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psnet.ahrq.gov/node/837064/psn-pdf
May 11, 2022 - Clinic design for safety during the pandemic: safety or
teamwork, can we only pick one?
May 11, 2022
Lim L, Zimring CM, DuBose JR, et al. Clinic design for safety during the pandemic: safety or teamwork, can
we only pick one? HERD. 2022;15(3):28-41. doi:10.1177/19375867221091310.
https://psnet.ahrq.gov/issue/clini…
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psnet.ahrq.gov/node/61111/psn-pdf
January 01, 2021 - Absence or presence: silent discourse in the operating
room and impact on surgical team action.
November 11, 2020
Brommelsiek M, Said T, Gray M, et al. Absence or presence: silent discourse in the operating room and
impact on surgical team action. Am J Surg. 2021;221(5):980-986. doi:10.1016/j.amjsurg.2020.09.017.
…
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psnet.ahrq.gov/node/46930/psn-pdf
June 13, 2018 - Ward round template: enhancing patient safety on ward
rounds.
June 13, 2018
Gilliland N, Catherwood N, Chen S, et al. Ward round template: enhancing patient safety on ward rounds.
BMJ Open Qual. 2018;7(2):e000170. doi:10.1136/bmjoq-2017-000170.
https://psnet.ahrq.gov/issue/ward-round-template-enhancing-patient-saf…
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psnet.ahrq.gov/node/45669/psn-pdf
January 23, 2017 - Overdiagnosis of coronary artery disease detected by
coronary computed tomography angiography: a
teachable moment.
January 23, 2017
Schmidt T, Maag R, Foy AJ. Overdiagnosis of Coronary Artery Disease Detected by Coronary Computed
Tomography Angiography: A Teachable Moment. JAMA Intern Med. 2016;176(12):1747-1748.
…
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psnet.ahrq.gov/node/50922/psn-pdf
February 19, 2020 - An Organisation Losing its Memory? Patient Safety
Alerts: Implementation, Monitoring and Regulation in
England
February 19, 2020
Cousins D. Croydon, UK: Accidents against Medical Accidents; 2020.
https://psnet.ahrq.gov/issue/organisation-losing-its-memory-patient-safety-alerts-implementation-
monitoring-and-regul…
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psnet.ahrq.gov/node/45645/psn-pdf
November 16, 2016 - Simulated settings; powerful arenas for learning patient
safety practices and facilitating transference to clinical
practice. A mixed method study.
November 16, 2016
Reime MH, Johnsgaard T, Kvam FI, et al. Simulated settings; powerful arenas for learning patient safety
practices and facilitating transference to cl…
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psnet.ahrq.gov/node/73864/psn-pdf
September 22, 2021 - Simulation-based assessment identifies longitudinal
changes in cognitive skills in an anesthesiology
residency training program.
September 22, 2021
Sidi A, Gravenstein N, Vasilopoulos T, et al. Simulation-based assessment identifies longitudinal changes
in cognitive skills in an anesthesiology residency training p…
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psnet.ahrq.gov/node/45539/psn-pdf
November 18, 2016 - Overuse of medical imaging and its radiation
exposure: who’s minding our children?
November 18, 2016
Schroeder AR, Duncan JR. Overuse of Medical Imaging and Its Radiation Exposure: Who's Minding Our
Children? JAMA Pediatr. 2016;170(11):1037-1038. doi:10.1001/jamapediatrics.2016.2147.
https://psnet.ahrq.gov/issue/o…
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psnet.ahrq.gov/node/47818/psn-pdf
April 03, 2019 - Medication safety in emergency medical services:
approaching an evidence-based method of verification to
reduce errors.
April 3, 2019
Misasi P, Keebler JR. Medication safety in emergency medical services: approaching an evidence-based
method of verification to reduce errors. Ther Adv Drug Saf. 2019;10:204209861882…
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psnet.ahrq.gov/node/837901/psn-pdf
August 24, 2022 - Trial and error: learning from malpractice claims in
childhood surgery.
August 24, 2022
Prieto JM, Falcone B, Greenberg P, et al. Trial and error: learning from malpractice claims in childhood
surgery. J Surg Res. 2022;279:84-88. doi:10.1016/j.jss.2022.05.033.
https://psnet.ahrq.gov/issue/trial-and-error-learning-…
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psnet.ahrq.gov/node/48011/psn-pdf
May 29, 2019 - Is it time for safeguards in the adoption of robotic
surgery?
