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psnet.ahrq.gov/node/44424/psn-pdf
August 19, 2015 - Taking patients' narratives about clinicians from anecdote
to science.
August 19, 2015
Schlesinger M, Grob R, Shaller D, et al. Taking Patients' Narratives about Clinicians from Anecdote to
Science. New Engl J Med. 2015;373(7):675-679. doi:10.1056/NEJMsb1502361.
https://psnet.ahrq.gov/issue/taking-patients-narrati…
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psnet.ahrq.gov/node/46934/psn-pdf
March 14, 2018 - Engaging the front line: tapping into hospital-wide quality
and safety initiatives.
March 14, 2018
Wolpaw J, Schwengel D, Hensley N, et al. Engaging the Front Line: Tapping into Hospital-Wide Quality
and Safety Initiatives. J Cardiothorac Vasc Anesth. 2018;32(1):522-533. doi:10.1053/j.jvca.2017.05.038.
https://psn…
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psnet.ahrq.gov/node/43616/psn-pdf
October 29, 2014 - Preventing Healthcare-Associated Infections: Results and
Lessons Learned from AHRQ's HAI Program.
October 29, 2014
Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Infect Control Hosp Epidemiol. 2014;35(suppl 3):S1-
S141.
https://psnet.ahrq.gov/issue/preventing-healthcare-associated-infections-results-and-lesson…
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psnet.ahrq.gov/node/837206/psn-pdf
May 25, 2022 - Automated dispensing cabinet overrides-an evaluation of
necessity in a pediatric emergency department.
May 25, 2022
Paterson EP, Manning KB, Schmidt MD, et al. Automated dispensing cabinet overrides-an evaluation of
necessity in a pediatric emergency department. J Emerg Nurs. 2022;48(3):319-327.
doi:10.1016/j.jen.…
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psnet.ahrq.gov/node/47271/psn-pdf
August 08, 2018 - NAM Action Collaborative on Countering the U.S. Opioid
Epidemic.
August 8, 2018
National Academy of Medicine; Aspen Institute.
https://psnet.ahrq.gov/issue/nam-action-collaborative-countering-us-opioid-epidemic
Despite increased awareness regarding the public health impacts of opioid misuse and overdose in the
Un…
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psnet.ahrq.gov/node/46947/psn-pdf
March 21, 2018 - Leaving patients to their own devices? Smart technology,
safety and therapeutic relationships.
March 21, 2018
Ho A, Quick O. Leaving patients to their own devices? Smart technology, safety and therapeutic
relationships. BMC Med Ethics. 2018;19(1):18. doi:10.1186/s12910-018-0255-8.
https://psnet.ahrq.gov/issue/leav…
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psnet.ahrq.gov/node/861291/psn-pdf
January 24, 2024 - COVID-19 and patient safety- lessons from 2 efforts to
keep people safe.
January 24, 2024
Wachter RM. COVID-19 and patient safety- lessons from 2 efforts to keep people safe. JAMA Intern Med.
2024;184(2):127-128. doi:10.1001/jamainternmed.2023.7527.
https://psnet.ahrq.gov/issue/covid-19-and-patient-safety-lessons-…
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psnet.ahrq.gov/node/46639/psn-pdf
November 29, 2017 - Enhancing pediatric perioperative patient safety.
November 29, 2017
Johnson Q, McVey J. Enhancing Pediatric Perioperative Patient Safety. AORN J. 2017;106(5):434-442.
doi:10.1016/j.aorn.2017.09.007.
https://psnet.ahrq.gov/issue/enhancing-pediatric-perioperative-patient-safety
Pediatric surgical patients face uniqu…
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psnet.ahrq.gov/node/43524/psn-pdf
October 29, 2014 - Validating administrative data for the detection of adverse
events in older hospitalized patients.
October 29, 2014
Ackroyd-Stolarz S, Bowles SK, Giffin L. Validating administrative data for the detection of adverse events in
older hospitalized patients. Drug Healthc Patient Saf. 2014;6:101-8. doi:10.2147/DHPS.S643…
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psnet.ahrq.gov/node/855438/psn-pdf
November 15, 2023 - Intravenous (IV) push medications – bridging the gap
between education and clinical practice.
