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psnet.ahrq.gov/node/863219/psn-pdf
February 28, 2024 - Managing patient safety and staff safety in nursing
homes: exploring how leaders of nursing homes
negotiate their dual responsibilities- a case study.
February 28, 2024
Magerøy MR, Macrae C, Braut GS, et al. Managing patient safety and staff safety in nursing homes:
exploring how leaders of nursing homes negotiate…
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psnet.ahrq.gov/node/37219/psn-pdf
June 16, 2011 - Workforce perceptions of hospital safety culture:
development and validation of the patient safety climate
in healthcare organizations survey.
June 16, 2011
Singer SJ, Meterko M, Baker LC, et al. Workforce perceptions of hospital safety culture: development and
validation of the patient safety climate in healthcar…
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psnet.ahrq.gov/node/47044/psn-pdf
April 18, 2018 - Bedside computer vision—moving artificial intelligence
from driver assistance to patient safety.
April 18, 2018
Yeung S, Downing L, Fei-Fei L, et al. Bedside Computer Vision - Moving Artificial Intelligence from Driver
Assistance to Patient Safety. New Engl J Med. 2018;378(14):1271-1273. doi:10.1056/NEJMp1716891.
…
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psnet.ahrq.gov/node/44590/psn-pdf
November 11, 2015 - Physician motivation: listening to what pay-for-
performance programs and quality improvement
collaboratives are telling us.
November 11, 2015
Herzer KR, Pronovost P. Physician Motivation: Listening to What Pay-for-Performance Programs and
Quality Improvement Collaboratives Are Telling Us. Jt Comm J Qual Patient S…
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psnet.ahrq.gov/node/74832/psn-pdf
February 16, 2022 - Preventable adverse events in obstetrics: systemic
assessment of their incidence and linked risk factors.
February 16, 2022
Hüner B, Derksen C, Schmiedhofer M, et al. Preventable adverse events in obstetrics: systemic
assessment of their incidence and linked risk factors. Healthcare (Basel). 2022;10(1):97.
doi:10.…
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psnet.ahrq.gov/node/867229/psn-pdf
January 01, 2025 - Feasibility of prospective error reporting in home
palliative care: a mixed methods study.
December 4, 2024
Kurahashi AM, Kim G, Parry N, et al. Feasibility of prospective error reporting in home palliative care: a
mixed methods study. Palliat Med. 2025;39(1):22-30. doi:10.1177/02692163241288774.
https://psnet.ahr…
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psnet.ahrq.gov/node/73358/psn-pdf
June 02, 2021 - Just Culture, Medication Error Prevention, and Second
Victim Support: a Better Prescription for Preparing
Nursing Students for Practices.
June 2, 2021
Jones J, Treiber L, Shabo R, et al. Kennesaw, GA: WellStar School of Nursing, WellStar College of Health
and Human Services, Kennesaw State University; 2021.
https…
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psnet.ahrq.gov/node/862992/psn-pdf
February 21, 2024 - Evaluating independent double checks in the pediatric
intensive care unit: a human factors engineering
approach.
February 21, 2024
Konwinski L, Steenland C, Miller K, et al. Evaluating independent double checks in the pediatric intensive
care unit: a human factors engineering approach. J Patient Saf. 2024;20(3):20…
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psnet.ahrq.gov/node/37891/psn-pdf
June 09, 2011 - Classifying and predicting errors of inpatient medication
reconciliation.
June 9, 2011
Pippins JR, Gandhi TK, Hamann C, et al. Classifying and predicting errors of inpatient medication
reconciliation. J Gen Intern Med. 2008;23(9):1414-22. doi:10.1007/s11606-008-0687-9.
https://psnet.ahrq.gov/issue/classifying-and-…
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psnet.ahrq.gov/node/853616/psn-pdf
September 20, 2023 - Wake-up call: night shifts adversely affect nurse health
and retention, patient and public safety, and costs.
September 20, 2023
Imes CC, Tucker SJ, Trinkoff AM, et al. Wake-up call: night shifts adversely affect nurse health and
retention, patient and public safety, and costs. Nurs Adm Q. 2023;47(4):E38-E53.
doi:…
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psnet.ahrq.gov/node/60276/psn-pdf
April 29, 2020 - Body of evidence: do autopsy findings impact medical
malpractice claim outcomes?
