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psnet.ahrq.gov/node/46148/psn-pdf
May 31, 2017 - Implementation of a structured hospital-wide morbidity
and mortality rounds model.
May 31, 2017
Kwok ESH, Calder LA, Barlow-Krelina E, et al. Implementation of a structured hospital-wide morbidity and
mortality rounds model. BMJ Qual Saf. 2017;26(6):439-448. doi:10.1136/bmjqs-2016-005459.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/850927/psn-pdf
June 21, 2023 - Room of horrors simulation in healthcare education: a
systematic review.
June 21, 2023
Lee SE, Repsha C, Seo WJ, et al. Room of horrors simulation in healthcare education: a systematic
review. Nurse Educ Today. 2023;126:105824. doi:10.1016/j.nedt.2023.105824.
https://psnet.ahrq.gov/issue/room-horrors-simulation-he…
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psnet.ahrq.gov/node/38774/psn-pdf
July 08, 2009 - Evaluation of causes and frequency of medication errors
during information technology downtime.
July 8, 2009
Hanuscak TL, Szeinbach SL, Seoane-Vazquez E, et al. Evaluation of causes and frequency of medication
errors during information technology downtime. Am J Health Syst Pharm. 2009;66(12):1119-24.
doi:10.2146/a…
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psnet.ahrq.gov/node/41457/psn-pdf
August 02, 2012 - The H-PEPSS: an instrument to measure health
professionals' perceptions of patient safety competence
at entry into practice.
August 2, 2012
Ginsburg LR, Castel E, Tregunno D, et al. The H-PEPSS: an instrument to measure health professionals'
perceptions of patient safety competence at entry into practice. BMJ Qual…
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psnet.ahrq.gov/node/60265/psn-pdf
January 01, 2019 - Quality Improvement and Patient Safety Competencies
Across the Learning Continuum.
January 1, 2019
AAMC New and Emerging Areas in Medicine Series. Washington, DC: Association of American Medical
Colleges; 2019. ISBN: 9781577541882.
https://psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-competencies-ac…
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psnet.ahrq.gov/node/37965/psn-pdf
December 01, 2008 - Building a simulation-based crisis resource management
course for emergency medicine, phase 1: results from an
interdisciplinary needs assessment survey.
December 1, 2008
Hicks CM, Bandiera GW, Denny CJ. Building a simulation-based crisis resource management course for
emergency medicine, phase 1: Results from an …
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psnet.ahrq.gov/node/73922/psn-pdf
October 06, 2021 - Leading causes of anesthesia-related liability claims in
ambulatory surgery centers.
October 6, 2021
Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory
surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000000000431.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/74722/psn-pdf
February 02, 2022 - Preventing and mitigating radiology system failures: a
guide to disaster planning.
February 2, 2022
Gibney BT, Roberts JM, D'Ortenzio RM, et al. Preventing and mitigating radiology system failures: a guide
to disaster planning. RadioGraphics. 2021;41(7):2111-2126. doi:10.1148/rg.2021210083.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/41624/psn-pdf
November 06, 2012 - How nurses and physicians judge their own quality of
care for deteriorating patients on medical wards: self-
assessment of quality of care is suboptimal.
November 6, 2012
Ludikhuize J, Dongelmans DA, Smorenburg SM, et al. How nurses and physicians judge their own quality
of care for deteriorating patients on medic…
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psnet.ahrq.gov/node/74015/psn-pdf
October 27, 2021 - Safer Services: A Toolkit for Specialist Mental Health
Services and Primary Care.
October 27, 2021
National Confidential Inquiry into Suicide and Safety in Mental Health. Manchester, UK: University of
Manchester; May 31, 2021
https://psnet.ahrq.gov/issue/safer-services-toolkit-specialist-mental-health-services-and…
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psnet.ahrq.gov/node/46734/psn-pdf
February 07, 2018 - To err is human: use of simulation to enhance training
and patient safety in anaesthesia.
