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psnet.ahrq.gov/node/45605/psn-pdf
November 30, 2016 - Advancing interprofessional patient safety education for
medical, nursing, and pharmacy learners during clinical
rotations.
November 30, 2016
Thom KA, Heil EL, Croft LD, et al. Advancing interprofessional patient safety education for medical,
nursing, and pharmacy learners during clinical rotations. J Interprof Ca…
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psnet.ahrq.gov/node/851055/psn-pdf
June 28, 2023 - How do we learn about error? A cross-sectional study of
urology trainees.
June 28, 2023
Browne C, Crone L, O'Connor E. How do we learn about error? A cross-sectional study of urology trainees.
J Surg Educ. 2023;80(6):864-872. doi:10.1016/j.jsurg.2023.03.007.
https://psnet.ahrq.gov/issue/how-do-we-learn-about-error…
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psnet.ahrq.gov/node/860387/psn-pdf
January 10, 2024 - An analysis of medical malpractice claims against
medical oncologists from a national database:
implications for safer practice.
January 10, 2024
Doolin JW, Schaffer AC, Tishler RB, et al. An analysis of medical malpractice claims against medical
oncologists from a national database: implications for safer practic…
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psnet.ahrq.gov/node/44150/psn-pdf
August 21, 2015 - Reflection on adverse event disclosure in the
postsurgical hospital context.
August 21, 2015
Roberts F, Gettings P, Torbeck L, et al. Reflection on adverse event disclosure in the postsurgical hospital
context. J Surg Educ. 2015;72(4):767-70. doi:10.1016/j.jsurg.2014.12.016.
https://psnet.ahrq.gov/issue/reflection…
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psnet.ahrq.gov/node/44754/psn-pdf
March 23, 2016 - Use of failure mode and effects analysis to improve
emergency department handoff processes.
March 23, 2016
Sorrentino P. Use of Failure Mode and Effects Analysis to Improve Emergency Department Handoff
Processes. Clin Nurse Spec. 2016;30(1):28-37. doi:10.1097/NUR.0000000000000169.
https://psnet.ahrq.gov/issue/use-…
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psnet.ahrq.gov/node/837899/psn-pdf
August 24, 2022 - Feelings of trust and of safety are related facets of the
patient's experience in surgery: a descriptive qualitative
study in 80 patients.
August 24, 2022
Occelli P, Mougeot F, Robelet M, et al. Feelings of trust and of safety are related facets of the patient's
experience in surgery: a descriptive qualitative stu…
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psnet.ahrq.gov/node/38054/psn-pdf
July 05, 2013 - Ticket to ride: reducing handoff risk during hospital
patient transport.
July 5, 2013
Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient
transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.98299.b5.
https://psnet.ahrq.gov/issue/ticket-…
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psnet.ahrq.gov/node/43899/psn-pdf
February 18, 2015 - Development and validation of a taxonomy of adverse
handover events in hospital settings.
February 18, 2015
Andersen HB, Siemsen IMD, Petersen LF, et al. Development and validation of a taxonomy of adverse
handover events in hospital settings. Cognition, Technology & Work. 2014;17(1). doi:10.1007/s10111-014-
0303-…
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psnet.ahrq.gov/node/44596/psn-pdf
December 04, 2016 - Health literacy in transitions of care: an innovative
objective structured clinical examination for fourth-year
medical students in an internship preparation course.
December 4, 2016
Bloom-Feshbach K, Casey D, Schulson L, et al. Health Literacy in Transitions of Care: An Innovative
Objective Structured Clinical Ex…
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psnet.ahrq.gov/node/73517/psn-pdf
July 21, 2021 - Disparate perspectives: exploring healthcare
professionals' misaligned mental models of older adults'
transitions of care between the emergency department
and skilled nursing facility.
