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psnet.ahrq.gov/node/851356/psn-pdf
July 12, 2023 - Leveraging the science of teamwork to sustain handoff
improvements in cardiovascular surgery.
July 12, 2023
Keebler JR, Lynch I, Ngo F, et al. Leveraging the science of teamwork to sustain handoff improvements in
cardiovascular surgery. Jt Comm J Qual Patient Saf. 2023;49(8):373-383. doi:10.1016/j.jcjq.2023.05.006.…
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psnet.ahrq.gov/node/44623/psn-pdf
November 11, 2015 - Quality, Safety, and Noninterpretive Skills.
November 11, 2015
Kruskal JB, Kung JW, eds. Radiographics. 2015;35(6):1627-1848.
https://psnet.ahrq.gov/issue/quality-safety-and-noninterpretive-skills
Increased radiation exposure has emerged as a patient safety problem, with the potential to result in harm
for provide…
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psnet.ahrq.gov/node/35852/psn-pdf
April 12, 2006 - Mirror, Mirror on the Wall: An Update on the Quality of
American Health Care Through the Patient's Lens.
April 12, 2006
Davis K, Schoen S, Schoenbaum SC, et al. New York, NY: The Commonwealth Fund; 2006.
https://psnet.ahrq.gov/issue/mirror-mirror-wall-update-quality-american-health-care-through-patients-lens
This …
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psnet.ahrq.gov/node/43877/psn-pdf
February 25, 2015 - Training situational awareness to reduce surgical errors
in the operating room.
February 25, 2015
Graafland M, Schraagen JMC, Boermeester MA, et al. Training situational awareness to reduce surgical
errors in the operating room. Br J Surg. 2015;102(1):16-23. doi:10.1002/bjs.9643.
https://psnet.ahrq.gov/issue/train…
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psnet.ahrq.gov/node/33922/psn-pdf
August 05, 2009 - The importance of cognitive errors in diagnosis and
strategies to minimize them.
August 5, 2009
Croskerry P. The importance of cognitive errors in diagnosis and strategies to minimize them. Acad Med.
2003;78(8):775-780.
https://psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them…
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psnet.ahrq.gov/node/863749/psn-pdf
March 06, 2024 - Improving situation awareness to advance patient
outcomes: a systematic literature review.
March 6, 2024
Alqarrain Y, Roudsari A, Courtney KL, et al. Improving situation awareness to advance patient outcomes: a
systematic literature review. Comput Inform Nurs. 2024;42(4):277-288.
doi:10.1097/cin.0000000000001112.
…
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psnet.ahrq.gov/node/866640/psn-pdf
September 04, 2024 - Improving resident physician participation in reporting
patient safety and quality concerns.
September 4, 2024
Craig SR, Smith HL, Shaeffer PJ. Improving resident physician participation in reporting patient safety and
quality concerns. Ochsner J. 2024;24(2):118-123. doi:10.31486/toj.24.0016.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/866521/psn-pdf
August 14, 2024 - High reliability in a safety net hospital leading to
operational excellence.
August 14, 2024
Didion L, Whitfield C, Bishop P, et al. High reliability in a safety net hospital leading to operational
excellence. J Patient Saf. 2024;20(5):375-380. doi:10.1097/pts.0000000000001236.
https://psnet.ahrq.gov/issue/high-re…
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psnet.ahrq.gov/node/48046/psn-pdf
August 21, 2019 - Educational targets to reduce medication errors by
general surgery residents.
August 21, 2019
Chaitoff A, Strong AT, Bauer SR, et al. Educational Targets to Reduce Medication Errors by General
Surgery Residents. J Surg Educ. 2019;76(6):1612-1621. doi:10.1016/j.jsurg.2019.04.009.
https://psnet.ahrq.gov/issue/educat…
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psnet.ahrq.gov/node/46740/psn-pdf
January 01, 2021 - High-alert medication stratification tool-revised: an
exploratory study of an objective, standardized
medication safety tool.
March 28, 2018
Washburn NC, Dossett HA, Fritschle AC, et al. High-Alert Medication Stratification Tool-Revised: An
Exploratory Study of an Objective, Standardized Medication Safety Tool. J …
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psnet.ahrq.gov/node/847729/psn-pdf
April 19, 2023 - STAMP: a 5-year project to reduce paediatric prescribing
errors.
