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psnet.ahrq.gov/node/49864/psn-pdf
June 01, 2019 - Speaking Up for Patient Safety: What They Don't Tell You
in Training About Feedback and Burnout
June 1, 2019
Adair KC, Frankel A, Sexton B. Speaking Up for Patient Safety: What They Don't Tell You in Training About
Feedback and Burnout. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/speaking-patient-safety-…
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psnet.ahrq.gov/node/50392/psn-pdf
September 01, 2019 - In Conversation With… Shantanu Agrawal, MD, MPhil
September 1, 2019
In Conversation With… Shantanu Agrawal, MD, MPhil. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
Editor's note: Dr. Agrawal is president and CEO of the National Quality Forum (NQF). He is the form…
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psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
September 15, 2024 - COVID-19: Team and Human Factors to Improve Safety
Citation Text:
Zipperer L. COVID-19: Team and Human Factors to Improve Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
April 01, 2006 - Coming Undone: Failure of Closure Device
Citation Text:
Baez-Escudero JL, Levine GN. Coming Undone: Failure of Closure Device. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - and (ii) What are the main barriers to achieving interoperability across information technology systems
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psnet.ahrq.gov/issue/unmet-needs-teaching-physicians-provide-safe-patient-care
November 07, 2012 - Book/Report
Classic
Unmet Needs: Teaching Physicians to Provide Safe Patient Care.
Citation Text:
Unmet Needs: Teaching Physicians to Provide Safe Patient Care. Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; March 2010.
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psnet.ahrq.gov/issue/implementation-safety-huddle
November 03, 2021 - Commentary
Implementation of the safety huddle.
Citation Text:
Kylor C, Napier T, Rephann A, et al. Implementation of the Safety Huddle. Crit Care Nurse. 2016;36(6):80-82.
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psnet.ahrq.gov/issue/path-diagnostic-excellence-includes-feedback-calibrate-how-clinicians-think
May 04, 2022 - Commentary
Emerging Classic
The path to diagnostic excellence includes feedback to calibrate how clinicians think.
Citation Text:
Meyer AND, Singh H. The Path to Diagnostic Excellence Includes Feedback to Calibrate How Clinicians Think. JAMA. 2019;321(8):737-738…
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psnet.ahrq.gov/issue/inpatients-notes-sensemaking-fostering-shared-understanding-clinical-teams
November 25, 2020 - Commentary
Inpatients notes: sensemaking—fostering a shared understanding in clinical teams.
Citation Text:
Leykum LK, O'Leary KJ. Web Exclusives. Annals for Hospitalists Inpatient Notes - Sensemaking-Fostering a Shared Understanding in Clinical Teams. Ann Intern Med. 2017;167(4):HO2-HO3…
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psnet.ahrq.gov/issue/necessary-sea-change-nurse-faculty-development-spotlight-quality-and-safety
May 25, 2011 - Commentary
A necessary sea change for nurse faculty development: spotlight on quality and safety.
Citation Text:
Thornlow D, McGuinn K. A necessary sea change for nurse faculty development: spotlight on quality and safety. J Prof Nurs. 2010;26(2):71-81. doi:10.1016/j.profnurs.2009.10.00…
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psnet.ahrq.gov/issue/using-electronic-prescribing-system-ensure-accurate-medication-lists-large-multidisciplinary
August 28, 2017 - Study
Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary medical group.
Citation Text:
Stock R, Scott J, Gurtel S. Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary medical group. J…
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psnet.ahrq.gov/issue/health-literacy-and-mortality-among-elderly-persons
April 24, 2018 - Study
Health literacy and mortality among elderly persons.
Citation Text:
Baker DW, Wolf MS, Feinglass J, et al. Health literacy and mortality among elderly persons. Arch Intern Med. 2007;167(14):1503-9.
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psnet.ahrq.gov/issue/resilience-and-resilience-engineering-health-care
September 19, 2013 - Commentary
Resilience and resilience engineering in health care.
Citation Text:
Fairbanks RJ, Wears RL, Woods DD, et al. Resilience and resilience engineering in health care. Jt Comm J Qual Patient Saf. 2014;40(8):376-383.
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psnet.ahrq.gov/issue/effective-perioperative-communication-enhance-patient-care
March 17, 2015 - Commentary
Effective perioperative communication to enhance patient care.
Citation Text:
Garrett H. Effective Perioperative Communication to Enhance Patient Care. AORN J. 2016;104(2):111-20. doi:10.1016/j.aorn.2016.06.001.
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psnet.ahrq.gov/issue/peer-review-medical-practices-missed-opportunities-learn
November 16, 2022 - Commentary
Peer review of medical practices: missed opportunities to learn.
Citation Text:
Kadar N. Peer review of medical practices: missed opportunities to learn. Am J Obstet Gynecol. 2014;211(6):596-601. doi:10.1016/j.ajog.2014.08.018.
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psnet.ahrq.gov/issue/stories-sharp-end-case-studies-safety-improvement
October 07, 2008 - Study
Stories from the sharp end: case studies in safety improvement.
Citation Text:
Stories from the sharp end: case studies in safety improvement. McCarthy D; Blumenthal D. Milbank Q. 2006;84(1):165-200
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psnet.ahrq.gov/issue/pain-management-and-opioid-epidemic-balancing-societal-and-individual-benefits-and-risks
March 29, 2006 - July 8, 2016
Patient Safety: Achieving a New Standard of Care.
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psnet.ahrq.gov/issue/mirror-mirror-wall-update-quality-american-health-care-through-patients-lens
August 15, 2007 - December 7, 2022
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