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psnet.ahrq.gov/node/73529/psn-pdf
July 28, 2021 - Prevalence and characteristics of interruptions and
distractions during surgical counts.
July 28, 2021
Bubric KA, Biesbroek SL, Laberge JC, et al. Prevalence and characteristics of interruptions and distractions
during surgical counts. Jt Comm J Qual Patient Saf. 2021;47(9):556-562. doi:10.1016/j.jcjq.2021.05.004.
…
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psnet.ahrq.gov/node/44156/psn-pdf
November 10, 2015 - Exploring the role of communications in quality
improvement: a case study of the 1000 Lives Campaign in
NHS Wales.
November 10, 2015
Cooper A, Gray J, Willson A, et al. Exploring the role of communications in quality improvement: A case
study of the 1000 Lives Campaign in NHS Wales. J Commun Healthc. 2015;8(1):76-…
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psnet.ahrq.gov/node/867380/psn-pdf
December 18, 2024 - Cognitive biases and artificial intelligence.
December 18, 2024
Wang J, Redelmeier DA. Cognitive biases and artificial intelligence. NEJM AI. 2024;1(12):AIcs2400639.
doi:10.1056/aics2400639.
https://psnet.ahrq.gov/issue/cognitive-biases-and-artificial-intelligence
Previous studies have raised concerns about cognit…
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psnet.ahrq.gov/node/44790/psn-pdf
March 15, 2016 - The role of emotion in patient safety: are we brave
enough to scratch beneath the surface?
March 15, 2016
Heyhoe J, Birks Y, Harrison R, et al. The role of emotion in patient safety: Are we brave enough to scratch
beneath the surface? J R Soc Med. 2016;109(2):52-8. doi:10.1177/0141076815620614.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/46070/psn-pdf
May 10, 2017 - Frequency, expected effects, obstacles, and facilitators of
disclosure of patient safety incidents: a systematic
review.
May 10, 2017
Ock M, Lim SY, Jo M-W, et al. Frequency, Expected Effects, Obstacles, and Facilitators of Disclosure of
Patient Safety Incidents: A Systematic Review. J Prev Med Public Health. 2017…
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psnet.ahrq.gov/node/43127/psn-pdf
April 23, 2014 - An interprofessional qualitative study of barriers and
potential solutions for the safe use of insulin in the
hospital setting.
April 23, 2014
Rousseau M-P, Beauchesne M-F, Naud A-S, et al. An interprofessional qualitative study of barriers and
potential solutions for the safe use of insulin in the hospital settin…
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psnet.ahrq.gov/node/34806/psn-pdf
December 23, 2008 - Identification of in-hospital complications from claims
data. Is it valid?
December 23, 2008
Lawthers AG, McCarthy EP, Davis RB, et al. Identification of in-hospital complications from claims data. Is
it valid? Med Care. 2000;38(8):785-95.
https://psnet.ahrq.gov/issue/identification-hospital-complications-claims-d…
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psnet.ahrq.gov/node/44310/psn-pdf
February 18, 2019 - Enhanced morbidity and mortality meeting and patient
safety education for specialty trainees.
February 18, 2019
Singh HP, Durani P, Dias JJ. Enhanced Morbidity and Mortality Meeting and Patient Safety Education for
Specialty Trainees. J Patient Saf. 2019;15(1):37-48. doi:10.1097/PTS.0000000000000208.
https://psnet…
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psnet.ahrq.gov/node/849324/psn-pdf
May 24, 2023 - Learning from errors and resilience.
May 24, 2023
Arnal-Velasco D, Heras-Hernando V. Learning from errors and resilience. Curr Opin Anaesthesiol.
2023;36(3):376-381. doi:10.1097/aco.0000000000001257.
https://psnet.ahrq.gov/issue/learning-errors-and-resilience
The Safety II framework and organizational resilience b…
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psnet.ahrq.gov/node/50389/psn-pdf
September 25, 2019 - Dual process theory suggests that humans make decisions through one of two basic processes:
nonanalytic
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psnet.ahrq.gov/node/44595/psn-pdf
January 22, 2016 - Delayed rapid response team activation is associated with
increased hospital mortality, morbidity, and length of stay
in a tertiary care institution.
