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psnet.ahrq.gov/node/41514/psn-pdf
July 02, 2014 - Perspective: beyond counting hours: the importance of
supervision, professionalism, transitions of care, and
workload in residency training.
July 2, 2014
Schumacher D, Slovin SR, Riebschleger MP, et al. Perspective. Academic Medicine. 2012;87(7).
doi:10.1097/acm.0b013e318257d57d.
https://psnet.ahrq.gov/issue/pers…
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psnet.ahrq.gov/node/50595/psn-pdf
January 01, 2020 - Clinical reasoning as a core competency.
October 30, 2019
Connor DM, Durning SJ, Rencic J. Clinical Reasoning as a Core Competency. Acad Med.
2020;95(8):1166-1171. doi:10.1097/acm.0000000000003027.
https://psnet.ahrq.gov/issue/clinical-reasoning-core-competency
Enhancing clinical reasoning skill, particularly amon…
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psnet.ahrq.gov/node/50743/psn-pdf
December 18, 2019 - Design of a safety dashboard for patients.
December 18, 2019
Gibson B, Butler J, Schnock KO, et al. Design of a safety dashboard for patients. Patient Educ Couns.
2019;103(4):741-747. doi:10.1016/j.pec.2019.10.021.
https://psnet.ahrq.gov/issue/design-safety-dashboard-patients
Patients and caregivers should be acti…
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psnet.ahrq.gov/node/841490/psn-pdf
December 14, 2022 - Prevent administration of ear drops into the eyes.
December 14, 2022
ISMP Medication Safety Alert!: Acute Care Edition. December 1, 2022;27(24):1-3.
https://psnet.ahrq.gov/issue/prevent-administration-ear-drops-eyes
Look-alike medications are vulnerable to wrong route and other use errors. This article examines the…
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psnet.ahrq.gov/node/45747/psn-pdf
December 21, 2016 - Implementing No Interruption Zones in the perioperative
environment.
December 21, 2016
Wright I. Implementing No Interruption Zones in the Perioperative Environment. AORN J. 2016;104(6):536-
540. doi:10.1016/j.aorn.2016.09.018.
https://psnet.ahrq.gov/issue/implementing-no-interruption-zones-perioperative-environme…
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psnet.ahrq.gov/node/41970/psn-pdf
July 02, 2014 - Transformative learning in a professional development
course aimed at addressing disruptive physician
behavior: a composite case study.
July 2, 2014
Samenow CP, Worley LLM, Neufeld R, et al. Transformative learning in a professional development course
aimed at addressing disruptive physician behavior: a composite …
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psnet.ahrq.gov/node/841145/psn-pdf
December 07, 2022 - Guidelines in Practice: prevention of unintentionally
retained surgical items.
December 7, 2022
Cochran K. Guidelines in Practice: prevention of unintentionally retained surgical items. AORN J.
2022;116(5):427-440. doi:10.1002/aorn.13804.
https://psnet.ahrq.gov/issue/guidelines-practice-prevention-unintentionally-…
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psnet.ahrq.gov/node/39595/psn-pdf
June 15, 2011 - Application of human error theory in case analysis of
wrong procedures.
June 15, 2011
Duthie EA. Application of Human Error Theory in Case Analysis of Wrong Procedures. J Patient Saf.
2010;6(2):108-114. doi:10.1097/pts.0b013e3181de47f9.
https://psnet.ahrq.gov/issue/application-human-error-theory-case-analysis-wron…
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psnet.ahrq.gov/node/867698/psn-pdf
October 01, 2024 - Toolkit for MRSA Prevention in ICU & Non-ICU Settings.
October 1, 2024
Agency for Healthcare Research and Quality. Toolkit for MRSA Prevention in ICU & Non-ICU Settings.
October 2024.
https://psnet.ahrq.gov/issue/toolkit-mrsa-prevention-icu-non-icu-settings
Methicillin-resistant Staphylococcus aureus (MRSA) infect…
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psnet.ahrq.gov/node/845655/psn-pdf
March 08, 2023 - Crisis in the Lakeshore Hospital ER.
March 8, 2023
Derfel A. Montreal Gazette. February 24- March 1, 2023
https://psnet.ahrq.gov/issue/crisis-lakeshore-hospital-er
Emergency room failures are often rooted in system weaknesses. This series examines six patient deaths
associated with emergency care that, w…
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psnet.ahrq.gov/node/42861/psn-pdf
January 15, 2014 - Transitioning Newborns From NICU to Home: A Resource
Toolkit.
