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psnet.ahrq.gov/node/60539/psn-pdf
July 10, 2017 - Understanding facilitators and barriers to care
transitions: insights from Project ACHIEVE Site Visits.
July 10, 2017
Scott AM, Li J, Oyewole-Eletu S, et al. Understanding facilitators and barriers to care transitions: insights
from Project ACHIEVE Site Visits. Jt Comm J Qual Patient Saf. 2017;43(9):433-447.
doi:1…
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psnet.ahrq.gov/node/74030/psn-pdf
November 03, 2021 - Evaluation of a second victim peer support program on
perceptions of second victim experiences and supportive
resources in pediatric clinical specialties using the
second victim experience and support tool (SVEST).
November 3, 2021
Finney RE, Czinski S, Fjerstad K, et al. Evaluation of a second victim peer support…
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psnet.ahrq.gov/node/60245/psn-pdf
April 22, 2020 - Unprecedented solutions for extraordinary times: helping
long-term care settings deal with the COVID-19 pandemic.
April 22, 2020
Gaur S, Dumyati G, Nace DA, et al. Unprecedented solutions for extraordinary times: helping long-term
care settings deal with the COVID-19 pandemic. Infect Control Hosp Epidemiol. 2020;41…
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psnet.ahrq.gov/node/42882/psn-pdf
November 23, 2016 - Structuring patient and family involvement in medical
error event disclosure and analysis.
November 23, 2016
Etchegaray J, Ottosen M, Burress L, et al. Structuring patient and family involvement in medical error event
disclosure and analysis. Health Aff (Millwood). 2014;33(1):46-52. doi:10.1377/hlthaff.2013.0831.
…
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psnet.ahrq.gov/node/840484/psn-pdf
November 30, 2022 - Interdisciplinary collaboration across secondary and
primary care to improve medication safety in the elderly
(The IMMENSE study) - a randomized controlled trial.
November 30, 2022
Johansen JS, Halvorsen KH, Svendsen K, et al. Interdisciplinary collaboration across secondary and
primary care to improve medication …
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psnet.ahrq.gov/node/836719/psn-pdf
March 09, 2022 - Prevalence and factors associated with patient-requested
corrections to the medical record through use of a patient
portal: findings from a national survey.
March 9, 2022
Nguyen OT, Hong Y-R, Alishahi Tabriz A, et al. Prevalence and factors associated with patient-requested
corrections to the medical record throug…
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psnet.ahrq.gov/node/60321/psn-pdf
May 13, 2020 - Safely practicing in a new environment: a qualitative
study to inform physician onboarding practices.
May 13, 2020
Lagoo J, Berry WR, Henrich N, et al. Safely practicing in a new environment: a qualitative study to inform
physician onboarding practices. Jt Comm J Qual Patient Saf. 2020;46(6):314-320.
doi:10.1016/j…
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psnet.ahrq.gov/node/35853/psn-pdf
May 20, 2015 - What practices will most improve safety? Evidence-based
medicine meets patient safety.
May 20, 2015
Leape L, Berwick DM, Bates DW. What practices will most improve safety? Evidence-based medicine
meets patient safety. JAMA. 2002;288(4):501-7.
https://psnet.ahrq.gov/issue/what-practices-will-most-improve-safety-evi…
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psnet.ahrq.gov/node/60591/psn-pdf
June 17, 2020 - National trends in the safety performance of electronic
health record systems from 2009 to 2018.
June 17, 2020
Classen DC, Holmgren AJ, Co Z, et al. National trends in the safety performance of electronic health record
systems from 2009 to 2018. JAMA Netw Open. 2020;3(5). doi:10.1001/jamanetworkopen.2020.5547.
htt…
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psnet.ahrq.gov/node/38696/psn-pdf
April 11, 2012 - Hospital Survey on Patient Safety Culture: 2009
Comparative Database Report.
