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psnet.ahrq.gov/node/44897/psn-pdf
March 15, 2016 - The effect of a checklist on the quality of patient handover
from the operating room to the intensive care unit: a
randomized controlled trial.
March 15, 2016
Salzwedel C, Mai V, Punke MA, et al. The effect of a checklist on the quality of patient handover from the
operating room to the intensive care unit: A rand…
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psnet.ahrq.gov/node/43172/psn-pdf
May 14, 2014 - Clinical clerkship students' perceptions of (un)safe
transitions for every patient.
May 14, 2014
Koch PE, Simpson D, Toth H, et al. Clinical Clerkship Students’ Perceptions of (Un)Safe Transitions for
Every Patient. Academic Medicine. 2014;89(3). doi:10.1097/acm.0000000000000153.
https://psnet.ahrq.gov/issue/clini…
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psnet.ahrq.gov/node/45331/psn-pdf
August 03, 2016 - Health information technologies: from hazardous to the
dark side.
August 3, 2016
Saunders C, Rutkowski AF, Pluyter J, et al. Health information technologies: From hazardous to the dark
side. J Assoc Inf Sci Technol. 2016;67(7). doi:10.1002/asi.23671.
https://psnet.ahrq.gov/issue/health-information-technologies-haz…
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psnet.ahrq.gov/node/60893/psn-pdf
January 01, 2021 - When safety event reporting is seen as punitive: "I've
been PSN-ed!"
September 9, 2020
Feeser VR, Jackson AK, Savage NM, et al. When safety event reporting is seen as punitive: "I've been
PSN-ed!". Ann Emerg Med. 2021;77(4):449-458. doi:10.1016/j.annemergmed.2020.06.048.
https://psnet.ahrq.gov/issue/when-safety-ev…
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psnet.ahrq.gov/node/46846/psn-pdf
February 28, 2018 - Effects of interdisciplinary collaboration in hospitals on
medication errors: an integrative review.
February 28, 2018
Manias E. Effects of interdisciplinary collaboration in hospitals on medication errors: an integrative review.
Expert Opin Drug Saf. 2018;17(3):259-275. doi:10.1080/14740338.2018.1424830.
https://…
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psnet.ahrq.gov/node/837866/psn-pdf
August 17, 2022 - A System in Need of Repair: Addressing Organizational
Failures of the U.S.’s Organ Procurement and
Transplantation Network.
August 17, 2022
US Senate Finance Committee. 117th Cong (2021-2022). August 3, 2022.
https://psnet.ahrq.gov/issue/system-need-repair-addressing-organizational-failures-uss-organ-
procurement…
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psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
September 27, 2023 - Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up
Citation Text:
Bohringer C, Bourgeois J, Xiong G, et al. Failure to adhere to dietary restrictions leading to complications and poor follow-up.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…
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psnet.ahrq.gov/web-mm/management-cardiac-arrest-unconventional-locations
June 14, 2023 - Management of Cardiac Arrest in Unconventional Locations.
Citation Text:
Agrawal G, Molla M. Management of Cardiac Arrest in Unconventional Locations.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - Despite Clues, Failed to Rescue
August 1, 2017
Ghaferi AA. Despite Clues, Failed to Rescue. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
Case Objectives
Define failure to rescue.
Identify the main contributors to failure-to-rescue events.
Appreciate the ongoing areas of scien…
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psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm
December 04, 2016 - SPOTLIGHT CASE
Palliative Care: Comfort vs. Harm
Citation Text:
Jox RJ. Palliative Care: Comfort vs. Harm. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
January 31, 2024 - Annual Perspective
Improving Diagnostic Safety and Quality
Jawad Al-Khafaji, MD, MHSA, Merton Lee, PhD, PharmD, Sarah Mossburg, RN, PhD
| April 26, 2023
View more articles from the same authors.
Citation Text:
Al-Khafaji J, Lee M, Mossburg S. Improving Di…
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psnet.ahrq.gov/issue/using-twitter-assess-patient-takes-patient-experience
February 24, 2021 - Newspaper/Magazine Article
Using Twitter to assess patient takes on patient experience.
Citation Text:
Using Twitter to assess patient takes on patient experience. Heath S. Patient Engagement HIT. October 29, 2020.
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psnet.ahrq.gov/issue/medical-gas-containers-and-closures-current-good-manufacturing-practice-requirements
April 24, 2015 - Regulation
Medical gas containers and closures; current good manufacturing practice requirements.
Citation Text:
Medical gas containers and closures; current good manufacturing practice requirements. Fed Regist. 2016 Nov 18;81(223):81685-81697.
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psnet.ahrq.gov/issue/circle-training
February 22, 2023 - Multi-use Website
Circle Up Training.
Citation Text:
Circle Up Training. Center for Medical Simulation.
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May …
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psnet.ahrq.gov/issue/surgical-fires-clear-and-present-danger
May 16, 2018 - Review
Surgical fires, a clear and present danger.
Citation Text:
Yardley IE, Donaldson LJ. Surgical fires, a clear and present danger. Surgeon. 2010;8(2):87-92. doi:10.1016/j.surge.2010.01.005.
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psnet.ahrq.gov/issue/public-meeting-improving-patient-safety-enhancing-container-labeling-parenteral-infusion-drug
December 16, 2020 - Government Resource
Public Meeting on Improving Patient Safety by Enhancing the Container Labeling for Parenteral Infusion Drug Products.
Citation Text:
Public Meeting on Improving Patient Safety by Enhancing the Container Labeling for Parenteral Infusion Drug Products. Fed Reg. Nov. 28,…
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psnet.ahrq.gov/issue/cyberloafing-health-care-real-risk-patient-safety
June 19, 2024 - Commentary
'Cyberloafing' in health care: a real risk to patient safety.
Citation Text:
Ross J. 'Cyberloafing' in Health Care: A Real Risk to Patient Safety. J Perianesth Nurs. 2018;33(4):560-562. doi:10.1016/j.jopan.2018.05.003.
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psnet.ahrq.gov/issue/adherence-medication-safety-protocol-current-practice-labeling-medications-and-solutions
July 19, 2023 - Study
Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field.
Citation Text:
Brown-Brumfield D, DeLeon A. Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile f…
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psnet.ahrq.gov/issue/its-not-our-ass-medical-resident-sense-making-regarding-lawsuits
December 02, 2015 - Study
"It's not our ass": medical resident sense-making regarding lawsuits.
Citation Text:
Noland CM, Carl WJ. "It's not our ass": medical resident sense-making regarding lawsuits. Health Commun. 2006;20(1):81-9.
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psnet.ahrq.gov/issue/learning-and-sharing-safety-lessons-improve-patient-care
August 07, 2019 - Commentary
Learning and sharing safety lessons to improve patient care.
Citation Text:
Woodward S. Learning and sharing safety lessons to improve patient care. Nursing Standard. 2016;20(18). doi:10.7748/ns.20.18.49.s52.
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