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psnet.ahrq.gov/node/47397/psn-pdf
January 09, 2019 - Using patient safety reporting systems to understand the
clinical learning environment: a content analysis.
January 9, 2019
Sellers MM, Berger I, Myers JS, et al. Using Patient Safety Reporting Systems to Understand the Clinical
Learning Environment: A Content Analysis. J Surg Educ. 2018;75(6):e168-e177.
doi:10.10…
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psnet.ahrq.gov/node/838918/psn-pdf
October 26, 2022 - ‘I am not the doctor for you’: physicians’ attitudes about
caring for people with disabilities.
October 26, 2022
Lagu T, Haywood C, Reimold KE, et al. ‘I am not the doctor for you’: physicians’ attitudes about caring for
people with disabilities. Health Aff (Millwood). 2022;41(10):1387-1395. doi:10.1377/hlthaff.202…
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psnet.ahrq.gov/node/860732/psn-pdf
April 16, 2024 - Retained Swabs Following Invasive Procedures: Themes
Identified from a Review of NHS Serious Incident Reports.
April 16, 2024
Dorset, UK: Health Services Safety Investigations Body; April 2024.
https://psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-
serious-incident
…
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psnet.ahrq.gov/node/45877/psn-pdf
July 19, 2017 - Piece of my mind. Stories doctors tell.
July 19, 2017
Moniz T, Lingard LA, Watling C. Stories Doctors Tell. JAMA. 2017;318(2):124-125.
doi:10.1001/jama.2017.5518.
https://psnet.ahrq.gov/issue/piece-my-mind-stories-doctors-tell
The sharing of stories is a key method to provide context to drive change. The authors e…
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psnet.ahrq.gov/node/42662/psn-pdf
October 16, 2013 - Informal learning from error in hospitals: what do we
learn, how do we learn and how can informal learning be
enhanced? A narrative review.
October 16, 2013
de Feijter JM, de Grave WS, Koopmans RP, et al. Informal learning from error in hospitals: what do we
learn, how do we learn and how can informal learning be …
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psnet.ahrq.gov/node/42989/psn-pdf
May 28, 2014 - Interactive questioning in critical care during handovers:
a transcript analysis of communication behaviours by
physicians, nurses and nurse practitioners.
May 28, 2014
Rayo MF, Mount-Campbell AF, O'Brien JM, et al. Interactive questioning in critical care during handovers: a
transcript analysis of communication b…
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psnet.ahrq.gov/node/837058/psn-pdf
May 11, 2022 - Establishing psychological safety in clinical supervision:
multi-professional perspectives.
May 11, 2022
Lee EH, Pitts S, Pignataro S, et al. Establishing psychological safety in clinical supervision: multi?
professional perspectives. Clin Teach. 2022;19(2):71-78. doi:10.1111/tct.13451.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/60201/psn-pdf
April 08, 2020 - Misdiagnosis, mistreatment, and harm - when medical
care ignores social forces.
April 8, 2020
Holmes SM, Hansen H, Jenks A, et al. Misdiagnosis, mistreatment, and harm - when medical care ignores
social forces. N Engl J Med. 2020;382(12). doi:10.1056/nejmp1916269.
https://psnet.ahrq.gov/issue/misdiagnosis-mistreat…
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psnet.ahrq.gov/node/73494/psn-pdf
July 14, 2021 - A scoping review of communication tools applicable to
patients and their primary care providers after discharge
from hospital.
July 14, 2021
Spencer RA, Singh Punia H. A scoping review of communication tools applicable to patients and their
primary care providers after discharge from hospital. Patient Educ Couns. …
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psnet.ahrq.gov/node/841146/psn-pdf
December 07, 2022 - Exploring the intersection of structural racism and
ageism in healthcare.
December 7, 2022
Farrell TW, Hung WW, Unroe KT, et al. Exploring the intersection of structural racism and ageism in
healthcare. J Am Geriatr Soc. 2022;70(12):3366-3377. doi:10.1111/jgs.18105.
https://psnet.ahrq.gov/issue/exploring-intersect…
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psnet.ahrq.gov/node/838924/psn-pdf
October 26, 2022 - Intraoperative code blue: improving teamwork and code
response through interprofessional, in situ simulation.
