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psnet.ahrq.gov/node/44687/psn-pdf
June 21, 2016 - Free From Harm: Accelerating Patient Safety
Improvement Fifteen Years After To Err Is Human.
June 21, 2016
Boston, MA: National Patient Safety Foundation; 2015.
https://psnet.ahrq.gov/issue/free-harm-accelerating-patient-safety-improvement-fifteen-years-after-err-
human
This report provides an objective assessmen…
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psnet.ahrq.gov/node/44982/psn-pdf
April 06, 2016 - Use of maternal early warning trigger tool reduces
maternal morbidity.
April 6, 2016
Shields LE, Wiesner S, Klein C, et al. Use of Maternal Early Warning Trigger tool reduces maternal
morbidity. Am J Obstet Gynecol. 2016;214(4):527.e1-527.e6. doi:10.1016/j.ajog.2016.01.154.
https://psnet.ahrq.gov/issue/use-materna…
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digital.ahrq.gov/principal-investigator/adams-william
January 01, 2023 - Adams, William
Automated conversation system before pediatric primary care visits: a randomized trial.
Citation
Adams WG, Phillips BD, Bacic JD, et al. Automated conversation system before pediatric primary care visits: a randomized trial. Pediatrics 2014 Sep;134(3):e691-9. PM…
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psnet.ahrq.gov/node/36629/psn-pdf
January 05, 2017 - Patient-reported safety and quality of care in outpatient
oncology.
January 5, 2017
Weingart SN, Price J, Duncombe D, et al. Patient-reported safety and quality of care in outpatient
oncology. Jt Comm J Qual Patient Saf. 2007;33(2):83-94.
https://psnet.ahrq.gov/issue/patient-reported-safety-and-quality-care-outpat…
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psnet.ahrq.gov/node/50793/psn-pdf
January 15, 2020 - Association between mobile telephone interruptions and
medication administration errors in a pediatric intensive
care unit.
January 15, 2020
Bonafide CP, Miller JM, Localio AR, et al. Association between mobile telephone interruptions and
medication administration errors in a pediatric intensive care unit. JAMA Pe…
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psnet.ahrq.gov/node/37130/psn-pdf
March 24, 2011 - Preventing medication errors in long-term care: results
and evaluation of a large scale web-based error reporting
system.
March 24, 2011
Pierson S, Hansen RA, Greene SB, et al. Preventing medication errors in long-term care: results and
evaluation of a large scale web-based error reporting system. Qual Saf Health …
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psnet.ahrq.gov/node/37531/psn-pdf
February 22, 2011 - Patient safety and telephone medicine: some lessons
from closed claim case review.
February 22, 2011
Katz HP, Kaltsounis D, Halloran L, et al. Patient safety and telephone medicine : some lessons from closed
claim case review. J Gen Intern Med. 2008;23(5):517-22. doi:10.1007/s11606-007-0491-y.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/41028/psn-pdf
May 14, 2018 - Health care worker fatigue and patient safety.
May 14, 2018
Sentinel Event Alert. December 14, 2011;(48):1-4. (addendum May 14, 2018).
https://psnet.ahrq.gov/issue/health-care-worker-fatigue-and-patient-safety
The Joint Commission issues sentinel event alerts to emphasize pressing safety issues and provide
guideli…
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psnet.ahrq.gov/node/856583/psn-pdf
January 01, 2024 - Prescription opioid dose reductions and potential adverse
events: a multi-site observational cohort study in diverse
US health systems.
November 29, 2023
Metz VE, Ray GT, Palzes V, et al. Prescription opioid dose reductions and potential adverse events: a
multi-site observational cohort study in diverse US health …
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psnet.ahrq.gov/node/40231/psn-pdf
February 23, 2011 - Multiple component patient safety intervention in English
hospitals: controlled evaluation of second phase.
February 23, 2011
Benning A, Dixon-Woods M, Nwulu U, et al. Multiple component patient safety intervention in English
hospitals: controlled evaluation of second phase. BMJ. 2011;342:d199. doi:10.1136/bmj.d199…
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psnet.ahrq.gov/node/841765/psn-pdf
December 21, 2022 - “I’m concerned”: a multi-site assessment of emergency
medicine resident speaking up behaviors.
