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psnet.ahrq.gov/node/34103/psn-pdf
February 24, 2011 - Measuring errors and adverse events in health care.
February 24, 2011
Thomas EJ, Petersen LA. Measuring errors and adverse events in health care. J Gen Intern Med.
2003;18(1). doi:10.1046/j.1525-1497.2003.20147.x.
https://psnet.ahrq.gov/issue/measuring-errors-and-adverse-events-health-care
This article discusses t…
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psnet.ahrq.gov/node/847535/psn-pdf
April 12, 2023 - Using the Generic Analysis Method to analyze sentinel
event reports across hospitals: a retrospective cross-
sectional study.
April 12, 2023
Baartmans MC, van Schoten SM, Smit BJ, et al. Using the Generic Analysis Method to analyze sentinel
event reports across hospitals: a retrospective cross-sectional study. J P…
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psnet.ahrq.gov/node/43040/psn-pdf
March 05, 2014 - Framework for analysing risk and safety in clinical
medicine.
March 5, 2014
Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine.
BMJ. 1998;316(7138):1154-1157.
https://psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine-0
This commentary outli…
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psnet.ahrq.gov/node/836743/psn-pdf
March 16, 2022 - Surgeon burnout, impact on patient safety and
professionalism: a systematic review and meta-analysis.
March 16, 2022
Al-Ghunaim TA, Johnson J, Biyani CS, et al. Surgeon burnout, impact on patient safety and
professionalism: A systematic review and meta-analysis. Am J Surg. 2022;224(1 Pt A):228-238.
doi:10.1016/j.a…
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psnet.ahrq.gov/node/35540/psn-pdf
August 05, 2009 - Lost in translation: challenges and opportunities in
physician-to-physician communication during patient
handoffs.
August 5, 2009
Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to-
physician communication during patient handoffs. Acad Med. 2005;80(12):1094-9.
…
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psnet.ahrq.gov/node/837965/psn-pdf
September 01, 2022 - Concordance of hospital ranks and category ratings
using the current technical specification of US Hospital
Star Ratings and reasonable alternative specifications.
September 1, 2022
Barclay ME, Dixon-Woods M, Lyratzopoulos G. Concordance of hospital ranks and category ratings using
the current technical specificat…
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psnet.ahrq.gov/node/60209/psn-pdf
April 08, 2020 - The views and experiences of patients and health-care
professionals on the disclosure of adverse events: a
systematic review and qualitative meta-ethnographic
synthesis.
April 8, 2020
Sattar R, Johnson J, Lawton R. The views and experiences of patients and health?care professionals on
the disclosure of adverse ev…
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psnet.ahrq.gov/node/849602/psn-pdf
May 31, 2023 - Psychosocial processes in healthcare workers: how
individuals' perceptions of interpersonal communication
is related to patient safety threats and higher-quality care.
May 31, 2023
Dietl JE, Derksen C, Keller FM, et al. Psychosocial processes in healthcare workers: how individuals'
perceptions of interpersonal com…
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psnet.ahrq.gov/node/72496/psn-pdf
November 25, 2020 - Vulnerability of the medical product supply chain: the
wake-up call of COVID-19.
November 25, 2020
Miller FA, Young SB, Dobrow M, et al. Vulnerability of the medical product supply chain: the wake-up call of
COVID-19. BMJ Qual Saf. 2020;30(4):331-335. doi:10.1136/bmjqs-2020-012133.
https://psnet.ahrq.gov/issue/vul…
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psnet.ahrq.gov/node/854248/psn-pdf
October 04, 2023 - Reduced postdischarge incidents after implementation of
a hospital-to-home transition intervention for children
with medical complexity.
October 4, 2023
Huth K, Hotz A, Emara N, et al. Reduced postdischarge incidents after implementation of a hospital-to-
home transition intervention for children with medical comp…
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psnet.ahrq.gov/node/43479/psn-pdf
October 30, 2017 - The human factor. To improve patients safety, hospitals
urged to adjust for how staff use new technology.
