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psnet.ahrq.gov/node/42702/psn-pdf
January 09, 2014 - Developing a quality and safety curriculum for fellows:
lessons learned from a neonatology fellowship program.
January 9, 2014
Gupta M, Ringer S, Tess A, et al. Developing a quality and safety curriculum for fellows: lessons learned
from a neonatology fellowship program. Acad Pediatr. 2014;14(1):47-53. doi:10.1016/…
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psnet.ahrq.gov/node/34036/psn-pdf
March 28, 2005 - National Center for Patient Safety Falls Toolkit 2004.
March 28, 2005
Department of Veterans Affairs (VA) National Center for Patient Safety
https://psnet.ahrq.gov/issue/national-center-patient-safety-falls-toolkit-2004
The National Center for Patient Safety created the Falls Toolkit to assist VA facilities in impl…
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psnet.ahrq.gov/node/38695/psn-pdf
June 10, 2009 - Medical students benefit from learning about patient
safety in an interprofessional team.
June 10, 2009
Anderson E, Thorpe L, Heney D, et al. Medical students benefit from learning about patient safety in an
interprofessional team. Med Educ. 2009;43(6):542-52. doi:10.1111/j.1365-2923.2009.03328.x.
https://psnet.ah…
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psnet.ahrq.gov/node/39036/psn-pdf
October 21, 2009 - Disclosing medical errors to patients: a challenge for
health care professionals and institutions.
October 21, 2009
Levinson W. Disclosing medical errors to patients: a challenge for health care professionals and
institutions. Patient Educ Couns. 2009;76(3):296-9. doi:10.1016/j.pec.2009.07.018.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/45370/psn-pdf
July 27, 2016 - Correct use of inhalers: help patients breathe easier.
July 27, 2016
ISMP Medication Safety Alert! Acute Care Edition. July 14, 2016;21:1-6.
https://psnet.ahrq.gov/issue/correct-use-inhalers-help-patients-breathe-easier
Patients and clinicians can make medication administration mistakes when new drug delivery mecha…
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psnet.ahrq.gov/node/47345/psn-pdf
January 27, 2019 - Fixed-dose combination antihypertensives and risk of
medication errors.
January 27, 2019
Moriarty F, Bennett K, Fahey T. Fixed-dose combination antihypertensives and risk of medication errors.
Heart. 2019;105(3):204-209. doi:10.1136/heartjnl-2018-313492.
https://psnet.ahrq.gov/issue/fixed-dose-combination-antihype…
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psnet.ahrq.gov/node/42929/psn-pdf
February 05, 2014 - Do no harm: is it time to rethink the Hippocratic Oath?
February 5, 2014
Walton M, Kerridge I. Do no harm: is it time to rethink the Hippocratic Oath? Med Educ. 2014;48(1):17-27.
doi:10.1111/medu.12275.
https://psnet.ahrq.gov/issue/do-no-harm-it-time-rethink-hippocratic-oath
This commentary discusses how health ca…
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psnet.ahrq.gov/node/39622/psn-pdf
June 23, 2010 - Safety concerns of hospital-based new-to-practice
registered nurses and their preceptors.
June 23, 2010
Myers S, Reidy P, French B, et al. Safety concerns of hospital-based new-to-practice registered nurses and
their preceptors. J Contin Educ Nurs. 2010;41(4):163-71. doi:10.3928/00220124-20100326-02.
https://psnet…
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psnet.ahrq.gov/node/44100/psn-pdf
June 10, 2015 - Residency training in handoffs: a survey of program
directors in psychiatry.
June 10, 2015
Arbuckle MR, Reardon CL, Young JQ. Residency training in handoffs: a survey of program directors in
psychiatry. Acad Psychiatry. 2015;39(2):132-8. doi:10.1007/s40596-014-0167-y.
https://psnet.ahrq.gov/issue/residency-trainin…
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psnet.ahrq.gov/node/48090/psn-pdf
August 28, 2019 - Preventing errors with high-risk medications.