December 21, 2022
Feldman N, Volz N, Snow T, et al. “I’m concerned”: A multi-site assessment of emergency medicine
resident speaking up behaviors. J Patient Saf Risk Manag. 2022;27(5):229-233.
doi:10.1177/251604352211234…
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psnet.ahrq.gov/node/42898/psn-pdf
January 29, 2014 - Association of sleep and fatigue with decision regret
among critical care nurses.
January 29, 2014
Scott LD, Arslanian-Engoren C, Engoren MC. Association of sleep and fatigue with decision regret among
critical care nurses. Am J Crit Care. 2014;23(1):13-23. doi:10.4037/ajcc2014191.
https://psnet.ahrq.gov/issue/ass…
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psnet.ahrq.gov/node/37942/psn-pdf
May 04, 2014 - Improving handoff communications in critical care:
utilizing simulation-based training toward process
improvement in managing patient risk.
May 4, 2014
Berkenstadt H, Haviv Y, Tuval A, et al. Improving handoff communications in critical care: utilizing
simulation-based training toward process improvement in managi…
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psnet.ahrq.gov/node/36975/psn-pdf
March 24, 2011 - Safety of telephone triage in general practitioner
cooperatives: do triage nurses correctly estimate
urgency?
March 24, 2011
Giesen P, Ferwerda R, Tijssen R, et al. Safety of telephone triage in general practitioner cooperatives: do
triage nurses correctly estimate urgency? Qual Saf Health Care. 2007;16(3):181-4.
…
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psnet.ahrq.gov/node/60680/psn-pdf
July 15, 2020 - Contributing factors for pediatric ambulatory diagnostic
process errors: Project RedDE.
July 15, 2020
Dadlez NM, Adelman JS, Bundy DG, et al. Contributing factors for pediatric ambulatory diagnostic process
errors: Project RedDE. Ped Qual Saf. 2020;5(3):e299-e305. doi:10.1097/pq9.0000000000000299.
https://psnet.ah…
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psnet.ahrq.gov/node/40776/psn-pdf
September 14, 2011 - Nursing Home Survey on Patient Safety Culture: 2011
User Comparative Database Report.
September 14, 2011
Sorra J, Famolaro T, Dyer N, Khanna K, Nelson D. Rockville, MD: Agency for Healthcare Research and
Quality; August 2011. AHRQ Publication No. 11-0071.
https://psnet.ahrq.gov/issue/nursing-home-survey-patient-sa…
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psnet.ahrq.gov/node/39444/psn-pdf
June 28, 2010 - The relationship between organizational leadership for
safety and learning from patient safety events.
June 28, 2010
Ginsburg LR, Chuang Y-T, Berta WB, et al. The relationship between organizational leadership for safety
and learning from patient safety events. Health Serv Res. 2010;45(3):607-632. doi:10.1111/j.147…
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psnet.ahrq.gov/node/60934/psn-pdf
September 23, 2020 - Hospital ward adaptation during the COVID-19 pandemic:
a national survey of academic medical centers.
September 23, 2020
Auerbach AD, O'Leary KJ, Greysen SR, et al. Hospital ward adaptation during the COVID-19 pandemic: a
national survey of academic medical centers. J Hosp Med. 2020;15(8):483-488. doi:10.12788/jhm.…
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psnet.ahrq.gov/node/836786/psn-pdf
January 01, 2023 - Safety implications of remote assessments for suspected
COVID-19: qualitative study in UK primary care.
March 23, 2022
Wieringa S, Neves AL, Rushforth A, et al. Safety implications of remote assessments for suspected
COVID-19: qualitative study in UK primary care. BMJ Qual Saf. 2023;32(12):732-741. doi:10.1136/bmjq…
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psnet.ahrq.gov/node/862128/psn-pdf
February 07, 2024 - Embracing the future-is artificial intelligence already
better? A comparative study of artificial intelligence
performance in diagnostic accuracy and decision-making.
February 7, 2024
Fonseca Â, Ferreira A, Ribeiro L, et al. Embracing the future—is artificial intelligence already better? A
comparative study of art…