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psnet.ahrq.gov/issue/racial-disparities-child-abuse-medicine
June 15, 2022 - Commentary
Racial disparities in child abuse medicine.
Citation Text:
Rosenthal CM, Parker DM, Thompson LA. Racial disparities in child abuse medicine. JAMA Pediatr. 2022;176(2):119-120. doi:10.1001/jamapediatrics.2021.3601.
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psnet.ahrq.gov/issue/comparison-adverse-events-during-procedural-sedation-between-specially-trained-pediatric
August 21, 2008 - Study
Comparison of adverse events during procedural sedation between specially trained pediatric residents and pediatric emergency physicians in Israel.
Citation Text:
Shavit I, Steiner IP, Idelman S, et al. Comparison of adverse events during procedural sedation between specially tra…
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psnet.ahrq.gov/issue/program-access-depressive-symptoms-and-medical-errors-among-resident-physicians-disability
May 19, 2021 - Study
Program access, depressive symptoms, and medical errors among resident physicians with disability.
Citation Text:
Meeks LM, Pereira-Lima K, Frank E, et al. Program access, depressive symptoms, and medical errors among resident physicians with disability. JAMA Netw Open. 2021;4(12):…
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psnet.ahrq.gov/issue/assessment-bias-patient-safety-reporting-systems-categorized-physician-gender-race-and
June 22, 2022 - Study
Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study.
Citation Text:
doi:https://doi.org/10.1001/jamanetworkopen.2022.13234.
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psnet.ahrq.gov/issue/parent-preferences-medical-error-disclosure-qualitative-study
January 25, 2017 - Study
Parent preferences for medical error disclosure: a qualitative study.
Citation Text:
Coffey M, Espin S, Hahmann T, et al. Parent Preferences for Medical Error Disclosure: A Qualitative Study. Hosp Pediatr. 2017;7(1):24-30. doi:10.1542/hpeds.2016-0048.
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psnet.ahrq.gov/issue/relationship-between-early-emergency-team-calls-and-serious-adverse-events
June 02, 2010 - Study
The relationship between early emergency team calls and serious adverse events.
Citation Text:
Chen J, Bellomo R, Flabouris A, et al. The relationship between early emergency team calls and serious adverse events. Crit Care Med. 2009;37(1):148-53. doi:10.1097/CCM.0b013e3181928ce3…
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psnet.ahrq.gov/node/33959/psn-pdf
January 17, 2012 - Healthcare Failure Mode and Effect Analysis.
January 17, 2012
National Center for Patient Safety.
https://psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis
These materials provide an introduction to the purpose of healthcare failure mode and effect analysis
(HFMEA), the steps of the HFMEA process, a…
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psnet.ahrq.gov/node/42701/psn-pdf
June 27, 2018 - Improving reliability with root cause analysis.
June 27, 2018
Latino RJ
https://psnet.ahrq.gov/issue/improving-reliability-root-cause-analysis
This article relates how root cause analysis, typically used after an adverse event, can be utilized as a
proactive risk assessment tool to enhance reliability.
https://ps…
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psnet.ahrq.gov/node/37085/psn-pdf
July 15, 2013 - Critical Care Safety: Essentials for ICU Patient Care and
Technology.
July 15, 2013
Plymouth Meeting PA: ECRI Institute; 2007. ISBN 9780977914258.
https://psnet.ahrq.gov/issue/critical-care-safety-essentials-icu-patient-care-and-technology
This guide provides comprehensive tools for assessment, training, and imple…
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psnet.ahrq.gov/node/36677/psn-pdf
February 21, 2007 - Hospitals win safety award for simple changes.
February 21, 2007
Sipkoff M. Drug Topics. January 22, 2007.
https://psnet.ahrq.gov/issue/hospitals-win-safety-award-simple-changes
This article spotlights two Philadelphia hospitals recognized for their innovative medication safety initiatives:
use of color-coded sto…
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psnet.ahrq.gov/node/36271/psn-pdf
September 20, 2006 - Safe Foundations: Junior Doctors and Patient Safety.
