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psnet.ahrq.gov/node/50417/psn-pdf
September 04, 2019 - Communicating uncertainty: a narrative review and
framework for future research.
September 4, 2019
Simpkin AL, Armstrong KA. Communicating uncertainty: a narrative review and framework for future
research. J Gen Intern Med. 2019;34(11):2586-2591. doi:10.1007/s11606-019-04860-8.
https://psnet.ahrq.gov/issue/communi…
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psnet.ahrq.gov/node/47424/psn-pdf
November 21, 2018 - Creating a culture of accountability promotes safe
medical care.
November 21, 2018
Canadian Medical Protective Association; CMPA.
https://psnet.ahrq.gov/issue/creating-culture-accountability-promotes-safe-medical-care
Frontline leadership should model just culture behaviors to encourage reporting and discussion of…
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psnet.ahrq.gov/node/47314/psn-pdf
November 24, 2018 - Adverse effects of computers during bedside rounds in a
critical care unit.
November 24, 2018
Dhillon NK, Francis SE, Tatum JM, et al. Adverse Effects of Computers During Bedside Rounds in a
Critical Care Unit. JAMA Surg. 2018;153(11):1052-1053. doi:10.1001/jamasurg.2018.1752.
https://psnet.ahrq.gov/issue/adverse-…
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psnet.ahrq.gov/node/38727/psn-pdf
November 25, 2009 - FMEA team performance in health care: a qualitative
analysis of team member perceptions.
November 25, 2009
Wetterneck TB, Hundt AS, Carayon P. FMEA Team Performance in Health Care. J Patient Saf. 2009;5(2).
doi:10.1097/pts.0b013e3181a852be.
https://psnet.ahrq.gov/issue/fmea-team-performance-health-care-qualitative…
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psnet.ahrq.gov/node/45841/psn-pdf
March 01, 2017 - Monitoring the anaesthetist in the operating
theatre—professional competence and patient safety.
March 1, 2017
Larsson J. Monitoring the anaesthetist in the operating theatre - professional competence and patient
safety. Anaesthesia. 2017;72 Suppl 1:76-83. doi:10.1111/anae.13743.
https://psnet.ahrq.gov/issue/monit…
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psnet.ahrq.gov/node/861291/psn-pdf
January 24, 2024 - COVID-19 and patient safety- lessons from 2 efforts to
keep people safe.
January 24, 2024
Wachter RM. COVID-19 and patient safety- lessons from 2 efforts to keep people safe. JAMA Intern Med.
2024;184(2):127-128. doi:10.1001/jamainternmed.2023.7527.
https://psnet.ahrq.gov/issue/covid-19-and-patient-safety-lessons-…
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psnet.ahrq.gov/node/43524/psn-pdf
October 29, 2014 - Validating administrative data for the detection of adverse
events in older hospitalized patients.
October 29, 2014
Ackroyd-Stolarz S, Bowles SK, Giffin L. Validating administrative data for the detection of adverse events in
older hospitalized patients. Drug Healthc Patient Saf. 2014;6:101-8. doi:10.2147/DHPS.S643…
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psnet.ahrq.gov/node/855438/psn-pdf
November 15, 2023 - Intravenous (IV) push medications – bridging the gap
between education and clinical practice.
November 15, 2023
ISMP Medication Safety Alert! Acute Care. November 2, 2023;28(22):1-4.
https://psnet.ahrq.gov/issue/intravenous-iv-push-medications-bridging-gap-between-education-and-clinical-
practice
Intravenous…
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psnet.ahrq.gov/node/46639/psn-pdf
November 29, 2017 - Enhancing pediatric perioperative patient safety.
November 29, 2017
Johnson Q, McVey J. Enhancing Pediatric Perioperative Patient Safety. AORN J. 2017;106(5):434-442.
doi:10.1016/j.aorn.2017.09.007.
https://psnet.ahrq.gov/issue/enhancing-pediatric-perioperative-patient-safety
Pediatric surgical patients face uniqu…
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psnet.ahrq.gov/node/44424/psn-pdf
August 19, 2015 - Taking patients' narratives about clinicians from anecdote
to science.