January 22, 2016
Barwise A, Thongprayoon C, Gajic O, et al. Delayed Rapid Response Team Activation Is Associated With
Increased Hospital Mortality, Morbidity, and Le…
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psnet.ahrq.gov/node/45678/psn-pdf
October 11, 2017 - Is there a role for patients and their relatives in escalating
clinical deterioration in hospital? A systematic review.
October 11, 2017
Albutt AK, O'Hara JK, Conner MT, et al. Is there a role for patients and their relatives in escalating clinical
deterioration in hospital? A systematic review. Health Expect. 2017…
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psnet.ahrq.gov/node/73243/psn-pdf
May 12, 2021 - COVID-19 and patient safety: time to tap into our
investment in high reliability.
May 12, 2021
Adelman JS, Gandhi TK. COVID-19 and patient safety: time to tap into our investment in high reliability. J
Patient Saf. 2021;17(4):331-333. doi:10.1097/pts.0000000000000843.
https://psnet.ahrq.gov/issue/covid-19-and-pati…
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psnet.ahrq.gov/node/60846/psn-pdf
January 01, 2021 - Safety climate associated with adverse events in nursing
homes: a national VA study.
August 26, 2020
Quach ED, Kazis LE, Zhao S, et al. Safety climate associated with adverse events in nursing homes: a
national VA study. J Am Med Dir Assoc. 2021;22(2):388-392. doi:10.1016/j.jamda.2020.05.028.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/73394/psn-pdf
June 16, 2021 - Advanced medication reconciliation: a systematic review
of the impact on medication errors and adverse drug
events associated with transitions of care.
June 16, 2021
Killin L, Hezam A, Anderson KK, et al. Advanced medication reconciliation: a systematic review of the
impact on medication errors and adverse drug ev…
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psnet.ahrq.gov/node/45552/psn-pdf
February 15, 2017 - Speaking up behaviours (safety voices) of healthcare
workers: a metasynthesis of qualitative research studies.
February 15, 2017
Morrow KJ, Gustavson AM, Jones J. Speaking up behaviours (safety voices) of healthcare workers: a
metasynthesis of qualitative research studies. Int J Nurs Stud. 2016;64:42-51.
doi:10.10…
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psnet.ahrq.gov/node/72704/psn-pdf
February 03, 2021 - The association between health care staff engagement
and patient safety outcomes: a systematic review and
meta-analysis.
February 3, 2021
Janes G, Mills T, Budworth L, et al. The association between health care staff engagement and patient
safety outcomes: a systematic review and meta-analysis. J Patient Saf. 2021…
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psnet.ahrq.gov/node/837415/psn-pdf
June 15, 2022 - Instruments for measuring patient safety competencies in
nursing: a scoping review.
June 15, 2022
Mortensen M, Naustdal KI, Uibu E, et al. Instruments for measuring patient safety competencies in nursing:
a scoping review. BMJ Open Qual. 2022;11(2):e001751. doi:10.1136/bmjoq-2021-001751.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/74726/psn-pdf
February 02, 2022 - Disclosing adverse events in clinical practice: the delicate
act of being open.
February 2, 2022
Myren BJ, de Hullu JA, Bastiaans S, et al. Disclosing adverse events in clinical practice: the delicate act of
being open. Health Commun. 2022;37(2):191-201. doi:10.1080/10410236.2020.1830550.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/838314/psn-pdf
October 12, 2022 - Stakeholder safety communication: patient and family
reports on safety risks in hospitals.
October 12, 2022
Reader TW. Stakeholder safety communication: patient and family reports on safety risks in hospitals. J
Risk Res. 2022;25(7):807-824. doi:10.1080/13669877.2022.2061036.
https://psnet.ahrq.gov/issue/stakehold…