October 30, 2017
Rice S, Tahir D. The human factor. To improve patients safety, hospitals urged to adjust for how staff use
new technology. Modern healthcare. 2014;44(33):12-5.
https://psnet.ahrq.gov/issue/hum…
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psnet.ahrq.gov/node/35476/psn-pdf
February 22, 2010 - Taking the pulse of health care systems: experiences of
patients with health problems in six countries.
February 22, 2010
Schoen C, Osborn R, Huynh PT, et al. Taking The Pulse Of Health Care Systems: Experiences Of Patients
With Health Problems In Six Countries. doi:10.1377/hlthaff.w5.509.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/60898/psn-pdf
September 09, 2020 - Sequential implementation of the EQUIPPED geriatric
medication safety program as a learning health system.
September 9, 2020
Vandenberg AE, Kegler M, Hastings SN, et al. Sequential implementation of the EQUIPPED geriatric
medication safety program as a learning health system. Int J Qual Health Care. 2020;32(7):470-…
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psnet.ahrq.gov/node/35497/psn-pdf
June 30, 2011 - Use of a prospective risk analysis method to improve the
safety of the cancer chemotherapy process.
June 30, 2011
Bonnabry P, Cingria L, Ackermann M, et al. Use of a prospective risk analysis method to improve the
safety of the cancer chemotherapy process. Int J Qual Health Care. 2006;18(1):9-16.
https://psnet.ahr…
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psnet.ahrq.gov/node/867083/psn-pdf
November 06, 2024 - Patient-clinician diagnostic concordance upon hospital
admission.
November 6, 2024
Lam A, Plombon S, Garber A, et al. Patient-clinician diagnostic concordance upon hospital admission. Appl
Clin Inform. 2024;15(4):733-742. doi:10.1055/s-0044-1788330.
https://psnet.ahrq.gov/issue/patient-clinician-diagnostic-concord…
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psnet.ahrq.gov/node/73705/psn-pdf
September 15, 2021 - Do patient engagement interventions work for all
patients? A systematic review and realist synthesis of
interventions to enhance patient safety.
September 15, 2021
Newman B, Joseph K, Chauhan A, et al. Do patient engagement interventions work for all patients? A
systematic review and realist synthesis of intervent…
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psnet.ahrq.gov/node/35926/psn-pdf
July 26, 2010 - The patient's right to safety—improving the quality of care
through litigation against hospitals.
July 26, 2010
Annas GJ. The patient's right to safety--improving the quality of care through litigation against hospitals. N
Engl J Med. 2006;354(19):2063-2066.
https://psnet.ahrq.gov/issue/patients-right-safety-impro…
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psnet.ahrq.gov/node/46455/psn-pdf
April 24, 2018 - ISMP Medication Safety Self Assessment for High-Alert
Medications.
April 24, 2018
Horsham, PA: Institute for Safe Medication Practices; 2017.
https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-high-alert-medications
High-alert medications have the potential to cause substantial patient harm if adm…
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psnet.ahrq.gov/node/50937/psn-pdf
February 26, 2020 - Emergency intubation of children outside of the operating
room.
February 26, 2020
Long E, Barrett MJ, Peters C, et al. Emergency intubation of children outside of the operating room.
Paediatr Anaesth. 2020;30(3):319-330. doi:10.1111/pan.13784.
https://psnet.ahrq.gov/issue/emergency-intubation-children-outside-oper…
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psnet.ahrq.gov/node/47721/psn-pdf
April 24, 2019 - Effects of chemotherapy prescription clinical decision-
support systems on the chemotherapy process: a
systematic review.
April 24, 2019
Rahimi R, Moghaddasi H, Rafsanjani KA, et al. Effects of chemotherapy prescription clinical decision-
support systems on the chemotherapy process: A systematic review. Int J Med …