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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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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…
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psnet.ahrq.gov/node/45371/psn-pdf
April 24, 2017 - Patient safety and workplace bullying: an integrative
review.
April 24, 2017
Houck NM, Colbert AM. Patient Safety and Workplace Bullying: An Integrative Review. J Nurs Care Qual.
2017;32(2):164-171. doi:10.1097/NCQ.0000000000000209.
https://psnet.ahrq.gov/issue/patient-safety-and-workplace-bullying-integrative-rev…
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psnet.ahrq.gov/node/73977/psn-pdf
October 20, 2021 - Optimizing situation awareness to reduce emergency
transfers in hospitalized children.
October 20, 2021
Sosa T, Sitterding M, Dewan M, et al. Optimizing situation awareness to reduce emergency transfers in
hospitalized children. Pediatrics. 2021;148(4):e2020034603. doi:10.1542/peds.2020-034603.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/840150/psn-pdf
January 01, 2023 - Patients' experience of patient safety information and
participation in care during a hospital stay.
November 16, 2022
Tubic B, Finizia C, Zainal Kamil A, et al. Patients' experience of patient safety information and participation
in care during a hospital stay. Nurs Open. 2023;10(3):1684-1692. doi:10.1002/nop2.142…
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psnet.ahrq.gov/node/45426/psn-pdf
August 24, 2016 - Handoffs, safety culture, and practices: evidence from the
hospital survey on patient safety culture.
August 24, 2016
Lee S-H, Phan PH, Dorman T, et al. Handoffs, safety culture, and practices: evidence from the hospital
survey on patient safety culture. BMC Health Serv Res. 2016;16:254. doi:10.1186/s12913-016-1502…
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psnet.ahrq.gov/node/866355/psn-pdf
July 24, 2024 - Frequency and preventability of adverse drug events in
the outpatient setting.
July 24, 2024
Wasserman RL, Edrees HH, Amato MG, et al. Frequency and preventability of adverse drug events in the
outpatient setting. BMJ Qual Saf. 2024;Epub Jul 9. doi:10.1136/bmjqs-2024-017098.
https://psnet.ahrq.gov/issue/frequency-…
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psnet.ahrq.gov/node/47106/psn-pdf
August 15, 2018 - Imitating incidents: how simulation can improve safety
investigation and learning from adverse events.
August 15, 2018
Macrae C. Imitating Incidents: How Simulation Can Improve Safety Investigation and Learning From
Adverse Events. Simul Healthc. 2018;13(4):227-232. doi:10.1097/SIH.0000000000000315.
https://psnet.…