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psnet.ahrq.gov/node/853234/psn-pdf
September 06, 2023 - Perceptions and attitudes of pediatricians and families
with regard to pediatric medication errors at home.
September 6, 2023
de Dios JG, Lopez-Pineda A, Juan GM-P, et al. Perceptions and attitudes of pediatricians and families with
regard to pediatric medication errors at home. BMC Pediatr. 2023;23(1):380. doi:10.…
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psnet.ahrq.gov/node/46783/psn-pdf
January 24, 2018 - America's Hospitals: Improving Quality and Safety: The
Joint Commission's Annual Report 2017.
January 24, 2018
Oakbrook Terrace; IL: Joint Commission; 2017.
https://psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-
report-2017
The Joint Commission annual report provide…
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psnet.ahrq.gov/node/36697/psn-pdf
February 03, 2011 - Deficits in communication and information transfer
between hospital-based and primary care physicians:
implications for patient safety and continuity of care.
February 3, 2011
Kripalani S, LeFevre F, Phillips CO, et al. Deficits in communication and information transfer between
hospital-based and primary care phys…
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psnet.ahrq.gov/node/40634/psn-pdf
September 20, 2011 - "July Effect": impact of the academic year-end
changeover on patient outcomes. A systematic review.
September 20, 2011
Young JQ, Ranji SR, Wachter R, et al. "July effect": impact of the academic year-end changeover on
patient outcomes: a systematic review. Ann Intern Med. 2011;155(5):309-15. doi:10.7326/0003-4819-1…
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psnet.ahrq.gov/node/40674/psn-pdf
October 16, 2012 - The care transitions intervention: translating from
efficacy to effectiveness.
October 16, 2012
Voss R, Gardner R, Baier R, et al. The care transitions intervention: translating from efficacy to
effectiveness. Arch Intern Med. 2011;171(14):1232-7. doi:10.1001/archinternmed.2011.278.
https://psnet.ahrq.gov/issue/ca…
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psnet.ahrq.gov/node/41746/psn-pdf
October 10, 2012 - The relationship of self-report of quality to practice size
and health information technology.
October 10, 2012
Gorman PN, O'Malley JP, Fagnan LJ. The relationship of self-report of quality to practice size and health
information technology. J Am Board Fam Med. 2012;25(5):614-24. doi:10.3122/jabfm.2012.05.120063.
…
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psnet.ahrq.gov/node/41100/psn-pdf
February 01, 2012 - Agency for Healthcare Research and Quality pediatric
indicators as a quality metric for surgery in children: do
they predict adverse outcomes?
February 1, 2012
Rhee D, Zhang Y, Papandria DJ, et al. Agency for Healthcare Research and Quality pediatric indicators as
a quality metric for surgery in children: do they …
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psnet.ahrq.gov/node/42208/psn-pdf
April 17, 2013 - Hospital staff nurses' shift length associated with safety
and quality of care.
April 17, 2013
Stimpfel AW, Aiken LH. Hospital staff nurses' shift length associated with safety and quality of care. J Nurs
Care Qual. 2013;28(2):122-129. doi:10.1097/NCQ.0b013e3182725f09.
https://psnet.ahrq.gov/issue/hospital-staff-n…
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psnet.ahrq.gov/node/848316/psn-pdf
May 03, 2023 - Floating to intensive care units: nurses' messages for
instant action to promote patient safety.
May 3, 2023
Ahmed FR, Timmins F, Dias JM, et al. Floating to intensive care units: nurses' messages for instant action
to promote patient safety. Nurs Crit Care. 2023;28(6):902-912. doi:10.1111/nicc.12907.
https://psne…
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psnet.ahrq.gov/node/41497/psn-pdf
April 05, 2013 - Avoiding handover fumbles: a controlled trial of a
structured handover tool versus traditional handover
methods.
April 5, 2013
Payne CE, Stein JM, Leong T, et al. Avoiding handover fumbles: a controlled trial of a structured handover
tool versus traditional handover methods. BMJ Qual Saf. 2012;21(11):925-32. doi:1…
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psnet.ahrq.gov/node/866910/psn-pdf
October 09, 2024 - From theory to policy in resilient health care: policy
recommendations and lessons learnt from the Resilience
in Healthcare Research Program.
