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psnet.ahrq.gov/node/50884/psn-pdf
February 12, 2020 - Prescribing patterns of heart failure-exacerbating
medications following a heart failure hospitalization.
February 12, 2020
Goyal P, Kneifati-Hayek J, Archambault A, et al. Prescribing patterns of heart failure-exacerbating
medications following a heart failure hospitalization. JACC Heart Fail. 2019;8(1):25-34.
do…
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psnet.ahrq.gov/node/73622/psn-pdf
August 25, 2021 - The presence and potential impact of psychological
safety in the healthcare setting: an evidence synthesis.
August 25, 2021
Grailey KE, Murray E, Reader T, et al. The presence and potential impact of psychological safety in the
healthcare setting: an evidence synthesis. BMC Health Serv Res. 2021;21(1):773. doi:10.1…
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psnet.ahrq.gov/node/47542/psn-pdf
January 16, 2019 - Utilizing a Systems and Design Thinking Approach for
Improving Well-Being Within Health Professional
Education and Health Care.
January 16, 2019
Kreitzer MJ, Carter K, Coffey DS, et al. NAM Perspectives. Washington, DC: National Academy of
Medicine; 2019.
https://psnet.ahrq.gov/issue/utilizing-systems-and-design-…
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psnet.ahrq.gov/node/46996/psn-pdf
May 23, 2018 - How to incorporate quality improvement and patient
safety projects in your training.
May 23, 2018
Siddique SM, Ketwaroo G, Newberry C, et al. How to Incorporate Quality Improvement and Patient Safety
Projects in Your Training. Gastroenterology. 2018;154(6):1564-1568. doi:10.1053/j.gastro.2018.03.044.
https://psnet…
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psnet.ahrq.gov/node/73082/psn-pdf
March 31, 2021 - The potential of artificial intelligence to improve patient
safety: a scoping review.
March 31, 2021
Bates DW, Levine DM, Syrowatka A, et al. The potential of artificial intelligence to improve patient safety: a
scoping review. NPJ Digit Med. 2021;4(1):54. doi:10.1038/s41746-021-00423-6.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/836918/psn-pdf
April 13, 2022 - How to scale up quality and safety program with the home
care accreditation.
April 13, 2022
Brunelli L, Cristofori V, Battistella C, et al. How to scale up quality and safety program with the home care
accreditation. Int J Integr Care. 2022;22(1):19. doi:10.5334/ijic.5698.
https://psnet.ahrq.gov/issue/how-scale-qu…
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psnet.ahrq.gov/node/38579/psn-pdf
February 18, 2011 - Transitions of Care Consensus Policy Statement
American College of Physicians-Society of General
Internal Medicine-Society of Hospital Medicine-American
Geriatrics Society-American College of Emergency
Physicians-Society of Academic Emergency Medicine.
February 18, 2011
Snow V, Beck D, Budnitz T, et al. Transitio…
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psnet.ahrq.gov/node/838013/psn-pdf
September 07, 2022 - Using the Global Trigger Tool in surgical and
neurosurgical patients: a feasibility study.
September 7, 2022
Brösterhaus M, Hammer A, Gruber R, et al. Using the Global Trigger Tool in surgical and neurosurgical
patients: a feasibility study. PLoS ONE. 2022;17(8):e0272853. doi:10.1371/journal.pone.0272853.
https://…
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psnet.ahrq.gov/node/50686/psn-pdf
January 01, 2020 - 'Whatever you cut, I can fix it': clinical supervisors'
interview accounts of allowing trainee failure while
guarding patient safety.
November 20, 2019
Klasen JM, Driessen E, Teunissen PW, et al. ‘Whatever you cut, I can fix it’: clinical supervisors’ interview
accounts of allowing trainee failure while guarding p…
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psnet.ahrq.gov/node/43542/psn-pdf
April 22, 2015 - Measuring experiences and outcomes of patient safety in
primary care: a systematic review of available
instruments.
