode medication administration technology use in
hospital practice: a mixed-methods observational study
of policy deviations.
August 4, 2021
Mulac A, Mathiesen L, Taxis K, et al. Barcode medication administration technology use in hospital
practice: a mixed-methods observational study of policy deviations. BMJ …
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psnet.ahrq.gov/node/47083/psn-pdf
June 21, 2018 - Accuracy of skin cancer diagnosis by physician
assistants compared with dermatologists in a large health
care system.
June 21, 2018
Anderson AM, Matsumoto M, Saul MI, et al. Accuracy of Skin Cancer Diagnosis by Physician Assistants
Compared With Dermatologists in a Large Health Care System. JAMA Dermatol. 2018;154…
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psnet.ahrq.gov/node/45685/psn-pdf
January 01, 2021 - The effects of the second victim phenomenon on work-
related outcomes: connecting self-reported caregiver
distress to turnover intentions and absenteeism.
December 21, 2016
Burlison JD, Quillivan RR, Scott SD, et al. The Effects of the Second Victim Phenomenon on Work-Related
Outcomes: Connecting Self-Reported Car…
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psnet.ahrq.gov/node/45340/psn-pdf
August 17, 2016 - To the point: integrating patient safety education Into the
obstetrics and gynecology undergraduate curriculum.
August 17, 2016
Abbott JF, Pradhan A, Buery-Joyner S, et al. To the Point: Integrating Patient Safety Education Into the
Obstetrics and Gynecology Undergraduate Curriculum. J Patient Saf. 2016;16(1):e39-e…
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psnet.ahrq.gov/node/73961/psn-pdf
October 13, 2021 - Analysis of consistency in emergency department
physician variation in propensity for admission across
patient sociodemographic groups.
October 13, 2021
Khidir H, McWilliams JM, O’Malley AJ, et al. Analysis of consistency in emergency department physician
variation in propensity for admission across patient sociod…
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psnet.ahrq.gov/node/867014/psn-pdf
October 23, 2024 - Secondary analysis of hand-offs in internal medicine
using the I-PASS mnemonic.
October 23, 2024
Huber A, Moyano B, Blondon K. Secondary analysis of hand-offs in internal medicine using the I-PASS
mnemonic. BMC Med Educ. 2024;24(1):1046. doi:10.1186/s12909-024-05880-7.
https://psnet.ahrq.gov/issue/secondary-analys…
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psnet.ahrq.gov/node/74027/psn-pdf
November 03, 2021 - Staffing levels and nursing-sensitive patient outcomes:
umbrella review and qualitative study.
November 3, 2021
Blume KS, Dietermann K, Kirchner?Heklau U, et al. Staffing levels and nursing?sensitive patient outcomes:
umbrella review and qualitative study. Health Serv Res. 2021;56(5):885-907. doi:10.1111/1475-
677…
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psnet.ahrq.gov/node/35752/psn-pdf
December 23, 2012 - Are bad outcomes from questionable clinical decisions
preventable medical errors? A case of cascade
iatrogenesis.
December 23, 2012
Hofer TP, Hayward RA. Are bad outcomes from questionable clinical decisions preventable medical errors?
A case of cascade iatrogenesis. Ann Intern Med. 2002;137(5 Part 1):327-333.
ht…
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psnet.ahrq.gov/node/47042/psn-pdf
June 13, 2018 - Addressing dual patient and staff safety through a team-
based standardized patient simulation for agitation
management in the emergency department.
June 13, 2018
Wong AH, Auerbach MA, Ruppel H, et al. Addressing Dual Patient and Staff Safety Through A Team-
Based Standardized Patient Simulation for Agitation Mana…
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psnet.ahrq.gov/node/851063/psn-pdf
June 28, 2023 - Emotional responses and support needs of healthcare
professionals after adverse or traumatic experiences in
healthcare-evidence from seminars on peer support.
June 28, 2023
Schrøder K, Assing Hvidt E. Emotional responses and support needs of healthcare professionals after
adverse or traumatic experiences in health…
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psnet.ahrq.gov/node/865665/psn-pdf
April 24, 2024 - Unveiling the hidden struggle of healthcare students as
second victims through a systematic review.
April 24, 2024
Mira JJ, Matarredona V, Tella S, et al. Unveiling the hidden struggle of healthcare students as second
victims through a systematic review. BMC Med Educ. 2024;24(1):378. doi:10.1186/s12909-024-05336-y.…
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psnet.ahrq.gov/node/865921/psn-pdf
May 22, 2024 - Enhanced free-text search for aggregated medication
error report analysis and risk detection.
May 22, 2024
Valkonen V, Saano S, Haatainen K, et al. Enhanced free-text search for aggregated medication error report
analysis and risk detection. J Patient Saf. 2024;20(4):259-266. doi:10.1097/pts.0000000000001218.
http…
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psnet.ahrq.gov/node/43054/psn-pdf
June 16, 2014 - We need to talk: an observational study of the impact of
electronic medical record implementation on hospital
communication.
June 16, 2014
Taylor SP, Ledford R, Palmer V, et al. We need to talk: an observational study of the impact of electronic
medical record implementation on hospital communication. BMJ Qual Saf…
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psnet.ahrq.gov/node/36424/psn-pdf
January 07, 2008 - Teamwork in the operating room: frontline perspectives
among hospitals and operating room personnel.
January 7, 2008
Sexton JB; Makary MA; Tersigni AR; Pryor D; Hendrich A; Thomas EJ; Holzmueller CG; Knight AP; Wu Y;
Pronovost PJ.
https://psnet.ahrq.gov/issue/teamwork-operating-room-frontline-perspectives-among-ho…