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psnet.ahrq.gov/node/837908/psn-pdf
August 24, 2022 - Implication of the COVID-19 Pandemic for Patient Safety:
A Rapid Review.
August 24, 2022
Integrated Health Services. Geneva, Switzerland: World Health Organization; 2022. ISBN:
9789240055094.
https://psnet.ahrq.gov/issue/implication-covid-19-pandemic-patient-safety-rapid-review
The COVID-19 pandemic created new r…
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psnet.ahrq.gov/node/43879/psn-pdf
February 04, 2015 - Complaints and Raising Concerns.
February 4, 2015
Fourth Report of Session 2014–15. House of Commons Health Committee. London, England: The
Stationery Office; January 13, 2015. Publication HC 350.
https://psnet.ahrq.gov/issue/complaints-and-raising-concerns
Complaints are a proactive way to monitor and address rec…
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psnet.ahrq.gov/node/40201/psn-pdf
February 09, 2011 - Use of an anatomic marking form as an alternative to the
Universal Protocol for Preventing Wrong Site, Wrong
Procedure and Wrong Person Surgery.
February 9, 2011
Knight N, Aucar J. Use of an anatomic marking form as an alternative to the Universal Protocol for
Preventing Wrong Site, Wrong Procedure and Wrong Perso…
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psnet.ahrq.gov/node/47492/psn-pdf
August 07, 2019 - Pediatric clinician perspectives on communicating
diagnostic uncertainty.
August 7, 2019
Meyer AND, Giardina TD, Khanna A, et al. Pediatric clinician perspectives on communicating diagnostic
uncertainty. Int J Health Care Qual. 2019;31(9):g107-g112. doi:10.1093/intqhc/mzz061.
https://psnet.ahrq.gov/issue/pediatric…
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psnet.ahrq.gov/node/47936/psn-pdf
June 14, 2019 - A team disclosure of error educational activity: objective
outcomes.
June 14, 2019
Krumwiede KH, Wagner JM, Kirk LM, et al. A Team Disclosure of Error Educational Activity: Objective
Outcomes. J Am Geriatr Soc. 2019;67(6):1273-1277. doi:10.1111/jgs.15883.
https://psnet.ahrq.gov/issue/team-disclosure-error-educatio…
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psnet.ahrq.gov/node/38508/psn-pdf
March 25, 2009 - Supporting structures for team situation awareness and
decision making: insights from four delivery suites.
March 25, 2009
Mackintosh N, Berridge E-J, Freeth D. Supporting structures for team situation awareness and decision
making: insights from four delivery suites. J Eval Clin Pract. 2009;15(1):46-54. doi:10.111…
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psnet.ahrq.gov/node/43018/psn-pdf
March 19, 2014 - Improved obstetric safety through programmatic
collaboration.
March 19, 2014
Goffman D, Brodman M, Friedman AJ, et al. Improved obstetric safety through programmatic collaboration.
J Healthc Risk Manag. 2014;33(3):14-22. doi:10.1002/jhrm.21131.
https://psnet.ahrq.gov/issue/improved-obstetric-safety-through-program…
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psnet.ahrq.gov/node/36076/psn-pdf
September 28, 2010 - Variation in caregiver perceptions of teamwork climate in
labor and delivery units.
September 28, 2010
Sexton JB, Holzmueller CG, Pronovost PJ, et al. Variation in caregiver perceptions of teamwork climate in
labor and delivery units. J Perinatol. 2006;26(8):463-70.
https://psnet.ahrq.gov/issue/variation-caregiver…
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psnet.ahrq.gov/node/50781/psn-pdf
January 08, 2020 - Harnessing the power of medical malpractice data to
improve patient care.
January 8, 2020
Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care.
J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393.
https://psnet.ahrq.gov/issue/harnessing-power-medic…
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psnet.ahrq.gov/node/845352/psn-pdf
September 06, 2023 - Understanding and Improving Diagnostic Safety in
Ambulatory Care.
September 6, 2023
Rockville, MD: Agency for Healthcare Quality and Research; August 22, 2023.
https://psnet.ahrq.gov/issue/understanding-and-improving-diagnostic-safety-ambulatory-care
The articulation of diagnostic error in the ambulatory setting i…
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psnet.ahrq.gov/node/836972/psn-pdf
April 20, 2022 - Diagnostic Centers of Excellence: Partnerships to
Improve Diagnostic Safety and Quality (R18).
