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psnet.ahrq.gov/node/34657/psn-pdf
June 14, 2011 - Multidisciplinary approaches to reducing error and risk in
a patient care setting.
June 14, 2011
Connor M, Ponte PR, Conway JB. Multidisciplinary approaches to reducing error and risk in a patient care
setting. Crit Care Nurs Clin North Am. 2002;14(4):359-67, viii.
https://psnet.ahrq.gov/issue/multidisciplinary-ap…
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psnet.ahrq.gov/node/34980/psn-pdf
February 15, 2011 - Barriers to implementation of patient safety systems in
healthcare institutions: leadership and policy
implications.
February 15, 2011
Akins RB, Cole BR. J Patient Saf. 2005;1(1):9-16.
https://psnet.ahrq.gov/issue/barriers-implementation-patient-safety-systems-healthcare-institutions-
leadership-and-policy
In or…
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psnet.ahrq.gov/node/60559/psn-pdf
June 03, 2020 - Omissions of care in nursing home settings: a narrative
review.
June 3, 2020
Ogletree AM, Mangrum R, Harris Y, et al. Omissions of care in nursing home settings: a narrative review. J
Am Med Dir Assoc. 2020;21(5):604-614.e6. doi:10.1016/j.jamda.2020.02.016.
https://psnet.ahrq.gov/issue/omissions-care-nursing-home-…
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psnet.ahrq.gov/node/44517/psn-pdf
October 21, 2015 - Electronic health record challenges, workarounds, and
solutions observed in practices integrating behavioral
health and primary care.
October 21, 2015
Cifuentes M, Davis M, Fernald D, et al. Electronic Health Record Challenges, Workarounds, and Solutions
Observed in Practices Integrating Behavioral Health and Prim…
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psnet.ahrq.gov/node/46740/psn-pdf
January 01, 2021 - High-alert medication stratification tool-revised: an
exploratory study of an objective, standardized
medication safety tool.
March 28, 2018
Washburn NC, Dossett HA, Fritschle AC, et al. High-Alert Medication Stratification Tool-Revised: An
Exploratory Study of an Objective, Standardized Medication Safety Tool. J …
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psnet.ahrq.gov/node/43870/psn-pdf
January 28, 2015 - Peer review of medical practices: missed opportunities to
learn.
January 28, 2015
Kadar N. Peer review of medical practices: missed opportunities to learn. Am J Obstet Gynecol.
2014;211(6):596-601. doi:10.1016/j.ajog.2014.08.018.
https://psnet.ahrq.gov/issue/peer-review-medical-practices-missed-opportunities-learn…
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psnet.ahrq.gov/node/45088/psn-pdf
May 11, 2016 - Psychometric properties of the AHRQ Community
Pharmacy Survey on Patient Safety Culture: a factor
analysis.
May 11, 2016
Aboneh EA, Look KA, Stone JA, et al. Psychometric properties of the AHRQ Community Pharmacy Survey
on Patient Safety Culture: a factor analysis. BMJ Qual Saf. 2016;25(5):355-63. doi:10.1136/bmjq…
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psnet.ahrq.gov/node/46528/psn-pdf
January 10, 2018 - Five Years of Experience Using Front-line Ownership to
Improve Healthcare Quality and Safety.
January 10, 2018
Healthc Pap. 2017;17:1-61.
https://psnet.ahrq.gov/issue/five-years-experience-using-front-line-ownership-improve-healthcare-quality-
and-safety
Patient safety leaders have noted the need to recognize the…
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psnet.ahrq.gov/node/60823/psn-pdf
August 19, 2020 - Disaster ergonomics: human factors in COVID-19
pandemic emergency management.
August 19, 2020
Sasangohar F, Moats J, Mehta R, et al. Disaster ergonomics: human factors in COVID-19 pandemic
emergency management. Hum Factors. 2020;62(7):1061-1068. doi:10.1177/0018720820939428.
https://psnet.ahrq.gov/issue/disaster-e…
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psnet.ahrq.gov/node/73491/psn-pdf
July 14, 2021 - Patient and family engagement in catheter-associated
urinary tract infection (CAUTI) prevention: a systematic
review.
