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psnet.ahrq.gov/node/74731/psn-pdf
February 02, 2022 - Impact of full personal protective equipment on alertness
of healthcare workers: a prospective study.
February 2, 2022
Wells HJ, Raithatha M, Elhag S, et al. Impact of full personal protective equipment on alertness of
healthcare workers: a prospective study. BMJ Open Qual. 2022;11(1):e001551. doi:10.1136/bmjoq-202…
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psnet.ahrq.gov/node/43543/psn-pdf
November 05, 2014 - A patient safety approach to setting pass/fail standards
for basic procedural skills checklists.
November 5, 2014
Yudkowsky R, Tumuluru S, Casey P, et al. A patient safety approach to setting pass/fail standards for basic
procedural skills checklists. Simul Healthc. 2014;9(5):277-82. doi:10.1097/SIH.000000000000004…
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psnet.ahrq.gov/node/867521/psn-pdf
April 01, 2024 - Patient safety trends in 2023: an analysis of 287,997
serious events and incidents from the nation’s largest
event reporting database.
April 1, 2024
Kepner S, Jones RM. Patient safety trends in 2023: an analysis of 287,997 serious events and incidents
from the nation’s largest event reporting database. Patient Saf…
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psnet.ahrq.gov/node/46182/psn-pdf
June 28, 2017 - What we know about designing an effective improvement
intervention (but too often fail to put into practice).
June 28, 2017
Marshall M, de Silva D, Cruickshank L, et al. What we know about designing an effective improvement
intervention (but too often fail to put into practice). BMJ Qual Saf. 2016;26(7). doi:10.113…
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psnet.ahrq.gov/node/46291/psn-pdf
July 26, 2017 - Experiences with Lean Six Sigma as improvement
strategy to reduce parenteral medication administration
errors and associated potential risk of harm.
July 26, 2017
van de Plas A, Slikkerveer M, Hoen S, et al. Experiences with Lean Six Sigma as improvement strategy to
reduce parenteral medication administration erro…
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psnet.ahrq.gov/node/865930/psn-pdf
May 22, 2024 - Operational failures in general practice: a consensus-
building study on the priorities for improvement.
May 22, 2024
Sinnott C, Alboksmaty A, Moxey JM, et al. Operational failures in general practice: a consensus-building
study on the priorities for improvement. Br J Gen Pract. 2024;74(742):e339-e346.
doi:10.3399…
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psnet.ahrq.gov/node/866442/psn-pdf
August 07, 2024 - Frequency and characteristics of errors by artificial
intelligence (AI) in reading screening mammography: a
systematic review.
August 7, 2024
Zeng A, Houssami N, Noguchi N, et al. Frequency and characteristics of errors by artificial intelligence (AI)
in reading screening mammography: a systematic review. Breast C…
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psnet.ahrq.gov/node/44518/psn-pdf
January 22, 2016 - Embracing errors in simulation-based training: the effect
of error training on retention and transfer of central
venous catheter skills.
January 22, 2016
Gardner AK, Abdelfattah K, Wiersch J, et al. Embracing Errors in Simulation-Based Training: The Effect of
Error Training on Retention and Transfer of Central Ven…
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psnet.ahrq.gov/node/855096/psn-pdf
November 08, 2023 - Systematic workup of transfusion reactions reveals
passive co-reporting of handling errors.
November 8, 2023
Nitsche E, Dreßler J, Henschler R. Systematic workup of transfusion reactions reveals passive co-reporting
of handling errors. J Blood Med. 2023;14:435-443. doi:10.2147/jbm.s411188.
https://psnet.ahrq.gov/i…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter2fig1txt.html
June 01, 2014 - Care Coordination Measures Atlas Update
Figure 1. Care Coordination Ring (Text Description)
Previous Page Next Page
Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framework
Chapter…
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psnet.ahrq.gov/node/50735/psn-pdf
December 11, 2019 - Never events in UK general practice: A survey of the
views of general practitioners on their frequency and
acceptability as a safety improvement approach
December 11, 2019
Stocks SJ, Alam R, Bowie P, et al. Never Events in UK General Practice: A Survey of the Views of General
Practitioners on Their Frequency and A…
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psnet.ahrq.gov/node/47909/psn-pdf
May 29, 2019 - Teaching novice clinicians how to reduce diagnostic
waste and errors by applying the Toyota Production
System.
