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psnet.ahrq.gov/node/47632/psn-pdf
April 10, 2019 - Perception of the usability and implementation of a
metacognitive mnemonic to check cognitive errors in
clinical setting.
April 10, 2019
Chew KS, van Merrienboer JJG, Durning SJ. Perception of the usability and implementation of a
metacognitive mnemonic to check cognitive errors in clinical setting. BMC Med Educ. …
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psnet.ahrq.gov/node/46326/psn-pdf
October 18, 2017 - Surgical Patient Safety: A Case-Based Approach.
October 18, 2017
Stahel PF, ed. New York, NY: McGraw-Hill Education/Medical; 2017. ISBN: 9780071842631.
https://psnet.ahrq.gov/issue/surgical-patient-safety-case-based-approach
Surgical residency can be a stressful learning experience. This textbook provides an introd…
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psnet.ahrq.gov/node/43339/psn-pdf
April 08, 2018 - Use of a novel, modified fishbone diagram to analyze
diagnostic errors.
April 8, 2018
Reilly JB, Myers JS, Salvador D, et al. Use of a novel, modified fishbone diagram to analyze diagnostic
errors. Diagnosis (Berl). 2014;1(2):167-171. doi:10.1515/dx-2013-0040.
https://psnet.ahrq.gov/issue/use-novel-modified-fishbo…
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psnet.ahrq.gov/node/39051/psn-pdf
November 04, 2009 - On the prospects for a blame-free medical culture.
November 4, 2009
Collins ME, Block SD, Arnold RM, et al. On the prospects for a blame-free medical culture. Soc Sci Med.
2009;69(9):1287-90. doi:10.1016/j.socscimed.2009.08.033.
https://psnet.ahrq.gov/issue/prospects-blame-free-medical-culture
This study found tha…
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psnet.ahrq.gov/node/45025/psn-pdf
May 04, 2016 - Reducing prognostic errors: a new imperative in quality
healthcare.
May 4, 2016
Khullar D, Jena AB. Reducing prognostic errors: a new imperative in quality healthcare. BMJ.
2016;352:i1417. doi:10.1136/bmj.i1417.
https://psnet.ahrq.gov/issue/reducing-prognostic-errors-new-imperative-quality-healthcare
This comment…
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psnet.ahrq.gov/node/45711/psn-pdf
March 27, 2017 - Management of a patient with a latex allergy.
March 27, 2017
Minami CA, Barnard C, Bilimoria KY. Management of a Patient With a Latex Allergy. JAMA.
2017;317(3):309-310. doi:10.1001/jama.2016.20034.
https://psnet.ahrq.gov/issue/management-patient-latex-allergy
This case analysis discusses the use of a latex cathet…
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psnet.ahrq.gov/node/46681/psn-pdf
April 16, 2018 - Trainee autonomy and patient safety.
April 16, 2018
George BC, Dunnington GL, DaRosa DA. Trainee autonomy and patient safety. Ann Surg.
2018;267(5):820-822. doi:10.1097/SLA.0000000000002599.
https://psnet.ahrq.gov/issue/trainee-autonomy-and-patient-safety
Reduced resident work hours and insufficient senior surgeon…
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psnet.ahrq.gov/node/42535/psn-pdf
October 16, 2013 - Implementing an interprofessional patient safety learning
initiative: insights from participants, project leads and
steering committee members.
October 16, 2013
Jeffs L, Abramovich IA, Hayes C, et al. Implementing an interprofessional patient safety learning initiative:
insights from participants, project leads an…
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psnet.ahrq.gov/node/72761/psn-pdf
February 17, 2021 - Using ventilator splitters during the COVID-19 pandemic--
letter to health care providers.
February 17, 2021
Silver Spring, MD: Division of Industry and Consumer Education, US Food and Drug Administration;
February 9. 2021.
https://psnet.ahrq.gov/issue/using-ventilator-splitters-during-covid-19-pandemic-letter-hea…
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psnet.ahrq.gov/node/60357/psn-pdf
May 20, 2020 - Preventing medication errors at small and rural hospitals.
