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psnet.ahrq.gov/node/38287/psn-pdf
February 06, 2009 - Teamwork and patient safety in dynamic domains of
healthcare: a review of the literature.
February 6, 2009
Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta
Anaesthesiol Scand. 2009;53(2):143-51. doi:10.1111/j.1399-6576.2008.01717.x.
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psnet.ahrq.gov/node/34634/psn-pdf
March 07, 2005 - Strategic Alliance For Error Reduction in California
Healthcare (SAFER).
March 7, 2005
University of California Medical Centers at San Francisco; University of California Medical Centers at Davis.
https://psnet.ahrq.gov/issue/strategic-alliance-error-reduction-california-healthcare-safer
The Strategic Alliance For…
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psnet.ahrq.gov/node/36879/psn-pdf
June 13, 2011 - Medication Safety and Hospital Referrals: A Report by the
Health and Disability Commissioner.
June 13, 2011
Paterson R. Auckland, NZ; Office of the Health and Disability Commissioner: April 2007.
https://psnet.ahrq.gov/issue/medication-safety-and-hospital-referrals-report-health-and-disability-
commissioner
…
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psnet.ahrq.gov/node/867184/psn-pdf
November 20, 2024 - Adverse mental health inpatient experiences: qualitative
systematic review of international literature.
November 20, 2024
Hallett N, Dickinson R, Eneje E, et al. Adverse mental health inpatient experiences: qualitative systematic
review of international literature. Int J Nurs Stud. 2024;161:104923. doi:10.1016/j.ij…
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psnet.ahrq.gov/node/867390/psn-pdf
December 18, 2024 - Quality of care and quality of life: balancing patient safety
and physician burnout.
December 18, 2024
Minkoff H, O'Brien J, Berkowitz R. Quality of care and quality of life: balancing patient safety and physician
burnout. Obstet Gynecol. 2024;144(3):e50-e55. doi:10.1097/aog.0000000000005681.
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psnet.ahrq.gov/node/864859/psn-pdf
March 20, 2024 - Team relations and role perceptions during anesthesia
crisis management in magnetic-resonance imaging
settings: a mixed-methods exploration.
March 20, 2024
Schroeck H, Whitty MA, Hatton B, et al. Team relations and role perceptions during anesthesia crisis
management in magnetic-resonance imaging settings: a mixed…
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psnet.ahrq.gov/node/49638/psn-pdf
January 01, 2012 - Communication Failure—Who's in Charge?
October 1, 2011
Fackler J, Schwartz JM. Communication Failure—Who's in Charge? PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/communication-failure-whos-charge
The Case
A 20-month-old boy was admitted to the intensive care unit (ICU) following a Fontan surgical procedu…
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psnet.ahrq.gov/node/34934/psn-pdf
March 11, 2011 - Exploring barriers and facilitators to the use of
computerized clinical reminders.
March 11, 2011
Saleem JJ, Patterson ES, Militello LG, et al. Exploring barriers and facilitators to the use of computerized
clinical reminders. J Am Med Inform Assoc. 2005;12(4):438-47.
https://psnet.ahrq.gov/issue/exploring-barrier…
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psnet.ahrq.gov/node/73963/psn-pdf
October 13, 2021 - Patient perceptions of safety in primary care: a qualitative
study to inform care.
October 13, 2021
Lasser EC, Heughan JA-A, Lai AY, et al. Patient perceptions of safety in primary care: a qualitative study to
inform care. Curr Med Res Opin. 2021;37(11):1991-1999. doi:10.1080/03007995.2021.1976736.
https://psnet.a…
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psnet.ahrq.gov/node/72605/psn-pdf
December 23, 2020 - Society for Maternal-Fetal Medicine Special Statement: a
maternal transport briefing form and checklist.
December 23, 2020
Gibson KS, McLean D. Society for Maternal-Fetal Medicine Special Statement: A maternal transport
briefing form and checklist. Am J Obstet Gynecol. 2020;223(5):B12-B15. doi:10.1016/j.ajog.2020.0…
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psnet.ahrq.gov/node/73575/psn-pdf
August 04, 2021 - Unlocking Solutions in Imaging: Working Together to
Learn from Failings in the NHS.
