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psnet.ahrq.gov/node/44150/psn-pdf
August 21, 2015 - Reflection on adverse event disclosure in the
postsurgical hospital context.
August 21, 2015
Roberts F, Gettings P, Torbeck L, et al. Reflection on adverse event disclosure in the postsurgical hospital
context. J Surg Educ. 2015;72(4):767-70. doi:10.1016/j.jsurg.2014.12.016.
https://psnet.ahrq.gov/issue/reflection…
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psnet.ahrq.gov/node/43595/psn-pdf
November 19, 2014 - Patient safety in external beam radiotherapy—guidelines
on risk assessment and analysis of adverse error-events
and near misses: introducing the ACCIRAD project.
November 19, 2014
Malicki J, Bly R, Bulot M, et al. Patient safety in external beam radiotherapy - guidelines on risk
assessment and analysis of adverse …
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psnet.ahrq.gov/node/43853/psn-pdf
March 11, 2015 - Expressing concern and writing it down: an experimental
study investigating transfer of information at nursing
handover.
March 11, 2015
Lee H, Cumin D, Devcich DA, et al. Expressing concern and writing it down: an experimental study
investigating transfer of information at nursing handover. J Adv Nurs. 2015;71(1):…
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psnet.ahrq.gov/node/41068/psn-pdf
September 29, 2017 - A review of verbal order policies in acute care hospitals.
September 29, 2017
Wakefield DS, Wakefield BJ, Despins L, et al. A review of verbal order policies in acute care hospitals. Jt
Comm J Qual Patient Saf. 2012;38(1):24-33.
https://psnet.ahrq.gov/issue/review-verbal-order-policies-acute-care-hospitals
Verbal …
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psnet.ahrq.gov/node/35643/psn-pdf
June 24, 2010 - Preventing catheter-associated bloodstream infections: a
survey of policies for insertion and care of central venous
catheters from hospitals in the Prevention Epicenter
Program.
June 24, 2010
Warren DK, Yokoe D, Climo MW, et al. Preventing catheter-associated bloodstream infections: a survey of
policies for inse…
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psnet.ahrq.gov/node/49565/psn-pdf
July 01, 2008 - difference in medication error rates across RNs,
LPNs, and CMTs (5,6) , perhaps indicating that the varied
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psnet.ahrq.gov/node/45447/psn-pdf
January 01, 2018 - Targeted implementation of the Comprehensive Unit-
Based Safety Program through an assessment of safety
culture to minimize central line-associated bloodstream
infections.
December 19, 2017
Richter J, McAlearney AS. Targeted implementation of the Comprehensive Unit-Based Safety Program
through an assessment of sa…
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psnet.ahrq.gov/node/35531/psn-pdf
May 27, 2011 - U.S. adoption of computerized physician order entry
systems.
May 27, 2011
Cutler DM, Feldman NE, Horwitz JR. U.S. adoption of computerized physician order entry systems. Health
Aff (Millwood). 2005;24(6):1654-63.
https://psnet.ahrq.gov/issue/us-adoption-computerized-physician-order-entry-systems
This study discov…
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psnet.ahrq.gov/node/38470/psn-pdf
March 11, 2009 - Quality and strength of patient safety climate on
medical–surgical units.
March 11, 2009
Hughes LC, Chang YK, Mark BA. Quality and strength of patient safety climate on medical-surgical units.
Health Care Manag Rev. 2009;34(1):19-28. doi:10.1097/01.HMR.0000342976.07179.3a.
https://psnet.ahrq.gov/issue/quality-and-…
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psnet.ahrq.gov/node/41116/psn-pdf
May 24, 2012 - Variations in surgical outcomes associated with hospital
compliance with safety practices.
