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psnet.ahrq.gov/node/43132/psn-pdf
April 23, 2014 - Hospital Survey on Patient Safety Culture: 2014 User
Comparative Database Report.
April 23, 2014
Sorra J, Famolaro T, Yount ND, et al. Rockville, MD: Agency for Healthcare Research and Quality; March
2014. AHRQ Publication No. 14-0019-EF.
https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2014-use…
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psnet.ahrq.gov/node/45067/psn-pdf
May 11, 2016 - Hospital Survey on Patient Safety Culture: 2016 User
Comparative Database Report.
May 11, 2016
Famolaro T, Yount ND, Burns W, Flashner E, Liu H, Sorra J. Rockville, MD: Agency for Healthcare
Research and Quality; March 2016. AHRQ Publication No. 16-00121-EF.
https://psnet.ahrq.gov/issue/hospital-survey-patient-saf…
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psnet.ahrq.gov/node/47939/psn-pdf
May 08, 2019 - Patient safety in medical imaging: a joint paper of the
European Society of Radiology (ESR) and the European
Federation of Radiographer Societies (EFRS).
May 8, 2019
Radiology ES of, Societies EF of R. Patient Safety in Medical Imaging: a joint paper of the European
Society of Radiology (ESR) and the European Fede…
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psnet.ahrq.gov/node/866691/psn-pdf
September 11, 2024 - Unlocking the potential of free text in electronic health
records with large language models (LLM): enhancing
patient safety and consultation interactions.
September 11, 2024
Kumarapeli P, Haddad T, de Lusignan S. Unlocking the potential of free text in electronic health records
with large language models (LLM): e…
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www.ahrq.gov/professionals/index.html
March 01, 2016 - For Professionals
Tools, Recommendations, and Resources for Clinicians and Providers and Hospitals and Health Systems
Clinicians & Providers
Clinical information on evidence-based practice, clinical guidelines, medical effectiveness, pharmaceutical therapy, new technology, screening and preventive ser…
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psnet.ahrq.gov/node/39499/psn-pdf
January 03, 2017 - Caring for our own: deploying a systemwide second
victim rapid response team.
January 3, 2017
Scott SD, Hirschinger LE, Cox KR, et al. Caring for our own: deploying a systemwide second victim rapid
response team. Jt Comm J Qual Saf. 2010;36(5):233-240.
https://psnet.ahrq.gov/issue/caring-our-own-deploying-systemwi…
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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumbaer.html
October 01, 2014 - Baer, Heather
Summaries of Independent Scientist (K) Awards
Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards.
Baer, Heather
Institution: Brigham and Women's Hospital, Boston
Grant Title: Use of Electronic Health Records for Addressing…
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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumcoch.html
October 01, 2014 - Cochran, Gary
Summaries of Independent Scientist (K) Awards
Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards.
Institution: University of Nebraska Medical Center
Grant Title: Comparing the Effectiveness of Medication Use Systems in Small…
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psnet.ahrq.gov/node/73985/psn-pdf
October 20, 2021 - The effects of three consecutive 12-hour shifts on
cognition, sleepiness, and domains of nursing
performance in day and night shift nurses: a quasi-
experimental study.
October 20, 2021
James L, Elkins-Brown N, Wilson M, et al. The effects of three consecutive 12-hour shifts on cognition,
sleepiness, and domains …
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psnet.ahrq.gov/node/50458/psn-pdf
October 09, 2019 - Success of a resident-led safety council: a model for
satisfying CLER Pathways to Excellence patient safety
goals.
October 9, 2019
Cohen SP, Pelletier JH, Ladd JM, et al. Success of a resident-led safety council: a model for satisfying
CLER Pathways to Excellence patient safety goals. J Gen Intern Med. 2019;11(2):…
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psnet.ahrq.gov/node/43262/psn-pdf
April 06, 2015 - Escalation of care in surgery: a systematic risk
assessment to prevent avoidable harm in hospitalized
patients.
April 6, 2015
Johnston MJ, Arora S, Anderson O, et al. Escalation of care in surgery: a systematic risk assessment to
prevent avoidable harm in hospitalized patients. Ann Surg. 2015;261(5):831-838.
doi:…
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psnet.ahrq.gov/node/46361/psn-pdf
May 23, 2018 - Inadequate hand-off communication.
May 23, 2018
Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6.
https://psnet.ahrq.gov/issue/inadequate-hand-communication
The Joint Commission publishes sentinel event alerts to draw attention to pressing or emerging safety
issues and provide guidelines fo…
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psnet.ahrq.gov/node/41101/psn-pdf
October 16, 2012 - System-related interventions to reduce diagnostic errors:
a narrative review.
October 16, 2012
Singh H, Graber ML, Kissam SM, et al. System-related interventions to reduce diagnostic errors: a
narrative review. BMJ Qual Saf. 2012;21(2):160-170. doi:10.1136/bmjqs-2011-000150.
https://psnet.ahrq.gov/issue/system-rel…
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psnet.ahrq.gov/node/37290/psn-pdf
February 15, 2011 - Medical errors involving trainees: a study of closed
malpractice claims from 5 insurers.
February 15, 2011
Singh H, Thomas EJ, Petersen L, et al. Medical errors involving trainees: a study of closed malpractice
claims from 5 insurers. Arch Intern Med. 2007;167(19):2030-6.
https://psnet.ahrq.gov/issue/medical-error…
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psnet.ahrq.gov/node/43533/psn-pdf
August 28, 2017 - Organizational, cultural, and psychological determinants
of smart infusion pump work arounds: a study of 3 U.S.
health systems.
August 28, 2017
Dunford BB, Perrigino M, Tucker SJ, et al. Organizational, Cultural, and Psychological Determinants of
Smart Infusion Pump Work Arounds: A Study of 3 U.S. Health Systems. …
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psnet.ahrq.gov/node/46484/psn-pdf
August 20, 2018 - Defining and measuring diagnostic uncertainty in
medicine: a systematic review.
August 20, 2018
Bhise V, Rajan SS, Sittig DF, et al. Defining and Measuring Diagnostic Uncertainty in Medicine: A
Systematic Review. J Gen Intern Med. 2018;33(1):103-115. doi:10.1007/s11606-017-4164-1.
https://psnet.ahrq.gov/issue/defi…
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psnet.ahrq.gov/node/46236/psn-pdf
April 03, 2018 - The impact of a diagnostic decision support system on
the consultation: perceptions of GPs and patients.
April 3, 2018
Porat T, Delaney B, Kostopoulou O. The impact of a diagnostic decision support system on the
consultation: perceptions of GPs and patients. BMC Med Inform Decis Mak. 2017;17(1):79.
doi:10.1186/s12…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pukey.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
Key Subject Area Index
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pressure ulcer p…
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psnet.ahrq.gov/node/866246/psn-pdf
July 10, 2024 - "They say they listen. But do they really listen?": A
qualitative study of hospital doctors' experiences of
organisational deafness, disconnect and denial.
July 10, 2024
Creese J, Byrne JP, Conway E, et al. “They say they listen. But do they really listen?”: A qualitative study of
hospital doctors’ experiences of …
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psnet.ahrq.gov/node/40450/psn-pdf
December 21, 2014 - Unit-based care teams and the frequency and quality of
physician–nurse communications.
December 21, 2014
Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician-
nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.1001/archpediatrics.2011.54.
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