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psnet.ahrq.gov/node/837330/psn-pdf
June 08, 2022 - A call to action: next steps to advance diagnosis
education in the health professions.
June 8, 2022
Graber ML, Holmboe ES, Stanley J, et al. A call to action: next steps to advance diagnosis education in the
health professions. Diagnosis (Berl). 2022;9(2):166-175. doi:10.1515/dx-2021-0103.
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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/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/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.
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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/44947/psn-pdf
November 18, 2016 - Impact of the 2011 ACGME resident duty hour reform on
hospital patient experience and processes-of-care.
November 18, 2016
Rajaram R, Saadat L, Chung JW, et al. Impact of the 2011 ACGME resident duty hour reform on hospital
patient experience and processes-of-care. BMJ Qual Saf. 2016;25(12):962-970. doi:10.1136/bmj…
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July 07, 2021 - Hospital quality-review spending and patient safety: a
longitudinal analysis using instrumental variables.
July 7, 2021
Dynan L, Smith RB. Hospital quality-review spending and patient safety: a longitudinal analysis using
instrumental variables. Health Serv Outcomes Res Methodol. 2021. doi:10.1007/s10742-021-00251-…
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psnet.ahrq.gov/node/60013/psn-pdf
March 04, 2020 - Development and implementation of a suicide prevention
checklist to create a safe environment.
March 4, 2020
Frost DA, Snydeman CK, Lantieri MJ, et al. Development and Implementation of a Suicide Prevention
Checklist to Create a Safe Environment. Psychosomatics. 2019;61(2):154-160.
doi:10.1016/j.psym.2019.10.008.
…
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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/851062/psn-pdf
June 28, 2023 - Systems approach to suicide prevention: strengthening
culture, practice, and education.
June 28, 2023
Pisani AR, Boudreaux ED. Systems approach to suicide prevention: strengthening culture, practice, and
education. Focus (Am Psychiatr Publ). 2023;21(2):152-159. doi:10.1176/appi.focus.20220081.
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psnet.ahrq.gov/node/853074/psn-pdf
February 06, 2024 - Patient Experience, Patient Safety, and Provider Well-
Being: Associations and Paths for Quality Improvement.
February 6, 2024
Rockville, MD: Agency for Healthcare Research and Quality; January 2024. AHRQ Publication no.
24-0030.
https://psnet.ahrq.gov/issue/patient-experience-patient-safety-and-provider-well…
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psnet.ahrq.gov/node/48018/psn-pdf
July 31, 2019 - PEARLS for systems integration: a modified PEARLS
framework for debriefing systems-focused simulations.
July 31, 2019
Dubé MM, Reid J, Kaba A, et al. PEARLS for Systems Integration: A Modified PEARLS Framework for
Debriefing Systems-Focused Simulations. Simul Healthc. 2019;14(5):333-342.
doi:10.1097/SIH.0000000000…
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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/44619/psn-pdf
November 04, 2015 - Seeing through Google Glass: using an innovative
technology to improve medication safety behaviors in
undergraduate nursing students.
November 4, 2015
Schneidereith T. Seeing Through Google Glass: Using an Innovative Technology to Improve Medication
Safety Behaviors in Undergraduate Nursing Students. Nurs Educ Per…
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psnet.ahrq.gov/node/47903/psn-pdf
January 01, 2021 - A qualitative analysis of outpatient medication use in
community settings: observed safety vulnerabilities and
recommendations for improved patient safety.
April 17, 2019
Lyson HC, Sharma AE, Cherian R, et al. A Qualitative Analysis of Outpatient Medication Use in Community
Settings: Observed Safety Vulnerabilitie…
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psnet.ahrq.gov/node/37610/psn-pdf
June 16, 2011 - Is yours a learning organization?
June 16, 2011
Garvin DA, Edmondson A, Gino F. Is yours a learning organization? Harv Bus Rev. 2008;86(3):109-16,
134.
https://psnet.ahrq.gov/issue/yours-learning-organization
Key tenets of improving patient safety at the organizational level include taking a systems approach to
s…
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psnet.ahrq.gov/node/74102/psn-pdf
January 01, 2022 - Workforce planning and safe workload in sterile
compounding hospital pharmacy services.
November 24, 2021
Chaker A, Omair I, Mohamed WH, et al. Workforce planning and safe workload in sterile compounding
hospital pharmacy services. Am J Health Syst Pharm. 2022;79(3):187–192. doi:10.1093/ajhp/zxab379.
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psnet.ahrq.gov/node/47574/psn-pdf
November 21, 2018 - The architecture of safety: an emerging priority for
improving patient safety.
November 21, 2018
Joseph A, Henriksen K, Malone E. The Architecture Of Safety: An Emerging Priority For Improving Patient
Safety. Health Aff (Millwood). 2018;37(11):1884-1891. doi:10.1377/hlthaff.2018.0643.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/36964/psn-pdf
March 24, 2011 - Patients use an internet technology to report when things
go wrong.
March 24, 2011
Wasson JH, MacKenzie TA, Hall M. Patients use an internet technology to report when things go wrong.
Qual Saf Health Care. 2007;16(3):213-5.
https://psnet.ahrq.gov/issue/patients-use-internet-technology-report-when-things-go-wrong
…
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psnet.ahrq.gov/node/44210/psn-pdf
September 09, 2015 - The future of graduate medical education: a systems-
based approach to ensure patient safety.
September 9, 2015
Bagian JP. The Future of Graduate Medical Education: A Systems-Based Approach to Ensure Patient
Safety. Acad Med. 2015;90(9):1199-202. doi:10.1097/ACM.0000000000000824.
https://psnet.ahrq.gov/issue/futur…