May 24, 2012
Brooke BS, Dominici F, Pronovost P, et al. Variations in surgical outcomes associated with hospital
compliance with safety practices. Surgery. 2012;151(5):651-9. doi:10.1016/j.surg.2011.12.001.
https://psnet.ahr…
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psnet.ahrq.gov/node/43787/psn-pdf
June 22, 2016 - Measuring variation in use of the WHO surgical safety
checklist in the operating room: a multicenter prospective
cross-sectional study.
June 22, 2016
Russ S, Rout S, Caris J, et al. Measuring variation in use of the WHO surgical safety checklist in the
operating room: a multicenter prospective cross-sectional stud…
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psnet.ahrq.gov/node/39917/psn-pdf
October 13, 2010 - Prevalence of adverse events in pediatric intensive care
units in the United States.
October 13, 2010
Agarwal S, Classen D, Larsen G, et al. Prevalence of adverse events in pediatric intensive care units in the
United States. Pediatr Crit Care Med. 2010;11(5):568-578. doi:10.1097/PCC.0b013e3181d8e405.
https://psne…
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psnet.ahrq.gov/node/37849/psn-pdf
March 23, 2011 - The incidence and nature of in-hospital adverse events: a
systematic review.
March 23, 2011
de Vries EN, Ramrattan MA, Smorenburg SM, et al. The incidence and nature of in-hospital adverse
events: a systematic review. Qual Saf Health Care. 2008;17(3):216-223. doi:10.1136/qshc.2007.023622.
https://psnet.ahrq.gov/is…
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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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psnet.ahrq.gov/node/47991/psn-pdf
July 12, 2019 - What quality and safety of care for patients admitted to
clinically inappropriate wards: a systematic review.
July 12, 2019
La Regina M, Guarneri F, Romano E, et al. What Quality and Safety of Care for Patients Admitted to
Clinically Inappropriate Wards: a Systematic Review. J Gen Intern Med. 2019;34(7):1314-1321.
…
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psnet.ahrq.gov/node/41746/psn-pdf
October 10, 2012 - The relationship of self-report of quality to practice size
and health information technology.
October 10, 2012
Gorman PN, O'Malley JP, Fagnan LJ. The relationship of self-report of quality to practice size and health
information technology. J Am Board Fam Med. 2012;25(5):614-24. doi:10.3122/jabfm.2012.05.120063.
…
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psnet.ahrq.gov/node/42051/psn-pdf
October 08, 2013 - A closer look at associations between hospital leadership
walkrounds and patient safety climate and risk reduction:
a cross-sectional study.
October 8, 2013
Schwendimann R, Milne J, Frush K, et al. A closer look at associations between hospital leadership
walkrounds and patient safety climate and risk reduction: a…
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psnet.ahrq.gov/node/45392/psn-pdf
August 17, 2016 - Boosting medical diagnostics by pooling independent
judgments.
August 17, 2016
Kurvers RHJM, Herzog SM, Hertwig R, et al. Boosting medical diagnostics by pooling independent
judgments. Proc Natl Acad Sci U S A. 2016;113(31):8777-8782. doi:10.1073/pnas.1601827113.
https://psnet.ahrq.gov/issue/boosting-medical-diagn…
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psnet.ahrq.gov/node/45907/psn-pdf
December 22, 2017 - Primary care collaboration to improve diagnosis and
screening for colorectal cancer.
December 22, 2017
Schiff G, Bearden T, Hunt LS, et al. Primary Care Collaboration to Improve Diagnosis and Screening for
Colorectal Cancer. Jt Comm J Qual Patient Saf. 2017;43(7):338-350. doi:10.1016/j.jcjq.2017.03.004.
https://ps…
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psnet.ahrq.gov/node/42509/psn-pdf
August 21, 2013 - Explaining Matching Michigan: an ethnographic study of
a patient safety program.
August 21, 2013
Dixon-Woods M, Leslie M, Tarrant C, et al. Explaining Matching Michigan: an ethnographic study of a
patient safety program. Implement Sci. 2013;8:70. doi:10.1186/1748-5908-8-70.
https://psnet.ahrq.gov/issue/explaining-…