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psnet.ahrq.gov/node/838080/psn-pdf
September 14, 2022 - Effect on diagnostic accuracy of cognitive reasoning
tools for the workplace setting: systematic review and
meta-analysis.
September 14, 2022
Staal J, Hooftman J, Gunput STG, et al. Effect on diagnostic accuracy of cognitive reasoning tools for the
workplace setting: systematic review and meta-analysis. BMJ Qual S…
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psnet.ahrq.gov/node/43200/psn-pdf
May 21, 2014 - How Does Hospital Quality Management Drive Quality?
Results From the "Deepening Our Understanding of
Quality Improvement (DUQuE)" Project.
May 21, 2014
Schneider EC, ed. Int J Qual Healthc. 2014;26(suppl 1):1-115.
https://psnet.ahrq.gov/issue/how-does-hospital-quality-management-drive-quality-results-deepening-our…
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psnet.ahrq.gov/node/47808/psn-pdf
May 15, 2019 - Virtual patients designed for training against medical
error: exploring the impact of decision-making on learner
motivation.
May 15, 2019
Woodham LA, Round J, Stenfors T, et al. Virtual patients designed for training against medical error:
Exploring the impact of decision-making on learner motivation. PLoS One. 20…
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psnet.ahrq.gov/node/46480/psn-pdf
October 29, 2017 - Coaching the debriefer: peer coaching to improve
debriefing quality in simulation programs.
October 29, 2017
Cheng A, Grant V, Huffman J, et al. Coaching the Debriefer: Peer Coaching to Improve Debriefing Quality
in Simulation Programs. Simul Healthc. 2017;12(5):319-325. doi:10.1097/SIH.0000000000000232.
https://p…
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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/46994/psn-pdf
October 31, 2018 - ASHP national survey of pharmacy practice in hospital
settings: dispensing and administration—2017.
October 31, 2018
Schneider PJ, Pedersen CA, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital
settings: Dispensing and administration-2017. Am J Health Syst Pharm. 2018;75(16):1203-1226.
doi:10.…
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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/854255/psn-pdf
October 04, 2023 - Empowering telemetry technicians and enhancing
communication to improve in-hospital cardiac arrest
survival.
October 4, 2023
McCoy C, Keshvani N, Warsi M, et al. Empowering telemetry technicians and enhancing communication to
improve in-hospital cardiac arrest survival. BMJ Open Qual. 2023;12(3):e002220. doi:10.11…
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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/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/60001/psn-pdf
March 04, 2020 - Patient safety in marginalised groups: a narrative scoping
review
March 4, 2020
Cheraghi-Sohi S, Panagioti M, Daker-White G, et al. Patient safety in marginalised groups: a narrative
scoping review. Int J Equity Health. 2020;19(1):26. doi:10.1186/s12939-019-1103-2.
https://psnet.ahrq.gov/issue/patient-safety-margi…
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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/72569/psn-pdf
January 01, 2021 - Risk factors associated with medication ordering errors.
December 16, 2020
Abraham J, Galanter WL, Touchette DR, et al. Risk factors associated with medication ordering errors. J
Am Med Inform Assoc. 2021;18(1):86-94. doi:10.1093/jamia/ocaa264.
https://psnet.ahrq.gov/issue/risk-factors-associated-medication-orderin…