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psnet.ahrq.gov/node/47011/psn-pdf
June 20, 2018 - Standardized Competencies for Parenteral Nutrition
Administration: the ASPEN Model.
June 20, 2018
Guenter P, Worthington P, Ayers P, et al. Standardized Competencies for Parenteral Nutrition
Administration: The ASPEN Model. Nutr Clin Pract. 2018;33(2):295-304. doi:10.1002/ncp.10055.
https://psnet.ahrq.gov/issue/st…
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psnet.ahrq.gov/node/837904/psn-pdf
August 24, 2022 - A state-of-the-art review of speaking up in healthcare.
August 24, 2022
Violato E. A state-of-the-art review of speaking up in healthcare. Adv Health Sci Educ Theory Pract.
2022;27(4):1177-1194. doi:10.1007/s10459-022-10124-8.
https://psnet.ahrq.gov/issue/state-art-review-speaking-healthcare
Speaking up behaviors …
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psnet.ahrq.gov/node/47408/psn-pdf
September 19, 2018 - Ways to Improve Electronic Health Record Safety.
September 19, 2018
Philadelphia, PA: Pew Charitable Trusts, American Medical Association, and Medstar Health; 2018.
https://psnet.ahrq.gov/issue/ways-improve-electronic-health-record-safety
Electronic health records both contribute to and detract from safe care. This…
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psnet.ahrq.gov/node/45316/psn-pdf
August 31, 2016 - The thinking doctor: clinical decision making in
contemporary medicine.
August 31, 2016
Trimble M, Hamilton P. The thinking doctor: clinical decision making in contemporary medicine. Clin Med
(Lond). 2016;16(4):343-346. doi:10.7861/clinmedicine.16-4-343.
https://psnet.ahrq.gov/issue/thinking-doctor-clinical-decisi…
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psnet.ahrq.gov/node/45904/psn-pdf
October 24, 2017 - Addressing physician burnout: the way forward.
October 24, 2017
Shanafelt TD, Dyrbye LN, West CP. Addressing Physician Burnout: The Way Forward. JAMA.
2017;317(9):901-902. doi:10.1001/jama.2017.0076.
https://psnet.ahrq.gov/issue/addressing-physician-burnout-way-forward
Burnout can diminish both patient safety and …
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psnet.ahrq.gov/node/35253/psn-pdf
April 06, 2011 - Real time patient safety audits: improving safety every
day.
April 6, 2011
Ursprung R. Real time patient safety audits: improving safety every day. Qual Saf Health Care.
2005;14(4):284-289. doi:10.1136/qshc.2004.012542.
https://psnet.ahrq.gov/issue/real-time-patient-safety-audits-improving-safety-every-day
This p…
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psnet.ahrq.gov/node/45369/psn-pdf
October 29, 2017 - The aging physician and the medical profession: a review.
October 29, 2017
Dellinger P, Pellegrini CA, Gallagher TH. The Aging Physician and the Medical Profession: A Review.
JAMA Surg. 2017;152(10):967-971. doi:10.1001/jamasurg.2017.2342.
https://psnet.ahrq.gov/issue/aging-physician-and-medical-profession-review
…
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psnet.ahrq.gov/node/50554/psn-pdf
October 16, 2019 - Adverse events in the operating room: definitions,
prevalence, and characteristics. A systematic review.
October 16, 2019
Jung JJ, Elfassy J, Jüni P, et al. Adverse Events in the Operating Room: Definitions, Prevalence, and
Characteristics. A Systematic Review. World J Surg. 2019;43(10):2379-2392. doi:10.1007/s0026…
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psnet.ahrq.gov/node/40768/psn-pdf
September 14, 2011 - Physician reporting of clinically significant events
through a computerized patient sign-out system.
September 14, 2011
Nabors C, Peterson SJ, Aronow WS, et al. Physician reporting of clinically significant events through a
computerized patient sign-out system. J Patient Saf. 2011;7(3):155-161.
doi:10.1097/PTS.0b0…
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psnet.ahrq.gov/node/47544/psn-pdf
December 12, 2018 - Using good catches to promote a just culture and
perioperative patient safety.
December 12, 2018
Monahan JJ. Using Good Catches to Promote a Just Culture and Perioperative Patient Safety. AORN J.
