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psnet.ahrq.gov/node/44619/psn-pdf
November 04, 2015 - Seeing through Google Glass: using an innovative
technology to improve medication safety behaviors in
undergraduate nursing students.
November 4, 2015
Schneidereith T. Seeing Through Google Glass: Using an Innovative Technology to Improve Medication
Safety Behaviors in Undergraduate Nursing Students. Nurs Educ Per…
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psnet.ahrq.gov/node/45935/psn-pdf
September 29, 2017 - Radiology research in quality and safety: current trends
and future needs.
September 29, 2017
Zygmont ME, Itri JN, Rosenkrantz AB, et al. Radiology Research in Quality and Safety: Current Trends and
Future Needs. Acad Radiol. 2017;24(3):263-272. doi:10.1016/j.acra.2016.07.021.
https://psnet.ahrq.gov/issue/radiolog…
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psnet.ahrq.gov/node/47574/psn-pdf
November 21, 2018 - The architecture of safety: an emerging priority for
improving patient safety.
November 21, 2018
Joseph A, Henriksen K, Malone E. The Architecture Of Safety: An Emerging Priority For Improving Patient
Safety. Health Aff (Millwood). 2018;37(11):1884-1891. doi:10.1377/hlthaff.2018.0643.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/47461/psn-pdf
December 27, 2018 - IV push medications survey results—part 1 and part 2.
December 27, 2018
ISMP Medication Safety Alert! Acute Care Edition. November 1, 2018;23:1-5. November 15, 2018;23:1-5.
https://psnet.ahrq.gov/issue/iv-push-medications-survey-results-part-1-and-part-2
Errors in the administration of intravenous medications can r…
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psnet.ahrq.gov/node/73194/psn-pdf
April 28, 2021 - CLER Report of Findings 2021: Subprotocol for Operative
and Procedural Areas.
April 28, 2021
Kuhn CM, Newton RC, Damewood MD, et al, on behalf of the CLER Evaluation Committee, the CLER
Operative and Procedural Subprotocol National Advisory Group, and the CLER Program. Chicago, IL:
Accreditation Council for Gradua…
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psnet.ahrq.gov/node/47679/psn-pdf
April 03, 2019 - 'So why didn't you think this baby was ill?' Decision-
making in acute paediatrics.
April 3, 2019
Roland D, Snelson E. 'So why didn't you think this baby was ill?' Decision-making in acute paediatrics. Arch
Dis Child Educ Pract Ed. 2019;104(1):43-48. doi:10.1136/archdischild-2017-313199.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/48157/psn-pdf
August 21, 2019 - Recommendations for using the Revised Safer Dx
instrument to help measure and improve diagnostic
safety.
August 21, 2019
Singh H, Khanna A, Spitzmueller C, et al. Recommendations for using the Revised Safer Dx Instrument to
help measure and improve diagnostic safety. Diagnosis (Berl). 2019;6(4):315-323. doi:10.151…
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psnet.ahrq.gov/node/47857/psn-pdf
June 14, 2019 - The wicked problem of patient misidentification: how
could the technological revolution help address patient
safety?
June 14, 2019
Ferguson C, Hickman L, Macbean C, et al. The wicked problem of patient misidentification: How could the
technological revolution help address patient safety? J Clin Nurs. 2019;28(13-14…
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psnet.ahrq.gov/node/60950/psn-pdf
September 23, 2020 - An effective intervention: limiting opioid prescribing as a
means of reducing opioid analgesic misuse, and
overdose deaths.
September 23, 2020
Fink BC, Uyttebrouck O, Larson RS. An effective intervention: limiting opioid prescribing as a means of
reducing opioid analgesic misuse, and overdose deaths. J Law Med Eth…
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psnet.ahrq.gov/node/50551/psn-pdf
October 16, 2019 - Factors affecting patient safety culture among dental
healthcare workers: A nationwide cross-sectional survey
October 16, 2019
Cheng H-C, Yen AM-F, Lee Y-H. Factors affecting patient safety culture among dental healthcare workers:
A nationwide cross-sectional survey. J Dent Sci. 2019;14(3):263-268. doi:10.1016/j.jd…
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psnet.ahrq.gov/node/47975/psn-pdf
May 29, 2019 - Surgical Innovation, New Techniques and Technologies:
A Guide to Good Practice.
