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psnet.ahrq.gov/node/37965/psn-pdf
December 01, 2008 - Building a simulation-based crisis resource management
course for emergency medicine, phase 1: results from an
interdisciplinary needs assessment survey.
December 1, 2008
Hicks CM, Bandiera GW, Denny CJ. Building a simulation-based crisis resource management course for
emergency medicine, phase 1: Results from an …
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psnet.ahrq.gov/node/45982/psn-pdf
August 03, 2017 - Workplace factors associated with burnout of family
physicians.
August 3, 2017
Rassolian M, Peterson LE, Fang B, et al. Workplace Factors Associated With Burnout of Family
Physicians. JAMA Intern Med. 2017;177(7):1036-1038. doi:10.1001/jamainternmed.2017.1391.
https://psnet.ahrq.gov/issue/workplace-factors-associa…
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psnet.ahrq.gov/node/42997/psn-pdf
May 28, 2014 - Exploring perinatal shift-to-shift handover communication
and process: an observational study.
May 28, 2014
Poot EP, de Bruijne M, Wouters MGAJ, et al. Exploring perinatal shift-to-shift handover communication and
process: an observational study. J Eval Clin Pract. 2014;20(2):166-75. doi:10.1111/jep.12103.
https:/…
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psnet.ahrq.gov/node/45030/psn-pdf
November 01, 2016 - The impact of drug shortages on patients with
cardiovascular disease: causes, consequences, and a call
to action.
November 1, 2016
Reed BN, Fox ER, Konig M, et al. The impact of drug shortages on patients with cardiovascular disease:
causes, consequences, and a call to action. Am Heart J. 2016;175:130-41. doi:10.1…
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psnet.ahrq.gov/node/41894/psn-pdf
January 01, 2016 - Simulator-based crew resource management training for
interhospital transfer of critically ill patients by a mobile
ICU.
January 9, 2013
Droogh JM, Kruger HL, Ligtenberg JJM, et al. Simulator-Based Crew Resource Management Training for
Interhospital Transfer of Critically Ill Patients by a Mobile ICU. Jt Comm J Qu…
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psnet.ahrq.gov/node/45267/psn-pdf
December 04, 2016 - Use of medical abbreviations and acronyms: knowledge
among medical students and postgraduates.
December 4, 2016
Awan S, Abid S, Tariq M, et al. Use of medical abbreviations and acronyms: knowledge among medical
students and postgraduates. Postgrad Med J. 2016;92(1094):721-725. doi:10.1136/postgradmedj-2016-
134086…
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psnet.ahrq.gov/node/44895/psn-pdf
March 09, 2016 - On patient safety: when are we too old to operate?
March 9, 2016
Lee MJ. On Patient Safety: When Are We Too Old to Operate? Clin Orthop Relat Res. 2016;474(4):895-8.
doi:10.1007/s11999-016-4722-6.
https://psnet.ahrq.gov/issue/patient-safety-when-are-we-too-old-operate
High-risk industries often have mandatory requ…
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psnet.ahrq.gov/node/36505/psn-pdf
February 16, 2011 - Complying with ACGME resident duty hours restrictions:
restructuring the 80-hour workweek to enhance education
and patient safety at Texas A&M/Scott & White Memorial
Hospital.
February 16, 2011
Ogden PE, Sibbitt S, Howell M, et al. Complying with ACGME resident duty hours restrictions: restructuring
the 80-hour w…
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psnet.ahrq.gov/node/47583/psn-pdf
December 05, 2018 - Interpersonal and organizational dynamics are key drivers
of failure to rescue.
December 5, 2018
Smith ME, Wells EE, Friese CR, et al. Interpersonal And Organizational Dynamics Are Key Drivers Of
Failure To Rescue. Health Aff (Millwood). 2018;37(11):1870-1876. doi:10.1377/hlthaff.2018.0704.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/850347/psn-pdf
June 14, 2023 - Towards safe conversational agents in healthcare.
June 14, 2023
Denecke K. Towards Safe Conversational Agents in Healthcare. Stud Health Technol Inform.
2023;302:157-161. doi:10.3233/shti230094.
https://psnet.ahrq.gov/issue/towards-safe-conversational-agents-healthcare
The public is increasingly using conversation…
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psnet.ahrq.gov/node/39810/psn-pdf
April 17, 2011 - The missing link: dedicated patient safety education
within top-ranked US nursing school curricula.