April 11, 2012
Sorra J, Famloaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and
Quality; 2009. AHRQ Publication No. 09-0030.
https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2009-compar…
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psnet.ahrq.gov/node/37792/psn-pdf
February 15, 2011 - Exploring organizational context and structure as
predictors of medication errors and patient falls.
February 15, 2011
Mark BA, Hughes LC, Belyea M, et al. Exploring Organizational Context and Structure as Predictors of
Medication Errors and Patient Falls. J Patient Saf. 2008;4(2). doi:10.1097/pts.0b013e3181695671.…
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psnet.ahrq.gov/node/864368/psn-pdf
March 13, 2024 - Medical misadventures as errors and mistakes and motor
vehicular accidents in the disproportionate burden of
childhood mortality among Blacks/African Americans in
the United States: CDC Dataset, 1968-2015.
March 13, 2024
Holmes L, Enwere M, Mason R, et al. Medical misadventures as errors and mistakes and motor veh…
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psnet.ahrq.gov/node/47550/psn-pdf
November 21, 2018 - Nurses' and patients' appraisals show patient safety in
hospitals remains a concern.
November 21, 2018
Aiken LH, Sloane DM, Barnes H, et al. Nurses' And Patients' Appraisals Show Patient Safety In Hospitals
Remains A Concern. Health Aff (Millwood). 2018;37(11):1744-1751. doi:10.1377/hlthaff.2018.0711.
https://psne…
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psnet.ahrq.gov/node/44044/psn-pdf
June 21, 2015 - A collaborative learning network approach to
improvement: the CUSP learning network.
June 21, 2015
Weaver SJ, Lofthus J, Sawyer M, et al. A Collaborative Learning Network Approach to Improvement: The
CUSP Learning Network. Jt Comm J Qual Patient Saf. 2015;41(4):147-159.
https://psnet.ahrq.gov/issue/collaborative-l…
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psnet.ahrq.gov/node/45575/psn-pdf
November 09, 2016 - Developing a high value care programme from the bottom
up: a programme of faculty-resident improvement
projects targeting harmful or unnecessary care.
November 9, 2016
Stinnett-Donnelly JM, Stevens PG, Hood VL. Developing a high value care programme from the bottom up:
a programme of faculty-resident improvement p…
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psnet.ahrq.gov/node/73704/psn-pdf
September 15, 2021 - TRIAD IX: can a patient testimonial safely help ensure
prehospital appropriate critical versus end-of-life care?
September 15, 2021
Mirarchi FL, Cammarata C, Cooney TE, et al. TRIAD IX: can a patient testimonial safely help ensure
prehospital appropriate critical versus end-of-life care? J Patient Saf. 2021;17(6):4…
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psnet.ahrq.gov/sites/default/files/2021-09/Roll-out%20diagram%20generic.pdf
January 01, 2021 - R
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How to roll out the Battle Buddy program as part of a psychological resilience intervention
Can stand alone*
Specific nursing unit le…
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psnet.ahrq.gov/node/40252/psn-pdf
March 02, 2011 - Older patients' understanding of emergency department
discharge information and its relationship with adverse
outcomes.
March 2, 2011
Hastings SN, Barrett A, Weinberger M, et al. Older Patients' Understanding of Emergency Department
Discharge Information and Its Relationship With Adverse Outcomes. J Patient Saf. 2…
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psnet.ahrq.gov/node/73110/psn-pdf
April 07, 2021 - Does one size fit all? Assessing the need for
organizational second victim support programs.
April 7, 2021
Edrees HH, Wu AW. Does one size fit all? Assessing the need for organizational second victim support
programs. J Patient Saf. 2021;17(3):e247-e254. doi:10.1097/pts.0000000000000321.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/issue/shakespeare-was-target-dont-be-borrower-or-lender
May 11, 2022 - Newspaper/Magazine Article
Shakespeare was on target—don't be a borrower or lender.
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June 10, 2018
This piece describes the dangers…