February 7, 2018
Higham H, Baxendale B. To err is human: use of simulation to enhance training and patient safety in
anaesthesia. Br J Anaesth. 2017;119(suppl_1):i106-i114. doi:10.1093/bja/aex302.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/perspective/response-failure-report-march-2007
June 01, 2007 - In response to "Failure to Report" (March 2007)
June 1, 2007
View more articles from the same authors.
Citation Text:
Paparella S, Vaida AJ, Spath P. In response to "Failure to Report" (March 2007). PSNet [internet]. Rockville (MD): Agency for Healthcare Research …
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psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
March 10, 2021 - In Conversation With... Libby Hoy and Stephen Hoy
March 10, 2021
Also Read the Essay
Citation Text:
In Conversation With.. Libby Hoy and Stephen Hoy. PSNet [internet]. 2021.In Conversation With... Libby Hoy and Stephen Hoy. PSNet [internet]. Rockville (MD): Agenc…
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psnet.ahrq.gov/node/60984/psn-pdf
October 07, 2020 - Prospective validation of classification of intraoperative
adverse events (ClassIntra): international, multicentre
cohort study.
October 7, 2020
Dell-Kuster S, Gomes NV, Gawria L, et al. Prospective validation of classification of intraoperative adverse
events (ClassIntra): international, multicentre cohort study.…
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psnet.ahrq.gov/node/860731/psn-pdf
January 17, 2024 - Occupational Health and Organizational Culture within a
Healthcare Setting: Challenges, Complexities, and
Dynamics.
January 17, 2024
Tran Y, Ellis LA, Clay-Williams R, eds. Lausanne, Switzerland: Frontiers Media SA; 2023. ISBN
9782832540770.
https://psnet.ahrq.gov/issue/occupational-health-and-organizational-cult…
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psnet.ahrq.gov/node/60807/psn-pdf
August 12, 2020 - Inadequate Emergency Department Care and Physician
Misconduct at the Washington DC VA Medical Center.
August 12, 2020
Office of the Inspector General. Washington, DC: Department of Veterans Affairs; July 28, 2020. Report
Number 19-07507-214.
https://psnet.ahrq.gov/issue/inadequate-emergency-department-care-and-phy…
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psnet.ahrq.gov/node/45975/psn-pdf
May 07, 2018 - Two effective initiatives for C-suite leaders to improve
medication safety and the reliability of outcomes.
May 7, 2018
ISMP Medication Safety Alert! Acute care edition. March 23, 2017;22:1-5.
https://psnet.ahrq.gov/issue/two-effective-initiatives-c-suite-leaders-improve-medication-safety-and-
reliability-outcomes…
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psnet.ahrq.gov/node/43932/psn-pdf
March 04, 2015 - Safety considerations to mitigate the risks of
misconnections with small-bore connectors intended for
enteral applications.
March 4, 2015
Rockville, MD: Center for Devices and Radiological Health, US Food and Drug Administration; February
11, 2015.
https://psnet.ahrq.gov/issue/safety-considerations-mitigate-risks…
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psnet.ahrq.gov/node/47057/psn-pdf
July 14, 2018 - A framework for operationalizing risk: a practical
approach to patient safety.
July 14, 2018
Mathews SC, Sutcliffe K, Garrett MR, et al. A framework for operationalizing risk: A practical approach to
patient safety. J Healthc Risk Manag. 2018;38(1):38-46. doi:10.1002/jhrm.21317.
https://psnet.ahrq.gov/issue/frame…
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psnet.ahrq.gov/node/843431/psn-pdf
January 02, 2001 - The girl who cried pain: a bias against women in the
treatment of pain.
January 2, 2001
Hoffmann DE, Tarzian AJ. The girl who cried pain: a bias against women in the treatment of pain. J Law
Med Ethics. 2001;29(1):13-27. doi:10.1111/j.1748-720x.2001.tb00037.x.
https://psnet.ahrq.gov/issue/girl-who-cried-pain-bias-…