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psnet.ahrq.gov/node/36372/psn-pdf
February 24, 2011 - Morbidity and mortality conference, grand rounds, and
the ACGME's core competencies.
February 24, 2011
Kravet SJ, Howell E, Wright SM. Morbidity and mortality conference, grand rounds, and the ACGME's core
competencies. J Gen Intern Med. 2006;21(11):1192-4.
https://psnet.ahrq.gov/issue/morbidity-and-mortality-conf…
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psnet.ahrq.gov/node/35357/psn-pdf
February 03, 2011 - Effects of work hour reduction on residents' lives: a
systematic review.
February 3, 2011
Fletcher KE, Underwood W, Davis SQ, et al. Effects of Work Hour Reduction on Residents’ Lives. JAMA.
2005;294(9):1088. doi:10.1001/jama.294.9.1088.
https://psnet.ahrq.gov/issue/effects-work-hour-reduction-residents-lives-syst…
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psnet.ahrq.gov/node/46607/psn-pdf
November 08, 2017 - Stem the Tide: Addressing the Opioid Epidemic.
November 8, 2017
Chicago, IL: American Hospital Association; 2017.
https://psnet.ahrq.gov/issue/stem-tide-addressing-opioid-epidemic
The opioid epidemic is a challenge to patient safety and public health. This report reviews tools to help
health care systems target ei…
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psnet.ahrq.gov/node/74259/psn-pdf
January 19, 2022 - Diagnostic reasoning in cardiovascular medicine.
January 19, 2022
Brush JE, Sherbino J, Norman GR. Diagnostic reasoning in cardiovascular medicine. BMJ.
2022;376:e064389. doi:10.1136/bmj-2021-064389.
https://psnet.ahrq.gov/issue/diagnostic-reasoning-cardiovascular-medicine
Misdiagnosis of heart failure can lead to…
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psnet.ahrq.gov/node/46218/psn-pdf
October 29, 2017 - Nurses' knowledge and teaching of possible postpartum
complications.
October 29, 2017
Suplee PD, Bingham D, Kleppel L. Nurses' Knowledge and Teaching of Possible Postpartum
Complications. MCN Am J Matern Child Nurs. 2017;42(6):338-344. doi:10.1097/NMC.0000000000000371.
https://psnet.ahrq.gov/issue/nurses-knowledge…
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psnet.ahrq.gov/node/35563/psn-pdf
June 08, 2010 - A comprehensive collaborative patient safety residency
curriculum to address the ACGME core competencies.
June 8, 2010
Singh R, Naughton B, Taylor JS, et al. A comprehensive collaborative patient safety residency curriculum
to address the ACGME core competencies. Med Educ. 2005;39(12):1195-204.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/37311/psn-pdf
January 05, 2012 - To err is human: patient misinterpretations of prescription
drug label instructions.
January 5, 2012
Wolf MS, Davis TC, Shrank WH, et al. To err is human: patient misinterpretations of prescription drug label
instructions. Patient Educ Couns. 2007;67(3):293-300.
https://psnet.ahrq.gov/issue/err-human-patient-misin…
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psnet.ahrq.gov/node/34751/psn-pdf
March 07, 2005 - Merry and McCall Smith's Errors, Medicine, and the Law.
2nd ed.
March 7, 2005
Merry A, Brookbanks W. Cambridge, UK: Cambridge University Press; 2017. ISBN: 9781107180499
https://psnet.ahrq.gov/issue/errors-medicine-and-law
Merry, a New Zealand anesthesiologist, and Smith, a legal educator and a popular writer, exp…
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psnet.ahrq.gov/node/44357/psn-pdf
October 06, 2016 - Quality and Safety.
October 6, 2016
Albarran J, Scholes J, eds. Nurs Crit Care. 2015;20(4):167-220.
https://psnet.ahrq.gov/issue/quality-and-safety-0
Nurses have a key role in patient safety and advocacy in critical care settings. Articles in this special issue
explore the impact of interruptions on nursing care, …
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psnet.ahrq.gov/node/40516/psn-pdf
July 15, 2013 - Characteristics of unsafe undergraduate nursing students
in clinical practice: an integrative literature review.
July 15, 2013
Killam LA, Luhanga F, Bakker D. Characteristics of unsafe undergraduate nursing students in clinical
practice: an integrative literature review. J Nurs Educ. 2011;50(8):437-46. doi:10.3928/…
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psnet.ahrq.gov/node/46596/psn-pdf
November 01, 2017 - Infection prevention and control in pediatric ambulatory
settings.
