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psnet.ahrq.gov/node/35326/psn-pdf
September 14, 2005 - Resident attitudes regarding the impact of the 80–duty-
hours work standards.
September 14, 2005
Zonia SC, 2nd RJLB, Stommel M, et al. Resident attitudes regarding the impact of the 80-duty-hours work
standards. J Am Osteopath Assoc. 2005;105(7):307-313.
https://www.degruyter.com/document/doi/10.7556/jaoa.2005.105…
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psnet.ahrq.gov/node/43348/psn-pdf
July 16, 2014 - Identifying patient safety problems during team rounds:
an ethnographic study.
July 16, 2014
Lamba R, Linn K, Fletcher KE. Identifying patient safety problems during team rounds: an ethnographic
study. BMJ Qual Saf. 2014;23(8):667-9. doi:10.1136/bmjqs-2013-002324.
https://psnet.ahrq.gov/issue/identifying-patient-s…
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psnet.ahrq.gov/node/43033/psn-pdf
March 12, 2014 - Current challenges and future perspectives for patient
safety in surgery.
March 12, 2014
Stahel PF, Mauffrey C, Butler N. Current challenges and future perspectives for patient safety in surgery.
Patient Saf Surg. 2014;8(1):9. doi:10.1186/1754-9493-8-9.
https://psnet.ahrq.gov/issue/current-challenges-and-future-pe…
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psnet.ahrq.gov/node/39559/psn-pdf
December 17, 2010 - Understanding vs. competency: the case of accuracy
checking dispensed medicines in pharmacy.
December 17, 2010
James L, Davies G, Kinchin I, et al. Understanding vs. competency: the case of accuracy checking
dispensed medicines in pharmacy. Adv Health Sci Educ Theory Pract. 2010;15(5):735-47.
doi:10.1007/s10459-01…
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psnet.ahrq.gov/node/73543/psn-pdf
July 28, 2021 - AMC PSO Resource Center.
July 28, 2021
Academic Medical Center Patient Safety Organization.
https://psnet.ahrq.gov/issue/amc-pso-resource-center
Patient Safety organizations (PSO) are in a unique position to educate their members and the larger
community on patient safety challenges. This PSO resource collection i…
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psnet.ahrq.gov/node/39459/psn-pdf
March 23, 2011 - Impact of system-level activities and reporting design on
the number of incident reports for patient safety.
March 23, 2011
Fukuda H, Imanaka Y, Hirose M, et al. Impact of system-level activities and reporting design on the number
of incident reports for patient safety. Qual Saf Health Care. 2010;19(2):122-7.
doi:…
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psnet.ahrq.gov/node/45048/psn-pdf
April 13, 2016 - Do not let "Depo-" medications be a depot for mistakes.
April 13, 2016
ISMP Medication Safety Alert! Acute Care Edition. March 24, 2016;21:1-4.
https://psnet.ahrq.gov/issue/do-not-let-depo-medications-be-depot-mistakes
Confusion due to look-alike and sound-alike medications are known to contribute to medication err…
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psnet.ahrq.gov/node/73379/psn-pdf
June 09, 2021 - How medical jargon can make COVID health disparities
even worse.
June 9, 2021
Kritz F. Health Shots. National Public Radio; May 24, 2021.
https://psnet.ahrq.gov/issue/how-medical-jargon-can-make-covid-health-disparities-even-worse
Health literacy efforts address challenges related to both language and effecti…
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psnet.ahrq.gov/node/37847/psn-pdf
June 18, 2008 - Effect of the 80-hour work week on resident case
coverage.
June 18, 2008
Shin S, Britt R, Britt LD. Effect of the 80-hour work week on resident case coverage. J Am Coll Surg.
2008;206(5):798-800; discussion 801-3. doi:10.1016/j.jamcollsurg.2007.12.028.
https://psnet.ahrq.gov/issue/effect-80-hour-work-week-resident…
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psnet.ahrq.gov/node/43657/psn-pdf
November 26, 2014 - Strategies for Ensuring the Safe Use of Insulin Pens in the
Hospital.
November 26, 2014
American Society of Health-System Pharmacists
https://psnet.ahrq.gov/issue/strategies-ensuring-safe-use-insulin-pens-hospital
Insulin is classified as a high-alert medication due to the potential to cause serious patient harm w…
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psnet.ahrq.gov/node/836971/psn-pdf
April 20, 2022 - Patients should know who's operating, surgeons say.
April 20, 2022
Laber-Warren E. MedPage Today. April 5, 2022.
https://psnet.ahrq.gov/issue/patients-should-know-whos-operating-surgeons-say
Resident autonomy is an essential component to medical training, but it is not without patient safety risks.
This news artic…
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psnet.ahrq.gov/node/45158/psn-pdf
June 01, 2016 - Simulation techniques for teaching time-outs: a
controlled trial.
June 1, 2016
Paull DE, Williams L, Sine DM. Patient Saf Qual Healthc. March/April 2016;13:28-37.
https://psnet.ahrq.gov/issue/simulation-techniques-teaching-time-outs-controlled-trial
Simulation is widely used in medical education, but controversy c…
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psnet.ahrq.gov/node/37117/psn-pdf
October 04, 2011 - Language barriers to prescriptions for patients with
limited English proficiency: a survey of pharmacies.
October 4, 2011
Bradshaw M, Tomany-Korman S, Flores G. Language barriers to prescriptions for patients with limited
English proficiency: a survey of pharmacies. Pediatrics. 2007;120(2):e225-35.
https://psnet.a…
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psnet.ahrq.gov/node/34900/psn-pdf
December 17, 2009 - The State of the Science on Safe Medication
Administration.
December 17, 2009
Am J Nurs. 2005;105;(supp 5):2-55.
https://psnet.ahrq.gov/issue/state-science-safe-medication-administration
The University of Pennsylvania School of Nursing, the Hospital of the University of Pennsylvania, the
Infusion Nurses Society, …
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psnet.ahrq.gov/node/37662/psn-pdf
July 08, 2008 - Interventions to reduce medication prescribing errors in a
paediatric cardiac intensive care unit.
July 8, 2008
Burmester MK, Dionne R, Thiagarajan RR, et al. Interventions to reduce medication prescribing errors in a
paediatric cardiac intensive care unit. Intensive Care Med. 2008;34(6):1083-90. doi:10.1007/s00134…
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psnet.ahrq.gov/node/44606/psn-pdf
October 28, 2015 - 'Trust but verify'—five approaches to ensure safe medical
apps.
October 28, 2015
Wicks P, Chiauzzi E. 'Trust but verify'--five approaches to ensure safe medical apps. BMC Med.
2015;13:205. doi:10.1186/s12916-015-0451-z.
https://psnet.ahrq.gov/issue/trust-verify-five-approaches-ensure-safe-medical-apps
Mobile heal…
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psnet.ahrq.gov/node/41521/psn-pdf
July 18, 2012 - Twenty-four-hour intensivist staffing in teaching
hospitals: tensions between safety today and safety
tomorrow.
July 18, 2012
Kerlin MP, Halpern S. Twenty-four-hour intensivist staffing in teaching hospitals: tensions between safety
today and safety tomorrow. Chest. 2012;141(5):1315-1320. doi:10.1378/chest.11-1459…
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psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
July 01, 2012 - An educational intervention to facilitate postdischarge patient follow-up.
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psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
April 01, 2015 - In this situation, the patient should have received counseling and educational material from the pharmacies
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psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
June 16, 2021 - medicine in regards to decision-making, hierarchical structures, and lack of intrahospital transfer educational