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psnet.ahrq.gov/issue/implementation-patient-safety-initiatives-us-hospitals
December 12, 2014 - 2019
Bringing perioperative emergency manuals to your institution: a "How To" from concept
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psnet.ahrq.gov/issue/operating-sharp-end-complexity-human-error
March 27, 2005 - Book/Report
Classic
Operating at the sharp end: the complexity of human error.
Citation Text:
Operating at the sharp end: the complexity of human error. Cook RI, Woods DD. Chapter In: Bogner MS, ed. Human Error in Medicine. Hillsdale NJ: Lawrence Erlbaum Assoc…
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psnet.ahrq.gov/issue/patient-safety-era-healthcare-reform
November 02, 2014 - Commentary
Patient safety in the era of healthcare reform.
Citation Text:
Leape L. Patient safety in the era of healthcare reform. Clin Orthop Relat Res. 2015;473(5):1568-73. doi:10.1007/s11999-014-3598-6.
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DOI Google Scholar PubMed BibTeX EndNote X3 XM…
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psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance-2nd-ed
November 29, 2017 - Book/Report
Classic
The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed.
Citation Text:
The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed. Langley GJ, Moen R, Nolan KM, et al. Ho…
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psnet.ahrq.gov/node/33641/psn-pdf
November 01, 2006 - Human Factors Engineering Can Teach You How to Be
Surprised Again
November 1, 2006
Gosbee JW. Human Factors Engineering Can Teach You How to Be Surprised Again. PSNet [internet].
2006.
https://psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
Perspective
Certain phrases ar…
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psnet.ahrq.gov/issue/description-and-evaluation-interprofessional-patient-safety-course-health-professions-and
July 19, 2023 - Commentary
Description and evaluation of an interprofessional patient safety course for health professions and related sciences students.
Citation Text:
Galt KA, Paschal KA, O'Brien RL, et al. Description and Evaluation of an Interprofessional Patient Safety Course for Health Professio…
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psnet.ahrq.gov/issue/core-principles-quality-improvement-and-patient-safety
August 01, 2018 - Review
Core principles of quality improvement and patient safety.
Citation Text:
Bartman T, McClead RE. Core Principles of Quality Improvement and Patient Safety. Pediatr Rev. 2016;37(10):407-417.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…
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psnet.ahrq.gov/issue/can-aviation-industry-be-useful-teaching-oncology-about-safety
June 13, 2011 - Commentary
Can the aviation industry be useful in teaching oncology about safety?
Citation Text:
Davies JM, Delaney G. Can the Aviation Industry be Useful in Teaching Oncology about Safety? Clin Oncol (R Coll Radiol). 2017;29(10):669-675. doi:10.1016/j.clon.2017.06.007.
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…
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psnet.ahrq.gov/issue/human-error-models-and-management
November 18, 2015 - Commentary
Classic
Human error: models and management.
Citation Text:
Reason J. Human error: models and management. BMJ. 2000;320(7237):768-770.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…
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psnet.ahrq.gov/issue/diagnostic-errors-related-acute-abdominal-pain-emergency-department
December 16, 2020 - Study
Diagnostic errors related to acute abdominal pain in the emergency department.
Citation Text:
Medford-Davis L, Park E, Shlamovitz G, et al. Diagnostic errors related to acute abdominal pain in the emergency department. Emerg Med J. 2016;33(4):253-9. doi:10.1136/emermed-2015-204754.…
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psnet.ahrq.gov/node/33707/psn-pdf
February 01, 2011 - The University of Texas System Clinical Safety and
Effectiveness Course
February 1, 2011
Thomas EJ, Patterson JE, Martin S, et al. The University of Texas System Clinical Safety and
Effectiveness Course. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiv…
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psnet.ahrq.gov/issue/review-medical-error-taxonomies-human-factors-perspective
July 25, 2012 - Review
A review of medical error taxonomies: a human factors perspective.
Citation Text:
Taib IA, McIntosh AS, Caponecchia C, et al. A review of medical error taxonomies: A human factors perspective. Saf Sci. 2011;49(5):607-615. doi:10.1016/j.ssci.2010.12.014.
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Forma…
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psnet.ahrq.gov/issue/diagnostic-discordance-uncertainty-and-treatment-ambiguity-community-acquired-pneumonia
June 07, 2023 - Study
Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired pneumonia: a national cohort study of 115 U.S. Veterans Affairs hospitals.
Citation Text:
Jones BE, Chapman AB, Ying J, et al. Diagnostic discordance, uncertainty, and treatment ambiguity in communit…
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psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-trainees-systematic-review
June 09, 2015 - Review
Classic
Teaching quality improvement and patient safety to trainees: a systematic review.
Citation Text:
Wong BM, Etchells E, Kuper A, et al. Teaching quality improvement and patient safety to trainees: a systematic review. Acad Med. 2010;85(9):1425-39. d…
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psnet.ahrq.gov/issue/tale-two-stories-contrasting-views-patient-safety
March 27, 2005 - Book/Report
Classic
A Tale of Two Stories: Contrasting Views of Patient Safety.
Citation Text:
A Tale of Two Stories: Contrasting Views of Patient Safety. Cook RI, Woods DD, Miller C. Chicago, IL: National Patient Safety Foundation; 1997.
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…
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psnet.ahrq.gov/issue/using-objective-structured-clinical-examination-test-adherence-joint-commission-national
September 26, 2012 - Study
Using an objective structured clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors.
Citation Text:
Pernar LIM, Shaw T, Pozner CN, et al. Using an Objective Structured Clinical Examination to test adherence to Joint Commissio…
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psnet.ahrq.gov/node/38281/psn-pdf
May 24, 2015 - Patient Safety Curriculum.
May 24, 2015
Ann Arbor, MI: National Center for Patient Safety.
https://psnet.ahrq.gov/issue/patient-safety-curriculum
This curriculum introduces basic patient safety concepts and provides materials to support students,
instructors, and faculty educators.
https://psnet.ahrq.gov/issue/pa…
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psnet.ahrq.gov/node/40827/psn-pdf
October 05, 2011 - Educating for Safety.
October 5, 2011
Am J Pharm Edu. 2011;75(7):e140-e143.
https://psnet.ahrq.gov/issue/educating-safety
This special section discusses strategies for integrating safety concepts into pharmacy curricula to promote
safe medication practice.
https://psnet.ahrq.gov/issue/educating-safety
http…
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psnet.ahrq.gov/node/33810/psn-pdf
June 01, 2016 - Becoming a Certified Professional in Patient Safety—A
Registered Nurse's Perspective
June 1, 2016
Frank K. Becoming a Certified Professional in Patient Safety—A Registered Nurse's Perspective. PSNet
[internet]. 2016.
https://psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-registered-nurse…
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psnet.ahrq.gov/node/40862/psn-pdf
October 19, 2011 - Thinking about our thinking as physicians.
October 19, 2011
Groopman J; Hartzband P.
https://psnet.ahrq.gov/issue/thinking-about-our-thinking-physicians
Exploring concepts such as anchoring error, availability bias, and confirmation bias, this piece describes
tactics to help recognize and manage errors in thinking…