May 20, 2020
McCook A. Preventing medication errors at small and rural hospitals. Pharmacy Practice News. May
6, 2020.
https://psnet.ahrq.gov/issue/preventing-medication-errors-small-and-rural-hospitals
Small and rural facilities experience similar m…
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psnet.ahrq.gov/node/42199/psn-pdf
June 12, 2013 - Contextual information influences diagnosis accuracy
and decision making in simulated emergency medicine
emergencies.
June 12, 2013
McRobert AP, Causer J, Vassiliadis J, et al. Contextual information influences diagnosis accuracy and
decision making in simulated emergency medicine emergencies. BMJ Qual Saf. 2013;2…
-
psnet.ahrq.gov/node/47951/psn-pdf
April 24, 2019 - Safe medication management at ambulatory surgery
centers.
April 24, 2019
Ubaldi K. Safe Medication Management at Ambulatory Surgery Centers. AORN J. 2019;109(4):435-442.
doi:10.1002/aorn.12635.
https://psnet.ahrq.gov/issue/safe-medication-management-ambulatory-surgery-centers
Safe medication use can be challengin…
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psnet.ahrq.gov/node/43189/psn-pdf
December 15, 2014 - Twitter as a tool to enhance student engagement during
an interprofessional patient safety course.
December 15, 2014
Mckay M, Sanko JS, Shekhter I, et al. Twitter as a tool to enhance student engagement during an
interprofessional patient safety course. J Interprof Care. 2014;28(6):565-7.
doi:10.3109/13561820.2014…
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psnet.ahrq.gov/node/47078/psn-pdf
June 13, 2018 - Fake it 'til you make it: pressures to measure up in
surgical training.
June 13, 2018
Patel P, Martimianakis MA, Zilbert NR, et al. Fake It 'Til You Make It: Pressures to Measure Up in Surgical
Training. Acad Med. 2018;93(5):769-774. doi:10.1097/ACM.0000000000002113.
https://psnet.ahrq.gov/issue/fake-it-til-you-ma…
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psnet.ahrq.gov/node/34005/psn-pdf
August 17, 2017 - Medically Induced Trauma Support Services (MITSS).
August 17, 2017
Tobin WN. Patient Safety Quality Healthcare. May/June 2013.
https://psnet.ahrq.gov/issue/medically-induced-trauma-support-services-mitss
Medically Induced Trauma Support Services (MITSS), Inc. was a nonprofit organization that supported,
educated, …
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psnet.ahrq.gov/node/44190/psn-pdf
June 03, 2015 - Minimizing medical mistakes: mother's mission to reduce
hospital errors.
June 3, 2015
Takahara D. KDVR. May 19, 2015.
https://psnet.ahrq.gov/issue/minimizing-medical-mistakes-mothers-mission-reduce-hospital-errors
Parents of children who experience harm in the course of medical care serve as advocates to drive saf…
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psnet.ahrq.gov/node/72687/psn-pdf
January 27, 2021 - Learning from errors with the new COVID-19 vaccines.
January 27, 2021
ISMP Medication Safety Alert! Acute Care Edition. January 14, 2021;26(1);1-5.
https://psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines
Learning from error rests on transparency efforts buttressed by frontline reports. This a…
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psnet.ahrq.gov/node/43126/psn-pdf
April 23, 2014 - Safe and appropriate use of insulin and other
antihyperglycemic agents in hospital.
April 23, 2014
Cornish W. Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. Can J
Diabetes. 2014;38(2):94-100. doi:10.1016/j.jcjd.2014.01.002.
https://psnet.ahrq.gov/issue/safe-and-appropriate-use-…
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psnet.ahrq.gov/node/41424/psn-pdf
June 27, 2012 - Practice-based learning and improvement: a two-year
experience with the reporting of morbidity and mortality
cases by general surgery residents.
June 27, 2012
Falcone JL, Lee KKW, Billiar TR, et al. Practice-based learning and improvement: a two-year experience
with the reporting of morbidity and mortality cases b…
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psnet.ahrq.gov/node/43464/psn-pdf
August 27, 2014 - Using pharmacists to optimize patient outcomes and
costs in the ED.
August 27, 2014
Jacknin G, Nakamura T, Smally AJ, et al. Using pharmacists to optimize patient outcomes and costs in the
ED. Am J Emerg Med. 2014;32(6):673-7. doi:10.1016/j.ajem.2013.11.031.
https://psnet.ahrq.gov/issue/using-pharmacists-optimize-…