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psnet.ahrq.gov/node/41725/psn-pdf
January 01, 2013 - Improving patient handovers from hospital to primary
care: a systematic review.
October 3, 2012
Hesselink G, Schoonhoven L, Barach P, et al. Improving patient handovers from hospital to primary care: a
systematic review. Ann Intern Med. 2013;157(6):417. doi:10.7326/0003-4819-157-6-201209180-00006.
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psnet.ahrq.gov/node/45662/psn-pdf
January 23, 2017 - National trends in hospitalizations for opioid poisonings
among children and adolescents, 1997 to 2012.
January 23, 2017
Gaither JR, Leventhal JM, Ryan SA, et al. National Trends in Hospitalizations for Opioid Poisonings Among
Children and Adolescents, 1997 to 2012. JAMA Peds. 2016;170(12):1195-1201.
doi:10.1001/j…
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psnet.ahrq.gov/node/844758/psn-pdf
September 18, 2019 - The fifth vital sign? Nurse worry predicts inpatient
deterioration within 24 hours.
September 18, 2019
Romero-Brufau S, Gaines K, Nicolas CT, et al. JAMIA Open. 2019;2(4):465-470.
https://psnet.ahrq.gov/issue/fifth-vital-sign-nurse-worry-predicts-inpatient-deterioration-within-24-hours
Early recognition of clinica…
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psnet.ahrq.gov/node/46285/psn-pdf
August 02, 2017 - A hospital is not just a factory, but a complex adaptive
system—implications for perioperative care.
August 2, 2017
Mahajan A, Islam SD, Schwartz MJ, et al. A Hospital Is Not Just a Factory, but a Complex Adaptive
System-Implications for Perioperative Care. Anesth Analg. 2017;125(1):333-341.
doi:10.1213/ANE.000000…
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psnet.ahrq.gov/node/45665/psn-pdf
February 22, 2017 - Comparative effectiveness of a serious game and an e-
module to support patient safety knowledge and
awareness.
February 22, 2017
Dankbaar MEW, Richters O, Kalkman CJ, et al. Comparative effectiveness of a serious game and an e-
module to support patient safety knowledge and awareness. BMC Med Educ. 2017;17(1):30.…
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psnet.ahrq.gov/node/61108/psn-pdf
November 11, 2020 - Association of clinical nursing work environment with
quality and safety in maternity care in the United States.
November 11, 2020
Clark RRS, Lake ET. Association of clinical nursing work environment with quality and safety in maternity
care in the United States. MCN: Am J Maternal Child Nurs. 2020;45(5):265-270.
…
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January 01, 2024 - System planning for modern-day Just Culture to mitigate
worker distress and second victim response.
November 29, 2023
Sells JR, Cole I, Dharmasukrit C, et al. System planning for modern-day Just Culture to mitigate worker
distress and second victim response. BMJ Lead. 2024;8(2):149-152. doi:10.1136/leader-2023-0008…
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psnet.ahrq.gov/node/34732/psn-pdf
May 09, 2015 - A Tale of Two Stories: Contrasting Views of Patient
Safety.
May 9, 2015
Cook RI, Woods DD, Miller C. Chicago, IL: National Patient Safety Foundation; 1997.
https://psnet.ahrq.gov/issue/tale-two-stories-contrasting-views-patient-safety
A report from a workshop, this document is a well-written look at the difference…
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psnet.ahrq.gov/node/35264/psn-pdf
June 29, 2009 - The Critical Care Safety Study: the incidence and nature
of adverse events and serious medical errors in intensive
care.
June 29, 2009
Rothschild JM, Landrigan CP, Cronin JW, et al. The Critical Care Safety Study: The incidence and nature
of adverse events and serious medical errors in intensive care. Crit Care M…
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psnet.ahrq.gov/node/837301/psn-pdf
June 01, 2022 - Physicians' experiences with mistreatment and
discrimination by patients, families, and visitors and
association with burnout.
June 1, 2022
Dyrbye LN, West CP, Sinsky CA, et al. Physicians' experiences with mistreatment and discrimination by
patients, families, and visitors and association with burnout. JAMA Netw …
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psnet.ahrq.gov/node/73603/psn-pdf
August 18, 2021 - The patients' perspective: hematological cancer patients'
experiences of adverse events as part of care.
