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psnet.ahrq.gov/node/38117/psn-pdf
September 29, 2017 - Advances in Patient Safety: New Directions and
Alternative Approaches.
September 29, 2017
Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1-
4).
https://psnet.ahrq.gov/issue/advances-patient-safety-new-directions-and-alternative-approaches
The 115 articles freel…
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psnet.ahrq.gov/node/73453/psn-pdf
June 30, 2021 - Algorithmic Bias Playbook.
June 30, 2021
Obermeyer Z, Nissan R, Stern M, et al. Center for Applied Artificial Intelligence, Chicago Booth: June
2021.
https://psnet.ahrq.gov/issue/algorithmic-bias-playbook
Biased algorithms are receiving increasing attention as artificial intelligence (AI) becomes more present…
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psnet.ahrq.gov/node/36965/psn-pdf
February 15, 2011 - Strategic work-arounds to accommodate new technology:
the case of smart pumps in hospital care.
February 15, 2011
McAlearney AS, Vrontos J, Schneider PJ, et al. Strategic Work-Arounds to Accommodate New
Technology. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242987.93789.63.
https://psnet.ahrq.gov/issue/strat…
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psnet.ahrq.gov/node/36796/psn-pdf
August 26, 2011 - Patient safety curriculum for surgical residency
programs: results of a national consensus conference.
August 26, 2011
Sachdeva AK, Philibert I, Leach DC, et al. Patient safety curriculum for surgical residency programs: results
of a national consensus conference. Surgery. 2007;141(4):427-41.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/43560/psn-pdf
September 24, 2014 - Burnout in Healthcare.
September 24, 2014
Laschinger H, Montgomery A, eds. Burnout Res. 2014;1:57-102.
https://psnet.ahrq.gov/issue/burnout-healthcare
Burnout has been linked to depression, work dissatisfaction, and increased rates of adverse events.
Articles in this special issue explore health professionals' exp…
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psnet.ahrq.gov/node/43682/psn-pdf
November 19, 2014 - Pearls, Pitfalls, and Errors in Musculoskeletal Diagnosis.
November 19, 2014
Blankenbaker DG, ed. AJR Am J Roentgenol. 2014;203(3):476-593.
https://psnet.ahrq.gov/issue/pearls-pitfalls-and-errors-musculoskeletal-diagnosis
Articles in this special issue discuss common pitfalls in musculoskeletal imaging that can con…
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psnet.ahrq.gov/node/44110/psn-pdf
May 13, 2015 - Simulation in Anaesthesia and Surgery.
May 13, 2015
Hahnenkamp K, Breuer G, eds. Best Pract Res Clin Anaesthesiol. 2015;29(1):1-96.
https://psnet.ahrq.gov/issue/simulation-anaesthesia-and-surgery
In the last decade, simulation has emerged as an educational strategy for teaching clinical skills. Articles in
this sp…
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psnet.ahrq.gov/node/73326/psn-pdf
June 01, 2021 - CANDOR Webinar Series.
June 1, 2021
Patient Safety Movement Foundation. 2021.
https://psnet.ahrq.gov/issue/candor-webinar-series
The Communication and Optimal Resolution (CANDOR) model was designed to support early error
disclosure with patients and families after mistakes in care occur. This three-part webi…
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psnet.ahrq.gov/node/43495/psn-pdf
December 15, 2014 - Disruptive behaviors among physicians.
December 15, 2014
Sanchez LT. Disruptive behaviors among physicians. JAMA. 2014;312(21):2209-2210.
doi:10.1001/jama.2014.10218.
https://psnet.ahrq.gov/issue/disruptive-behaviors-among-physicians
This commentary spotlights concerns about physicians with disruptive behaviors an…
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psnet.ahrq.gov/node/41297/psn-pdf
September 19, 2012 - Failure mode and effects analysis: too little for too much?
September 19, 2012
Franklin BD, Shebl NA, Barber N. Failure mode and effects analysis: too little for too much? BMJ Qual Saf.
2012;21(7):607-11. doi:10.1136/bmjqs-2011-000723.
https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-too-little-too-mu…
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psnet.ahrq.gov/node/38785/psn-pdf
September 02, 2009 - An ethnographic study of classifying and accounting for
risk at the sharp end of medical wards.
September 2, 2009
Dixon-Woods M, Suokas A, Pitchforth E, et al. An ethnographic study of classifying and accounting for risk
at the sharp end of medical wards. Soc Sci Med. 2009;69(3):362-9. doi:10.1016/j.socscimed.2009.…
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psnet.ahrq.gov/node/36221/psn-pdf
October 20, 2010 - Enhancing patient safety during hand-offs: standardized
communication and teamwork using the 'SBAR' method.
October 20, 2010
Hohenhaus S, Powell S, Hohenhaus JT. Am J Nurs. 2006;106(8):72A-72B.
https://psnet.ahrq.gov/issue/enhancing-patient-safety-during-hand-offs-standardized-communication-and-
teamwork-using-sba…
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psnet.ahrq.gov/node/43718/psn-pdf
December 03, 2014 - Patient safety culture in nephrology nurse practice
settings: initial findings.
December 3, 2014
Ulrich B, Kear T. Nephrol Nurs J. 2014;41:459-476.
https://psnet.ahrq.gov/issue/patient-safety-culture-nephrology-nurse-practice-settings-initial-findings
This study utilized AHRQ patient safety culture surveys to asse…
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psnet.ahrq.gov/node/39103/psn-pdf
November 18, 2009 - Identifying organizational cultures that promote patient
safety.
November 18, 2009
Singer SJ, Falwell A, Gaba DM, et al. Identifying organizational cultures that promote patient safety. Health
Care Manag Rev. 2009;34(4):300-311. doi:10.1097/HMR.0b013e3181afc10c.
https://psnet.ahrq.gov/issue/identifying-organizatio…
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psnet.ahrq.gov/node/39184/psn-pdf
January 06, 2010 - Patient safety attitudes of paediatric trainee physicians.
January 6, 2010
Parry G, Horowitz L, Goldmann D. Patient safety attitudes of paediatric trainee physicians. Qual Saf Health
Care. 2009;18(6):462-6. doi:10.1136/qshc.2006.020230.
https://psnet.ahrq.gov/issue/patient-safety-attitudes-paediatric-trainee-physic…
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psnet.ahrq.gov/node/45241/psn-pdf
October 31, 2023 - Hospital Harm Project.
October 31, 2023
Canadian Institute for Health Information, Health Excellence Canada.
https://psnet.ahrq.gov/issue/hospital-harm-project
Reducing preventable harm associated with health care is a worldwide goal. This Canadian initiative
developed a measure to track unintended harm in acute c…
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psnet.ahrq.gov/node/45442/psn-pdf
October 12, 2016 - Radiotherapy Incident Reporting and Analysis System.
October 12, 2016
Center for Assessment of Radiological Sciences. 4913 Wuakesha Street, Madison,WI 53705. 608-345-
5795. Email: brthomad@cars-pso.org.
https://psnet.ahrq.gov/issue/radiotherapy-incident-reporting-and-analysis-system
Patient Safety Organizations en…
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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