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psnet.ahrq.gov/node/34939/psn-pdf
June 16, 2011 - The effect of executive walk rounds on nurse safety
climate attitudes: a randomized trial of clinical units.
June 16, 2011
Thomas EJ, Sexton B, Neilands TB, et al. The effect of executive walk rounds on nurse safety climate
attitudes: a randomized trial of clinical units[ISRCTN85147255] [corrected]. BMC Health Serv…
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December 06, 2017 - Pragmatic insights on patient safety priorities and
intervention strategies in ambulatory settings.
December 6, 2017
Sarkar U, McDonald KM, Motala A, et al. Pragmatic Insights on Patient Safety Priorities and Intervention
Strategies in Ambulatory Settings. Jt Comm J Qual Patient Saf. 2017;43(12):661-670.
doi:10.10…
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psnet.ahrq.gov/node/72731/psn-pdf
February 10, 2021 - Problems in care and avoidability of death after discharge
from intensive care: a multi-centre retrospective case
record review study.
February 10, 2021
Vollam S, Gustafson O, Young JD, et al. Problems in care and avoidability of death after discharge from
intensive care: a multi-centre retrospective case record r…
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January 01, 2024 - Contextual factors influencing the implementation of a
multifaceted intervention to improve teamwork and
quality for hospitalized patients: a multi-site qualitative
comparative case study.
November 1, 2023
Terwilliger IA, Johnson JK, Manojlovich M, et al. Contextual Factors Influencing the Implementation of a
Mul…
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psnet.ahrq.gov/node/47040/psn-pdf
October 18, 2018 - Unplanned early hospital readmission among critical care
survivors: a mixed methods study of patients and carers.
October 18, 2018
Donaghy E, Salisbury L, Lone NI, et al. Unplanned early hospital readmission among critical care survivors:
a mixed methods study of patients and carers. BMJ Qual Saf. 2018;27(11):915-9…
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psnet.ahrq.gov/node/36386/psn-pdf
July 14, 2010 - Learning from different lenses: reports of medical errors
in primary care by clinicians, staff, and patients: a project
of the American Academy of Family Physicians National
Research Network.
July 14, 2010
Phillips RL, Dovey SM, Graham D, et al. Learning From Different Lenses: Reports of Medical Errors in
Primary…
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psnet.ahrq.gov/node/34683/psn-pdf
February 10, 2011 - Pharmacist participation on physician rounds and
adverse drug events in the intensive care unit.
February 10, 2011
Leape L, Cullen DJ, Clapp M, et al. Pharmacist participation on physician rounds and adverse drug events
in the intensive care unit. JAMA. 1999;282(3):267-70.
https://psnet.ahrq.gov/issue/pharmacist-p…
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psnet.ahrq.gov/node/45091/psn-pdf
February 14, 2017 - The interplay between teamwork, clinicians' emotional
exhaustion, and clinician-rated patient safety: a
longitudinal study.
February 14, 2017
Welp A, Meier LL, Manser T. The interplay between teamwork, clinicians' emotional exhaustion, and
clinician-rated patient safety: a longitudinal study. Crit Care. 2016;20(1)…
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psnet.ahrq.gov/node/846441/psn-pdf
March 22, 2023 - "We're not taken seriously": describing the experiences
of perceived discrimination in medical settings for Black
women.
March 22, 2023
Washington A, Randall J. "We're not taken seriously": describing the experiences of perceived
discrimination in medical settings for Black women. J Racial Ethn Health Disparities.…
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psnet.ahrq.gov/node/42980/psn-pdf
February 17, 2017 - Disclosing adverse events to patients: international
norms and trends.
February 17, 2017
Wu AW, McCay L, Levinson W, et al. Disclosing Adverse Events to Patients: International Norms and
Trends. J Patient Saf. 2017;13(1):43-49. doi:10.1097/PTS.0000000000000107.
https://psnet.ahrq.gov/issue/disclosing-adverse-event…
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psnet.ahrq.gov/node/837589/psn-pdf
June 29, 2022 - Monitoring preventable adverse events and near misses:
number and type identified differ depending on method
used.
