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psnet.ahrq.gov/node/33817/psn-pdf
October 01, 2016 - The
training focuses on methodology and technical skills that are broadly applicable but, frankly, technical
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psnet.ahrq.gov/node/866622/psn-pdf
August 28, 2024 - In Conversation with Chalapathy Venkatesan and Kathy
Helak about Application of Safety-II Principles
August 28, 2024
In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles.
PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-an…
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psnet.ahrq.gov/issue/design-and-testing-safety-agenda-mobile-app-managing-health-care-managers-patient-safety
July 12, 2017 - Study
Design and testing of the safety agenda mobile app for managing health care managers' patient safety responsibilities.
Citation Text:
Mira JJ, Carrillo I, Fernandez C, et al. Design and Testing of the Safety Agenda Mobile App for Managing Health Care Managers' Patient Safety Respon…
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psnet.ahrq.gov/node/45548/psn-pdf
March 01, 2017 - mHealth and mobile medical apps: a framework to assess
risk and promote safer use.
March 1, 2017
Lewis TL, Wyatt JC. mHealth and mobile medical Apps: a framework to assess risk and promote safer use.
J Med Internet Res. 2014;16(9):e210. doi:10.2196/jmir.3133.
https://psnet.ahrq.gov/issue/mhealth-and-mobile-medical…
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psnet.ahrq.gov/node/45879/psn-pdf
July 02, 2017 - A hybrid methodology for modeling risk of adverse
events in complex health-care settings.
July 2, 2017
Kazemi R, Mosleh A, Dierks M. A Hybrid Methodology for Modeling Risk of Adverse Events in Complex
Health-Care Settings. Risk Anal. 2017;37(3):421-440. doi:10.1111/risa.12702.
https://psnet.ahrq.gov/issue/hybrid-m…
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psnet.ahrq.gov/node/45698/psn-pdf
January 11, 2017 - Design and testing of the safety agenda mobile app for
managing health care managers' patient safety
responsibilities.
January 11, 2017
Mira JJ, Carrillo I, Fernandez C, et al. Design and Testing of the Safety Agenda Mobile App for Managing
Health Care Managers' Patient Safety Responsibilities. JMIR MHealth UHealt…
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psnet.ahrq.gov/node/34083/psn-pdf
June 30, 2011 - Handoff strategies in settings with high consequences for
failure: lessons for health care operations.
June 30, 2011
Patterson ES. Handoff strategies in settings with high consequences for failure: lessons for health care
operations. Int J Qual Health Care. 2004;16(2):125-132. doi:10.1093/intqhc/mzh026.
https://ps…
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psnet.ahrq.gov/node/39987/psn-pdf
September 20, 2011 - Fall prevention in acute care hospitals: a randomized trial.
September 20, 2011
Dykes PC, Carroll DL, Hurley A, et al. Fall prevention in acute care hospitals: a randomized trial. JAMA.
2010;304(17):1912-1918. doi:10.1001/jama.2010.1567.
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-t…
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psnet.ahrq.gov/node/45400/psn-pdf
August 10, 2016 - ISMP National Vaccine Errors Reporting Program: one in
three vaccine errors associated with age-related factors.
August 10, 2016
ISMP Medication Safety Alert! Acute Care Edition. July 28, 2016;21:1-6.
https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-one-three-vaccine-errors-
associated-a…
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psnet.ahrq.gov/issue/use-cascading-a3s-drive-systemwide-improvement
January 29, 2015 - Commentary
Use of cascading A3s to drive systemwide improvement.
Citation Text:
Winner LE, Burroughs TJ, Cady-Reh JA, et al. Use of Cascading A3s to Drive Systemwide Improvement. Jt Comm J Qual Patient Saf. 2017;43(8):422-428. doi:10.1016/j.jcjq.2017.03.011.
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psnet.ahrq.gov/node/840255/psn-pdf
November 16, 2022 - Using Human Factors Engineering and the SEIPS Model
to Advance Patient Safety in Care Transitions
November 16, 2022
Carayon P, Werner N, Makkenchery A, et al. Using Human Factors Engineering and the SEIPS Model to
Advance Patient Safety in Care Transitions . PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspecti…
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psnet.ahrq.gov/node/60268/psn-pdf
April 29, 2020 - adequate for
training and education.14-17
Use of a dedicated ECMO checklist
Use of a uniform checklist applicable … Flow to device correctly adjusted accordingly, if applicable
ii.
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psnet.ahrq.gov/issue/development-and-evaluation-observational-tool-assessing-surgical-flow-disruptions-and-their
June 17, 2009 - Study
Development and evaluation of an observational tool for assessing surgical flow disruptions and their impact on surgical performance.
Citation Text:
Parker SEH, Laviana AA, Wadhera RK, et al. Development and evaluation of an observational tool for assessing surgical flow disruption…
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psnet.ahrq.gov/issue/use-human-factors-classification-framework-identify-causal-factors-medication-and-medical
March 16, 2016 - Study
Use of a human factors classification framework to identify causal factors for medication and medical device-related adverse clinical incidents.
Citation Text:
Mitchell RJ, Williamson A, Molesworth B. Use of a human factors classification framework to identify causal factors for me…
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psnet.ahrq.gov/node/41496/psn-pdf
December 21, 2014 - Hospital-based medication reconciliation practices: a
systematic review.
December 21, 2014
Mueller SK, Sponsler KC, Kripalani S, et al. Hospital-based medication reconciliation practices: a
systematic review. Arch Intern Med. 2012;172(14):1057-69. doi:10.1001/archinternmed.2012.2246.
https://psnet.ahrq.gov/issue/h…
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psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-apsf-grant-program
April 22, 2020 - Award Recipient
Anesthesia Patient Safety Foundation (APSF) Grant Program.
Citation Text:
Anesthesia Patient Safety Foundation (APSF) Grant Program. Anesthesia Patient Safety Foundation.
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psnet.ahrq.gov/issue/international-comparability-patient-safety-indicators-15-oecd-member-countries-methodological
June 28, 2011 - Study
International comparability of patient safety indicators in 15 OECD member countries: a methodological approach of adjustment by secondary diagnoses.
Citation Text:
Drösler SE, Romano PS, Tancredi DJ, et al. International comparability of patient safety indicators in 15 OECD memb…
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psnet.ahrq.gov/issue/more-holes-cheese-what-prevents-delivery-effective-high-quality-and-safe-healthcare-england
December 18, 2017 - Study
More holes than cheese. What prevents the delivery of effective, high quality, and safe healthcare in England?
Citation Text:
Hignett S, Lang A, Pickup L, et al. More holes than cheese. What prevents the delivery of effective, high quality and safe health care in England? Ergonomic…
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psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary
February 15, 2011 - Study
"I wish I had seen this test result earlier!": dissatisfaction with test result management systems in primary care.
Citation Text:
Poon EG, Gandhi TK, Sequist TD, et al. "I wish I had seen this test result earlier!": Dissatisfaction with test result management systems in primary ca…
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psnet.ahrq.gov/issue/electronic-trigger-based-care-escalation-identify-preventable-adverse-events-hospitalised
September 28, 2016 - Study
Classic
An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients.
Citation Text:
Bhise V, Sittig DF, Vaghani V, et al. An electronic trigger based on care escalation to identify preventable adverse even…