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psnet.ahrq.gov/node/44521/psn-pdf
July 03, 2016 - Crib of horrors: one hospital's approach to promoting a
culture of safety.
July 3, 2016
Korah N, Zavalkoff S, Dubrovsky AS. Crib of Horrors: One Hospital's Approach to Promoting a Culture of
Safety. Pediatrics. 2015;136(1):4-5. doi:10.1542/peds.2014-3843.
https://psnet.ahrq.gov/issue/crib-horrors-one-hospitals-app…
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psnet.ahrq.gov/node/38241/psn-pdf
January 15, 2009 - In chronic condition: experiences of patients with
complex health care needs, in eight countries, 2008.
January 15, 2009
Schoen C, Osborn R, How SKH, et al. In chronic condition: experiences of patients with complex health
care needs, in eight countries, 2008. Health Aff (Millwood). 2009;28(1):w1-16. doi:10.1377/hl…
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psnet.ahrq.gov/node/36789/psn-pdf
June 16, 2008 - Promoting a culture of patient safety: a review of the
Florida moratoria data: what we have learned in 6 years
and the need for continued patient education.
June 16, 2008
Clayman MA, Clayman SM, Steele MH, et al. Promoting a culture of patient safety: a review of the Florida
moratoria data: what we have learned in…
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psnet.ahrq.gov/node/46348/psn-pdf
June 13, 2018 - The nexus of nursing leadership and a culture of safer
patient care.
June 13, 2018
Murray M, Sundin D, Cope V. The nexus of nursing leadership and a culture of safer patient care. J Clin
Nurs. 2018;27(5-6):1287-1293. doi:10.1111/jocn.13980.
https://psnet.ahrq.gov/issue/nexus-nursing-leadership-and-culture-safer-pa…
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psnet.ahrq.gov/node/35736/psn-pdf
May 27, 2011 - Video capture of clinical care to enhance patient safety.
May 27, 2011
Weinger MB, Gonzales DC, Slagle J, et al. Video capture of clinical care to enhance patient safety. Qual
Saf Health Care. 2004;13(2):136-44.
https://psnet.ahrq.gov/issue/video-capture-clinical-care-enhance-patient-safety
This study describes th…
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psnet.ahrq.gov/node/859353/psn-pdf
December 20, 2023 - Global State of Patient Safety 2023.
December 20, 2023
Illingworth J, Shaw A, Fernandez et al. London UK: Imperial College London; 2023.
https://psnet.ahrq.gov/issue/global-state-patient-safety-2023
Patient safety data can support learning health systems and worldwide improvement. This report discusses
a set of in…
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psnet.ahrq.gov/node/35417/psn-pdf
February 15, 2010 - Errors in laboratory medicine: practical lessons to
improve patient safety.
February 15, 2010
Howanitz PJ. Errors in laboratory medicine: practical lessons to improve patient safety. Arch Pathol Lab
Med. 2005;129(10):1252-1261.
https://psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patie…
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psnet.ahrq.gov/node/60564/psn-pdf
June 03, 2020 - Subtherapeutic heparin infusions: is your organization at
risk of bypassing soft low-dose alerts?
June 3, 2020
ISMP Medication Safety Alert! Acute Care Edition. May 22, 2020;25(10).
https://psnet.ahrq.gov/issue/subtherapeutic-heparin-infusions-your-organization-risk-bypassing-soft-low-
dose-alerts
Smart infusion …
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psnet.ahrq.gov/node/47424/psn-pdf
November 21, 2018 - Creating a culture of accountability promotes safe
medical care.
November 21, 2018
Canadian Medical Protective Association; CMPA.
https://psnet.ahrq.gov/issue/creating-culture-accountability-promotes-safe-medical-care
Frontline leadership should model just culture behaviors to encourage reporting and discussion of…
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psnet.ahrq.gov/node/50423/psn-pdf
September 04, 2019 - When a vital sign leads a country astray—the opioid
epidemic.
September 4, 2019
Chidgey BA, McGinigle KL, McNaull PP. When a Vital Sign Leads a Country Astray—The Opioid Epidemic.
JAMA Surg. 2019;154(11):987-988. doi:10.1001/jamasurg.2019.2104.
https://psnet.ahrq.gov/issue/when-vital-sign-leads-country-astray-opio…
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psnet.ahrq.gov/node/47355/psn-pdf
September 05, 2018 - Preventing medication errors in the information age.