October 26, 2022
Wu G, Podlinski L, Wang C, et al. Intraoperative code blue: improving teamwork and code response
through interprofessional, in situ simulation. Jt Comm J Qual Patient Saf. 2022;48(12):665-6…
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psnet.ahrq.gov/node/60957/psn-pdf
September 30, 2020 - A narrative review of strategies to increase patient safety
event reporting by residents.
September 30, 2020
Aaron M, Webb A, Luhanga U. A narrative review of strategies to increase patient safety event reporting by
residents. J Grad Med Educ. 2020;12(4):415-424. doi:10.4300/jgme-d-19-00649.1.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/836995/psn-pdf
April 27, 2022 - Multifactorial interventions to reduce duration and
variability in delays to identification of serious injury after
falls in hospital inpatients.
April 27, 2022
Saleem J, Sarma D, Wright H, et al. Multifactorial interventions to reduce duration and variability in delays
to identification of serious injury after fa…
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psnet.ahrq.gov/node/47917/psn-pdf
April 10, 2019 - The opioid crisis: origins, trends, policies, and the roles
of pharmacists.
April 10, 2019
Chisholm-Burns MA, Spivey CA, Sherwin E, et al. The opioid crisis: Origins, trends, policies, and the roles
of pharmacists. Am J Health-Syst Pharm. 2019;76(7):424-435. doi:10.1093/ajhp/zxy089.
https://psnet.ahrq.gov/issue/op…
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psnet.ahrq.gov/node/836859/psn-pdf
April 06, 2022 - Choosing wisely in clinical practice: embracing critical
thinking, striving for safer care.
April 6, 2022
Furlan L, Francesco PD, Costantino G, et al. Choosing wisely in clinical practice: embracing critical
thinking, striving for safer care. J Intern Med. 2022;291(4):397-407. doi:10.1111/joim.13472.
https://psnet…
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psnet.ahrq.gov/node/46722/psn-pdf
March 20, 2018 - Nurses' clinical reasoning practices that support safe
medication administration: an integrative review of the
literature.
March 20, 2018
Rohde E, Domm E. Nurses' clinical reasoning practices that support safe medication administration: An
integrative review of the literature. J Clin Nurs. 2018;27(3-4):e402-e411. …
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psnet.ahrq.gov/node/47542/psn-pdf
January 16, 2019 - Utilizing a Systems and Design Thinking Approach for
Improving Well-Being Within Health Professional
Education and Health Care.
January 16, 2019
Kreitzer MJ, Carter K, Coffey DS, et al. NAM Perspectives. Washington, DC: National Academy of
Medicine; 2019.
https://psnet.ahrq.gov/issue/utilizing-systems-and-design-…
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psnet.ahrq.gov/node/73688/psn-pdf
September 08, 2021 - Effect of medication reconciliation on patient reported
potential adverse events after hospital discharge.
September 8, 2021
Stuijt CCM, Bekker CL, van den Bemt BJF, et al. Effect of medication reconciliation on patient reported
potential adverse events after hospital discharge. Res Social Adm Pharm. 2021;17(8):142…
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psnet.ahrq.gov/node/837769/psn-pdf
August 03, 2022 - New graduate registered nurses: Risk mitigation
strategies to ensure safety and successful transition to
practice.
August 3, 2022
Smith CJ, DesRoches SL, Street NW, et al. New graduate registered nurses: risk mitigation strategies to
ensure safety and successful transition to practice. J Healthc Risk Manag. 2022;4…
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psnet.ahrq.gov/node/836918/psn-pdf
April 13, 2022 - How to scale up quality and safety program with the home
care accreditation.
April 13, 2022
Brunelli L, Cristofori V, Battistella C, et al. How to scale up quality and safety program with the home care
accreditation. Int J Integr Care. 2022;22(1):19. doi:10.5334/ijic.5698.
https://psnet.ahrq.gov/issue/how-scale-qu…