November 15, 2023
ISMP Medication Safety Alert! Acute Care. November 2, 2023;28(22):1-4.
https://psnet.ahrq.gov/issue/intravenous-iv-push-medications-bridging-gap-between-education-and-clinical-
practice
Intravenous…
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psnet.ahrq.gov/node/46304/psn-pdf
November 01, 2017 - Comparative performance of pediatric weight estimation
techniques: a human factor errors analysis.
November 1, 2017
Abdel-Rahman SM, Jacobsen R, Watts JL, et al. Comparative performance of pediatric weight estimation
techniques: a human factor errors analysis. Pediatr Emerg Care. 2015;33(8):548-552.
doi:10.1097/pe…
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psnet.ahrq.gov/node/40878/psn-pdf
March 02, 2012 - Neonatal intensive care unit safety culture varies widely.
March 2, 2012
Profit J, Etchegaray J, Petersen L, et al. Neonatal intensive care unit safety culture varies widely. Arch Dis
Child Fetal Neonatal Ed. 2012;97(2):F120-6. doi:10.1136/archdischild-2011-300635.
https://psnet.ahrq.gov/issue/neonatal-intensive-ca…
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psnet.ahrq.gov/node/45053/psn-pdf
May 19, 2019 - Five topics health care simulation can address to improve
patient safety: results from a consensus process.
May 19, 2019
Sollid SJM, Dieckman P, Aase K, et al. Five Topics Health Care Simulation Can Address to Improve
Patient Safety: Results From a Consensus Process. J Patient Saf. 2019;15(2):111-120.
doi:10.1097/…
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psnet.ahrq.gov/node/73478/psn-pdf
July 07, 2021 - Medical malpractice claims by members of the uniformed
services.
July 7, 2021
Department of Defense Office of General Counsel. 32 CFR Part 45. Fed Register. 86(115); June 17,
2021:32194-32215.
https://psnet.ahrq.gov/issue/medical-malpractice-claims-members-uniformed-services
Organizations with safety culture…
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psnet.ahrq.gov/node/846761/psn-pdf
September 29, 2018 - Using clinical simulation to study how to improve quality
and safety in healthcare.
September 29, 2018
Lamé G, Dixon-Woods M. Using clinical simulation to study how to improve quality and safety in
healthcare. BMJ Simul Technol Enhanc Learn. 2018;6(2):87-94. doi:10.1136/bmjstel-2018-000370.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/73356/psn-pdf
June 02, 2021 - Testing and Labeling Medical Devices for Safety in the
Magnetic Resonance (MR) Environment.
June 2, 2021
Silver Spring, MD: US Department of Health and Human Services, Food and Drug Administration, Center
for Devices and Radiological Health. May 20, 2021.
https://psnet.ahrq.gov/issue/testing-and-labeling-medical-d…
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psnet.ahrq.gov/node/47424/psn-pdf
November 21, 2018 - Creating a culture of accountability promotes safe
medical care.
November 21, 2018
Canadian Medical Protective Association; CMPA.
https://psnet.ahrq.gov/issue/creating-culture-accountability-promotes-safe-medical-care
Frontline leadership should model just culture behaviors to encourage reporting and discussion of…
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psnet.ahrq.gov/node/47950/psn-pdf
August 21, 2019 - Safety of care by caregivers of cancer patients.
August 21, 2019
Given BA. Safety of Care by Caregivers of Cancer Patients. Semin Oncol Nurs. 2019;35(4):374-379.
doi:10.1016/j.soncn.2019.06.011.
https://psnet.ahrq.gov/issue/safety-care-caregivers-cancer-patients
Cancer patients often rely on family members or paid…
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psnet.ahrq.gov/node/50585/psn-pdf
October 30, 2019 - Introducing the New SOPS Hospital Survey 2.0.
October 30, 2019
Agency for Healthcare Research and Quality. October 30, 2019.
https://psnet.ahrq.gov/issue/updates-hospital-survey-patient-safety-culture
This webinar recording provides information on the updated Hospital Survey on Patient Safety Culture™
(SOPS™) 2.0.…
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psnet.ahrq.gov/node/38934/psn-pdf
June 28, 2011 - Medication errors: how reliable are the severity ratings
reported to the National Reporting and Learning System?
June 28, 2011
Williams SD, Ashcroft DM. Medication errors: how reliable are the severity ratings reported to the national
reporting and learning system? Int J Qual Health Care. 2009;21(5):316-20. doi:10.…