April 20, 2022
Rockville, MD: Agency for Healthcare Research and Quality; April 7, 2022. RFA-HS-22-008.
https://psnet.ahrq.gov/issue/diagnostic-centers-excellence-partnerships-improve-diagnostic-safety-and-
quality-r18
…
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psnet.ahrq.gov/node/866445/psn-pdf
August 07, 2024 - Diagnosis in the Era of Digital Health and Artificial
Intelligence: A Workshop.
August 7, 2024
Diagnosis in the Era of Digital Health and Artificial Intelligence: A Workshop.
https://psnet.ahrq.gov/issue/diagnosis-era-digital-health-and-artificial-intelligence-workshop
Digital health is emerging as a primary techn…
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psnet.ahrq.gov/node/73477/psn-pdf
July 07, 2021 - Closing Death’s Door: Legal Innovations to End the
Epidemic of Healthcare Harm.
July 7, 2021
Saks M, Landsman S. New York, NY: Oxford University Press; 2021. ISBN: 9780190667986.
https://psnet.ahrq.gov/issue/closing-deaths-door-legal-innovations-end-epidemic-healthcare-harm
A weave of systemic factors c…
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psnet.ahrq.gov/node/837336/psn-pdf
June 08, 2022 - Automated identification of diagnostic labelling errors in
medicine.
June 8, 2022
Hautz WE, Kündig MM, Tschanz R, et al. Automated identification of diagnostic labelling errors in medicine.
Diagnosis. 2021;9(2):241-249. doi:10.1515/dx-2021-0039.
https://psnet.ahrq.gov/issue/automated-identification-diagnostic-labe…
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psnet.ahrq.gov/node/38746/psn-pdf
July 01, 2009 - Systematically improving physician assignment during in-
hospital transitions of care by enhancing a preexisting
hospital electronic health record.
July 1, 2009
Zsenits B, Polashenski WA, Sterns RH, et al. Systematically improving physician assignment during in-
hospital transitions of care by enhancing a preexist…
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psnet.ahrq.gov/node/47387/psn-pdf
September 12, 2018 - Guideline implementation: team communication.
September 12, 2018
Link T. Guideline Implementation: Team Communication: 1.8 www.aornjournal.org/content/cme. AORN J.
2018;108(2):165-177. doi:10.1002/aorn.12300.
https://psnet.ahrq.gov/issue/guideline-implementation-team-communication
Although team development has rec…
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psnet.ahrq.gov/node/37577/psn-pdf
July 12, 2016 - Optimizing Graduate Medical Trainee (Resident) Hours
and Work Schedules to Improve Patient Safety.
July 12, 2016
Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident)
Hours and Work Schedules to Improve Patient Safety. 2009. Washington DC; Institute of Medicine: ISBN:
9781…
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psnet.ahrq.gov/node/45381/psn-pdf
July 01, 2017 - Incorporating quality and safety values into a CLABSI
simulation experience.
July 1, 2017
Liebrecht CM, Lieb MC. Incorporating Quality and Safety Values into a CLABSI Simulation Experience.
Nurs Forum. 2017;52(2):118-123. doi:10.1111/nuf.12175.
https://psnet.ahrq.gov/issue/incorporating-quality-and-safety-values-c…
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psnet.ahrq.gov/node/60153/psn-pdf
March 25, 2020 - A protocol for the safe use of hazardous drugs in the OR.
March 25, 2020
Hemingway MW, Meleis L, Oliver J, et al. A protocol for the safe use of hazardous drugs in the OR. AORN
J. 2020;111(3). doi:10.1002/aorn.12960.
https://psnet.ahrq.gov/issue/protocol-safe-use-hazardous-drugs-or
Perioperative personnel often ca…
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psnet.ahrq.gov/node/38472/psn-pdf
March 11, 2009 - Feedback from incident reporting: information and action
to improve patient safety.
March 11, 2009
Benn J, Koutantji M, Wallace L, et al. Feedback from incident reporting: information and action to improve
patient safety. Qual Saf Health Care. 2009;18(1):11-21. doi:10.1136/qshc.2007.024166.
https://psnet.ahrq.gov/…