April 17, 2011
Howard JN. The missing link: dedicated patient safety education within top-ranked US nursing school
curricula. J Patient Saf. 2010;6(3):165-71.
https://psnet.ahrq.gov/issue/missing-link-dedicated-pati…
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psnet.ahrq.gov/node/47872/psn-pdf
March 27, 2019 - Overview of the Environmental Scan of Primary Care-
Based Effort To Reduce Readmissions.
March 27, 2019
Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research and Quality;
March 2019. AHRQ Publication No. 18(19)-0055-EF.
https://psnet.ahrq.gov/issue/overview-environmental-scan-primar…
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psnet.ahrq.gov/node/36069/psn-pdf
May 11, 2014 - Health literacy, medication errors, and health outcomes:
is there a relationship?
May 11, 2014
Warner A, Menachemi N, Brooks RG. Health Literacy, Medication Errors, and Health Outcomes: Is There a
Relationship? Hosp Pharm. 2010;41(6):542-551. doi:10.1310/hpj4106-538.
https://psnet.ahrq.gov/issue/health-literacy-me…
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psnet.ahrq.gov/node/44326/psn-pdf
October 21, 2015 - Safety first! Using a checklist for intrafacility transport of
adult intensive care patients.
October 21, 2015
Comeau OY, Armendariz-Batiste J, Woodby SA. Safety First! Using a Checklist for Intrafacility Transport of
Adult Intensive Care Patients. Crit Care Nurse. 2015;35(5):16-25. doi:10.4037/ccn2015991.
https:/…
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psnet.ahrq.gov/node/73093/psn-pdf
March 31, 2021 - Leadership through crisis: fighting the fatigue pandemic
in healthcare during COVID-19.
March 31, 2021
Whelehan DF, Algeo N, Brown DA. Leadership through crisis: fighting the fatigue pandemic in healthcare
during COVID-19. BMJ Leader. 2021;5:108-112. doi:10.1136/leader-2020-000419.
https://psnet.ahrq.gov/issue/lea…
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psnet.ahrq.gov/node/867754/psn-pdf
March 12, 2025 - Decision fatigue in hospital settings: a scoping review.
March 12, 2025
Perry K, Jones S, Stumpff JC, et al. Decision fatigue in hospital settings: a scoping review. J Hosp Med.
2024;Epub Nov 11. doi:10.1002/jhm.13550.
https://psnet.ahrq.gov/issue/decision-fatigue-hospital-settings-scoping-review
Production pressu…
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psnet.ahrq.gov/node/847733/psn-pdf
March 16, 2025 - ISMP Targeted Medication Safety Best Practices for
Community Pharmacy.
March 16, 2025
Institute for Safe Medication Practices: March 2025.
https://psnet.ahrq.gov/issue/ismp-targeted-medication-safety-best-practices-community-pharmacy
Community pharmacies are common providers of medication delivery that harbor proc…
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psnet.ahrq.gov/node/43565/psn-pdf
March 22, 2016 - The role of failure mode and effects analysis in health
care.
March 22, 2016
Fibuch E, Ahmed A. The role of failure mode and effects analysis in health care. Physician Exec.
2014;40(4):28-32.
https://psnet.ahrq.gov/issue/role-failure-mode-and-effects-analysis-health-care
Failure mode and effects analysis (FMEA) h…
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psnet.ahrq.gov/node/43683/psn-pdf
April 22, 2015 - STOPP/START criteria for potentially inappropriate
prescribing in older people: version 2.
April 22, 2015
O'Mahony D, O'Sullivan D, Byrne S, et al. STOPP/START criteria for potentially inappropriate prescribing in
older people: version 2. Age Ageing. 2015;44(2):213-218. doi:10.1093/ageing/afu145.
https://psnet.ahr…
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psnet.ahrq.gov/node/47860/psn-pdf
June 30, 2019 - New mother number 14.
June 30, 2019
Sangarlangkarn A. Healthc (Amst). 2019;7:31-32.
https://psnet.ahrq.gov/issue/new-mother-number-14
Rigid adherence to protocols may detract from safety when unexpected critical events occur that require
deviation from the standard process. This commentary explores insights from a…