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psnet.ahrq.gov/node/853436/psn-pdf
September 13, 2023 - Long-term sustainability and adaptation of I-PASS
handovers.
September 13, 2023
Ryan SL, Logan M, Liu X, et al. Long-term sustainability and adaptation of I-PASS handovers. Jt Comm J
Qual Patient Saf. 2023;19(12):689-697. doi:10.1016/j.jcjq.2023.07.007.
https://psnet.ahrq.gov/issue/long-term-sustainability-and-ada…
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psnet.ahrq.gov/node/46517/psn-pdf
November 01, 2017 - Joy in medical practice: clinician satisfaction in the
Healthy Work Place trial.
November 1, 2017
Linzer M, Sinsky CA, Poplau S, et al. Joy In Medical Practice: Clinician Satisfaction In The Healthy Work
Place Trial. Health Aff (Millwood). 2017;36(10):1808-1814. doi:10.1377/hlthaff.2017.0790.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/47032/psn-pdf
May 23, 2018 - Clinical dental faculty members' perceptions of diagnostic
errors and how to avoid them.
May 23, 2018
Nikdel C, Nikdel K, Ibarra-Noriega A, et al. Clinical Dental Faculty Members' Perceptions of Diagnostic
Errors and How to Avoid Them. J Dent Educ. 2018;82(4):340-348. doi:10.21815/JDE.018.037.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/837974/psn-pdf
August 31, 2022 - Fostering a just culture in healthcare organizations:
experiences in practice.
August 31, 2022
van Baarle E, Hartman L, Rooijakkers S, et al. Fostering a just culture in healthcare organizations:
experiences in practice. BMC Health Serv Res. 2022;22(1):1035. doi:10.1186/s12913-022-08418-z.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/40132/psn-pdf
May 25, 2011 - Information needs in operating room teams: what is right,
what is wrong, and what is needed?
May 25, 2011
Forrest D, Healey A, Shirafkan H, et al. Information needs in operating room teams: what is right, what is
wrong, and what is needed? Surg Endosc. 2011;25(6):1913-20. doi:10.1007/s00464-010-1486-z.
https://psn…
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psnet.ahrq.gov/node/44002/psn-pdf
March 25, 2015 - Preventing medication errors in transitions of care: a
patient case approach.
March 25, 2015
Johnson A, Guirguis E, Grace Y. Preventing medication errors in transitions of care: A patient case
approach. J Am Pharm Assoc (2003). 2015;55(2):e264-276. doi:10.1331/JAPhA.2015.15509.
https://psnet.ahrq.gov/issue/prevent…
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psnet.ahrq.gov/node/50590/psn-pdf
January 01, 2020 - Patient and family engagement as a potential approach
for improving patient safety: a systematic review.
October 30, 2019
Park M, Giap T-T-T. Patient and family engagement as a potential approach for improving patient safety: A
systematic review. J Adv Nurs. 2020;76(1):62-80. doi:10.1111/jan.14227.
https://psnet.a…
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psnet.ahrq.gov/node/863221/psn-pdf
February 28, 2024 - Using artificial intelligence to improve primary care for
patients and clinicians.
February 28, 2024
Sarkar U, Bates DW. Using artificial intelligence to improve primary care for patients and clinicians. JAMA
Intern Med. 2024;184(4):343-344. doi:10.1001/jamainternmed.2023.7965.
https://psnet.ahrq.gov/issue/using-a…
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psnet.ahrq.gov/node/40772/psn-pdf
November 23, 2011 - Improving perceptions of teamwork climate with the
Veterans Health Administration medical team training
program.
November 23, 2011
Carney BT, West P, Neily J, et al. Improving perceptions of teamwork climate with the Veterans Health
Administration medical team training program. Am J Med Qual. 2011;26(6):480-4.
do…
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psnet.ahrq.gov/node/46352/psn-pdf
October 15, 2018 - Optimal Resources for Surgical Quality and Safety.
October 15, 2018
Hoyt DB, Ko CY, eds. Chicago, IL: American College of Surgeons; 2017. ISBN: 9780996826242.
https://psnet.ahrq.gov/issue/optimal-resources-surgical-quality-and-safety
Surgery is complex and involves a wide range of possibilities for error that can r…
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psnet.ahrq.gov/node/46915/psn-pdf
April 16, 2018 - Postoperative opioid prescribing: Getting it RIGHTT.
