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psnet.ahrq.gov/node/837797/psn-pdf
August 10, 2022 - Toward constructive change after making a medical error:
recovery from situations of error theory as a psychosocial
model for clinician recovery.
August 10, 2022
Harrison R, Johnson J, Mcmullan RD, et al. Toward constructive change after making a medical error:
recovery from situations of error theory as a psychos…
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psnet.ahrq.gov/node/36315/psn-pdf
July 10, 2008 - Wrong-side/wrong-site, wrong-procedure, and wrong-
patient adverse events: are they preventable?
July 10, 2008
Seiden SC, Barach P. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: Are
they preventable? Arch Surg. 2006;141(9):931-9.
https://psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-p…
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psnet.ahrq.gov/node/39249/psn-pdf
September 30, 2015 - Patient participation: current knowledge and applicability
to patient safety.
September 30, 2015
Longtin Y, Sax H, Leape L, et al. Patient participation: current knowledge and applicability to patient safety.
Mayo Clin Proc. 2010;85(1):53-62. doi:10.4065/mcp.2009.0248.
https://psnet.ahrq.gov/issue/patient-particip…
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psnet.ahrq.gov/node/74866/psn-pdf
February 23, 2022 - Eliminating explicit and implicit biases in health care:
evidence and research needs.
February 23, 2022
Vela MB, Erondu AI, Smith NA, et al. Eliminating explicit and implicit biases in health care: evidence and
research needs. Annu Rev Public Health. 2022;43(1):477-501. doi:10.1146/annurev-publhealth-052620-
10352…
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psnet.ahrq.gov/node/866687/psn-pdf
September 11, 2024 - An exploratory analysis of the association between
healthcare associated infections & hospital financial
performance.
September 11, 2024
Beauvais B, Dolezel D, Shanmugam R, et al. An exploratory analysis of the association between
healthcare associated infections & hospital financial performance. Healthcare (Basel…
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psnet.ahrq.gov/node/45648/psn-pdf
February 01, 2017 - Findings of a naloxone database and its utilization to
improve safety and education in a tertiary care medical
center.
February 1, 2017
Rosenfeld DM, Betcher JA, Shah RA, et al. Findings of a Naloxone Database and its Utilization to Improve
Safety and Education in a Tertiary Care Medical Center. Pain Pract. 2016;1…
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psnet.ahrq.gov/node/866159/psn-pdf
June 19, 2024 - Stakeholder perspectives on contributors to delayed and
inaccurate diagnosis of cardiovascular disease and their
implications for digital health technologies: a UK-based
qualitative study.
June 19, 2024
Abdullayev K, Gorvett O, Sochiera A, et al. Stakeholder perspectives on contributors to delayed and
inaccurate …
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psnet.ahrq.gov/node/837210/psn-pdf
May 25, 2022 - A learning health system agenda for organizational
approaches to enhancing occupational well-being among
clinicians.
May 25, 2022
Rotenstein LS, Melnick ER, Sinsky CA. A learning health system agenda for organizational approaches to
enhancing occupational well-being among clinicians. JAMA. 2022;327(21):2079-2080.
…
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psnet.ahrq.gov/node/857455/psn-pdf
January 01, 2024 - Addressing veteran health-related social needs: how
Joint Commission standards accelerated integration and
expansion of tools and services in the Veterans Health
Administration.
December 6, 2023
List JM, Russell LE, Hausmann LRM, et al. Addressing veteran health-related social needs: how Joint
Commission standard…
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psnet.ahrq.gov/node/838243/psn-pdf
October 05, 2022 - Evaluation of medication incidents in a long-term care
facility using electronic medication administration
records and barcode technology.
October 5, 2022
Fuller AEC, Guirguis LM, Sadowski CA, et al. Evaluation of medication incidents in a long-term care facility
using electronic medication administration records …
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psnet.ahrq.gov/node/837138/psn-pdf
May 18, 2022 - Association of diagnostic stewardship for blood cultures
in critically ill children with culture rates, antibiotic use,
and patient outcomes: results of the Bright STAR
Collaborative.
May 18, 2022
Woods-Hill CZ, Colantuoni EA, Koontz DW, et al. Association of diagnostic stewardship for blood cultures
in criticall…
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psnet.ahrq.gov/node/50792/psn-pdf
January 15, 2020 - Lessons learned implementing a complex and innovative
patient safety learning laboratory project in a large
academic medical center
January 15, 2020
Businger AC, Fuller TE, Schnipper JL, et al. Lessons learned implementing a complex and innovative
patient safety learning laboratory project in a large academic medi…
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psnet.ahrq.gov/node/60612/psn-pdf
January 01, 2021 - COVID-19: patient safety and quality improvement skills
to deploy during the surge.
June 24, 2020
Staines A, Amalberti R, Berwick DM, et al. COVID-19: patient safety and quality improvement skills to
deploy during the surge. Int J Qual Health Care. 2021;33(1):mzaa050. doi:10.1093/intqhc/mzaa050.
https://psnet.ahrq…
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psnet.ahrq.gov/node/845637/psn-pdf
March 08, 2023 - Using Failure Mode, Effect and Criticality Analysis to
improve safety in the cancer treatment prescription and
administration process.
March 8, 2023
Buja A, De Luca G, Ottolitri K, et al. Using Failure Mode, Effect and Criticality Analysis to improve safety in
the cancer treatment prescription and administration p…
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psnet.ahrq.gov/node/72820/psn-pdf
March 10, 2021 - Medication errors related to computerized provider order
entry systems in hospitals and how they change over
time: a narrative review.
March 10, 2021
Kinlay M, Zheng WY, Burke R, et al. Medication errors related to computerized provider order entry
systems in hospitals and how they change over time: A narrative re…
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psnet.ahrq.gov/node/74175/psn-pdf
December 15, 2021 - The reduction of race and gender bias in clinical
treatment recommendations using clinician peer
networks in an experimental setting.
December 15, 2021
Centola D, Guilbeault D, Sarkar U, et al. The reduction of race and gender bias in clinical treatment
recommendations using clinician peer networks in an experimen…
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psnet.ahrq.gov/node/74728/psn-pdf
February 02, 2022 - Technology-based closed-loop tracking for improving
communication and follow-up of pathology results.
February 2, 2022
Rajan SS, Baldwin J, Giardina TD, et al. Technology-based closed-loop tracking for improving
communication and follow-up of pathology results. J Patient Saf. 2022;18(1):e262-e266.
doi:10.1097/pts.…
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psnet.ahrq.gov/node/36812/psn-pdf
June 30, 2011 - Work patterns and fatigue-related risk among junior
doctors.
June 30, 2011
Gander P, Purnell H, Garden A, et al. Work patterns and fatigue-related risk among junior doctors. Occup
Environ Med. 2007;64(11):733-8.
https://psnet.ahrq.gov/issue/work-patterns-and-fatigue-related-risk-among-junior-doctors
Mandated work…
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psnet.ahrq.gov/node/60658/psn-pdf
July 08, 2020 - Impact of providing patients access to electronic health
records on quality and safety of care: a systematic review
and meta-analysis.
July 8, 2020
Neves AL, Freise L, Laranjo L, et al. Impact of providing patients access to electronic health records on
quality and safety of care: a systematic review and meta-anal…
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psnet.ahrq.gov/node/73859/psn-pdf
September 22, 2021 - Exploring the factors that promote or diminish a
psychologically safe environment: a qualitative interview
study with critical care staff.
September 22, 2021
Grailey K, Leon-Villapalos C, Murray E, et al. Exploring the factors that promote or diminish a
psychologically safe environment: a qualitative interview stu…