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psnet.ahrq.gov/node/43198/psn-pdf
July 19, 2023 - TeamSTEPPS Core Curriculum.
July 19, 2023
Rockville, MD: Agency for Healthcare Research and Quality; July 2023.
https://psnet.ahrq.gov/issue/teamstepps-core-curriculum
The TeamSTEPPS® program was developed to support effective communication and teamwork in health
care. The curriculum offers training for participan…
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digital.ahrq.gov/organization/icahn-school-medicine-mount-sinai
January 01, 2023 - Icahn School Of Medicine At Mount Sinai
Patient Intestinal Failure-ECHO Project (PIF-ECHO)
Description
This study will evaluate the feasibility and effectiveness of providing chronic intestinal failure patients and their family caregivers with direct access to live, virtual, m…
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psnet.ahrq.gov/node/42171/psn-pdf
April 17, 2013 - Perceptions of risk to patient safety in the pediatric ICU, a
study of American pediatric intensivists.
April 17, 2013
Bauer P, Hoffmann RG, Bragg D, et al. Perceptions of risk to patient safety in the pediatric ICU, a study of
American pediatric intensivists. Saf Sci. 2012;53. doi:10.1016/j.ssci.2012.09.009.
http…
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psnet.ahrq.gov/node/44656/psn-pdf
November 11, 2015 - Making health care safer: what is the contribution of
health psychology?
November 11, 2015
Vincent CA, Wearden A, French DP. Making health care safer: What is the contribution of health
psychology? Br J Health Psychol. 2015;20(4):681-7. doi:10.1111/bjhp.12166.
https://psnet.ahrq.gov/issue/making-health-care-safer-…
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psnet.ahrq.gov/node/46349/psn-pdf
August 16, 2017 - Health Literacy Tools for Providers of Medication Therapy
Management.
August 16, 2017
Rockville, MD: Agency for Healthcare Research and Quality; July 2017.
https://psnet.ahrq.gov/issue/health-literacy-tools-providers-medication-therapy-management
Health literacy is important for effective care communications and s…
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psnet.ahrq.gov/node/72591/psn-pdf
December 23, 2020 - Bias and racism teaching rounds at an academic medical
center.
December 23, 2020
Capers Q, Bond DA, Nori US. Bias and racism teaching rounds at an academic medical center. Chest.
2020;158(6):2688-2694. doi:10.1016/j.chest.2020.08.2073.
https://psnet.ahrq.gov/issue/bias-and-racism-teaching-rounds-academic-medical-c…
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psnet.ahrq.gov/node/858325/psn-pdf
December 13, 2023 - Patients with low health literacy make more errors
interpreting instructions and warnings.
December 13, 2023
ISMP Medication Safety Alert! Acute Care. 2023;28(24):1-3.
https://psnet.ahrq.gov/issue/patients-low-health-literacy-make-more-errors-interpreting-instructions-and-
warnings
The inability to understand hea…
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psnet.ahrq.gov/node/35650/psn-pdf
June 25, 2010 - Am I safe here? Improving patients' perceptions of safety
in hospitals.
June 25, 2010
Wolosin RJ, Vercler L, Matthews JL. Am I safe here?: improving patients' perceptions of safety in hospitals.
J Nurs Care Qual. 2006;21(1):30-40.
https://psnet.ahrq.gov/issue/am-i-safe-here-improving-patients-perceptions-safety-ho…
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psnet.ahrq.gov/node/43761/psn-pdf
July 01, 2016 - An electronic checklist improves transfer and retention of
critical information at intraoperative handoff of care.
July 1, 2016
Agarwala A, Firth PG, Albrecht MA, et al. An electronic checklist improves transfer and retention of critical
information at intraoperative handoff of care. Anesth Analg. 2015;120(1):96-10…
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psnet.ahrq.gov/node/44574/psn-pdf
October 21, 2015 - Patient safety and quality improvement: reducing risk of
harm.
October 21, 2015
Leonard M. Patient Safety and Quality Improvement: Reducing Risk of Harm. Pediatr Rev.
2015;36(10):448-56; quiz 457-8. doi:10.1542/pir.36-10-448.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-reducing-risk-harm
T…
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psnet.ahrq.gov/node/43150/psn-pdf
April 30, 2014 - Children's Hospital investigated five patient deaths from
deadly fungal disease in 2009.