September 5, 2018
Godshall M, Riehl M. Preventing medication errors in the information age. Nursing (Brux). 2018;48(9):56-
58. doi:10.1097/01.NURSE.0000544230.51598.38.
https://psnet.ahrq.gov/issue/preventing-medication-errors-information-age
Failure to consider…
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psnet.ahrq.gov/node/48102/psn-pdf
August 07, 2019 - The unmeasured quality metric: burn out and the second
victim syndrome in healthcare.
August 7, 2019
Heiss K, Clifton M. The unmeasured quality metric: Burn out and the second victim syndrome in healthcare.
Semin Pediatr Surg. 2019;28(3):189-194. doi:10.1053/j.sempedsurg.2019.04.011.
https://psnet.ahrq.gov/issue/u…
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psnet.ahrq.gov/node/45403/psn-pdf
September 21, 2016 - 'Superbug' scourge spreads as U.S. fails to track rising
human toll.
September 21, 2016
McNeill R, Nelson DJ, Abutaleb Y. Reuters Investigation. September 7, 2016.
https://psnet.ahrq.gov/issue/superbug-scourge-spreads-us-fails-track-rising-human-toll
Antimicrobial resistance is a pervasive threat to patient safety…
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psnet.ahrq.gov/node/44759/psn-pdf
March 02, 2016 - Using the medication error prioritization system to
improve patient safety.
March 2, 2016
Polnariev A. Using the Medication Error Prioritization System To Improve Patient Safety. P T.
2016;41(1):54-9.
https://psnet.ahrq.gov/issue/using-medication-error-prioritization-system-improve-patient-safety
The use of incid…
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psnet.ahrq.gov/node/45073/psn-pdf
May 11, 2016 - Promoting patient safety: results of a TeamSTEPPS
initiative.
May 11, 2016
Gaston T, Short N, Ralyea C, et al. Promoting patient safety: results of a TeamSTEPPS initiative. J Nurs
Adm. 2016;46(4):201-207. doi:10.1097/nna.0000000000000333.
https://psnet.ahrq.gov/issue/promoting-patient-safety-results-teamstepps-ini…
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psnet.ahrq.gov/node/865980/psn-pdf
May 29, 2024 - Patient Safety and Artificial Intelligence: Opportunities
and Challenges for Care Delivery.
May 29, 2024
Lucian Leape Institute. Boston: Institute for Healthcare Improvement; 2024.
https://psnet.ahrq.gov/issue/patient-safety-and-artificial-intelligence-opportunities-and-challenges-care-
delivery
The use of g…
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psnet.ahrq.gov/node/45794/psn-pdf
February 15, 2017 - Teaching the diagnostic process as a model to improve
medical education.
February 15, 2017
Sklar DP. Teaching the Diagnostic Process as a Model to Improve Medical Education. Acad Med.
2017;92(1):1-4. doi:10.1097/ACM.0000000000001481.
https://psnet.ahrq.gov/issue/teaching-diagnostic-process-model-improve-medical-ed…
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psnet.ahrq.gov/node/842422/psn-pdf
January 11, 2023 - The REPAIR Project: a prospectus for change toward
racial justice in medical education and health sciences
research: REPAIR project steering committee.
January 11, 2023
REPAIR Project Steering Committee. Acad Med. 2022;97(12):1753-1759.
https://psnet.ahrq.gov/issue/repair-project-prospectus-change-toward-rac…
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psnet.ahrq.gov/node/34780/psn-pdf
March 28, 2005 - Disseminating innovations in health care.
March 28, 2005
Berwick DM. Disseminating Innovations in Health Care. JAMA. 2003;289(15):1969-1975.
doi:10.1001/jama.289.15.1969.
https://psnet.ahrq.gov/issue/disseminating-innovations-health-care
This commentary and review discusses the ability to adopt growing numbers of …
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psnet.ahrq.gov/node/47222/psn-pdf
October 03, 2018 - Decision support tools, systems, and artificial intelligence
in cardiac imaging.
October 3, 2018
Massalha S, Clarkin O, Thornhill R, et al. Decision Support Tools, Systems, and Artificial Intelligence in
Cardiac Imaging. Can J Cardiol. 2018;34(7):827-838. doi:10.1016/j.cjca.2018.04.032.
https://psnet.ahrq.gov/issu…