November 1, 2017
Rathore MH, Jackson MA, AAP Committee on Infections Diseases. Pediatrics. 2017;140(5):e20172857.
https://psnet.ahrq.gov/issue/infection-prevention-and-control-pediatric-ambulatory-settings
Patient safety in the ambulatory environme…
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psnet.ahrq.gov/node/34773/psn-pdf
March 08, 2017 - Medication Errors: The Nursing Experience.
March 8, 2017
Wolf ZR. Albany NY: Delmar Publishers; 1994. ISBN: 9780827362628.
https://psnet.ahrq.gov/issue/medication-errors-nursing-experience
In one of the first professional books to deal with medication error from the nursing perspective, Wolf
provides a comprehensi…
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psnet.ahrq.gov/node/41360/psn-pdf
September 30, 2012 - The simulated ward: ideal for training clinical clerks in an
era of patient safety.
September 30, 2012
Mollo EA, Reinke CE, Nelson C, et al. The simulated ward: ideal for training clinical clerks in an era of
patient safety. J Surg Res. 2012;177(1):e1-6. doi:10.1016/j.jss.2012.03.050.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/41913/psn-pdf
December 12, 2012 - Waking up the next morning: surgeons' emotional
reactions to adverse events.
December 12, 2012
Luu S, Patel P, St-Martin L, et al. Waking up the next morning: surgeons' emotional reactions to adverse
events. Med Educ. 2012;46(12):1179-88. doi:10.1111/medu.12058.
https://psnet.ahrq.gov/issue/waking-next-morning-sur…
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psnet.ahrq.gov/node/45307/psn-pdf
September 07, 2016 - End Sepsis.
September 7, 2016
1212 Avenue of the Americas, 5th Floor, New York, NY 10036. 212-244-
6294 contact@endsepsis.org
https://psnet.ahrq.gov/issue/rory-staunton-foundation-sepsis-prevention
Sepsis is a serious condition that can be rapidly fatal if it is not promptly diagnosed and treated. T…
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psnet.ahrq.gov/node/845658/psn-pdf
June 08, 2023 - Simulation Articles of Influence.
June 8, 2023
Society for Simulation in Healthcare. 2017-2023.
https://psnet.ahrq.gov/issue/simulation-articles-influence
Simulation can be used to reveal teamwork coordination gaps and latent factors that contribute to failure.
This article collection has been curated by experts i…
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psnet.ahrq.gov/node/60829/psn-pdf
August 19, 2020 - Patient Safety.
August 19, 2020
Levett-Jones T, ed. Clin Sim Nurs. 2020;44(1):1-78; 2020;45(1):1-60.
https://psnet.ahrq.gov/issue/patient-safety-20
Simulation is a recognized technique to educate and plan to improve care processes and safety. This pair
of special issues highlights the use of simulation in nur…
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psnet.ahrq.gov/node/38084/psn-pdf
September 24, 2008 - How patients perceive a doctor's caring attitude.
September 24, 2008
Quirk M, Mazor KM, Haley H-L, et al. How patients perceive a doctor's caring attitude. Patient Educ Couns.
2008;72(3):359-366. doi:10.1016/j.pec.2008.05.022.
https://psnet.ahrq.gov/issue/how-patients-perceive-doctors-caring-attitude
This study co…
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psnet.ahrq.gov/node/39160/psn-pdf
December 09, 2009 - Information-gathering patterns associated with higher
rates of diagnostic error.
December 9, 2009
Delzell JE, Chumley H, Webb R, et al. Information-gathering patterns associated with higher rates of
diagnostic error. Adv Health Sci Educ Theory Pract. 2009;14(5):697-711. doi:10.1007/s10459-009-9152-8.
https://psnet…
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psnet.ahrq.gov/node/40571/psn-pdf
February 24, 2012 - The disclosure of unanticipated outcomes of care and
medical errors: what does this mean for
anesthesiologists?
February 24, 2012
Souter KJ, Gallagher TH. The Disclosure of Unanticipated Outcomes of Care and Medical Errors. Anesth
Analg. 2011;114(3):615-621. doi:10.1213/ane.0b013e3182228604.
https://psnet.ahrq.go…