May 29, 2019
London, UK: Royal College of Surgeons of England; 2019.
https://psnet.ahrq.gov/issue/surgical-innovation-new-techniques-and-technologies-guide-good-practice
Introducing innovations in practice involves taking calculated ri…
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psnet.ahrq.gov/node/863217/psn-pdf
February 28, 2024 - Interpreting and coding causal relationships for quality
and safety using ICD-11.
February 28, 2024
Januel J-M, Southern DA, Ghali WA. Interpreting and coding causal relationships for quality and safety
using ICD-11. BMC Med Inform Decis Mak. 2023;21(Suppl 6):385. doi:10.1186/s12911-023-02363-5.
https://psnet.ahrq…
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psnet.ahrq.gov/node/39339/psn-pdf
April 01, 2010 - Sex differences in operating room care giver perceptions
of patient safety: a pilot study from the Veterans Health
Administration Medical Team Training Program.
April 1, 2010
Carney BT, Mills PD, Bagian JP, et al. Sex differences in operating room care giver perceptions of patient
safety: a pilot study from the Ve…
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psnet.ahrq.gov/node/39199/psn-pdf
January 28, 2010 - Nurse decision making in the prearrest period.
January 28, 2010
Gazarian PK, Henneman EA, Chandler GE. Nurse decision making in the prearrest period. Clin Nurs Res.
2010;19(1):21-37. doi:10.1177/1054773809353161.
https://psnet.ahrq.gov/issue/nurse-decision-making-prearrest-period
This qualitative study explored th…
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psnet.ahrq.gov/node/41305/psn-pdf
April 18, 2012 - Is computer-assisted telephone triage safe? A
prospective surveillance study in walk-in patients with
non-life-threatening medical conditions.
April 18, 2012
Meer A, Gwerder T, Duembgen L, et al. Is computer-assisted telephone triage safe? A prospective
surveillance study in walk-in patients with non-life-threaten…
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psnet.ahrq.gov/node/74699/psn-pdf
January 26, 2022 - Indication alerts to improve problem list documentation.
January 26, 2022
Grauer A, Kneifati-Hayek J, Reuland B, et al. Indication alerts to improve problem list documentation. J Am
Med Inform Assoc. 2022;29(5):909-917. doi:10.1093/jamia/ocab285.
https://psnet.ahrq.gov/issue/indication-alerts-improve-problem-list-d…
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psnet.ahrq.gov/node/43500/psn-pdf
November 17, 2014 - A systematic review of behavioural marker systems in
healthcare: what do we know about their attributes,
validity and application?
November 17, 2014
Dietz AS, Pronovost P, Benson KN, et al. A systematic review of behavioural marker systems in
healthcare: what do we know about their attributes, validity and applica…
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psnet.ahrq.gov/node/851062/psn-pdf
June 28, 2023 - Systems approach to suicide prevention: strengthening
culture, practice, and education.
June 28, 2023
Pisani AR, Boudreaux ED. Systems approach to suicide prevention: strengthening culture, practice, and
education. Focus (Am Psychiatr Publ). 2023;21(2):152-159. doi:10.1176/appi.focus.20220081.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/853074/psn-pdf
February 06, 2024 - Patient Experience, Patient Safety, and Provider Well-
Being: Associations and Paths for Quality Improvement.
February 6, 2024
Rockville, MD: Agency for Healthcare Research and Quality; January 2024. AHRQ Publication no.
24-0030.
https://psnet.ahrq.gov/issue/patient-experience-patient-safety-and-provider-well…
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psnet.ahrq.gov/node/37610/psn-pdf
June 16, 2011 - Is yours a learning organization?
June 16, 2011
Garvin DA, Edmondson A, Gino F. Is yours a learning organization? Harv Bus Rev. 2008;86(3):109-16,
134.
https://psnet.ahrq.gov/issue/yours-learning-organization
Key tenets of improving patient safety at the organizational level include taking a systems approach to
s…