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psnet.ahrq.gov/node/37097/psn-pdf
October 04, 2011 - The relationship of organizational culture, stress,
satisfaction, and burnout with physician-reported error
and suboptimal patient care: results from the MEMO
study.
October 4, 2011
Williams E, Manwell LB, Konrad TR, et al. The relationship of organizational culture, stress, satisfaction,
and burnout with physici…
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psnet.ahrq.gov/node/36251/psn-pdf
September 13, 2006 - Frequency and type of errors and near errors reported by
critical care nurses.
September 13, 2006
Balas MC; Scott LD; Rogers AE.
https://psnet.ahrq.gov/issue/frequency-and-type-errors-and-near-errors-reported-critical-care-nurses
Prior research has demonstrated that intensive care unit patients are particularly vu…
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psnet.ahrq.gov/node/42763/psn-pdf
May 29, 2014 - Economic evaluation of the impact of medication errors
reported by US clinical pharmacists.
May 29, 2014
Samp JC, Touchette DR, Marinac JS, et al. Economic evaluation of the impact of medication errors
reported by U.S. clinical pharmacists. Pharmacotherapy. 2014;34(4):350-7. doi:10.1002/phar.1370.
https://psnet.ah…
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psnet.ahrq.gov/node/38386/psn-pdf
February 04, 2009 - Clinical outcomes from the use of Medication Report
when elderly patients are discharged from hospital.
February 4, 2009
Midlöv P, Deierborg E, Holmdahl L, et al. Clinical outcomes from the use of Medication Report when elderly
patients are discharged from hospital. Pharm World Sci. 2008;30(6):840-5. doi:10.1007/s1…
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psnet.ahrq.gov/node/40334/psn-pdf
March 30, 2011 - Ten years after the IOM report: engaging residents in
quality and patient safety by creating a house staff quality
council.
March 30, 2011
Fleischut PM, Evans AS, Nugent WC, et al. Ten years after the IOM report: Engaging residents in quality
and patient safety by creating a House Staff Quality Council. Am J Med Q…
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psnet.ahrq.gov/issue/national-healthcare-quality-and-disparities-report-chartbook-patient-safety-0
May 02, 2017 - Book/Report
National Healthcare Quality and Disparities Report Chartbook on Patient Safety.
Citation Text:
National Healthcare Quality and Disparities Report Chartbook on Patient Safety. Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Pub. No. 23-0046.
Cop…
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psnet.ahrq.gov/issue/nurse-staffing-levels-and-patient-reported-missed-nursing-care
September 27, 2017 - Study
Nurse staffing levels and patient-reported missed nursing care.
Citation Text:
Dabney BW, Kalisch BJ. Nurse Staffing Levels and Patient-Reported Missed Nursing Care. J Nurs Care Qual. 2015;30(4):306-12. doi:10.1097/NCQ.0000000000000123.
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DOI Googl…
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psnet.ahrq.gov/issue/errare-humanum-est-frequency-laterality-errors-radiology-reports
September 13, 2023 - Study
Errare humanum est: frequency of laterality errors in radiology reports.
Citation Text:
Sangwaiya MJ, Saini S, Blake MA, et al. Errare humanum est: frequency of laterality errors in radiology reports. AJR Am J Roentgenol. 2009;192(5):W239-44. doi:10.2214/AJR.08.1778.
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psnet.ahrq.gov/issue/bedside-shift-report-improves-patient-safety-and-nurse-accountability
April 16, 2010 - Commentary
Bedside shift report improves patient safety and nurse accountability.
Citation Text:
Baker SJ. Bedside shift report improves patient safety and nurse accountability. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 201…
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psnet.ahrq.gov/issue/improving-patient-safety-five-years-after-iom-report
February 18, 2011 - Commentary
Classic
Improving patient safety—five years after the IOM report.
Citation Text:
Altman DE, Clancy CM, Blendon RJ. Improving Patient Safety — Five Years after the IOM Report. New Engl J Med. 2004;351(20):2041-2043. doi:10.1056/nejmp048243.
