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psnet.ahrq.gov/node/73108/psn-pdf
April 07, 2021 - A new argument for no-fault compensation in health care:
the introduction of artificial intelligence systems.
April 7, 2021
Holm S, Stanton C, Bartlett B. A new argument for no-fault compensation in health care: the introduction of
artificial intelligence systems. Health Care Anal. 2021;29(3):171-188. doi:10.1007/s…
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psnet.ahrq.gov/node/867133/psn-pdf
November 13, 2024 - Designing an intervention to improve medication safety
for nursing home residents based on experiential
knowledge related to patient safety culture at the nursing
home front line: cocreative process study.
November 13, 2024
Juhl MH, Soerensen AL, Vardinghus-Nielsen H, et al. Designing an intervention to improve me…
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psnet.ahrq.gov/node/37241/psn-pdf
December 16, 2011 - The impact of safety organizing, trusted leadership, and
care pathways on reported medication errors in hospital
nursing units.
December 16, 2011
Vogus TJ, Sutcliffe K. The impact of safety organizing, trusted leadership, and care pathways on reported
medication errors in hospital nursing units. Med Care. 2007;45(…
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psnet.ahrq.gov/node/73321/psn-pdf
May 26, 2021 - Support for healthcare professionals after surgical patient
safety incidents: a qualitative descriptive study in 5
teaching hospitals.
May 26, 2021
Serou N, Husband AK, Forrest SP, et al. Support for healthcare professionals after surgical patient safety
incidents: a qualitative descriptive study in 5 teaching hos…
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psnet.ahrq.gov/node/837595/psn-pdf
June 29, 2022 - Changes to primary care delivery during the COVID-19
pandemic and perceived impact on medication safety: a
survey study.
June 29, 2022
Gleeson LL, Ludlow A, Wallace E, et al. Changes to primary care delivery during the COVID-19 pandemic
and perceived impact on medication safety: a survey study. Explor Res Clin Soc…
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psnet.ahrq.gov/node/847050/psn-pdf
April 05, 2023 - CHaMP: A model for building a center to support health
care worker well-being after experiencing an adverse
event.
April 5, 2023
McIntosh MS, Garvan C, Kalynych CJ, et al. CHaMP: A model for building a center to support health care
worker well-being after experiencing an adverse event. Jt Comm J Qual Patient Saf. …
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psnet.ahrq.gov/node/38865/psn-pdf
April 04, 2011 - Afraid in the hospital: parental concern for errors during a
child's hospitalization.
April 4, 2011
Tarini BA, Lozano P, Christakis DA. Afraid in the hospital: parental concern for errors during a child's
hospitalization. J Hosp Med. 2009;41(9):521-527. doi:10.1002/jhm.508.
https://psnet.ahrq.gov/issue/afraid-hosp…
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psnet.ahrq.gov/node/74262/psn-pdf
January 19, 2022 - Associations between safety outcomes and
communication practices among pediatric nurses in the
United States.
January 19, 2022
Gampetro PJ, Segvich JP, Hughes AM, et al. Associations between safety outcomes and communication
practices among pediatric nurses in the United States. J Pediatr Nurs. 2022;63:20-27.
doi…
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psnet.ahrq.gov/node/36804/psn-pdf
August 26, 2011 - Patterns of communication breakdowns resulting in injury
to surgical patients.
August 26, 2011
Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in
injury to surgical patients. J Am Coll Surg. 2007;204(4):533-40.
https://psnet.ahrq.gov/issue/patterns-communication-brea…
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psnet.ahrq.gov/node/852288/psn-pdf
January 16, 2025 - Making Healthcare Safer IV: A Continuous Updating of
Patient Safety Harms and Practices.
January 16, 2025
Rockville, MD: Agency for Healthcare Research and Quality: July 2023 - Jan 2025.
https://psnet.ahrq.gov/issue/making-healthcare-safer-iv-continuous-updating-patient-safety-harms-and-
practices
Patient safety …
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psnet.ahrq.gov/node/865660/psn-pdf
April 24, 2024 - Comparing hospital leadership and front-line workers'
perceptions of patient safety culture: an unbalanced
panel study.