June 29, 2022
Isaksson S, Schwarz A, Rusner M, et al. Monitoring preventable adverse events and near misses: number
and type identified differ depending on method used. J Patient Saf. 2022;18(4):325-3…
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psnet.ahrq.gov/node/47893/psn-pdf
April 08, 2019 - Challenges with implementing the Centers for Disease
Control and Prevention opioid guideline: a consensus
panel report.
April 8, 2019
Kroenke K, Alford DP, Argoff C, et al. Challenges with Implementing the Centers for Disease Control and
Prevention Opioid Guideline: A Consensus Panel Report. Pain Med. 2019;20(4):7…
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psnet.ahrq.gov/node/73182/psn-pdf
April 28, 2021 - Learning from morbidity and mortality conferences: focus
and sustainability of lessons for patient care.
April 28, 2021
de Vos MS, Hamming JF, Marang-van de Mheen PJ. Learning from morbidity and mortality conferences:
focus and sustainability of lessons for patient care. J Patient Saf. 2021;17(3):231-238.
doi:10.1…
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psnet.ahrq.gov/node/35324/psn-pdf
February 03, 2011 - Neurobehavioral performance of residents after heavy
night call vs after alcohol ingestion.
February 3, 2011
Arnedt JT, Owens J, Crouch M, et al. Neurobehavioral Performance of Residents After Heavy Night Call vs
After Alcohol Ingestion. JAMA. 2005;294(9). doi:10.1001/jama.294.9.1025.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/38176/psn-pdf
October 29, 2008 - Human error, not communication and systems, underlies
surgical complications.
October 29, 2008
Fabri PJ, Zayas-Castro JL. Human error, not communication and systems, underlies surgical
complications. Surgery. 2008;144(4):557-63; discussion 563-5. doi:10.1016/j.surg.2008.06.011.
https://psnet.ahrq.gov/issue/human-e…
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psnet.ahrq.gov/node/865488/psn-pdf
April 03, 2024 - Impact of performance and information feedback on
medical interns' confidence-accuracy calibration.
April 3, 2024
Staal J, Katarya K, Speelman M, et al. Impact of performance and information feedback on medical interns'
confidence–accuracy calibration. Adv Health Sci Educ Theory Pract. 2024;29(1):129-145.
doi:10.1…
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psnet.ahrq.gov/node/35623/psn-pdf
August 05, 2009 - Changing and sustaining medical students' knowledge,
skills, and attitudes about patient safety and medical
fallibility.
August 5, 2009
Madigosky WS, Headrick LA, Nelson K, et al. Changing and sustaining medical students' knowledge, skills,
and attitudes about patient safety and medical fallibility. Acad Med. 2006…
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psnet.ahrq.gov/node/73917/psn-pdf
October 06, 2021 - Reporting of health information technology system-
related patient safety incidents: the effects of
organizational justice.
October 6, 2021
Gluschkoff K, Kaihlanen A, Palojoki S, et al. Reporting of health information technology system-related
patient safety incidents: the effects of organizational justice. Safety…
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psnet.ahrq.gov/node/849340/psn-pdf
May 24, 2023 - Death Inside Lemuel Shattuck Hospital: A Case Study on
Medical Treatment for Persons with Mental Health
Disabilities.
May 24, 2023
Massachusetts Protection and Advocacy. Boston, MA: Disability Law Center; May 8, 2023.
https://psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treat…
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psnet.ahrq.gov/node/45662/psn-pdf
January 23, 2017 - National trends in hospitalizations for opioid poisonings
among children and adolescents, 1997 to 2012.
January 23, 2017
Gaither JR, Leventhal JM, Ryan SA, et al. National Trends in Hospitalizations for Opioid Poisonings Among
Children and Adolescents, 1997 to 2012. JAMA Peds. 2016;170(12):1195-1201.
doi:10.1001/j…