April 16, 2018
Yorkgitis BK, Brat GA. Postoperative opioid prescribing: Getting it RIGHTT. Am J Surg. 2018;215(4):707-
711. doi:10.1016/j.amjsurg.2018.02.001.
https://psnet.ahrq.gov/issue/postoperative-opioid-prescribing-getting-it-rightt
Use of mnemonics to rec…
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psnet.ahrq.gov/node/47101/psn-pdf
December 21, 2018 - Education and reporting of diagnostic errors among
physicians in internal medicine training programs.
December 21, 2018
Wijesekera TP, Sanders L, Windish DM. Education and Reporting of Diagnostic Errors Among Physicians
in Internal Medicine Training Programs. JAMA Intern Med. 2018;178(11):1548-1549.
doi:10.1001/ja…
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psnet.ahrq.gov/node/44479/psn-pdf
September 09, 2015 - Health literacy in primary care practice.
September 9, 2015
Hersh L, Salzman B, Snyderman D. Health Literacy in Primary Care Practice. Am Fam Physician.
2015;92(2):118-124.
https://psnet.ahrq.gov/issue/health-literacy-primary-care-practice
Limited health literacy can lead to patients misunderstanding care instruct…
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psnet.ahrq.gov/node/73429/psn-pdf
June 23, 2021 - Wrong Site Surgery - Wrong Patient: Invasive Procedures
in Outpatient Settings.
June 23, 2021
Farnborough, UK: Healthcare Safety Investigation Branch; June 2021.
https://psnet.ahrq.gov/issue/wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settings
Wrong site/wrong patent surgery is a persisten…
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psnet.ahrq.gov/node/45270/psn-pdf
June 29, 2016 - Using contemporary leadership skills in medication safety
programs.
June 29, 2016
Hertig JB, Hultgren KE, Weber RJ. Using Contemporary Leadership Skills in Medication Safety Programs.
Hosp Pharm. 2016;51(4):338-44. doi:10.1310/hpj5104-338.
https://psnet.ahrq.gov/issue/using-contemporary-leadership-skills-medicatio…
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psnet.ahrq.gov/node/44161/psn-pdf
December 19, 2018 - Among the elderly, many mental illnesses go
undiagnosed.
December 19, 2018
Bor JS. Among the elderly, many mental illnesses go undiagnosed. Health Aff (Millwood). 2015;34(5):727-
31. doi:10.1377/hlthaff.2015.0314.
https://psnet.ahrq.gov/issue/among-elderly-many-mental-illnesses-go-undiagnosed
This commentary spot…
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psnet.ahrq.gov/node/42881/psn-pdf
January 22, 2014 - Speaking up about the dangers of the hidden curriculum.
January 22, 2014
Liao JM, Thomas EJ, Bell SK. Speaking up about the dangers of the hidden curriculum. Health Aff
(Millwood). 2014;33(1):168-171. doi:10.1377/hlthaff.2013.1073.
https://psnet.ahrq.gov/issue/speaking-about-dangers-hidden-curriculum
Relating an a…
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psnet.ahrq.gov/node/45015/psn-pdf
July 18, 2016 - Interhospital transfer handoff practices among US tertiary
care centers: a descriptive survey.
July 18, 2016
Herrigel DJ, Carroll M, Fanning C, et al. Interhospital transfer handoff practices among US tertiary care
centers: A descriptive survey. J Hosp Med. 2016;11(6):413-7. doi:10.1002/jhm.2577.
https://psnet.ahr…
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psnet.ahrq.gov/node/42272/psn-pdf
November 26, 2014 - Effect of a systems intervention on the quality and safety
of patient handoffs in an internal medicine residency
program.
November 26, 2014
Graham KL, Marcantonio ER, Huang GC, et al. Effect of a systems intervention on the quality and safety of
patient handoffs in an internal medicine residency program. J Gen Int…
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psnet.ahrq.gov/node/60819/psn-pdf
August 19, 2020 - Register-based research of adverse events revealing
incomplete records threatening patient safety.
August 19, 2020
Kinnunen U-M, Kivekäs E, Palojoki S, et al. Register-based research of adverse events revealing
incomplete records threatening patient safety. Stud Health Technol Inform. 2020;270:771-775.
doi:10.3233…