May 29, 2019
Sheetz KH, Dimick JB. Is It Time for Safeguards in the Adoption of Robotic Surgery? JAMA.
2019;321(20):1971-1972. doi:10.1001/jama.2019.3736.
https://psnet.ahrq.gov/issue/it-time-safeguards-adoption-robotic-surgery
The FDA recently raised …
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psnet.ahrq.gov/node/35909/psn-pdf
October 07, 2008 - Committed to Safety: Ten Case Studies on Reducing
Harm to Patients.
October 7, 2008
McCarthy D, Blumenthal D. New York, NY: Commonwealth Fund; 2006.
https://psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients
This report presents ten case studies to illustrate interventions that address p…
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex1-text.html
July 01, 2018 - Guide to Patient and Family Engagement
Exhibit 1. Preliminary Conceptual Framework (Text Description)
Previous Page Next Page
Table of Contents
Guide to Patient and Family Engagement
Executive Summary
Introduction
Methods
Findings
Implications for the Guide
Summary and Discussion
Next …
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psnet.ahrq.gov/node/847044/psn-pdf
April 05, 2023 - Perioperative safety determinants in ethnic patient
groups.
April 5, 2023
Bloo G, Calsbeek H, Westert GP, et al. Perioperative safety determinants in ethnic patient groups. J Patient
Saf Risk Manag. 2023;28(1):31-46. doi:10.1177/25160435231151545.
https://psnet.ahrq.gov/issue/perioperative-safety-determinants-ethn…
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psnet.ahrq.gov/node/74847/psn-pdf
February 16, 2022 - Guidelines for US hospitals and clinicians on assessment
of electronic health record safety using SAFER Guides.
February 16, 2022
Sittig DF, Sengstack P, Singh H. Guidelines for US hospitals and clinicians on assessment of electronic
health record safety using SAFER Guides. JAMA. 2022;327(8):719-720. doi:10.1001/ja…
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psnet.ahrq.gov/node/41759/psn-pdf
October 10, 2012 - Optimal preoperative assessment of the geriatric surgical
patient: a best practices guideline from the American
College of Surgeons National Surgical Quality
Improvement Program and the American Geriatrics
Society.
October 10, 2012
Chow WB, Rosenthal RA, Merkow RP, et al. Optimal preoperative assessment of the ge…
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psnet.ahrq.gov/node/60823/psn-pdf
August 19, 2020 - Disaster ergonomics: human factors in COVID-19
pandemic emergency management.
August 19, 2020
Sasangohar F, Moats J, Mehta R, et al. Disaster ergonomics: human factors in COVID-19 pandemic
emergency management. Hum Factors. 2020;62(7):1061-1068. doi:10.1177/0018720820939428.
https://psnet.ahrq.gov/issue/disaster-e…
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psnet.ahrq.gov/node/50848/psn-pdf
January 29, 2020 - Deficiencies in Care Coordination and Facility Response
to a Patient Suicide at the Minneapolis VA Health Care
System, Minnesota.
January 29, 2020
Washington, DC: Department of Veterans Affairs, Office of Inspector General. January 7, 2020. Report No.
19-00468-67.
https://psnet.ahrq.gov/issue/deficiencies-care-co…
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psnet.ahrq.gov/node/60918/psn-pdf
September 16, 2020 - Enhancing departmental preparedness for COVID-19
using rapid-cycle in-situ simulation.
September 16, 2020
Dharamsi A, Hayman K, Yi S, et al. Enhancing departmental preparedness for COVID-19 using rapid-cycle
in-situ simulation. J Hosp Infect. 2020;105(4):604-607. doi:10.1016/j.jhin.2020.06.020.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/36795/psn-pdf
August 26, 2011 - Surgical specimen identification errors: a new measure of
quality in surgical care.
August 26, 2011
Makary MA, Epstein J, Pronovost P, et al. Surgical specimen identification errors: a new measure of quality
in surgical care. Surgery. 2007;141(4):450-5.
https://psnet.ahrq.gov/issue/surgical-specimen-identification…