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psnet.ahrq.gov/node/38743/psn-pdf
January 03, 2017 - Refocusing the lens: patient safety in ambulatory chronic
disease care.
January 3, 2017
Sarkar U, Wachter R, Schroeder SA, et al. Refocusing the lens: patient safety in ambulatory chronic
disease care. Jt Comm J Qual Patient Saf. 2009;35(7):377-83, 341.
https://psnet.ahrq.gov/issue/refocusing-lens-patient-safety-a…
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psnet.ahrq.gov/node/39163/psn-pdf
June 28, 2010 - Burnout and medical errors among American surgeons.
June 28, 2010
Shanafelt TD, Balch CM, Bechamps G, et al. Burnout and medical errors among American surgeons. Ann
Surg. 2010;251(6):995-1000. doi:10.1097/SLA.0b013e3181bfdab3.
https://psnet.ahrq.gov/issue/burnout-and-medical-errors-among-american-surgeons
Duty-hou…
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psnet.ahrq.gov/node/47723/psn-pdf
January 01, 2020 - Psychological and psychosomatic symptoms of second
victims of adverse events: a systematic review and meta-
analysis.
May 1, 2019
Busch IM, Moretti F, Purgato M, et al. Psychological and Psychosomatic Symptoms of Second Victims of
Adverse Events. J Patient Saf. 2020;16(2):e61-e74. doi:10.1097/pts.0000000000000589.…
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psnet.ahrq.gov/node/42917/psn-pdf
February 05, 2014 - The PROMISES Project.
February 5, 2014
Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the
Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School;
Health Care for All; Massachusetts Medical Society; Massachusetts Departme…
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psnet.ahrq.gov/issue/african-partnerships-patient-safety
April 30, 2024 - Multi-use Website
African Partnerships for Patient Safety.
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November 11, 2009
This Web site establishes a forum for hospitals in E…
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psnet.ahrq.gov/node/40982/psn-pdf
March 23, 2012 - Emergency hospitalizations for adverse drug events in
older Americans.
March 23, 2012
Budnitz DS, Lovegrove MC, Shehab N, et al. Emergency hospitalizations for adverse drug events in older
Americans. New Engl J Med. 2011;365(21):2002-2012. doi:10.1056/NEJMsa1103053.
https://psnet.ahrq.gov/issue/emergency-hospitali…
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psnet.ahrq.gov/node/44847/psn-pdf
May 09, 2017 - Preventability and causes of readmissions in a national
cohort of general medicine patients.
May 9, 2017
Auerbach AD, Kripalani S, Vasilevskis EE, et al. Preventability and Causes of Readmissions in a National
Cohort of General Medicine Patients. JAMA Intern Med. 2016;176(4):484-93.
doi:10.1001/jamainternmed.2015.…
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psnet.ahrq.gov/node/41983/psn-pdf
January 16, 2013 - A systematic review of evidence on the links between
patient experience and clinical safety and effectiveness.
January 16, 2013
Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and
clinical safety and effectiveness. BMJ Open. 2013;3(1). doi:10.1136/bmjopen-2012-0015…
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psnet.ahrq.gov/node/47457/psn-pdf
January 17, 2019 - Developing a reporting culture: learning from close calls
and hazardous conditions.
January 17, 2019
Developing a reporting culture: Learning from close calls and hazardous conditions. Sentinel Event Alert.
2018;(60):1-8.
https://psnet.ahrq.gov/issue/developing-reporting-culture-learning-close-calls-and-hazardous-…
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psnet.ahrq.gov/node/42326/psn-pdf
June 05, 2013 - Patient safety event reporting expectation: does it
influence residents' attitudes and reporting behaviors?
June 5, 2013
Boike JR, Bortman JS, Radosta JM, et al. Patient safety event reporting expectation: does it influence
residents' attitudes and reporting behaviors? J Patient Saf. 2013;9(2):59-67.
doi:10.1097/P…
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psnet.ahrq.gov/node/45667/psn-pdf
November 16, 2016 - Individual surgeon mortality rates: can outliers be
detected? A national utility analysis.