April 24, 2024
Forbes J, Arrieta A. Comparing hospital leadership and front-line workers’ perceptions of patient safety
culture: an unbalanced panel study. BMJ Lead. 2024;8(8):335-339. doi:10.113…
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psnet.ahrq.gov/node/46897/psn-pdf
October 13, 2018 - An assessment of the impact of just culture on quality
and safety in US hospitals.
October 13, 2018
Edwards MT. An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. Am J
Med Qual. 2018;33(5):502-508. doi:10.1177/1062860618768057.
https://psnet.ahrq.gov/issue/assessment-impact-just-cul…
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psnet.ahrq.gov/node/43635/psn-pdf
November 12, 2014 - Electronic medical record: a balancing act of patient
safety, privacy and health care delivery.
November 12, 2014
Gummadi S, Housri N, Zimmers TA, et al. Electronic medical record: a balancing act of patient safety,
privacy and health care delivery. Am J Med Sci. 2014;348(3):238-243.
doi:10.1097/MAJ.00000000000002…
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psnet.ahrq.gov/node/46379/psn-pdf
December 22, 2018 - Primary care providers' opening of time-sensitive alerts
sent to commercial electronic health record InBaskets.
December 22, 2018
Cutrona SL, Fouayzi H, Burns L, et al. Primary Care Providers' Opening of Time-Sensitive Alerts Sent to
Commercial Electronic Health Record InBaskets. J Gen Intern Med. 2017;32(11):1210-…
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psnet.ahrq.gov/node/865870/psn-pdf
May 15, 2024 - Leading quality and safety on the frontline - a case study
of department leaders in nursing homes.
May 15, 2024
Magerøy M, Braut GS, Macrae C, et al. Leading quality and safety on the frontline - a case study of
department leaders in nursing homes. J Healthc Leadersh. 2024;16:193-208. doi:10.2147/jhl.s454109.
http…
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psnet.ahrq.gov/node/73983/psn-pdf
October 20, 2021 - Factors associated with potentially missed acute
deterioration in primary care: cohort study of UK general
practices.
October 20, 2021
Cecil E, Bottle A, Majeed A, et al. Factors associated with potentially missed acute deterioration in primary
care: cohort study of UK general practices. Br J Gen Pract. 2021;71(70…
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psnet.ahrq.gov/node/74757/psn-pdf
February 09, 2022 - Characteristics of disease-specific and generic diagnostic
pitfalls: a qualitative study.
February 9, 2022
Schiff GD, Volodarskaya M, Ruan E, et al. Characteristics of disease-specific and generic diagnostic
pitfalls: a qualitative study. JAMA Netw Open. 2022;5(1):e2144531.
doi:10.1001/jamanetworkopen.2021.44531.
…
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psnet.ahrq.gov/node/854985/psn-pdf
November 01, 2023 - A systematic narrative review of coroners’ Prevention of
Future Deaths reports (PFDs): a tool for patient safety in
hospitals.
November 1, 2023
Bremner BT, Heneghan CJ, Aronson JK, et al. A systematic narrative review of coroners’ Prevention of
Future Deaths reports (PFDs): a tool for patient safety in hospitals. …
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psnet.ahrq.gov/node/837061/psn-pdf
May 11, 2022 - Nursing implications of an early warning system
implemented to reduce adverse events: a qualitative
study.
May 11, 2022
Braun EJ, Singh S, Penlesky AC, et al. Nursing implications of an early warning system implemented to
reduce adverse events: a qualitative study. BMJ Qual Saf. 2022;31(10):716-724. doi:10.1136/bm…
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psnet.ahrq.gov/node/48191/psn-pdf
August 28, 2019 - To catch a killer: electronic sepsis alert tools reaching a
fever pitch?
August 28, 2019
Ruppel H, Liu V. To catch a killer: electronic sepsis alert tools reaching a fever pitch? BMJ Qual Saf.
2019;28(9):693-696. doi:10.1136/bmjqs-2019-009463.
https://psnet.ahrq.gov/issue/catch-killer-electronic-sepsis-alert-tools…