July 14, 2021
Mangal S, Pho A, Arcia A, et al. Patient and family engagement in catheter-associated urinary tract
infection (CAUTI) prevention: a systematic review. Jt Comm J Qual Patient Saf. 2021…
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psnet.ahrq.gov/node/866645/psn-pdf
September 04, 2024 - Technology-related safety event analysis in community
clinical informatics: a case study.
September 4, 2024
Recsky C, Stowe M, Rush KL, et al. Technology-related safety event analysis in community clinical
informatics: a case study. Stud Health Technol Inform. 2024;315:452-457. doi:10.3233/shti240189.
https://psne…
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psnet.ahrq.gov/node/45582/psn-pdf
June 15, 2017 - A work observation study of nuclear medicine
technologists: interruptions, resilience and implications
for patient safety.
June 15, 2017
Larcos G, Prgomet M, Georgiou A, et al. A work observation study of nuclear medicine technologists:
interruptions, resilience and implications for patient safety. BMJ Qual Saf. 2…
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psnet.ahrq.gov/node/40602/psn-pdf
December 31, 2014 - How to improve the delivery of medication alerts within
computerized physician order entry systems: an
international Delphi study.
December 31, 2014
Riedmann D, Jung M, Hackl WO, et al. How to improve the delivery of medication alerts within
computerized physician order entry systems: an international Delphi study…
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psnet.ahrq.gov/node/47186/psn-pdf
October 24, 2018 - Quality, Value, and Patient Safety in Orthopedic Surgery.
October 24, 2018
Azar FM, ed. Orthop Clin North Am. 2018;49(4):A1-A8,389-552.
https://psnet.ahrq.gov/issue/quality-value-and-patient-safety-orthopedic-surgery
Quality and value have intersecting influence on the safety of health care. Articles in this specia…
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psnet.ahrq.gov/node/46480/psn-pdf
October 29, 2017 - Coaching the debriefer: peer coaching to improve
debriefing quality in simulation programs.
October 29, 2017
Cheng A, Grant V, Huffman J, et al. Coaching the Debriefer: Peer Coaching to Improve Debriefing Quality
in Simulation Programs. Simul Healthc. 2017;12(5):319-325. doi:10.1097/SIH.0000000000000232.
https://p…
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psnet.ahrq.gov/node/860383/psn-pdf
January 10, 2024 - Addressing nursing shortages and patient safety using
Maslow's hierarchy of needs.
January 10, 2024
Giuffrida P, Davila S. Addressing nursing shortages and patient safety using Maslow's hierarchy of needs.
Nursing. 2024;54(1):35-40. doi:10.1097/01.nurse.0000995608.56374.f5.
https://psnet.ahrq.gov/issue/addressing-…
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psnet.ahrq.gov/node/45449/psn-pdf
October 29, 2017 - Situational awareness—what it means for clinicians, its
recognition and importance in patient safety.
October 29, 2017
Green B, Parry D, Oeppen RS, et al. Situational awareness - what it means for clinicians, its recognition
and importance in patient safety. Oral Dis. 2017;23(6):721-725. doi:10.1111/odi.12547.
htt…
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psnet.ahrq.gov/node/73472/psn-pdf
July 07, 2021 - Safety checklists for emergency response driving and
patient transport: experiences from emergency medical
services.
July 7, 2021
Jakonen A, Mänty M, Nordquist H. Safety checklists for emergency response driving and patient transport:
experiences from emergency medical services. Jt Comm J Qual Patient Saf. 2021;47…
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psnet.ahrq.gov/node/44981/psn-pdf
June 07, 2016 - Simulation-based training: the missing link to lastingly
improved patient safety and health?
June 7, 2016
Mileder LP, Schmölzer GM. Simulation-based training: the missing link to lastingly improved patient safety
and health? Postgrad Med J. 2016;92(1088):309-11. doi:10.1136/postgradmedj-2015-133732.
https://psnet.…
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psnet.ahrq.gov/node/73977/psn-pdf
October 20, 2021 - Optimizing situation awareness to reduce emergency
transfers in hospitalized children.
October 20, 2021
Sosa T, Sitterding M, Dewan M, et al. Optimizing situation awareness to reduce emergency transfers in
hospitalized children. Pediatrics. 2021;148(4):e2020034603. doi:10.1542/peds.2020-034603.
https://psnet.ahrq.…