November 16, 2016
Harrison EM, Drake TM, O'Neill S, et al. Individual surgeon mortality rates: can outliers be detected? A
national utility analysis. BMJ Open. 2016;6(10):e012471. doi:10.1136/bmjopen-2016-012471.
https://psn…
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psnet.ahrq.gov/node/43533/psn-pdf
August 28, 2017 - Organizational, cultural, and psychological determinants
of smart infusion pump work arounds: a study of 3 U.S.
health systems.
August 28, 2017
Dunford BB, Perrigino M, Tucker SJ, et al. Organizational, Cultural, and Psychological Determinants of
Smart Infusion Pump Work Arounds: A Study of 3 U.S. Health Systems. …
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psnet.ahrq.gov/node/48061/psn-pdf
June 12, 2019 - Interventions to reduce burnout and improve resilience:
impact on a health system's outcomes.
June 12, 2019
Moffatt-Bruce SD, Nguyen MC, Steinberg B, et al. Interventions to Reduce Burnout and Improve
Resilience: Impact on a Health System's Outcomes. Clin Obstet Gynecol. 2019;62(3):432-443.
doi:10.1097/GRF.0000000…
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psnet.ahrq.gov/node/43766/psn-pdf
September 26, 2016 - Driven to distraction: a prospective controlled study of a
simulated ward round experience to improve patient
safety teaching for medical students.
September 26, 2016
Thomas I, Nicol L, Regan L, et al. Driven to distraction: a prospective controlled study of a simulated ward
round experience to improve patient saf…
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psnet.ahrq.gov/node/46484/psn-pdf
August 20, 2018 - Defining and measuring diagnostic uncertainty in
medicine: a systematic review.
August 20, 2018
Bhise V, Rajan SS, Sittig DF, et al. Defining and Measuring Diagnostic Uncertainty in Medicine: A
Systematic Review. J Gen Intern Med. 2018;33(1):103-115. doi:10.1007/s11606-017-4164-1.
https://psnet.ahrq.gov/issue/defi…
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psnet.ahrq.gov/node/39210/psn-pdf
January 12, 2010 - Can aviation-based team training elicit sustainable
behavioral change?
January 12, 2010
Sax HC, Browne P, Mayewski RJ, et al. Can aviation-based team training elicit sustainable behavioral
change? Arch Surg. 2009;144(12):1133-1137. doi:10.1001/archsurg.2009.207.
https://psnet.ahrq.gov/issue/can-aviation-based-team…
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psnet.ahrq.gov/node/863747/psn-pdf
March 06, 2024 - "Good care is slow enough to be able to pay attention":
primary care time scarcity and patient safety.
March 6, 2024
Satterwhite S, Nguyen M-LT, Honcharov V, et al. "Good care is slow enough to be able to pay attention":
primary care time scarcity and patient safety. J Gen Intern Med. 2024;39(9):1575-1582.
doi:10.…
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psnet.ahrq.gov/node/37791/psn-pdf
September 29, 2017 - Controversy and quality improvement: lingering
questions about ethics, oversight, and patient safety
research.
September 29, 2017
Kass N, Pronovost P, Sugarman J, et al. Controversy and quality improvement: lingering questions about
ethics, oversight, and patient safety research. Jt Comm J Qual Patient Saf. 2008;3…
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psnet.ahrq.gov/node/72572/psn-pdf
January 01, 2021 - "At home, with care": lessons from New York City home-
based primary care practices managing COVID-19.
December 16, 2020
Franzosa E, Gorbenko K, Brody AA, et al. "At home, with care": lessons from New York City home-based
primary care practices managing COVID-19. J Am Geriatr Soc. 2021;69(2):300-306.
doi:10.1111/j…
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psnet.ahrq.gov/node/48150/psn-pdf
August 21, 2019 - Communication between primary and secondary care:
deficits and danger.
August 21, 2019
Dinsdale E, Hannigan A, O’Connor R, et al. Communication between primary and secondary care: deficits
and danger. Fam Pract. 2019;17(1):63-68. doi:10.1093/fampra/cmz037.
https://psnet.ahrq.gov/issue/communication-between-primary…