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psnet.ahrq.gov/node/36954/psn-pdf
February 24, 2011 - Patient safety knowledge and its determinants in medical
trainees.
February 24, 2011
Kerfoot P, Conlin PR, Travison T, et al. Patient safety knowledge and its determinants in medical trainees.
J Gen Intern Med. 2007;22(8):1150-4.
https://psnet.ahrq.gov/issue/patient-safety-knowledge-and-its-determinants-medical-tr…
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psnet.ahrq.gov/node/42189/psn-pdf
April 17, 2013 - Avoiding medical emergencies.
April 17, 2013
Omar Y. Avoiding medical emergencies. Br Dent J. 2013;214(5):255-9. doi:10.1038/sj.bdj.2013.217.
https://psnet.ahrq.gov/issue/avoiding-medical-emergencies
This commentary details how to assess and address risks in dental care and highlights checklists as a tool
to help …
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psnet.ahrq.gov/node/41179/psn-pdf
February 29, 2012 - High fidelity simulation as a research tool.
February 29, 2012
Littlewood KE. High fidelity simulation as a research tool. Best Pract Res Clin Anaesthesiol.
2011;25(4):473-87. doi:10.1016/j.bpa.2011.08.001.
https://psnet.ahrq.gov/issue/high-fidelity-simulation-research-tool
This review explores simulation as a met…
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psnet.ahrq.gov/node/43360/psn-pdf
September 29, 2017 - Antimicrobial Stewardship Toolkit.
September 29, 2017
Chicago, IL: American Hospital Association Physician Leadership Forum; July 2014.
https://psnet.ahrq.gov/issue/antimicrobial-stewardship-toolkit
Antimicrobial stewardship has been promoted as an element of patient safety. This toolkit provides
resources for hos…
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psnet.ahrq.gov/node/867770/psn-pdf
March 01, 2022 - Toolkit for Decolonization of Non-ICU Patients with
Devices.
March 1, 2022
Agency for Healthcare Research and Quality. Toolkit for Decolonization of Non-ICU Patients with Devices.
https://psnet.ahrq.gov/issue/toolkit-decolonization-non-icu-patients-devices
Healthcare associated infection is a persistent contributo…
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psnet.ahrq.gov/node/36119/psn-pdf
January 05, 2017 - A leadership framework for culture change in health care.
January 5, 2017
Rose JS, Thomas CS, Tersigni AR, et al. A leadership framework for culture change in health care. Jt
Comm J Qual Patient Saf. 2006;32(8):433-42.
https://psnet.ahrq.gov/issue/leadership-framework-culture-change-health-care
The authors describ…
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psnet.ahrq.gov/node/36146/psn-pdf
February 05, 2019 - Guidelines for Design and Construction.
February 5, 2019
St Louis, Missouri; Facilities Guidelines Institute; 2018.
https://psnet.ahrq.gov/issue/guidelines-design-and-construction
These updated guidelines include design changes, such as the adoption of private rooms to reduce
medical error, interruptions, and hosp…
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psnet.ahrq.gov/node/41927/psn-pdf
December 19, 2012 - Should you reveal nonharmful mistakes to patients?
December 19, 2012
Yasgur BS.
https://psnet.ahrq.gov/issue/should-you-reveal-nonharmful-mistakes-patients
This article discusses the results of a survey to assess physicians' perceptions about acknowledging
mistakes that did not harm patients.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/36765/psn-pdf
August 10, 2011 - Factors influencing perioperative nurses' error reporting
preferences.
August 10, 2011
Espin S, Regehr G, Levinson W, et al. Factors influencing perioperative nurses' error reporting preferences.
AORN J. 2007;85(3):527-43.
https://psnet.ahrq.gov/issue/factors-influencing-perioperative-nurses-error-reporting-prefer…
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psnet.ahrq.gov/node/38897/psn-pdf
April 21, 2011 - Quality initiatives: developing a radiology quality and
safety program: a primer.