May 29, 2019
Radhakrishnan NS, Singh H, Southwick FS. Teaching novice clinicians how to reduce diagnostic waste
and errors by applying the Toyota Production System. Diagnosis (Berl). 2019;6(2):179-185. do…
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psnet.ahrq.gov/node/45230/psn-pdf
July 20, 2016 - Outcomes are worse in US patients undergoing surgery
on weekends compared with weekdays.
July 20, 2016
Glance LG, Osler T, Li Y, et al. Outcomes are Worse in US Patients Undergoing Surgery on Weekends
Compared With Weekdays. Med Care. 2016;54(6):608-15. doi:10.1097/MLR.0000000000000532.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/73072/psn-pdf
March 24, 2021 - Education and training of nurses in the use of advanced
medical technologies in home care related to patient
safety: a cross-sectional survey.
March 24, 2021
ten Haken I, Ben Allouch S, van Harten WH. Education and training of nurses in the use of advanced
medical technologies in home care related to patient safet…
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psnet.ahrq.gov/node/837852/psn-pdf
August 17, 2022 - Neuroradiology diagnostic errors at a tertiary academic
centre: effect of participation in tumour boards and
physician experience.
August 17, 2022
Ivanovic V, Assadsangabi R, Hacein-Bey L, et al. Neuroradiology diagnostic errors at a tertiary academic
centre: effect of participation in tumour boards and physician …
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psnet.ahrq.gov/node/41814/psn-pdf
March 04, 2015 - Autopsy as a quality control measure for radiology, and
vice versa.
March 4, 2015
Murken DR, Ding M, Branstetter BF, et al. Autopsy as a quality control measure for radiology, and vice
versa. AJR Am J Roentgenol. 2012;199(2):394-401. doi:10.2214/AJR.11.8386.
https://psnet.ahrq.gov/issue/autopsy-quality-control-mea…
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psnet.ahrq.gov/node/73473/psn-pdf
January 01, 2022 - Improving safety recommendations before
implementation: a simulation-based event analysis to
optimize interventions designed to prevent recurrence of
adverse events.
July 7, 2021
Langevin M, Ward N, Fitzgibbons C, et al. Improving safety recommendations before implementation: a
simulation-based event analysis to …
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psnet.ahrq.gov/node/36324/psn-pdf
December 10, 2008 - 2006 Update on Consumers' Views of Patient Safety and
Quality Information.
December 10, 2008
Washington DC: Kaiser Family Foundation; 2006.
https://psnet.ahrq.gov/issue/2006-update-consumers-views-patient-safety-and-quality-information
This survey follows up on a prior study from 2004, asking patients about their…
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psnet.ahrq.gov/node/45487/psn-pdf
July 21, 2020 - Annotated bibliography: an update to: "Understanding
ambulatory care practices in the context of patient safety
and quality improvement."
July 21, 2020
Kumar PR, Nash DB. Annotated Bibliography: An Update to “Understanding Ambulatory Care Practices in
the Context of Patient Safety and Quality Improvement”. Am J Me…
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psnet.ahrq.gov/node/36743/psn-pdf
June 16, 2011 - Measuring safety culture in the ambulatory setting: The
Safety Attitudes Questionnaire—Ambulatory Version.
June 16, 2011
Modak I, Sexton B, Lux TR, et al. Measuring safety culture in the ambulatory setting: the safety attitudes
questionnaire--ambulatory version. J Gen Intern Med. 2007;22(1):1-5.
https://psnet.ahrq…