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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/854819/psn-pdf
October 25, 2023 - Second victim syndrome in intensive care unit healthcare
workers: a systematic review and meta-analysis on types,
prevalence, risk factors, and recovery time.
October 25, 2023
Naya K, Aikawa G, Ouchi A, et al. Second victim syndrome in intensive care unit healthcare workers: a
systematic review and meta-analysis o…
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psnet.ahrq.gov/node/47705/psn-pdf
June 19, 2019 - Decisions and repercussions of second victim
experiences for mothers in medicine (SAVE DR MoM).
June 19, 2019
Gupta K, Lisker S, Rivadeneira NA, et al. Decisions and repercussions of second victim experiences for
mothers in medicine (SAVE DR MoM). BMJ Qual Saf. 2019;28(7):564-573. doi:10.1136/bmjqs-2018-
008372.
…
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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/46531/psn-pdf
January 24, 2019 - Tracking progress in improving diagnosis: a framework
for defining undesirable diagnostic events.
January 24, 2019
Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining
Undesirable Diagnostic Events. J Gen Intern Med. 2018;33(7):1187-1191. doi:10.1007/s11606-018-4304-2.
ht…
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psnet.ahrq.gov/node/40038/psn-pdf
December 23, 2016 - A follow-up report on preventing suicide: focus on
medical/surgical units and the emergency department.
December 23, 2016
A follow-up report on preventing suicide: focus on medical/surgical units and the emergency department.
Sentinel Event Alert. 2010;46(46):1-4.
https://psnet.ahrq.gov/issue/follow-report-prevent…
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psnet.ahrq.gov/node/45509/psn-pdf
September 28, 2016 - Computerized triggers of big data to detect delays in
follow-up of chest imaging results.
September 28, 2016
Murphy DR, Meyer AND, Bhise V, et al. Computerized Triggers of Big Data to Detect Delays in Follow-up
of Chest Imaging Results. Chest. 2016;150(3):613-20. doi:10.1016/j.chest.2016.05.001.
https://psnet.ahrq…
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psnet.ahrq.gov/node/44131/psn-pdf
May 13, 2015 - Patient–doctor continuity and diagnosis of cancer:
electronic medical records study in general practice.
May 13, 2015
Ridd MJ, Ferreira DLS, Montgomery AA, et al. Patient-doctor continuity and diagnosis of cancer: electronic
medical records study in general practice. Br J Gen Pract. 2015;65(634):e305-11.
doi:10.33…
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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…
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psnet.ahrq.gov/node/866699/psn-pdf
September 11, 2024 - AHRQ-Funded Patient Safety Project Highlights:
Improving Patient Safety by Enhancing Medication Safety.
September 11, 2024
Ahrq-Funded Patient Safety Project Highlights: Improving Patient Safety By Enhancing Medication Safety.
Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Publication No. 24-…
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psnet.ahrq.gov/node/844766/psn-pdf
January 01, 2020 - Validation of new ICD-10-based patient safety indicators
for identification of in-hospital complications in surgical
patients: a study of diagnostic accuracy.
September 11, 2019
McIsaac DI, Hamilton GM, Abdulla K, et al. Validation of new ICD-10-based patient safety indicators for
identification of in-hospital com…
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psnet.ahrq.gov/node/38712/psn-pdf
June 17, 2009 - Silence, power and communication in the operating room.
June 17, 2009
Gardezi F, Lingard LA, Espin S, et al. Silence, power and communication in the operating room. J Adv
Nurs. 2009;65(7):1390-1399. doi:10.1111/j.1365-2648.2009.04994.x.
https://psnet.ahrq.gov/issue/silence-power-and-communication-operating-room
Co…
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psnet.ahrq.gov/node/36047/psn-pdf
September 28, 2010 - When policy meets physiology: the challenge of reducing
resident work hours.
September 28, 2010
Lockley SW, Landrigan CP, Barger LK, et al. When policy meets physiology: the challenge of reducing
resident work hours. Clin Orthop Relat Res. 2006;449:116-127.
https://psnet.ahrq.gov/issue/when-policy-meets-physiology…
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psnet.ahrq.gov/node/33806/psn-pdf
April 01, 2016 - In Conversation With… Amy J. Starmer, MD, MPH
April 1, 2016
In Conversation With… Amy J. Starmer, MD, MPH. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
Editor's note: Dr. Starmer is Director of Primary Care Quality Improvement and Assistant Professor of
Pediatrics a…
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psnet.ahrq.gov/node/44305/psn-pdf
January 22, 2016 - National incidence of medication error in surgical patients
before and after Accreditation Council for Graduate
Medical Education duty-hour reform.
January 22, 2016
Vadera S, Griffith SD, Rosenbaum BP, et al. National Incidence of Medication Error in Surgical Patients
Before and After Accreditation Council for Gra…
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psnet.ahrq.gov/node/37462/psn-pdf
January 06, 2017 - Medication errors associated with code situations in U.S.
hospitals: direct and collateral damage.
January 6, 2017
Lipshutz AKM, Morlock LL, Shore AD, et al. Medication Errors Associated with Code Situations in U.S.
Hospitals: Direct and Collateral Damage. Jt Comm J Qual Patient Saf. 2016;34(1):46-56.
doi:10.1016/…
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psnet.ahrq.gov/node/45988/psn-pdf
April 24, 2018 - Translating concerns into action: a detailed qualitative
evaluation of an interdisciplinary intervention on medical
wards.
April 24, 2018
Pannick S, Archer S, Johnston MJ, et al. Translating concerns into action: a detailed qualitative evaluation
of an interdisciplinary intervention on medical wards. BMJ Open. 201…
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psnet.ahrq.gov/node/45190/psn-pdf
February 15, 2017 - Biases in detection of apparent "weekend effect" on
outcome with administrative coding data: population
based study of stroke.
February 15, 2017
Li L, Rothwell PM, Study OV. Biases in detection of apparent "weekend effect" on outcome with
administrative coding data: population based study of stroke. BMJ. 2016;353:…
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psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
April 01, 2010 - Evans, MD President/CEO Iowa Healthcare Collaborative
References
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1.
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psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
March 01, 2014 - Diseases and Health Policy Research InstituteUniversity of California, Irvine, School of Medicine
References