April 19, 2023
Trivedi A, Ajitsaria R, Bate T. STAMP: a 5-year project to reduce paediatric prescribing errors. Arch Dis
Child Educ Pract Ed. 2022;108(2):115-119. doi:10.1136/archdischild-2021-323192.
https://psnet.ahrq.gov/issue/stamp-5-year-project…
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psnet.ahrq.gov/node/837501/psn-pdf
June 22, 2022 - Development and validation of a brief culture-of-safety
survey.
June 22, 2022
Barnard C, Chung JW, Flaherty V, et al. Development and validation of a brief culture-of-safety survey. Jt
Comm J Qual Patient Saf. 2022;48(9):430-438. doi:10.1016/j.jcjq.2022.04.006.
https://psnet.ahrq.gov/issue/development-and-validati…
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psnet.ahrq.gov/node/836725/psn-pdf
March 09, 2022 - Caring for Those Who Care: Guide for the Development
and Implementation of Occupational Health and Safety
Programmes for Health Workers.
March 9, 2022
Geneva, Switzerland: World Health Organization and International Labour Organization; 2022. ISBN
9789240040779.
https://psnet.ahrq.gov/issue/caring-those-who-care-…
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psnet.ahrq.gov/node/837419/psn-pdf
June 15, 2022 - Implicit racial bias in pediatric orthopaedic surgery.
June 15, 2022
Guzek R, Goodbody CM, Jia L, et al. Implicit racial bias in pediatric orthopaedic surgery. J Pediatr Orthop.
2022;42(7):393-399. doi:10.1097/bpo.0000000000002170.
https://psnet.ahrq.gov/issue/implicit-racial-bias-pediatric-orthopaedic-surgery
Res…
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psnet.ahrq.gov/node/837418/psn-pdf
June 15, 2022 - Diagnostic trajectories in primary care at 12 months: an
observational cohort study.
June 15, 2022
Fontil V, Khoong EC, Lyles C, et al. Diagnostic trajectories in primary care at 12 months: an observational
cohort study. Jt Comm J Qual Patient Saf. 2022;48(8):395-402. doi:10.1016/j.jcjq.2022.04.010.
https://psnet.…
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psnet.ahrq.gov/node/853619/psn-pdf
September 20, 2023 - Defining speaking up in the healthcare system: a
systematic review.
September 20, 2023
Kane J, Munn L, Kane SF, et al. Defining speaking up in the healthcare system: a systematic review. J Gen
Intern Med. 2023;38(15):3406-3413. doi:10.1007/s11606-023-08322-0.
https://psnet.ahrq.gov/issue/defining-speaking-healthca…
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psnet.ahrq.gov/node/34805/psn-pdf
November 07, 2017 - Medication errors in neonatal and paediatric intensive-
care units.
November 7, 2017
Raju TN, Kecskes S, Thornton JP, et al. Medication errors in neonatal and paediatric intensive-care units.
Lancet. 1989;2(8659):374-6.
https://psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units
Th…
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psnet.ahrq.gov/node/41677/psn-pdf
September 26, 2012 - Interventions to reduce medication errors in adult
intensive care: a systematic review.
September 26, 2012
Manias E, Williams A, Liew D. Interventions to reduce medication errors in adult intensive care: a
systematic review. Br J Clin Pharmacol. 2012;74(3). doi:10.1111/j.1365-2125.2012.04220.x.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/42201/psn-pdf
December 29, 2014 - A qualitative exploration of patients' attitudes towards the
'Participate Inform Notice Know' (PINK) patient safety
video.
December 29, 2014
Pinto A, Vincent CA, Darzi A, et al. A qualitative exploration of patients' attitudes towards the 'Participate
Inform Notice Know' (PINK) patient safety video. Int J Qual Hea…
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psnet.ahrq.gov/node/40131/psn-pdf
April 03, 2017 - Designing an abstraction instrument: lessons from efforts
to validate the AHRQ Patient Safety Indicators.
April 3, 2017
Utter GH, Borzecki A, Rosen AK, et al. Designing an abstraction instrument: lessons from efforts to validate
the AHRQ patient safety indicators. Jt Comm J Qual Patient Saf. 2011;37(1):20-8.
https…