August 4, 2021
Manchester, UK: Parliamentary and Health Service Ombudsman; 2021. ISBN 9781528627016.
https://psnet.ahrq.gov/issue/unlocking-solutions-imaging-working-together-learn-failings-nhs
Lack of appropriate follow up o…
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psnet.ahrq.gov/node/847056/psn-pdf
April 05, 2023 - Early diagnosis of cancer: systems approach to support
clinicians in primary care.
April 5, 2023
Black GB, Lyratzopoulos G, Vincent CA, et al. Early diagnosis of cancer: systems approach to support
clinicians in primary care. BMJ. 2023;380:e071225. doi:10.1136/bmj-2022-071225.
https://psnet.ahrq.gov/issue/early-di…
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psnet.ahrq.gov/node/47369/psn-pdf
April 08, 2019 - Why do hundreds of US women die annually in
childbirth?
April 8, 2019
Slomski A. Why Do Hundreds of US Women Die Annually in Childbirth? JAMA. 2019;321(13):1239-1241.
doi:10.1001/jama.2019.0714.
https://psnet.ahrq.gov/issue/why-do-hundreds-us-women-die-annually-childbirth
Maternal mortality is a sentinel event th…
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psnet.ahrq.gov/node/850348/psn-pdf
June 14, 2023 - Approaches to improving patient safety in integrated
care: a scoping review.
June 14, 2023
Lalani M, Wytrykowski S, Hogan H. Approaches to improving patient safety in integrated care: a scoping
review. BMJ Open. 2023;13(4):e067441. doi:10.1136/bmjopen-2022-067441.
https://psnet.ahrq.gov/issue/approaches-improving-…
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psnet.ahrq.gov/node/48129/psn-pdf
August 14, 2019 - When there's no one to whom an error can be disclosed,
how should an error be handled?
August 14, 2019
Chiu RG. When There's No One to Whom an Error Can Be Disclosed, How Should an Error Be Handled?
AMA J Ethics. 2019;21(7):E553-558. doi:10.1001/amajethics.2019.553.
https://psnet.ahrq.gov/issue/when-theres-no-one-…
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psnet.ahrq.gov/node/851648/psn-pdf
July 26, 2023 - Perspectives about racism and patient-clinician
communication among black adults with serious illness.
July 26, 2023
Brown CE, Marshall AR, Snyder CR, et al. Perspectives about racism and patient-clinician communication
among black adults with serious illness. JAMA Netw Open. 2023;6(7):e2321746.
doi:10.1001/jamane…
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psnet.ahrq.gov/node/853068/psn-pdf
August 30, 2023 - Healthcare fragmentation, multimorbidity, potentially
inappropriate medication, and mortality: a Danish
nationwide cohort study.
August 30, 2023
Prior A, Vestergaard CH, Vedsted P, et al. Healthcare fragmentation, multimorbidity, potentially
inappropriate medication, and mortality: a Danish nationwide cohort study…
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psnet.ahrq.gov/node/47903/psn-pdf
January 01, 2021 - A qualitative analysis of outpatient medication use in
community settings: observed safety vulnerabilities and
recommendations for improved patient safety.
April 17, 2019
Lyson HC, Sharma AE, Cherian R, et al. A Qualitative Analysis of Outpatient Medication Use in Community
Settings: Observed Safety Vulnerabilitie…
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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/61027/psn-pdf
October 14, 2020 - COVID-19: the dark side and the sunny side for patient
safety.
October 14, 2020
Wu AW, Sax H, Letaief M, et al. COVID-19: the dark side and the sunny side for patient safety. J Patient
Saf Risk Manag. 2020;25(4):137-141. doi:10.1177/2516043520957116.
https://psnet.ahrq.gov/issue/covid-19-dark-side-and-sunny-side-p…