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psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-reportable-event
February 15, 2023 - Commentary
Leading a highly visible hospital through a serious reportable event.
Citation Text:
Erickson JI. Leading a highly visible hospital through a serious reportable event. J Nurs Adm. 2012;42(3):131-3. doi:10.1097/NNA.0b013e31824808b6.
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psnet.ahrq.gov/issue/agreement-between-patient-reported-symptoms-and-their-documentation-medical-record
November 09, 2022 - Study
Agreement between patient-reported symptoms and their documentation in the medical record.
Citation Text:
Pakhomov S, Jacobsen SJ, Chute CG, et al. Agreement between patient-reported symptoms and their documentation in the medical record. Am J Manag Care. 2008;14(8):530-539.
C…
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psnet.ahrq.gov/issue/critical-issues-food-allergy-national-academies-consensus-report
November 16, 2022 - Commentary
Critical Issues in Food Allergy: A National Academies Consensus Report.
Citation Text:
Sicherer SH, Allen K, Lack G, et al. Critical Issues in Food Allergy: A National Academies Consensus Report. Pediatrics. 2017;140(2). doi:10.1542/peds.2017-0194.
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psnet.ahrq.gov/issue/failure-notify-reportable-test-results-significance-medical-malpractice
April 29, 2020 - Study
Failure to notify reportable test results: significance in medical malpractice.
Citation Text:
Gale BD, Bissett-Siegel DP, Davidson SJ, et al. Failure to notify reportable test results: significance in medical malpractice. J Am Coll Radiol. 2011;8(11):776-9. doi:10.1016/j.jacr.20…
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psnet.ahrq.gov/issue/nature-and-causes-unintended-events-reported-ten-emergency-departments
February 20, 2013 - Study
The nature and causes of unintended events reported at ten emergency departments.
Citation Text:
Smits M, Groenewegen PP, Timmermans D, et al. The nature and causes of unintended events reported at ten emergency departments. BMC Emerg Med. 2009;9:16. doi:10.1186/1471-227X-9-16.
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psnet.ahrq.gov/issue/content-and-context-change-shift-report-medical-and-surgical-units
September 24, 2016 - Study
The content and context of change of shift report on medical and surgical units.
Citation Text:
Staggers N, Jennings BM. The content and context of change of shift report on medical and surgical units. J Nurs Adm. 2009;39(9):393-8. doi:10.1097/NNA.0b013e3181b3b63a.
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psnet.ahrq.gov/issue/common-predictors-nurse-reported-quality-care-and-patient-safety
March 20, 2019 - Study
Common predictors of nurse-reported quality of care and patient safety.
Citation Text:
Stimpfel AW, Djukic M, Brewer CS, et al. Common predictors of nurse-reported quality of care and patient safety. Health Care Manage Rev. 2019;44(1):57-66. doi:10.1097/HMR.0000000000000155.
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psnet.ahrq.gov/issue/frequency-diagnostic-errors-radiologic-reports-depends-patients-age
March 09, 2022 - Study
The frequency of diagnostic errors in radiologic reports depends on the patient's age.
Citation Text:
Diaz S, Ekberg O. The frequency of diagnostic errors in radiologic reports depends on the patient's age. Acta Radiol. 2010;51(8):934-8. doi:10.3109/02841851.2010.503192.
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psnet.ahrq.gov/issue/sentinel-events-serious-reportable-events-and-root-cause-analysis
February 26, 2014 - Commentary
Sentinel events, serious reportable events, and root cause analysis.
Citation Text:
Chen TC, Schein OD, Miller JW. Sentinel events, serious reportable events, and root cause analysis. JAMA Ophthalmol. 2015;133(6):631-632. doi:10.1001/jamaophthalmol.2015.0672.
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psnet.ahrq.gov/issue/review-alleged-patient-deaths-patient-wait-times-and-scheduling-practices-phoenix-va-health
May 01, 2015 - Book/Report
Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System.
Citation Text:
Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System. Washington, DC: VA Office o…