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psnet.ahrq.gov/node/47149/psn-pdf
June 06, 2018 - Reducing serious safety events and priority hospital-
acquired conditions in a pediatric hospital with the
implementation of a patient safety program.
June 6, 2018
Phipps AR, Paradis M, Peterson KA, et al. Reducing Serious Safety Events and Priority Hospital-Acquired
Conditions in a Pediatric Hospital with the Imp…
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psnet.ahrq.gov/node/39171/psn-pdf
February 10, 2015 - Patient safety at ten: unmistakable progress, troubling
gaps.
February 10, 2015
Wachter R. Patient safety at ten: unmistakable progress, troubling gaps. Health Aff (Millwood).
2010;29(1):165-173. doi:10.1377/hlthaff.2009.0785.
https://psnet.ahrq.gov/issue/patient-safety-ten-unmistakable-progress-troubling-gaps
Th…
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psnet.ahrq.gov/node/40931/psn-pdf
July 02, 2014 - Patient safety stories: a project utilizing narratives in
resident training.
July 2, 2014
Cox LAM, Logio LS. Patient safety stories: a project utilizing narratives in resident training. Acad Med.
2011;86(11):1473-8. doi:10.1097/ACM.0b013e318230efaa.
https://psnet.ahrq.gov/issue/patient-safety-stories-project-utili…
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psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
September 23, 2024 - ABCDEF Bundle + Data Literacy Training, Performance Measurement Tracking, and Performance Feedback
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February 28, 2024
Innovation
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psnet.ahrq.gov/issue/ahrqs-sops-medical-office-survey-what-you-need-know
July 25, 2023 - United States Meeting/Conference
AHRQ’s SOPS Medical Office Survey – What You Need to Know.
Citation Text:
Agency for Healthcare Quality and Research. July 19, 2023, 1:00–2:00 PM (eastern).
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psnet.ahrq.gov/issue/part-2-9th-annual-communication-apology-and-resolution-care-forum
June 19, 2019 - Meeting/Conference Proceedings
Part 2 of the 9th Annual Communication, Apology, and Resolution (CARe) Forum.
Citation Text:
Betsy Lehman Center for Patient Safety. June 2, 2022.
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psnet.ahrq.gov/issue/analysis-results-event-investigations-industrial-and-patient-safety-contexts
July 06, 2022 - Commentary
Analysis of results from event investigations in industrial and patient safety contexts.
Citation Text:
Harms-Ringdahl L. Analysis of results from event investigations in industrial and patient safety contexts. Safety. 2021;7(1):19. doi:10.3390/safety7010019.
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psnet.ahrq.gov/issue/anticoagulant-medication-errors-nursing-homes-characteristics-causes-outcomes-and-association
December 15, 2011 - Study
Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm.
Citation Text:
Desai RJ, Williams CE, Greene SB, et al. Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with…
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psnet.ahrq.gov/issue/description-and-evaluation-adaptations-global-trigger-tool-enhance-value-adverse-event
November 23, 2014 - Study
Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts.
Citation Text:
Kennerly DA, Saldaña M, Kudyakov R, et al. Description and evaluation of adaptations to the global trigger tool to enhance value to adverse eve…
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psnet.ahrq.gov/issue/medication-errors-over-counter-cough-and-cold-medications-children
August 26, 2020 - Study
Medication errors from over-the-counter cough and cold medications in children.
Citation Text:
Wang GS, Reynolds KM, Banner W, et al. Medication errors from over-the-counter cough and cold medications in children. Acad Ped. 2020;20(3):327-332. doi:10.1016/j.acap.2019.09.006.
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psnet.ahrq.gov/issue/impact-22-month-multistep-implementation-program-speaking-behavior-academic-anesthesia
January 11, 2023 - Study
The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department.
Citation Text:
Walther F, Schick C, Schwappach DLB, et al. The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesth…
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psnet.ahrq.gov/issue/identifying-electronic-health-record-usability-and-safety-challenges-pediatric-settings
December 21, 2018 - Study
Emerging Classic
Identifying electronic health record usability and safety challenges in pediatric settings.
Citation Text:
Ratwani RM, Savage E, Will A, et al. Identifying Electronic Health Record Usability And Safety Challenges In Pediatric Settings. Hea…
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psnet.ahrq.gov/issue/barriers-and-facilitators-improving-patient-safety-learning-systems-systematic-review
October 16, 2024 - Review
Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-synthesis.
Citation Text:
Mahmoud HA, Thavorn K, Mulpuru S, et al. Barriers and facilitators to improving patient safety learning systems: a systematic revie…
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psnet.ahrq.gov/issue/implementing-survey-patients-provide-safety-experience-feedback-following-care-transition
January 08, 2020 - Journal Article
Implementing a survey for patients to provide safety experience feedback following a care transition: a feasibility study
Citation Text:
Scott J, Heavey E, Waring J, et al. Implementing a survey for patients to provide safety experience feedback following a care transitio…
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psnet.ahrq.gov/issue/barriers-and-enhancers-trust-just-culture-hospital-settings-systematic-review
February 02, 2022 - Review
The barriers and enhancers to trust in a just culture in hospital settings: a systematic review.
Citation Text:
van Marum S, Verhoeven D, de Rooy D. The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. J Patient Saf. 2022;18(7):e1067-e10…
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psnet.ahrq.gov/issue/impact-initial-response-covid-19-long-term-care-people-intellectual-disability-interrupted
May 11, 2022 - Study
Impact of the initial response to COVID-19 on long-term care for people with intellectual disability: an interrupted time series analysis of incident reports.
Citation Text:
Schuengel C, Tummers J, Embregts PJCM, et al. Impact of the initial response to COVID‐19 on long‐term care f…
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psnet.ahrq.gov/issue/identifying-health-information-technology-usability-issues-contributing-medication-errors
November 03, 2021 - Study
Identifying health information technology usability issues contributing to medication errors across medication process stages.
Citation Text:
Adams KT, Pruitt Z, Kazi S, et al. Identifying health information technology usability issues contributing to medication errors across medic…
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psnet.ahrq.gov/issue/identifying-safe-care-processes-when-gps-work-or-alongside-emergency-departments-realist
January 12, 2022 - Study
Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation.
Citation Text:
Cooper A, Carson-Stevens A, Edwards M, et al. Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. Br J Ge…
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psnet.ahrq.gov/issue/evaluating-incident-learning-systems-and-safety-culture-two-radiation-oncology-departments
June 30, 2021 - Study
Evaluating incident learning systems and safety culture in two radiation oncology departments.
Citation Text:
Adamson L, Beldham‐Collins R, Sykes J, et al. Evaluating incident learning systems and safety culture in two radiation oncology departments. J Med Radiat Sci. 2022;69(2):2…
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psnet.ahrq.gov/issue/making-soft-intelligence-hard-multi-site-qualitative-study-challenges-relating-voice-about
June 16, 2021 - Study
Emerging Classic
Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns.
Citation Text:
Martin G, Aveling E-L, Campbell A, et al. Making soft intelligence hard: a multi-site qualitative study of …