April 30, 2014
Duffy J, Harris J, Gade L, et al. Mucormycosis outbreak associated with hospital linens. The Pediatric
infectious disease journal. 2014;33(5):472-6. doi:10.1097/INF.0000000000000261.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/40790/psn-pdf
January 01, 2012 - Nurses' perceptions of simulation-based interprofessional
training program for rapid response and code blue
events.
December 1, 2011
Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. Nurses' perceptions of simulation-based
interprofessional training program for rapid response and code blue events. J Nurs Care Qual.
2…
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psnet.ahrq.gov/node/47289/psn-pdf
October 24, 2018 - ASHP guidelines on managing drug product shortages.
October 24, 2018
Fox ER, McLaughlin MM. ASHP guidelines on managing drug product shortages. Am J Health Syst Pharm.
2018;75(21):1742-1750. doi:10.2146/ajhp180441.
https://psnet.ahrq.gov/issue/ashp-guidelines-managing-drug-product-shortages
Drug shortages are a pe…
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psnet.ahrq.gov/node/44221/psn-pdf
September 27, 2016 - Reducing surgical errors: implementing a three-hinge
approach to success.
September 27, 2016
Landers R. Reducing surgical errors: implementing a three-hinge approach to success. AORN J.
2015;101(6):657-65. doi:10.1016/j.aorn.2015.04.013.
https://psnet.ahrq.gov/issue/reducing-surgical-errors-implementing-three-hing…
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psnet.ahrq.gov/node/43220/psn-pdf
April 03, 2017 - Patient safety teams recognised at BMJ awards.
April 3, 2017
Gulland A. Berwick Patient Safety Team: making the NHS a safer place. BMJ. 2014;348(mar28 1).
doi:10.1136/bmj.g2404.
https://psnet.ahrq.gov/issue/patient-safety-teams-recognised-bmj-awards
The Great Ormond Street Hospital Foundation NHS Trust received th…
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psnet.ahrq.gov/node/72761/psn-pdf
February 17, 2021 - Using ventilator splitters during the COVID-19 pandemic--
letter to health care providers.
February 17, 2021
Silver Spring, MD: Division of Industry and Consumer Education, US Food and Drug Administration;
February 9. 2021.
https://psnet.ahrq.gov/issue/using-ventilator-splitters-during-covid-19-pandemic-letter-hea…
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psnet.ahrq.gov/node/42872/psn-pdf
December 30, 2014 - Errors in after-hours phone consultations: a simulation
study.
December 30, 2014
Joffe E, Turley JP, Hwang KO, et al. Errors in after-hours phone consultations: a simulation study. BMJ
Qual Saf. 2014;23(5):398-405. doi:10.1136/bmjqs-2013-002243.
https://psnet.ahrq.gov/issue/errors-after-hours-phone-consultations-s…
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psnet.ahrq.gov/node/43231/psn-pdf
July 28, 2014 - Disclosure of adverse events and errors in surgical care:
challenges and strategies for improvement.
July 28, 2014
Lipira LE, Gallagher TH. Disclosure of adverse events and errors in surgical care: challenges and
strategies for improvement. World J Surg. 2014;38(7):1614-21. doi:10.1007/s00268-014-2564-5.
https://p…
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psnet.ahrq.gov/node/42105/psn-pdf
June 28, 2013 - Public perceptions and preferences for patient
notification after an unsafe injection.
June 28, 2013
Schneider AK, Brinsley-Rainisch KJ, Schaefer MK, et al. Public perceptions and preferences for patient
notification after an unsafe injection. J Patient Saf. 2013;9(1):8-12. doi:10.1097/PTS.0b013e318269992d.
https:…
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psnet.ahrq.gov/node/44955/psn-pdf
May 21, 2016 - Accuracy of the Safer Dx Instrument to identify diagnostic
errors in primary care.
May 21, 2016
Al-Mutairi A, Meyer AND, Thomas EJ, et al. Accuracy of the Safer Dx Instrument to Identify Diagnostic
Errors in Primary Care. J Gen Intern Care. 2016;31(6):602-608. doi:10.1007/s11606-016-3601-x.
https://psnet.ahrq.gov/…