September 20, 2006
National Patient Safety Agency.
https://psnet.ahrq.gov/issue/safe-foundations-junior-doctors-and-patient-safety
This Web site has educational modules for doctors-in-training and provides slides, trainer's notes, and
relevant case studies on hu…
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psnet.ahrq.gov/node/35820/psn-pdf
December 31, 2018 - Simulation in Healthcare.
December 31, 2018
Scerbo M, ed. Washington DC; Society for Simulation in Healthcare, Lippincott, Williams and Wilkins.
ISSN: 1559-2332
https://psnet.ahrq.gov/issue/simulation-healthcare
This bi-monthly peer-reviewed journal presents multidisciplinary content on how simulation is being use…
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psnet.ahrq.gov/node/35232/psn-pdf
December 09, 2008 - Patient safety: is it just another bandwagon?
December 9, 2008
Storch JL. Patient safety: is it just another bandwagon? Nurs Leadersh (Tor Ont). 2005;18(2):39-55.
https://psnet.ahrq.gov/issue/patient-safety-it-just-another-bandwagon
The author advocates critical assessment of the patient safety movement and suggest…
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psnet.ahrq.gov/node/43314/psn-pdf
August 15, 2018 - ISQua Fellowship Programme.
August 15, 2018
International Society for Quality in Health Care.
https://psnet.ahrq.gov/issue/isqua-fellowship-programme
This announcement highlights a peer learning initiative that builds on existing programs and
interdisciplinary networks to develop participants' understanding about …
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psnet.ahrq.gov/node/35484/psn-pdf
February 22, 2010 - The development of a patient safety program across the
continuum of care.
February 22, 2010
Wertenberger S, Wilson J. The development of a patient safety program across the continuum of care.
Nurs Adm Q. 2005;29(4):303-307.
https://psnet.ahrq.gov/issue/development-patient-safety-program-across-continuum-care
The …
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psnet.ahrq.gov/node/36287/psn-pdf
September 20, 2006 - Nursing Home Complaint Investigations.
September 20, 2006
Levinson DR. Washington DC: Office of the Inspector General; July 2006. OEI-01-04-00340.
https://psnet.ahrq.gov/issue/nursing-home-complaint-investigations
This report shares findings from an assessment of Centers for Medicaid and Medicare Services response…
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psnet.ahrq.gov/node/36669/psn-pdf
January 18, 2011 - A review of organizational culture instruments for nurse
executives.
January 18, 2011
King T, Byers JF. A review of organizational culture instruments for nurse executives. J Nurs Adm.
2007;37(1):21-31.
https://psnet.ahrq.gov/issue/review-organizational-culture-instruments-nurse-executives
The authors compare too…
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psnet.ahrq.gov/node/38031/psn-pdf
September 03, 2008 - Development and evaluation of a required patient safety
course.
September 3, 2008
Sukkari SR, Sasich LD, Tuttle DA, et al. Development and evaluation of a required patient safety course.
Am J Pharm Educ. 2008;72(3):65.
https://psnet.ahrq.gov/issue/development-and-evaluation-required-patient-safety-course
This ar…
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psnet.ahrq.gov/node/33903/psn-pdf
November 28, 2018 - ECRI Guidelines Trust.
November 28, 2018
ECRI Institute.
https://psnet.ahrq.gov/issue/ecri-guidelines-trust
This website is a practical resource to review existing clinical practice guidelines in a centralized location.
Key components of the site include links to full-text guidelines and an assessment function tha…
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psnet.ahrq.gov/node/35509/psn-pdf
January 17, 2025 - Patient Safety Awareness Week.
January 17, 2025
Institute for Healthcare Improvement.
https://psnet.ahrq.gov/issue/patient-safety-awareness-week
This website provides resources for promoting patient safety during Patient Safety Awareness Week,
including a webinar archive, selected readings and communication strate…