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psnet.ahrq.gov/node/851918/psn-pdf
August 02, 2023 - Racism in health services for adolescents: a scoping
review.
August 2, 2023
Hilario C, Louie-Poon S, Taylor M, et al. Racism in health services for adolescents: a scoping review. Int J
Soc Determinants Health Health Serv. 2023;53(3):343-353. doi:10.1177/27551938231162560.
https://psnet.ahrq.gov/issue/racism-health…
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psnet.ahrq.gov/node/60026/psn-pdf
March 11, 2020 - Adverse events present on arrival to the emergency
department: the ED as a dual safety net.
March 11, 2020
Griffey RT, Schneider RM, Todorov AA. Adverse Events Present on Arrival to the Emergency Department:
The ED as a Dual Safety Net. Jt Comm J Qual Patient Saf. 2020;46(4):192-198.
doi:10.1016/j.jcjq.2019.12.003…
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psnet.ahrq.gov/node/45246/psn-pdf
August 15, 2016 - Reliability of verbal handoff assessment and handoff
quality before and after implementation of a resident
handoff bundle.
August 15, 2016
Feraco AM, Starmer AJ, Sectish TC, et al. Reliability of Verbal Handoff Assessment and Handoff Quality
Before and After Implementation of a Resident Handoff Bundle. Acad Pediat…
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psnet.ahrq.gov/node/46114/psn-pdf
June 07, 2017 - Standardizing concentrations of adult drug infusions in
Indiana.
June 7, 2017
Walroth TA, Dossett HA, Doolin M, et al. Standardizing concentrations of adult drug infusions in Indiana.
Am J Health Syst Pharm. 2017;74(7):491-497. doi:10.2146/ajhp151018.
https://psnet.ahrq.gov/issue/standardizing-concentrations-adult…
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psnet.ahrq.gov/node/33929/psn-pdf
June 23, 2015 - 40 years behind the mask: safety revisited.
June 23, 2015
Pierce EC. The 34th Rovenstine Lecture. 40 years behind the mask: safety revisited. Anesthesiology.
1996;84(4):965-975.
https://psnet.ahrq.gov/issue/40-years-behind-mask-safety-revisited
In this article based on a special lecture delivered at the 1995 annua…
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psnet.ahrq.gov/node/43425/psn-pdf
July 03, 2016 - Graduate medical education's new focus on resident
engagement in quality and safety: will it transform the
culture of teaching hospitals?
July 3, 2016
Myers JS, Nash DB. Graduate Medical Education’s New Focus on Resident Engagement in Quality and
Safety. Acad Med. 2014;89(10):1328-1330. doi:10.1097/acm.00000000000…
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psnet.ahrq.gov/node/44597/psn-pdf
October 28, 2015 - Smarter clinical checklists: how to minimize checklist
fatigue and maximize clinician performance.
October 28, 2015
Grigg EB. Smarter Clinical Checklists: How to Minimize Checklist Fatigue and Maximize Clinician
Performance. Anesth Analg. 2015;121(2):570-3. doi:10.1213/ANE.0000000000000352.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/44076/psn-pdf
May 19, 2018 - The trigger tool as a method to measure harmful
medication errors in children.
May 19, 2018
Maaskant JM, Smeulers M, Bosman D, et al. The Trigger Tool as a Method to Measure Harmful Medication
Errors in Children. J Patient Saf. 2018;14(2):95-100. doi:10.1097/PTS.0000000000000177.
https://psnet.ahrq.gov/issue/trigg…
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psnet.ahrq.gov/node/39485/psn-pdf
November 23, 2016 - A human factors and survey methodology-based design
of a web-based adverse event reporting system for
families.
November 23, 2016
Daniels JP, King AD, Cochrane D, et al. A human factors and survey methodology-based design of a web-
based adverse event reporting system for families. Int J Med Inform. 2010;79(5):339…
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psnet.ahrq.gov/node/34781/psn-pdf
June 23, 2015 - Standards for patient monitoring during general
anesthesia at Harvard Medical School.
June 23, 2015
Eichhorn JH, Cooper JB, Cullen DJ, et al. Standards for patient monitoring during anesthesia at Harvard
Medical School. JAMA. 1986;256(8):1017-20.
https://psnet.ahrq.gov/issue/standards-patient-monitoring-during-gen…
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psnet.ahrq.gov/node/44868/psn-pdf
June 17, 2016 - Patient safety and the problem of many hands.
