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psnet.ahrq.gov/node/45247/psn-pdf
August 15, 2016 - Physician transition of care: benefits of I-PASS and an
electronic handoff system in a community pediatric
residency program.
August 15, 2016
Walia J, Qayumi Z, Khawar N, et al. Physician Transition of Care: Benefits of I-PASS and an Electronic
Handoff System in a Community Pediatric Residency Program. Acad Pediat…
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psnet.ahrq.gov/node/46041/psn-pdf
September 20, 2017 - The economic burden of nurse-sensitive adverse events
in 22 medical-surgical units: retrospective and matching
analysis.
September 20, 2017
Tchouaket E, Dubois C-A, D'Amour D. The economic burden of nurse-sensitive adverse events in 22
medical-surgical units: retrospective and matching analysis. J Adv Nurs. 2017;7…
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psnet.ahrq.gov/node/837151/psn-pdf
May 18, 2022 - Society for Maternal-Fetal Medicine Special Statement: a
critique of postpartum readmission rate as a quality
metric.
May 18, 2022
Combs CA, Goffman D, Pettker CM. Society for Maternal-Fetal Medicine Special Statement: A critique of
postpartum readmission rate as a quality metric. Am J Obstet Gynecol. 2022;226(4):…
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psnet.ahrq.gov/node/74153/psn-pdf
December 08, 2021 - The benefits and harms of open notes in mental health: a
Delphi survey of international experts.
December 8, 2021
Blease CR, Kharko A, Hägglund M, et al. The benefits and harms of open notes in mental health: a Delphi
survey of international experts. PLoS ONE. 2021;16(10):e0258056. doi:10.1371/journal.pone.0258056.…
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psnet.ahrq.gov/node/862615/psn-pdf
August 12, 2019 - Information and power: women of color's experiences
interacting with health care providers in pregnancy and
birth.
August 12, 2019
Altman MR, Oseguera T, McLemore MR, et al. Information and power: women of color's experiences
interacting with health care providers in pregnancy and birth. Soc Sci Med. 2019;238:1124…
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psnet.ahrq.gov/node/862154/psn-pdf
June 18, 2020 - Listening to women: recommendations from women of
color to improve experiences in pregnancy and birth care.
June 18, 2020
Altman MR, McLemore MR, Oseguera T, et al. Listening to women: recommendations from women of color
to improve experiences in pregnancy and birth care. J Midwifery Womens Health. 2020;65(4):466-4…
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psnet.ahrq.gov/node/74125/psn-pdf
January 01, 2022 - Understanding preventable deaths in the geriatric trauma
population: analysis of 3,452,339 patients from the Center
of Medicare and Medicaid Services Database.
December 1, 2021
Ang D, Nieto K, Sutherland M, et al. Understanding preventable deaths in the geriatric trauma population:
analysis of 3,452,339 patients f…
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psnet.ahrq.gov/node/851070/psn-pdf
June 28, 2023 - Diagnostic Safety Across Transitions of Care Throughout
the Healthcare System: Current State and a Call to Action.
June 28, 2023
Santhosh L, Cornell E, Rojas JC, et al. Rockville, MD: Agency for Healthcare Research and Quality; June
2023. AHRQ Publication No. 23-0040-1-EF.
https://psnet.ahrq.gov/issue/diagnostic-s…
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psnet.ahrq.gov/node/74731/psn-pdf
February 02, 2022 - Impact of full personal protective equipment on alertness
of healthcare workers: a prospective study.
February 2, 2022
Wells HJ, Raithatha M, Elhag S, et al. Impact of full personal protective equipment on alertness of
healthcare workers: a prospective study. BMJ Open Qual. 2022;11(1):e001551. doi:10.1136/bmjoq-202…
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psnet.ahrq.gov/node/60050/psn-pdf
March 18, 2020 - Zero harm in health care.