April 22, 2015
Ricci-Cabello I, Gonçalves DC, Rojas-García A, et al. Measuring experiences and outcomes of patient
safety in primary care: a systematic review of available instruments. Fam Pract. 201…
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psnet.ahrq.gov/node/851056/psn-pdf
June 28, 2023 - Introducing second-year medical students to diagnostic
reasoning concepts and skills via a virtual curriculum.
June 28, 2023
Chang C, Varghese N, Machiorlatti M. Introducing second-year medical students to diagnostic reasoning
concepts and skills via a virtual curriculum. Diagnosis (Berl). 2023;10(2):105-109. doi:1…
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psnet.ahrq.gov/node/47263/psn-pdf
January 01, 2021 - Dissecting communication barriers in healthcare: a path
to enhancing communication resiliency, reliability, and
patient safety.
November 28, 2018
Guttman OT, Lazzara EH, Keebler JR, et al. Dissecting Communication Barriers in Healthcare: A Path to
Enhancing Communication Resiliency, Reliability, and Patient Safety…
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psnet.ahrq.gov/node/36552/psn-pdf
January 12, 2011 - Toward learning from patient safety reporting systems.
January 12, 2011
Pronovost P, Thompson DA, Holzmueller CG, et al. Toward learning from patient safety reporting systems.
J Crit Care. 2006;21(4):305-15.
https://psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems
This study reports the initia…
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psnet.ahrq.gov/node/43982/psn-pdf
April 01, 2015 - Human factors and ergonomics and quality improvement
science: integrating approaches for safety in healthcare.
April 1, 2015
Hignett S, Jones EL, Miller D, et al. Human factors and ergonomics and quality improvement science:
integrating approaches for safety in healthcare. BMJ Qual Saf. 2015;24(4):250-254. doi:10.1…
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psnet.ahrq.gov/node/841472/psn-pdf
December 14, 2022 - Reducing potential errors associated with insulin
administration: an integrative review.
December 14, 2022
Alqahtani N. Reducing potential errors associated with insulin administration: an integrative review. J Eval
Clin Pract. 2022;28(6):1037-1049. doi:10.1111/jep.13668.
https://psnet.ahrq.gov/issue/reducing-pote…
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psnet.ahrq.gov/node/47298/psn-pdf
September 24, 2018 - Physician engagement in malpractice risk reduction: a
UPHS case study.
September 24, 2018
Diraviam SP, Sullivan P, Sestito JA, et al. Physician Engagement in Malpractice Risk Reduction: A UPHS
Case Study. Jt Comm J Qual Patient Saf. 2018;44(10):605-612. doi:10.1016/j.jcjq.2018.03.009.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/45044/psn-pdf
May 11, 2016 - Creating a nurse-led culture to minimize horizontal
violence in the acute care setting: a multi-interventional
approach.
May 11, 2016
Parker KM, Harrington A, Smith CM, et al. Creating a Nurse-Led Culture to Minimize Horizontal Violence in
the Acute Care Setting: A Multi-Interventional Approach. J Nurses Prof Dev.…
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psnet.ahrq.gov/node/60334/psn-pdf
May 13, 2020 - Crisis Standards of Care: Ten Years of Successes and
Challenges–Proceedings of a Workshop.
May 13, 2020
National Academies of Sciences, Engineering, and Medicine. Washington, DC; The National Academies
Press: 2020. ISBN 9780309676250.
https://psnet.ahrq.gov/issue/crisis-standards-care-ten-years-successes-and-…
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psnet.ahrq.gov/node/35511/psn-pdf
May 31, 2011 - An objective methodology for task analysis and workload
assessment in anesthesia providers.
May 31, 2011
Weinger M B, Herndon O W, Zornow M H, et al. An Objective Methodology for Task Analysis and Workload
Assessment in Anesthesia Providers. Anesthesiology. 2006;80(1):77-92. doi:10.1097/00000542-
199401000-00015.
…
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psnet.ahrq.gov/node/47659/psn-pdf
January 27, 2019 - Medical overuse as a physician cognitive error: looking
under the hood.
January 27, 2019
Korenstein D. Medical overuse as a physician cognitive error: looking under the hood. JAMA Intern Med.
2019;179(1):26-27. doi:10.1001/jamainternmed.2018.5136.
https://psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-er…