October 9, 2024
Wiig S, Lyng HB, Guise V, et al. From theory to policy in resilient health care: policy recommendations and
lessons learnt from the Resilience in Healthcare …
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psnet.ahrq.gov/node/38175/psn-pdf
April 11, 2011 - An intervention to decrease narcotic-related adverse drug
events in children's hospitals.
April 11, 2011
Sharek PJ, McClead RE, Taketomo C, et al. An intervention to decrease narcotic-related adverse drug
events in children's hospitals. Pediatrics. 2008;122(4):e861-e866. doi:10.1542/peds.2008-1011.
https://psnet.a…
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psnet.ahrq.gov/node/854626/psn-pdf
October 18, 2023 - Developing surgical and anesthesia resident patient
safety competencies through systems-based event
analysis. Guide to curricular development and evaluation
of longer-term resident perceptions.
October 18, 2023
Bagian JP, Paull DE, DeRosier JM. Developing surgical and anesthesia resident patient safety
competenci…
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psnet.ahrq.gov/node/39768/psn-pdf
August 18, 2010 - Medical team training and coaching in the veterans health
administration; assessment and impact on the first 32
facilities in the programme.
August 18, 2010
Neily J, Mills PD, Lee P, et al. Medical team training and coaching in the Veterans Health Administration;
assessment and impact on the first 32 facilities in…
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psnet.ahrq.gov/node/60680/psn-pdf
July 15, 2020 - Contributing factors for pediatric ambulatory diagnostic
process errors: Project RedDE.
July 15, 2020
Dadlez NM, Adelman JS, Bundy DG, et al. Contributing factors for pediatric ambulatory diagnostic process
errors: Project RedDE. Ped Qual Saf. 2020;5(3):e299-e305. doi:10.1097/pq9.0000000000000299.
https://psnet.ah…
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psnet.ahrq.gov/node/40776/psn-pdf
September 14, 2011 - Nursing Home Survey on Patient Safety Culture: 2011
User Comparative Database Report.
September 14, 2011
Sorra J, Famolaro T, Dyer N, Khanna K, Nelson D. Rockville, MD: Agency for Healthcare Research and
Quality; August 2011. AHRQ Publication No. 11-0071.
https://psnet.ahrq.gov/issue/nursing-home-survey-patient-sa…
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psnet.ahrq.gov/node/73197/psn-pdf
April 28, 2021 - Medical Office Survey: 2020 User Database Report.
April 28, 2021
Famolaro T, Hare R, Thornton S, et al. Surveys on Patient Safety CultureTM (SOPSTM). Rockville,
MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0034.
https://psnet.ahrq.gov/issue/medical-office-survey-2020-user…
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psnet.ahrq.gov/node/38217/psn-pdf
April 26, 2017 - Patient safety climate in US hospitals: variation by
management level.
April 26, 2017
Singer SJ, Falwell A, Gaba DM, et al. Patient safety climate in US hospitals: variation by management
level. Med Care. 2008;46(11):1149-56. doi:10.1097/MLR.0b013e31817925c1.
https://psnet.ahrq.gov/issue/patient-safety-climate-us-…
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psnet.ahrq.gov/node/73083/psn-pdf
March 31, 2021 - Suicide as an incident of severe patient harm: a
retrospective cohort study of investigations after suicide
in Swedish healthcare in a 13-year perspective.
March 31, 2021
Fröding E, Gäre BA, Westrin Å, et al. Suicide as an incident of severe patient harm: a retrospective cohort
study of investigations after suicid…
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psnet.ahrq.gov/node/40250/psn-pdf
July 09, 2012 - Patient involvement in patient safety: how willing are
patients to participate?
July 9, 2012
Davis R, Sevdalis N, Vincent C. Patient involvement in patient safety: How willing are patients to
participate? BMJ Qual Saf. 2011;20(1):108-114. doi:10.1136/bmjqs.2010.041871.
https://psnet.ahrq.gov/issue/patient-involvem…