March 18, 2020
Gandhi TK, Feeley D, Schummers D. Zero Harm in Health Care. NEJM Catal Innov Care Deliv. 2020;1(2).
doi:10.1056/cat.19.1137.
https://psnet.ahrq.gov/issue/zero-harm-health-care
Health systems are encouraged to strive for zero preventable harm, but achieving this goal require…
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psnet.ahrq.gov/node/837794/psn-pdf
August 10, 2022 - Combined impact of Medicare's hospital pay for
performance programs on quality and safety outcomes is
mixed.
August 10, 2022
Waters TM, Burns N, Kaplan CM, et al. Combined impact of Medicare’s hospital pay for performance
programs on quality and safety outcomes is mixed. BMC Health Serv Res. 2022;22(1):958.
doi:1…
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psnet.ahrq.gov/node/73604/psn-pdf
August 18, 2021 - The effect of providing staff training and enhanced
support to care homes on care processes, safety climate
and avoidable harms: evaluation of a care home quality
improvement programme in England.
August 18, 2021
Damery S, Flanagan S, Jones J, et al. The effect of providing staff training and enhanced support to c…
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psnet.ahrq.gov/node/47356/psn-pdf
September 05, 2018 - 'Cyberloafing' in health care: a real risk to patient safety.
September 5, 2018
Ross J. 'Cyberloafing' in Health Care: A Real Risk to Patient Safety. J Perianesth Nurs. 2018;33(4):560-
562. doi:10.1016/j.jopan.2018.05.003.
https://psnet.ahrq.gov/issue/cyberloafing-health-care-real-risk-patient-safety
The health ca…
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psnet.ahrq.gov/node/837892/psn-pdf
January 01, 2023 - Teamwork before and during COVID-19: the good, the
same, and the ugly….
August 24, 2022
Rehder KJ, Adair KC, Eckert E, et al. Teamwork before and during COVID-19: the good, the same, and the
ugly…. J Patient Saf. 2023;19(1):36-41. doi:10.1097/pts.0000000000001070.
https://psnet.ahrq.gov/issue/teamwork-and-during-c…
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psnet.ahrq.gov/node/867381/psn-pdf
December 18, 2024 - Promoting medication safety for older adults upon
hospital discharge: guiding principles for a medication
discharge plan.
December 18, 2024
Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge:
guiding principles for a medication discharge plan. Br J Clin Pharm…
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psnet.ahrq.gov/node/851457/psn-pdf
July 19, 2023 - Root causes and preventability of unintentionally retained
foreign objects after surgery: a national expert survey
from Switzerland.
July 19, 2023
Schwappach DLB, Pfeiffer Y. Root causes and preventability of unintentionally retained foreign objects
after surgery: a national expert survey from Switzerland. Patient…
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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/41132/psn-pdf
March 13, 2012 - Spreading a medication administration intervention
organizationwide in six hospitals.
March 13, 2012
Kliger J, Singer SJ, Hoffman F, et al. Spreading a medication administration intervention organizationwide
in six hospitals. Jt Comm J Qual Patient Saf. 2012;38(2):51-60.
https://psnet.ahrq.gov/issue/spreading-medi…
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psnet.ahrq.gov/node/50795/psn-pdf
January 15, 2020 - Diagnostic error in the emergency department: learning
from national patient safety incident report analysis.
January 15, 2020
Hussain F, Cooper A, Carson-Stevens A, et al. Diagnostic error in the emergency department: learning
from national patient safety incident report analysis. BMC Emerg Med. 2019;19(1):77. doi…
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psnet.ahrq.gov/node/44563/psn-pdf
October 21, 2015 - The effect of staff nurses' shift length and fatigue on
patient safety and nurses' health: from the National
Association of Neonatal Nurses.
October 21, 2015
Samra HA, Smith BA. The Effect of Staff Nurses' Shift Length and Fatigue on Patient Safety and Nurses'
Health: From the National Association of Neonatal Nurs…