June 17, 2016
Dixon-Woods M, Pronovost P. Patient safety and the problem of many hands. BMJ Qual Saf.
2016;25(7):485-488. doi:10.1136/bmjqs-2016-005232.
https://psnet.ahrq.gov/issue/patient-safety-and-problem-many-hands
Although individual and organizational accountabi…
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psnet.ahrq.gov/node/866192/psn-pdf
June 26, 2024 - A systemwide strategy to embed equity into patient safety
event analysis.
June 26, 2024
Chandra K, Garcia M, Bajaj K, et al. A systemwide strategy to embed equity into patient safety event
analysis. Jt Comm J Qual Patient Saf. 2024;50(8):606-611 . doi:10.1016/j.jcjq.2024.04.004.
https://psnet.ahrq.gov/issue/system…
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psnet.ahrq.gov/node/47119/psn-pdf
September 19, 2018 - A usability and safety analysis of electronic health
records: a multi-center study.
September 19, 2018
Ratwani RM, Savage E, Will A, et al. A usability and safety analysis of electronic health records: a multi-
center study. J Am Med Inform Assoc. 2018;25(9):1197-1201. doi:10.1093/jamia/ocy088.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/46239/psn-pdf
January 01, 2021 - Identifying high-alert medications in a university hospital
by applying data from the medication error reporting
system.
August 16, 2017
Tyynismaa L, Honkala A, Airaksinen M, et al. Identifying High-alert Medications in a University Hospital by
Applying Data From the Medication Error Reporting System. J Patient Sa…
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psnet.ahrq.gov/node/840483/psn-pdf
November 30, 2022 - Crisis preparedness: a systems-based framework for
avoiding harm in surgery.
November 30, 2022
Gogalniceanu P, Karydis N, Costan V-V, et al. Crisis preparedness: a systems-based framework for
avoiding harm in surgery. J Am Coll Surg. 2022;235(4):612-623. doi:10.1097/xcs.0000000000000300.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/37438/psn-pdf
June 16, 2010 - Identification of inpatient DNR status: a safety hazard
begging for standardization.
June 16, 2010
Sehgal NL, Wachter RM. Identification of inpatient DNR status: A safety hazard begging for
standardization. J Hosp Med. 2007;2(6):366-371. doi:10.1002/jhm.283.
https://psnet.ahrq.gov/issue/identification-inpatient-dn…
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psnet.ahrq.gov/node/45634/psn-pdf
January 11, 2017 - Operating room traffic as a modifiable risk factor for
surgical site infection.
January 11, 2017
Wanta BT, Glasgow AE, Habermann EB, et al. Operating Room Traffic as a Modifiable Risk Factor for
Surgical Site Infection. Surg Infect (Larchmt). 2016;17(6):755-760.
https://psnet.ahrq.gov/issue/operating-room-traffic-…
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psnet.ahrq.gov/node/42892/psn-pdf
February 06, 2014 - Assessing medical students' perceptions of patient
safety: The Medical Student Safety Attitudes and
Professionalism Survey.
February 6, 2014
Liao JM, Etchegaray J, Williams T, et al. Assessing medical students' perceptions of patient safety: the
medical student safety attitudes and professionalism survey. Acad Med…
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psnet.ahrq.gov/node/46597/psn-pdf
November 01, 2017 - A novel process audit for standardized perioperative
handoff protocols.
November 1, 2017
Pallekonda V, Scholl AT, McKelvey GM, et al. A Novel Process Audit for Standardized Perioperative
Handoff Protocols. Jt Comm J Qual Patient Saf. 2017;43(11):611-618. doi:10.1016/j.jcjq.2017.04.011.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/845657/psn-pdf
March 08, 2023 - Dissemination and Implementation of Equity-Focused
Evidence-Based Interventions in Healthcare Delivery
Systems (R18).
March 8, 2023
Rockville, MD: Agency for Healthcare Research and Quality. February 15, 2023. RFA-HS-23-002.
https://psnet.ahrq.gov/issue/dissemination-and-implementation-equity-focused-evidence-base…