April 21, 2011
Johnson D, Krecke KN, Miranda R, et al. Quality initiatives: developing a radiology quality and safety
program: a primer. Radiographics. 2009;29(4):951-9. doi:10.1148/rg.294095006.
https://psnet.ahrq.gov/issue/quality-…
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psnet.ahrq.gov/node/42385/psn-pdf
June 26, 2013 - Identifying and addressing preventable process errors in
trauma care.
June 26, 2013
Pucher PH, Aggarwal R, Twaij A, et al. Identifying and addressing preventable process errors in trauma
care. World J Surg. 2013;37(4):752-8. doi:10.1007/s00268-013-1917-9.
https://psnet.ahrq.gov/issue/identifying-and-addressing-pre…
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psnet.ahrq.gov/node/36911/psn-pdf
September 01, 2011 - Managing clinical failure: a complex adaptive system
perspective.
September 1, 2011
Matthews JI, Thomas PT. Managing clinical failure: a complex adaptive system perspective. Int J Health
Care Qual Assur. 2007;20(3):184-194. doi:10.1108/09526860710743336.
https://psnet.ahrq.gov/issue/managing-clinical-failure-compl…
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psnet.ahrq.gov/node/47675/psn-pdf
November 28, 2023 - SOPS Surveys.
November 28, 2023
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/sops-surveys
Surveys are established mechanisms for organizational assessment of safety culture. This collection of
webinars provides an overview of the AHRQ Surveys on Patient Safety Culture™ (SOPS®) and a ran…
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psnet.ahrq.gov/node/50900/psn-pdf
February 12, 2020 - How to "DEAL" with disruptive physician behavior.
February 12, 2020
Junga Z, Tritsch A, Singla M. How to “DEAL” With disruptive physician behavior. Gastroenterology.
2019;157(6):1469-1472. doi:10.1053/j.gastro.2019.10.021.
https://psnet.ahrq.gov/issue/how-deal-disruptive-physician-behavior
In this commentary, the …
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psnet.ahrq.gov/node/41656/psn-pdf
September 05, 2012 - ACOG SCOPE: Safety Certification in Outpatient Practice
Excellence for Women's Health.
September 5, 2012
Sclafani J, Levy BS, Lawrence H, et al. Building a Better Safety Net. doi:10.1097/aog.0b013e318260957c.
https://psnet.ahrq.gov/issue/acog-scope-safety-certification-outpatient-practice-excellence-womens-health
…
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psnet.ahrq.gov/node/73548/psn-pdf
July 27, 2021 - Diagnostic Errors in Primary Care.
July 27, 2021
Betsy Lehman Center for Patient Safety.
https://psnet.ahrq.gov/issue/diagnostic-errors-primary-care
Case analysis provides important opportunities to highlight factors that culminate in diagnostic error. This
website supports learning generated from the Primary-Care…
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psnet.ahrq.gov/node/36571/psn-pdf
January 05, 2017 - The Objective Structured Clinical Examination as an
educational tool in patient safety.
January 5, 2017
Varkey P, Natt N. The Objective Structured Clinical Examination as an educational tool in patient safety. Jt
Comm J Qual Patient Saf. 2007;33(1):48-53.
https://psnet.ahrq.gov/issue/objective-structured-clinical-…
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psnet.ahrq.gov/issue/post-operative-mortality-missed-care-and-nurse-staffing-nine-countries-cross-sectional-study
December 12, 2014 - June 22, 2022
Factors associated with missed nursing care and nurse-assessed quality
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psnet.ahrq.gov/issue/safety-attitudes-questionnaire-psychometric-properties-benchmarking-data-and-emerging
June 16, 2011 - nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed
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psnet.ahrq.gov/issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-support-necessary
January 18, 2013 - January 18, 2013
The effect of hospital electronic health record adoption on nurse-assessed