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psnet.ahrq.gov/node/47001/psn-pdf
August 17, 2018 - Realist synthesis of intentional rounding in hospital
wards: exploring the evidence of what works, for whom,
in what circumstances and why.
August 17, 2018
Sims S, Leamy M, Davies N, et al. Realist synthesis of intentional rounding in hospital wards: exploring the
evidence of what works, for whom, in what circumst…
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psnet.ahrq.gov/node/61026/psn-pdf
October 14, 2020 - A blinded, prospective study of error detection during
physician chart rounds in radiation oncology.
October 14, 2020
Talcott WJ, Lincoln H, Kelly JR, et al. A blinded, prospective study of error detection during physician chart
rounds in radiation oncology. Pract Radiat Oncol. 2020;10(5):312-320. doi:10.1016/j.prr…
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psnet.ahrq.gov/node/867011/psn-pdf
October 23, 2024 - Outcomes of Michigan Medicine's integrated patient
safety and communication and resolution program,
2013–2022.
October 23, 2024
Burney RE, Mckeown ES, Zhang Y, et al. Outcomes of Michigan Medicine's integrated patient safety and
communication and resolution program, 2013–2022. J Patient Saf Risk Manag. 2024;29(5):…
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psnet.ahrq.gov/node/47391/psn-pdf
September 12, 2018 - Improving diagnosis by improving education: a policy
brief on education in healthcare professions.
September 12, 2018
Graber ML, Rencic J, Rusz D, et al. Improving diagnosis by improving education: a policy brief on
education in healthcare professions. Diagnosis (Berl). 2018;5(3):107-118. doi:10.1515/dx-2018-0033.
…
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psnet.ahrq.gov/node/72717/psn-pdf
February 10, 2021 - Hospital-acquired SARS-Cov-2 infections in patients:
inevitable conditions or medical malpractice?
February 10, 2021
Barranco R, Vallega Bernucci Du Tremoul L, Ventura F. Hospital-acquired SARS-Cov-2 infections in
patients: inevitable conditions or medical malpractice? Int J Environ Res Public Health. 2021;18(2):48…
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psnet.ahrq.gov/node/61067/psn-pdf
January 01, 2021 - A program to provide clinicians with feedback on their
diagnostic performance in a learning health system.
October 28, 2020
Meyer AND, Upadhyay DK, Collins CA, et al. A program to provide clinicians with feedback on their
diagnostic performance in a learning health system. Jt Comm J Qual Patient Saf. 2021;47(2):120…
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psnet.ahrq.gov/node/73979/psn-pdf
January 01, 2022 - The work of nurses to provide good and safe services to
children receiving hospital-at-home: a qualitative
interview study from the perspectives of hospital nurses
and physicians.
October 20, 2021
Aasen L, Johannessen A?K, Ruud Knutsen I, et al. The work of nurses to provide good and safe services
to children rec…
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psnet.ahrq.gov/node/845304/psn-pdf
March 01, 2023 - For children admitted to hospital, what interventions
improve medication safety on ward rounds?
March 1, 2023
King C, Dudley J, Mee A, et al. For children admitted to hospital, what interventions improve medication
safety on ward rounds? A systematic review. Arch Dis Child. 2023;108(7):583-588.
doi:10.1136/archdis…
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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…