January 15, 2014
Rockville, MD: Agency for Healthcare Research and Quality; December 2013. AHRQ Publication No.
12(14)-0054-EF.
https://psnet.ahrq.gov/issue/transitioning-newborns-nicu-home-resource-toolkit
Infants discharged from the neonatal intensiv…
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psnet.ahrq.gov/node/38080/psn-pdf
September 24, 2008 - Patient-centered approach for improving prescription
drug warning labels.
September 24, 2008
Webb J, Davis TC, Bernadella P, et al. Patient-centered approach for improving prescription drug warning
labels. Patient Educ Couns. 2008;72(3):443-9. doi:10.1016/j.pec.2008.05.019.
https://psnet.ahrq.gov/issue/patient-cen…
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psnet.ahrq.gov/node/46382/psn-pdf
December 19, 2017 - Medication errors and trainees: advice for learners and
organizations.
December 19, 2017
Wheeler JS, Duncan R, Hohmeier K. Medication Errors and Trainees: Advice for Learners and
Organizations. Ann Pharmacother. 2017;51(12):1138-1141. doi:10.1177/1060028017725092.
https://psnet.ahrq.gov/issue/medication-errors-and…
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psnet.ahrq.gov/node/46469/psn-pdf
October 25, 2017 - RxAwareness.
October 25, 2017
Centers for Disease Control and Prevention; CDC.
https://psnet.ahrq.gov/issue/rxawareness
The opioid crisis is a persisting patient safety problem. One approach to prevent misuse of opioids is to
raise awareness of the addictive nature of the medication. This national campaign enlists…
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psnet.ahrq.gov/node/60924/psn-pdf
September 16, 2020 - Avoid punitive approach to your safety event reporting,
September 16, 2020
Cheney C. HealthLeaders. September 4, 2020.
https://psnet.ahrq.gov/issue/avoid-punitive-approach-your-safety-event-reporting
A blameless approach to error and near miss reporting is foundational to the success of the effort. This
article di…
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psnet.ahrq.gov/node/38885/psn-pdf
August 19, 2009 - Patient safety: Part II. Opportunities for improvement in
patient safety.
August 19, 2009
Elston DM, Stratman E, Johnson-Jahangir H, et al. Patient safety: Part II. Opportunities for improvement in
patient safety. J Am Acad Dermatol. 2009;61(2):193-205; quiz 206. doi:10.1016/j.jaad.2009.04.055.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/44452/psn-pdf
September 04, 2016 - Reflecting on diagnostic errors: taking a second look is
not enough.
September 4, 2016
Monteiro SD, Sherbino J, Patel A, et al. Reflecting on Diagnostic Errors: Taking a Second Look is Not
Enough. J Gen Intern Med. 2015;30(9):1270-4. doi:10.1007/s11606-015-3369-4.
https://psnet.ahrq.gov/issue/reflecting-diagnostic…
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psnet.ahrq.gov/node/73886/psn-pdf
September 29, 2021 - When less is more: the role of overdiagnosis and
overtreatment in patient safety.
September 29, 2021
Kamzan AD, Ng E. When less is more: the role of overdiagnosis and overtreatment in patient safety. Adv
Pediatr. 2021;68:21-35. doi:10.1016/j.yapd.2021.05.013.
https://psnet.ahrq.gov/issue/when-less-more-role-overdi…
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psnet.ahrq.gov/node/35550/psn-pdf
March 02, 2010 - Sleep loss and performance in residents and
nonphysicians: a meta-analytic examination.
March 2, 2010
Philibert I. Sleep loss and performance in residents and nonphysicians: a meta-analytic examination.
Sleep. 2005;28(11):1392-402.
https://psnet.ahrq.gov/issue/sleep-loss-and-performance-residents-and-nonphysicians…
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psnet.ahrq.gov/node/39432/psn-pdf
April 08, 2011 - The response of the APPD, CoPS and AAP to the Institute
of Medicine report on resident duty hours.
April 8, 2011
Guralnick S, Rushton J, Bale JF, et al. The response of the APPD, CoPS and AAP to the Institute of
Medicine report on resident duty hours. Pediatrics. 2010;125(4):786-790. doi:10.1542/peds.2009-2149.
ht…