August 28, 2019
Wiley F. Drug Topics. August 2019;1633:16-18.
https://psnet.ahrq.gov/issue/preventing-errors-high-risk-medications
High-alert medications have the potential to cause serious patient harm if not administered correctly.
Reporting on challenges to medicati…
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psnet.ahrq.gov/node/37835/psn-pdf
July 31, 2008 - Medical students' experiences with medical errors: an
analysis of medical student essays.
July 31, 2008
Martinez W, Lo B. Medical students' experiences with medical errors: an analysis of medical student
essays. Med Educ. 2008;42(7):733-41. doi:10.1111/j.1365-2923.2008.03109.x.
https://psnet.ahrq.gov/issue/medical…
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psnet.ahrq.gov/node/41062/psn-pdf
July 02, 2014 - Perspective: a road map for academic departments to
promote scholarship in quality improvement and patient
safety.
July 2, 2014
Neeman N, Sehgal NL. Perspective: a road map for academic departments to promote scholarship in
quality improvement and patient safety. Acad Med. 2012;87(2):168-71.
doi:10.1097/ACM.0b013…
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psnet.ahrq.gov/node/45809/psn-pdf
October 29, 2017 - Three perspectives on changes in resident work
environment and duty hours.
October 29, 2017
Bilimoria KY, Meyers MO, Mouawad NJ, et al. JAMA Surg. 2017;152(10):903-908.
https://psnet.ahrq.gov/issue/three-perspectives-changes-resident-work-environment-and-duty-hours
In July 2017, the ACGME modified resident physici…
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psnet.ahrq.gov/node/846166/psn-pdf
March 15, 2023 - Minimize medication errors in urgent care clinics.
March 15, 2023
Coffey SB. American Nurse Journal. Epub March 2, 2023.
https://psnet.ahrq.gov/issue/minimize-medication-errors-urgent-care-clinics
Urgent care clinics offer services to a wide patient base that increase the complexities of medication
prescribing and…
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psnet.ahrq.gov/node/37759/psn-pdf
April 07, 2010 - A prospective review of adverse events during
interhospital transfers of neonates by a dedicated
neonatal transfer service.
April 7, 2010
Lim MTC, Ratnavel N. A prospective review of adverse events during interhospital transfers of neonates by
a dedicated neonatal transfer service. Pediatr Crit Care Med. 2008;9(3)…
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psnet.ahrq.gov/node/39178/psn-pdf
December 16, 2009 - Year 1 medical undergraduates' knowledge of and
attitudes to medical error.
December 16, 2009
Flin R, Patey R, Jackson J, et al. Year 1 medical undergraduates' knowledge of and attitudes to medical
error. Med Educ. 2009;43(12):1147-55. doi:10.1111/j.1365-2923.2009.03499.x.
https://psnet.ahrq.gov/issue/year-1-medic…
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psnet.ahrq.gov/node/39830/psn-pdf
April 17, 2011 - 2010 Annual National Patient Safety Foundation
Congress: conference proceedings.
April 17, 2011
Pinakiewicz DC, Bonacum D, Youngberg BJ, et al. 2010 Annual National Patient Safety Foundation
Congress: conference proceedings. J Patient Saf. 2010;6(3):128-36.
https://psnet.ahrq.gov/issue/2010-annual-national-patient…
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psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
January 01, 2023 - All rights reserved.
3
Objectives
At the conclusion of this educational activity, participants
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psnet.ahrq.gov/node/866993/psn-pdf
October 30, 2024 - In Conversation with Elizabeth Salisbury-Afshar about
Harm Reduction Strategies to Improve Safety for People
Who Use Substances
October 30, 2024
Salisbury-Afshar E, Gale B, Mossburg S. In Conversation with Elizabeth Salisbury-Afshar about Harm
Reduction Strategies to Improve Safety for People Who Use Substances. P…
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psnet.ahrq.gov/web-mm/do-me-favor
September 12, 2016 - Do Me a Favor
Citation Text:
Williamson A. Do Me a Favor. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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