August 19, 2015
Schlesinger M, Grob R, Shaller D, et al. Taking Patients' Narratives about Clinicians from Anecdote to
Science. New Engl J Med. 2015;373(7):675-679. doi:10.1056/NEJMsb1502361.
https://psnet.ahrq.gov/issue/taking-patients-narrati…
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psnet.ahrq.gov/node/73356/psn-pdf
June 02, 2021 - Testing and Labeling Medical Devices for Safety in the
Magnetic Resonance (MR) Environment.
June 2, 2021
Silver Spring, MD: US Department of Health and Human Services, Food and Drug Administration, Center
for Devices and Radiological Health. May 20, 2021.
https://psnet.ahrq.gov/issue/testing-and-labeling-medical-d…
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psnet.ahrq.gov/node/73478/psn-pdf
July 07, 2021 - Medical malpractice claims by members of the uniformed
services.
July 7, 2021
Department of Defense Office of General Counsel. 32 CFR Part 45. Fed Register. 86(115); June 17,
2021:32194-32215.
https://psnet.ahrq.gov/issue/medical-malpractice-claims-members-uniformed-services
Organizations with safety culture…
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psnet.ahrq.gov/node/38934/psn-pdf
June 28, 2011 - Medication errors: how reliable are the severity ratings
reported to the National Reporting and Learning System?
June 28, 2011
Williams SD, Ashcroft DM. Medication errors: how reliable are the severity ratings reported to the national
reporting and learning system? Int J Qual Health Care. 2009;21(5):316-20. doi:10.…
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psnet.ahrq.gov/node/47950/psn-pdf
August 21, 2019 - Safety of care by caregivers of cancer patients.
August 21, 2019
Given BA. Safety of Care by Caregivers of Cancer Patients. Semin Oncol Nurs. 2019;35(4):374-379.
doi:10.1016/j.soncn.2019.06.011.
https://psnet.ahrq.gov/issue/safety-care-caregivers-cancer-patients
Cancer patients often rely on family members or paid…
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psnet.ahrq.gov/node/42672/psn-pdf
October 23, 2013 - SBAR improves nurse–physician communication and
reduces unexpected death: a pre and post intervention
study.
October 23, 2013
De Meester K, Verspuy M, Monsieurs KG, et al. SBAR improves nurse-physician communication and
reduces unexpected death: a pre and post intervention study. Resuscitation. 2013;84(9):1192-6.
…
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psnet.ahrq.gov/node/837348/psn-pdf
June 08, 2022 - Does malpractice liability make healthcare safer? Aligning
law and policy with evidence.
June 8, 2022
Saks MJ, Landsman S. Wake Forest J Law Policy. 2022;12:205-257.
https://psnet.ahrq.gov/issue/does-malpractice-liability-make-healthcare-safer-aligning-law-and-policy-
evidence
The malpractice liability sys…
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psnet.ahrq.gov/node/34706/psn-pdf
December 23, 2012 - Analysing potential harm in Australian general practice:
an incident-monitoring study.
December 23, 2012
Bhasale AL, Miller GC, Reid SE, et al. Analysing potential harm in Australian general practice: an incident-
monitoring study. Med J Aust. 1998;169(2):73-6.
https://psnet.ahrq.gov/issue/analysing-potential-harm…
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psnet.ahrq.gov/node/46947/psn-pdf
March 21, 2018 - Leaving patients to their own devices? Smart technology,
safety and therapeutic relationships.
March 21, 2018
Ho A, Quick O. Leaving patients to their own devices? Smart technology, safety and therapeutic
relationships. BMC Med Ethics. 2018;19(1):18. doi:10.1186/s12910-018-0255-8.
https://psnet.ahrq.gov/issue/leav…
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psnet.ahrq.gov/node/46868/psn-pdf
April 03, 2019 - 2017 John M. Eisenberg Patient Safety and Quality Award
Recipients Announced.
April 3, 2019
Joint Commission.
https://psnet.ahrq.gov/issue/2017-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced
The Eisenberg Award honors individuals and organizations who have made unique and sustained
contrib…
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psnet.ahrq.gov/node/47271/psn-pdf
August 08, 2018 - NAM Action Collaborative on Countering the U.S. Opioid
Epidemic.
August 8, 2018
National Academy of Medicine; Aspen Institute.
https://psnet.ahrq.gov/issue/nam-action-collaborative-countering-us-opioid-epidemic
Despite increased awareness regarding the public health impacts of opioid misuse and overdose in the
Un…