August 18, 2021
Bryant J, Carey M, Sanson-Fisher R, et al. The patients' perspective: hematological cancer patients'
experiences of adverse events as part of care. J Patient Saf. 2021;17(5):e387-e392.
doi:10.10…
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psnet.ahrq.gov/node/866556/psn-pdf
August 21, 2024 - Digital maturity as a predictor of quality and safety
outcomes in US hospitals: cross-sectional observational
study.
August 21, 2024
Snowdon A, Hussein A, Danforth M, et al. Digital maturity as a predictor of quality and safety outcomes in
US hospitals: cross-sectional observational study. J Med Internet Res. 2024…
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psnet.ahrq.gov/node/46627/psn-pdf
January 30, 2018 - The lost art of doctoring: reflections of a pediatric
resident.
January 30, 2018
Mitchell SM. The Lost Art of Doctoring: Reflections of a Pediatric Resident. JAMA Pediatr. 2018;172(1):10.
doi:10.1001/jamapediatrics.2017.3247.
https://psnet.ahrq.gov/issue/lost-art-doctoring-reflections-pediatric-resident
There are…
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psnet.ahrq.gov/node/36814/psn-pdf
March 28, 2011 - Medication errors in paediatric care: a systematic review
of epidemiology and an evaluation of evidence supporting
reduction strategy recommendations.
March 28, 2011
Miller MR, Robinson K, Lubomski LH, et al. Medication errors in paediatric care: a systematic review of
epidemiology and an evaluation of evidence su…
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psnet.ahrq.gov/node/848318/psn-pdf
May 03, 2023 - Teamwork, clinical leadership skills and environmental
factors that influence missed nursing care - a qualitative
study on hospital wards.
May 3, 2023
Beiboer C, Andela R, Hafsteinsdóttir TB, et al. Teamwork, clinical leadership skills and environmental
factors that influence missed nursing care – a qualitative st…
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psnet.ahrq.gov/node/37334/psn-pdf
February 01, 2011 - A framework for health care organizations to develop and
evaluate a safety scorecard.
February 1, 2011
Pronovost P, Berenholtz SM, Needham DM. A framework for health care organizations to develop and
evaluate a safety scorecard. JAMA. 2007;298(17):2063-5.
https://psnet.ahrq.gov/issue/framework-health-care-organiza…
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psnet.ahrq.gov/node/45479/psn-pdf
October 08, 2016 - Physician understanding and ability to communicate
harms and benefits of common medical treatments.
October 8, 2016
Krouss M, Croft LD, Morgan DJ. Physician Understanding and Ability to Communicate Harms and Benefits
of Common Medical Treatments. JAMA Intern Med. 2016;176(10):1565-1567.
doi:10.1001/jamainternmed.2…
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psnet.ahrq.gov/node/44515/psn-pdf
February 23, 2018 - The Expert Panel Report to Texas Health Resources
Leadership on the 2014 Ebola Events.
February 23, 2018
Cortese D, Abbott P, Chassin M, Lyon GM III, Riley WJ. Dallas, TX: Texas Health Resources Leadership;
2015.
https://psnet.ahrq.gov/issue/expert-panel-report-texas-health-resources-leadership-2014-ebola-events
…
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psnet.ahrq.gov/node/47714/psn-pdf
March 27, 2019 - Quality improvement in ambulatory surgery centers: a
major national effort aimed at reducing infections and
other surgical complications.
March 27, 2019
Davis KK, Mahishi V, Singal R, et al. Quality Improvement in Ambulatory Surgery Centers: A Major
National Effort Aimed at Reducing Infections and Other Surgical C…
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psnet.ahrq.gov/node/44203/psn-pdf
August 04, 2015 - Variability in antibiotic use across nursing homes and the
risk of antibiotic-related adverse outcomes for individual
residents.
August 4, 2015
Daneman N, Bronskill SE, Gruneir A, et al. Variability in Antibiotic Use Across Nursing Homes and the Risk
of Antibiotic-Related Adverse Outcomes for Individual Residents.…