July 21, 2021
Werner NE, Rutkowski RA, Krause S, et al. Disparate perspectives: exploring healthcare professionals'
misaligned me…
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psnet.ahrq.gov/node/45774/psn-pdf
October 11, 2017 - Patient safety in community dementia services: what can
we learn from the experiences of caregivers and
healthcare professionals?
October 11, 2017
Behrman S, Wilkinson P, Lloyd H, et al. Patient safety in community dementia services: what can we learn
from the experiences of caregivers and healthcare professionals…
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psnet.ahrq.gov/node/46255/psn-pdf
September 06, 2017 - Patient Safety in the Home: Assessment of Issues,
Challenges, and Opportunities.
September 6, 2017
Carpenter D, Famolaro T, Hassell S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017.
https://psnet.ahrq.gov/issue/patient-safety-home-assessment-issues-challenges-and-opportunities
The ambulatory env…
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psnet.ahrq.gov/node/867388/psn-pdf
December 18, 2024 - Secure messaging use and wrong-patient ordering errors
among inpatient clinicians.
December 18, 2024
Lou SS, Lew D, Xia L, et al. Secure messaging use and wrong-patient ordering errors among inpatient
clinicians. JAMA Netw Open. 2024;7(12):e2447797. doi:10.1001/jamanetworkopen.2024.47797.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/38690/psn-pdf
April 07, 2010 - Are verbal orders a threat to patient safety?
April 7, 2010
Wakefield DS, Wakefield BJ. Are verbal orders a threat to patient safety? Qual Saf Health Care.
2009;18(3):165-168. doi:10.1136/qshc.2009.034041.
https://psnet.ahrq.gov/issue/are-verbal-orders-threat-patient-safety
Verbal orders (VOs) are often complex co…
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psnet.ahrq.gov/node/838244/psn-pdf
October 05, 2022 - Standardization of pediatric noncardiac operating room to
intensive care unit handoffs improves communication
and patient care.
October 5, 2022
Hebballi NB, Gupta VS, Sheppard K, et al. Standardization of pediatric noncardiac operating room to
intensive care unit handoffs improves communication and patient care. J…
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psnet.ahrq.gov/node/865342/psn-pdf
March 27, 2024 - Development and evaluation of I-PASS-to-PICU: a
standard electronic template to improve referral
communication for inter-facility transfers to the pediatric
intensive care unit.
March 27, 2024
Parikh NR, Francisco LS, Balikai SC, et al. Development and evaluation of I-PASS-to-PICU: a standard
electronic template …
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psnet.ahrq.gov/node/73563/psn-pdf
August 04, 2021 - Understanding complaints made about surgical
departments in a UK district general hospital.
August 4, 2021
Claydon O, Keeler B, Khanna A. Understanding complaints made about surgical departments in a UK
district general hospital. Int J Qual Health Care. 2021;33(3). doi:10.1093/intqhc/mzab095.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/841762/psn-pdf
December 21, 2022 - Strategies for a safe interhospital transfer with an
intubated patient or where readiness for intubation is
needed: a critical incidents study.
December 21, 2022
Almqvist D, Norberg D, Larsson F, et al. Strategies for a safe interhospital transfer with an intubated patient
or where readiness for intubation is need…
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psnet.ahrq.gov/node/73248/psn-pdf
May 12, 2021 - Universal protection: operationalizing infection
prevention guidance in the COVID-19 era.
May 12, 2021
Sands K, Blanchard J, Grubbs K, et al. Universal protection: operationalizing infection prevention guidance
in the COVID-19 era. Jt Comm J Qual Patient Saf. 2021;47(5):327-332. doi:10.1016/j.jcjq.2021.01.007.
htt…
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psnet.ahrq.gov/node/48119/psn-pdf
August 07, 2019 - Improving perceptions of patient safety through
standardizing handoffs from the emergency department
to the inpatient setting: a systematic review.
August 7, 2019
Alimenti D, Buydos S, Cunliffe L, et al. Improving perceptions of patient safety through standardizing
handoffs from the emergency department to the inp…