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psnet.ahrq.gov/node/42448/psn-pdf
July 24, 2013 - Measure twice, cut once.
July 24, 2013
Atkinson WK. Measure twice, cut once. AORN J. 2013;98(1):77-80. doi:10.1016/j.aorn.2013.05.004.
https://psnet.ahrq.gov/issue/measure-twice-cut-once
This piece relates how focusing on quality, education, responsibility, and standardization can help clinicians
ensure safe care.…
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psnet.ahrq.gov/node/35346/psn-pdf
September 21, 2005 - Guide to Healthcare Quality: How to Know It When You
See It.
September 21, 2005
Rockville, MD: Agency for Healthcare Research and Quality; 2005.
https://psnet.ahrq.gov/issue/guide-healthcare-quality-how-know-it-when-you-see-it
Part of the Agency for Healthcare Research and Quality's (AHRQ) consumer education campa…
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psnet.ahrq.gov/node/34974/psn-pdf
February 08, 2011 - A model patient: how simulators are changing the way
doctors are trained.
February 8, 2011
https://psnet.ahrq.gov/issue/model-patient-how-simulators-are-changing-way-doctors-are-trained
Through discussions with numerous experts and medical educators, this piece explores how simulation
training has developed over t…
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psnet.ahrq.gov/node/36821/psn-pdf
August 26, 2011 - Medication error reduction and the use of PDA
technology.
August 26, 2011
Greenfield S. Medication error reduction and the use of PDA technology. J Nurs Educ. 2007;46(3):127-31.
doi:10.3928/01484834-20070301-07.
https://psnet.ahrq.gov/issue/medication-error-reduction-and-use-pda-technology
This study found that P…
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psnet.ahrq.gov/node/38031/psn-pdf
September 03, 2008 - Development and evaluation of a required patient safety
course.
September 3, 2008
Sukkari SR, Sasich LD, Tuttle DA, et al. Development and evaluation of a required patient safety course.
Am J Pharm Educ. 2008;72(3):65.
https://psnet.ahrq.gov/issue/development-and-evaluation-required-patient-safety-course
This ar…
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psnet.ahrq.gov/node/35144/psn-pdf
June 23, 2009 - Patient safety: planting the seed.
June 23, 2009
Poe SS. Patient safety: planting the seed. J Nurs Care Qual. 2005;20(3):198-202.
https://psnet.ahrq.gov/issue/patient-safety-planting-seed
The author describes one academic medical center’s program to infuse patient safety into the everyday
work of nurses early in t…
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psnet.ahrq.gov/node/35472/psn-pdf
September 21, 2009 - Clinical alarms: improving efficiency and effectiveness.
September 21, 2009
Phillips J, Barnsteiner JH. Clinical alarms: improving efficiency and effectiveness. Crit Care Nurs Q.
2005;28(4):317-323.
https://psnet.ahrq.gov/issue/clinical-alarms-improving-efficiency-and-effectiveness
The authors outline a process fo…
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psnet.ahrq.gov/node/39776/psn-pdf
January 25, 2017 - First, protect the patient from harm: applying adult
learning principles to patient safety.
January 25, 2017
Duffy B.
https://psnet.ahrq.gov/issue/first-protect-patient-harm-applying-adult-learning-principles-patient-safety
This piece describes how education can reduce patient harm by promoting attitude and behavi…
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psnet.ahrq.gov/node/36517/psn-pdf
June 26, 2009 - Safety by Design.
June 26, 2009
Qual Saf Health Care. 2006 Dec;15(Suppl 1):i1-90.
https://psnet.ahrq.gov/issue/safety-design
This supplement draws from key thinkers in systems design, human factors, and education to look at the
impact and effect that design has on improving health care.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/35942/psn-pdf
July 16, 2018 - Graduate Programs in Healthcare Quality and Patient
Safety.
July 16, 2018
Center for Education in the Health Sciences, Northwestern University, Chicago, IL.
https://psnet.ahrq.gov/issue/graduate-programs-healthcare-quality-and-patient-safety
Northwestern University's Institute of Healthcare Studies offers an 18-mo…
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psnet.ahrq.gov/node/35076/psn-pdf
November 04, 2015 - Patient Safety Handbook, Second Edition.
November 4, 2015
Youngberg B. ed. Sudbury, MA: Jones and Bartlett; 2013. ISBN 9780763774042
https://psnet.ahrq.gov/issue/patient-safety-handbook-second-edition
This revised edition of a comprehensive resource on patient safety includes new chapters discussing such
topics as…
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psnet.ahrq.gov/node/35543/psn-pdf
June 12, 2013 - Health care safety: what needs to be done?
June 12, 2013
Rubin GL, Leeder SR. Health care safety: what needs to be done? Med J Aust. 2005;183(10):529-31.
https://psnet.ahrq.gov/issue/health-care-safety-what-needs-be-done
The authors assert that enhancements in measuring safety, financial incentives, education, and
…
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psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms
April 19, 2023 - created a trials group of these 119 programs across the country to test a new duty hour policy or a new educational
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psnet.ahrq.gov/web-mm/transfusion-overload
September 23, 2020 - Disseminating the guidelines requires an intense educational campaign to include all those who would
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psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
May 01, 2019 - March 21, 2012
Efficacy of educational video game versus traditional educational apps
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psnet.ahrq.gov/node/852807/psn-pdf
August 30, 2023 - Sleep Deprivation Leads to Medication Error During
Spinal Epidural Anesthesia
August 30, 2023
Bohringer C, Osborne R. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.
PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-…
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psnet.ahrq.gov/issue/can-we-make-airway-management-even-safer-lessons-national-audit
March 01, 2023 - Review
Can we make airway management (even) safer?—lessons from national audit.
Citation Text:
Woodall N, Frerk C, Cook TM. Can we make airway management (even) safer?--lessons from national audit. Anaesthesia. 2011;66 Suppl 2:27-33. doi:10.1111/j.1365-2044.2011.06931.x.
Copy Citatio…
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psnet.ahrq.gov/issue/influences-adoption-patient-safety-innovation-primary-care-qualitative-exploration-staff
April 25, 2018 - Study
Influences on the adoption of patient safety innovation in primary care: a qualitative exploration of staff perspectives.
Citation Text:
Litchfield I, Gill P, Avery T, et al. Influences on the adoption of patient safety innovation in primary care: a qualitative exploration of staff…
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psnet.ahrq.gov/issue/pharmacists-pharmacovigilance-can-increased-diagnostic-opportunity-community-settings
July 26, 2023 - Commentary
Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate to better vigilance?
Citation Text:
Rutter P, Brown D, Howard J, et al. Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate…
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psnet.ahrq.gov/issue/surgical-management-and-outcomes-165-colonoscopic-perforations-single-institution
November 16, 2022 - Study
Surgical management and outcomes of 165 colonoscopic perforations from a single institution.
Citation Text:
Iqbal CW, Cullinane DC, Schiller HJ, et al. Surgical management and outcomes of 165 colonoscopic perforations from a single institution. Arch Surg. 2008;143(7):701-6; discu…