2018;108(5):548-552. doi:10.1002/aorn.12394.
https://psnet.ahrq.gov/issue/using-good-catches-promote-just-culture-and-p…
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psnet.ahrq.gov/node/47730/psn-pdf
January 23, 2019 - Assessment of a simulated case-based measurement of
physician diagnostic performance.
January 23, 2019
Chatterjee S, Desai S, Manesh R, et al. Assessment of a Simulated Case-Based Measurement of
Physician Diagnostic Performance. JAMA Netw Open. 2019;2(1):e187006.
doi:10.1001/jamanetworkopen.2018.7006.
https://psn…
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psnet.ahrq.gov/node/842434/psn-pdf
June 01, 2024 - AHRQ Safety Program for Telemedicine.
January 22, 2024
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/ahrq-safety-program-telemedicine
Telemedicine efforts harbor both risk and reward to patients and clinicians. The AHRQ Safety Program for
Telemedicine is a national effort to develop and …
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psnet.ahrq.gov/node/46006/psn-pdf
May 03, 2017 - Creating a Pediatric Joint Council to promote patient
safety and quality, governance, and accountability across
Johns Hopkins Medicine.
May 3, 2017
Rosen MA, Mueller BU, Milstone AM, et al. Creating a Pediatric Joint Council to Promote Patient Safety
and Quality, Governance, and Accountability Across Johns Hopkins…
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psnet.ahrq.gov/node/44024/psn-pdf
October 13, 2015 - Cultivating a culture of medication safety in prelicensure
nursing students.
October 13, 2015
Bush PA, Hueckel RM, Robinson D, et al. Cultivating a Culture of Medication Safety in Prelicensure
Nursing Students. Nurse Educ. 2015;40(4):169-73. doi:10.1097/NNE.0000000000000148.
https://psnet.ahrq.gov/issue/cultivatin…
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psnet.ahrq.gov/node/849336/psn-pdf
May 24, 2023 - AI may be on its way to your doctor’s office, but it’s not
ready to see patients.
May 24, 2023
Tahir D. KFF Health News. May 12, 2023.
https://psnet.ahrq.gov/issue/ai-may-be-its-way-your-doctors-office-its-not-ready-see-patients
Real-time use of artificial intelligence (AI) in health care settings continues to cau…
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psnet.ahrq.gov/node/60020/psn-pdf
March 04, 2020 - The eNOTSS platform for surgeons’ nontechnical skills
performance improvement.
March 4, 2020
Pradarelli JC, Yule S, Smink DS. The eNOTSS Platform for Surgeons’ Nontechnical Skills Performance
Improvement. JAMA Surg. 2020;155(5):438-439. doi:10.1001/jamasurg.2019.5880.
https://psnet.ahrq.gov/issue/enotss-platform-s…
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psnet.ahrq.gov/node/47037/psn-pdf
October 03, 2018 - Redesigning rounds in the ICU: standardizing key
elements improves interdisciplinary communication.
October 3, 2018
O'Brien A, O'Reilly K, Dechen T, et al. Redesigning Rounds in the ICU: Standardizing Key Elements
Improves Interdisciplinary Communication. Jt Comm J Qual Patient Saf. 2018;44(10):590-598.
doi:10.101…
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psnet.ahrq.gov/node/851204/psn-pdf
July 05, 2023 - Drugmakers are abandoning cheap generics, and now US
cancer patients can’t get meds.
July 5, 2023
Allen A. KFF Health News. June 21, 2023.
https://psnet.ahrq.gov/issue/drugmakers-are-abandoning-cheap-generics-and-now-us-cancer-patients-
cant-get-meds
A variety of supply-chain, quality control, and economic factor…
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psnet.ahrq.gov/node/37156/psn-pdf
October 06, 2011 - Preventable harm occurring to critically ill children.
October 6, 2011
Larsen G, Donaldson AE, Parker HB, et al. Preventable harm occurring to critically ill children. Pediatr Crit
Care Med. 2007;8(4):331-336.
https://psnet.ahrq.gov/issue/preventable-harm-occurring-critically-ill-children
This retrospective cohort…
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psnet.ahrq.gov/node/43618/psn-pdf
October 22, 2014 - FOCUS: The Society of Cardiovascular Anesthesiologists'
initiative to improve quality and safety in the
cardiovascular operating room.
October 22, 2014
Barbeito A, Lau WT, Weitzel N, et al. FOCUS: the Society of Cardiovascular Anesthesiologists' initiative to
improve quality and safety in the cardiovascular operat…