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psnet.ahrq.gov/node/47081/psn-pdf
September 02, 2018 - Beyond Dr. Google: the evidence on consumer-facing
digital tools for diagnosis.
September 2, 2018
Millenson ML, Baldwin JL, Zipperer L, et al. Beyond Dr. Google: the evidence on consumer-facing digital
tools for diagnosis. Diagnosis (Berl). 2018;5(3):95-105. doi:10.1515/dx-2018-0009.
https://psnet.ahrq.gov/issue/b…
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psnet.ahrq.gov/node/854834/psn-pdf
January 01, 2024 - Bringing the equity lens to patient safety event reporting.
October 25, 2023
Gandhi TK, Schulson LB, Thomas AD. Bringing the equity lens to patient safety event reporting. Jt Comm J
Qual Patient Saf. 2024;50(1):87-89. doi:10.1016/j.jcjq.2023.09.003.
https://psnet.ahrq.gov/issue/bringing-equity-lens-patient-safety-e…
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psnet.ahrq.gov/node/47632/psn-pdf
April 10, 2019 - Perception of the usability and implementation of a
metacognitive mnemonic to check cognitive errors in
clinical setting.
April 10, 2019
Chew KS, van Merrienboer JJG, Durning SJ. Perception of the usability and implementation of a
metacognitive mnemonic to check cognitive errors in clinical setting. BMC Med Educ. …
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psnet.ahrq.gov/node/43537/psn-pdf
October 15, 2014 - Predictors of healthcare professionals' attitudes towards
family involvement in safety-relevant behaviours: a cross-
sectional factorial survey study.
October 15, 2014
Davis R, Savvopoulou M, Shergill R, et al. Predictors of healthcare professionals' attitudes towards family
involvement in safety-relevant behaviou…
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psnet.ahrq.gov/node/43515/psn-pdf
July 03, 2016 - Targeting improvements in patient safety at a large
academic center: an institutional handoff curriculum for
graduate medical education.
July 3, 2016
Allen S, Caton C, Cluver J, et al. Targeting improvements in patient safety at a large academic center: an
institutional handoff curriculum for graduate medical educ…
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psnet.ahrq.gov/node/836789/psn-pdf
March 23, 2022 - COVID-19 Focused Inspection Initiative in Healthcare.
March 23, 2022
Occupational Safety and Health Administration. March 2, 2022.
https://psnet.ahrq.gov/issue/covid-19-focused-inspection-initiative-healthcare
The impact of nursing home inspections to ensure the quality and safety of the service environment is…
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psnet.ahrq.gov/node/46208/psn-pdf
July 12, 2017 - Improving patient safety by practicing in a just culture.
July 12, 2017
Duffy W. Improving Patient Safety by Practicing in a Just Culture. AORN J. 2017;106(1):66-68.
doi:10.1016/j.aorn.2017.05.005.
https://psnet.ahrq.gov/issue/improving-patient-safety-practicing-just-culture
The importance of just culture is widel…
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psnet.ahrq.gov/node/34910/psn-pdf
May 27, 2011 - Specificity of computerized physician order entry has a
significant effect on the efficiency of workflow for
critically ill patients.
May 27, 2011
Ali NA, Mekhjian HS, Kuehn L, et al. Specificity of computerized physician order entry has a significant
effect on the efficiency of workflow for critically ill patient…
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psnet.ahrq.gov/node/44300/psn-pdf
July 29, 2015 - Learning From Serious Failings in Care: Main Report.
July 29, 2015
Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Academy of Medical Royal Colleges
and Faculties in Scotland; May 2015.
https://psnet.ahrq.gov/issue/learning-serious-failings-care-main-report
Substantive reports of failures have t…
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psnet.ahrq.gov/node/866356/psn-pdf
July 24, 2024 - To forgive, divine.
July 24, 2024
Johnson V. To forgive, divine. N Engl J Med. 2024;391(1):6-7. doi:10.1056/nejmp2402006.
https://psnet.ahrq.gov/issue/forgive-divine
Resident physicians are vulnerable to psychological harm when they have made a mistake. This
commentary shares one resident’s experiences with error.…
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psnet.ahrq.gov/node/40535/psn-pdf
July 22, 2011 - A framework for classifying patient safety practices:
results from an expert consensus process.
July 22, 2011
Dy SM, Taylor SL, Carr LH, et al. A framework for classifying patient safety practices: results from an
expert consensus process. BMJ Qual Saf. 2011;20(7):618-24. doi:10.1136/bmjqs.2010.049296.
https://psn…
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psnet.ahrq.gov/node/73668/psn-pdf
September 01, 2021 - Leadership: an effective human factor during COVID-19.
September 1, 2021
Dhahri AA, Refson J. Leadership: an effective human factor during COVID-19. BMJ Leader. 2021;5:203-
205. doi:10.1136/leader-2020-000384.
https://psnet.ahrq.gov/issue/leadership-effective-human-factor-during-covid-19
Hierarchy and professional…
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psnet.ahrq.gov/node/44511/psn-pdf
October 14, 2015 - Multimorbidity and patient safety incidents in primary
care: a systematic review and meta-analysis.
October 14, 2015
Panagioti M, Stokes J, Esmail A, et al. Multimorbidity and Patient Safety Incidents in Primary Care: A
Systematic Review and Meta-Analysis. PLoS One. 2015;10(8):e0135947.
doi:10.1371/journal.pone.01…
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psnet.ahrq.gov/node/46831/psn-pdf
April 18, 2018 - Guideline Summary: Medication Safety.
April 18, 2018
Guideline Summary: Medication Safety. AORN J. 2018;107(4):489-494. doi:10.1002/aorn.12096.
https://psnet.ahrq.gov/issue/guideline-summary-medication-safety
Perioperative medication errors can result in patient harm as well as emotional distress among clinical
te…
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psnet.ahrq.gov/node/34750/psn-pdf
May 21, 2019 - The Basics of FMEA. 2nd ed.
May 21, 2019
McDermott RE, Mikulak RJ, Beauregard MR. New York, NY: CRC Press; 2009. ISBN: 9781563273773.
https://psnet.ahrq.gov/issue/basics-fmea-2nd-edition
The authors provide a handbook that serves as the core tool for understanding and implementing the
failure mode and effect analy…
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psnet.ahrq.gov/node/41022/psn-pdf
December 21, 2011 - Key performance outcomes of patient safety curricula:
root cause analysis, failure mode and effects analysis,
and structured communications skills.
December 21, 2011
Fassett WE. Key performance outcomes of patient safety curricula: root cause analysis, failure mode and
effects analysis, and structured communicatio…
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psnet.ahrq.gov/web-mm/no-blood-please
January 14, 2011 - No Blood, Please
Citation Text:
Liang BA. No Blood, Please. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.33_slideshow.ppt
October 01, 2003 - Spotlight Case [MONTH] 2003
Spotlight Case October 2003
Hemivulvectomy:
Wrong Side Removed
Source and Credits
This presentation is based on the Oct. 2003
AHRQ WebM&M Spotlight Case in OB/GYN
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Charles Vin…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
September 01, 2011 - Spotlight Case July 2008
Spotlight Case
The Safety and Quality of Long Term Care
*
*
Source and Credits
This presentation is based on the September 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Amy A. Vogelsmeier, PhD, RN, GCNS-BC, Uni…
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psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
February 01, 2017 - February 15, 2011
Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS