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psnet.ahrq.gov/node/50827/psn-pdf
January 22, 2020 - Becoming a high-reliability organization through shared
learning of safety events
January 22, 2020
Klenklen J. Patient Saf Qual HCare. December 19, 2019.
https://psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
High reliability organizations consistently examine wha…
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psnet.ahrq.gov/node/867632/psn-pdf
February 26, 2025 - Instruments for patient safety assessment: a scoping
review.
February 26, 2025
Nunes E, Sirtoli F, Lima E, et al. Instruments for patient safety assessment: a scoping review. Healthcare.
2024;12(20):2075. doi:10.3390/healthcare12202075.
https://psnet.ahrq.gov/issue/instruments-patient-safety-assessment-scoping-rev…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1tools.html
March 01, 2018 - Module 1: Detecting Change in a Resident's Condition
Additional Tools and Resources
Previous Page
Table of Contents
Module 1: Detecting Change in a Resident's Condition
Learning and Performance Objectives
Session 1
Session 2
Conclusion
Additional Tools and Resources
Ear…
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digital.ahrq.gov/location/usa-ca-san-diego
January 01, 2023 - USA, CA, San Diego
Quantifying Electronic Medical Record Usability to Improve Clinical Workflow
Description
This project studied electronic health record use, workflow, physician-patient communication, cognitive load, and user satisfaction and found multiple factors that influ…
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psnet.ahrq.gov/node/43579/psn-pdf
October 08, 2014 - Implications of Health Literacy for Public Health:
Workshop Summary.
October 8, 2014
Hewitt M, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health
Practice, Institute of Medicine. Washington, DC: National Academies Press; 2014. ISBN: 9780309303651.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/60992/psn-pdf
October 14, 2020 - Another medical malpractice crisis?: Try something
different.
October 14, 2020
Sage WM, Boothman RC, Gallagher TH. Another medical malpractice crisis?: Try something different.
JAMA. 2020;324(14):1395-1396. doi:10.1001/jama.2020.16557.
https://psnet.ahrq.gov/issue/another-medical-malpractice-crisis-try-something-d…
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psnet.ahrq.gov/node/47601/psn-pdf
December 21, 2018 - Clinical decision support in the era of artificial
intelligence.
December 21, 2018
Shortliffe EH, Sepúlveda MJ. Clinical Decision Support in the Era of Artificial Intelligence. JAMA.
2018;320(21):2199-2200. doi:10.1001/jama.2018.17163.
https://psnet.ahrq.gov/issue/clinical-decision-support-era-artificial-intellige…
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psnet.ahrq.gov/node/50652/psn-pdf
January 01, 2020 - Preventable adverse drug events: descriptive
epidemiology.
November 13, 2019
Woo SA, Cragg A, Wickham ME, et al. Preventable adverse drug events: Descriptive epidemiology. Br J
Clin Pharmacol. 2020;86(2):291-302. doi:10.1111/bcp.14139.
https://psnet.ahrq.gov/issue/preventable-adverse-drug-events-descriptive-epidem…
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psnet.ahrq.gov/node/45564/psn-pdf
October 03, 2017 - Fostering transparency in outcomes, quality, safety, and
costs.
October 3, 2017
Austin M, McGlynn EA, Pronovost P. Fostering Transparency in Outcomes, Quality, Safety, and Costs.
JAMA. 2016;316(16):1661-1662. doi:10.1001/jama.2016.14039.
https://psnet.ahrq.gov/issue/fostering-transparency-outcomes-quality-safety-a…
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psnet.ahrq.gov/node/837032/psn-pdf
May 04, 2022 - The patient's "story": an examination of patient-reported
safety incidents in general practice.
May 4, 2022
Madden C, Lydon S, Murphy AW, et al. The patient’s “story”: an examination of patient-reported safety
incidents in general practice. Fam Pract. 2022;39(6):1095-1102. doi:10.1093/fampra/cmac033.
https://psnet…
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psnet.ahrq.gov/node/43129/psn-pdf
July 23, 2014 - Use of a daily goals checklist for morning ICU rounds: a
mixed-methods study.
July 23, 2014
Centofanti JE, Duan EH, Hoad NC, et al. Use of a daily goals checklist for morning ICU rounds: a mixed-
methods study. Crit Care Med. 2014;42(8):1797-803. doi:10.1097/CCM.0000000000000331.
https://psnet.ahrq.gov/issue/use-d…
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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/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…