April 29, 2020
Gartland RM, Myers LC, Iorgulescu JB, et al. Body of evidence: do autopsy findings impact medical
malpractice claim outcomes? J Patient Saf. 2020;17(8):576-582. doi:10.1097/pts.0000000000000686.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/47346/psn-pdf
February 22, 2019 - The prevalence of dose errors among paediatric patients
in hospital wards with and without health information
technology: a systematic review and meta-analysis.
February 22, 2019
Gates PJ, Meyerson SA, Baysari M, et al. The Prevalence of Dose Errors Among Paediatric Patients in
Hospital Wards with and without Heal…
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psnet.ahrq.gov/node/45701/psn-pdf
December 21, 2016 - Clinical decision support for drug related events: moving
towards better prevention.
December 21, 2016
Kane-Gill SL, Achanta A, Kellum JA, et al. Clinical decision support for drug related events: Moving towards
better prevention. World J Crit Care Med. 2016;5(4):204-211.
https://psnet.ahrq.gov/issue/clinical-deci…
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psnet.ahrq.gov/node/45964/psn-pdf
March 22, 2017 - What is known: examining the empirical literature in
resident work hours using 30 influential articles.
March 22, 2017
Philibert I. What Is Known: Examining the Empirical Literature in Resident Work Hours Using 30 Influential
Articles. J Grad Med Educ. 2016;8(5):795-805. doi:10.4300/JGME-D-16-00642.1.
https://psne…
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psnet.ahrq.gov/node/47587/psn-pdf
February 13, 2019 - Comfort with uncertainty: reframing our conceptions of
how clinicians navigate complex clinical situations.
February 13, 2019
Ilgen JS, Eva KW, de Bruin A, et al. Comfort with uncertainty: reframing our conceptions of how clinicians
navigate complex clinical situations. Adv Health Sci Edu: Theory Pract. 2019;24(4):…
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psnet.ahrq.gov/node/855084/psn-pdf
November 08, 2023 - Validation of a reduced set of high-performance triggers
for identifying patient safety incidents with harm in
primary care.
November 8, 2023
Garzón González G, Alonso Safont T, Conejos Míquel D, et al. Validation of a reduced set of high-
performance triggers for identifying patient safety incidents with harm in …
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psnet.ahrq.gov/node/836750/psn-pdf
March 16, 2022 - The source of purchased medications and its impact on
medication mistakes and hospitalizations.
March 16, 2022
Coates MC, Granche J, Sefcik JS, et al. The source of purchased medications and its impact on
medication mistakes and hospitalizations. Res Gerontol Nurs. 2022;15(2):69-75. doi:10.3928/19404921-
20220131-…
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psnet.ahrq.gov/node/74692/psn-pdf
January 26, 2022 - Changes made to orders placed by overnight admitting
residents on teaching rounds the next day.
January 26, 2022
Chiel L, Freiman E, Yarahuan J, et al. Changes made to orders placed by overnight admitting residents on
teaching rounds the next day. Hosp Pediatr. 2021;12(1):e35-e38. doi:10.1542/hpeds.2021-005823.
ht…
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psnet.ahrq.gov/node/45803/psn-pdf
March 27, 2017 - Safer Delivery of Surgical Services: a Programme of
Controlled Before-and-after Intervention Studies with Pre-
planned Pooled Data Analysis.
March 27, 2017
McCulloch P, Morgan L, Flynn L, et al. Health Services and Delivery Research. Southampton, UK: NIHR
Journals Library; 2016.
https://psnet.ahrq.gov/issue/safer…
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psnet.ahrq.gov/node/43205/psn-pdf
April 04, 2018 - Placing Diagnosis Errors on the Policy Agenda.
April 4, 2018
Berenson RA, Upadhyay D, Kaye DR. Washington, DC: Urban Institute. Princeton, NJ: Robert Wood
Johnson Foundation; 2014.
https://psnet.ahrq.gov/issue/placing-diagnosis-errors-policy-agenda
This comprehensive policy brief emphasizes the importance of addre…