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psnet.ahrq.gov/node/73117/psn-pdf
April 07, 2021 - Cybersecurity in health is an urgent patient safety
concern: we can learn from existing patient safety
improvement strategies to address it.
April 7, 2021
O’Brien N, Ghafur S, Durkin M. Cybersecurity in health is an urgent patient safety concern: we can learn
from existing patient safety improvement strategies to …
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psnet.ahrq.gov/node/836772/psn-pdf
March 23, 2022 - Error reduction in trauma care: lessons from an
anonymized, national, multicenter mortality reporting
system.
March 23, 2022
Hamad DM, Mandell SP, Stewart RM, et al. Error reduction in trauma care: Lessons from an anonymized,
national, multicenter mortality reporting system. J Trauma Acute Care Surg. 2022;92(3):47…
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psnet.ahrq.gov/node/850917/psn-pdf
June 21, 2023 - Improving safety outcomes through medical error
reduction via virtual reality-based clinical skills training.
June 21, 2023
Kennedy GAL, Pedram S, Sanzone S. Improving safety outcomes through medical error reduction via
virtual reality-based clinical skills training. Safety Sci. 2023;165:106200. doi:10.1016/j.ssci.…
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psnet.ahrq.gov/node/45137/psn-pdf
May 18, 2016 - Less is more: a project to reduce the number of PIMs
(potentially inappropriate medications) on an elderly care
ward.
May 18, 2016
Aung TH, Beck AJ, Siese T, et al. Less is more: a project to reduce the number of PIMs (potentially
inappropriate medications) on an elderly care ward. BMJ Qual Improv Rep. 2016;5(1).
…
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psnet.ahrq.gov/node/72857/psn-pdf
March 17, 2021 - Results and lessons from a hospital-wide initiative
incentivised by delivery system reform to improve
infection prevention and sepsis care.
March 17, 2021
Sreeramoju P, Voy-Hatter K, White C, et al. Results and lessons from a hospital-wide initiative incentivised
by delivery system reform to improve infection prev…
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psnet.ahrq.gov/node/43205/psn-pdf
April 04, 2018 - Placing Diagnosis Errors on the Policy Agenda.
April 4, 2018
Berenson RA, Upadhyay D, Kaye DR. Washington, DC: Urban Institute. Princeton, NJ: Robert Wood
Johnson Foundation; 2014.
https://psnet.ahrq.gov/issue/placing-diagnosis-errors-policy-agenda
This comprehensive policy brief emphasizes the importance of addre…
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psnet.ahrq.gov/node/40436/psn-pdf
August 25, 2011 - Hospital discharge documentation and risk of
rehospitalisation.
August 25, 2011
Hansen LO, Strater A, Smith L, et al. Hospital discharge documentation and risk of rehospitalisation. BMJ
Qual Saf. 2011;20(9):773-8. doi:10.1136/bmjqs.2010.048470.
https://psnet.ahrq.gov/issue/hospital-discharge-documentation-and-risk…
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psnet.ahrq.gov/node/60942/psn-pdf
September 23, 2020 - More than an apple a day: factors associated with
avoidance of doctor visits among transgender, gender
nonconforming, and nonbinary people in the USA.
September 23, 2020
Lerner JE, Martin JI, Gorsky GS. More than an apple a day: factors associated with avoidance of doctor
visits among transgender, gender nonconfor…
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psnet.ahrq.gov/node/837638/psn-pdf
July 06, 2022 - Speaking up or remaining silent about patient safety
concerns in rehabilitation: a cross-sectional survey to
assess staff experiences and perceptions.
July 6, 2022
Niederhauser A, Schwappach DLB. Speaking up or remaining silent about patient safety concerns in
rehabilitation: a cross?sectional survey to assess sta…
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psnet.ahrq.gov/node/46256/psn-pdf
August 09, 2017 - What stage are low-income and middle-income countries
(LMICs) at with patient safety curriculum implementation
and what are the barriers to implementation? A two-stage
cross-sectional study.
August 9, 2017
Ginsburg LR, Dhingra-Kumar N, Donaldson LJ. What stage are low-income and middle-income countries
(LMICs) at…
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psnet.ahrq.gov/node/72792/psn-pdf
March 03, 2021 - Avoiding a Med-Wreck: a structured medication
reconciliation framework and standardized auditing tool
utilized to optimize patient safety and reallocate hospital
resources.
March 3, 2021
Elbeddini A, Almasalkhi S, Prabaharan T, et al. Avoiding a Med-Wreck: a structured medication
reconciliation framework and stan…
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psnet.ahrq.gov/node/42149/psn-pdf
December 23, 2016 - Medical device alarm safety in hospitals.
December 23, 2016
Medical device alarm safety in hospitals. Sentinel event alert. 2013;(50):1-3.
https://psnet.ahrq.gov/issue/medical-device-alarm-safety-hospitals
The cacophony of alarms in hospitals has led many health care providers to become desensitized to them,
a con…
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psnet.ahrq.gov/node/47942/psn-pdf
July 01, 2019 - Responding to health information technology reported
safety events: insights from patient safety event reports.
July 1, 2019
Adams KT, Kim TC, Fong A, et al. J Patient Saf Risk Manag. 2019;24:118–124.
https://psnet.ahrq.gov/issue/responding-health-information-technology-reported-safety-events-insights-
patient-saf…
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psnet.ahrq.gov/node/837761/psn-pdf
August 03, 2022 - The effectiveness of improving healthcare teams' human
factor skills using simulation-based training: a systematic
review.
August 3, 2022
Abildgren L, Lebahn-Hadidi M, Mogensen CB, et al. The effectiveness of improving healthcare teams’
human factor skills using simulation-based training: a systematic review. Adv …
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psnet.ahrq.gov/node/46541/psn-pdf
January 31, 2018 - The 2017 ACGME common work hour standards:
promoting physician learning and professional
development in a safe, humane environment.
January 31, 2018
Burchiel KJ, Zetterman RK, Ludmerer KM, et al. The 2017 ACGME Common Work Hour Standards:
Promoting Physician Learning and Professional Development in a Safe, Humane …
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psnet.ahrq.gov/node/851919/psn-pdf
August 02, 2023 - A data-driven approach to evaluate barcode-assisted
medication preparation alerts at a large academic medical
center.
August 2, 2023
Joshi RN, Kalaminsky S, Feemster A-A, et al. A data-driven approach to evaluate barcode-assisted
medication preparation alerts at a large academic medical center. Jt Comm J Qual Pati…
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psnet.ahrq.gov/node/45964/psn-pdf
March 22, 2017 - What is known: examining the empirical literature in
resident work hours using 30 influential articles.
March 22, 2017
Philibert I. What Is Known: Examining the Empirical Literature in Resident Work Hours Using 30 Influential
Articles. J Grad Med Educ. 2016;8(5):795-805. doi:10.4300/JGME-D-16-00642.1.
https://psne…
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psnet.ahrq.gov/node/837067/psn-pdf
May 11, 2022 - Responding to safe care: healthcare staff experiences
caring for a child with intellectual disability in hospital.
Implications for practice and training.
May 11, 2022
Ong N, Long JC, Weise J, et al. Responding to safe care: healthcare staff experiences caring for a child
with intellectual disability in hospital. …
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psnet.ahrq.gov/node/848359/psn-pdf
May 03, 2023 - Medical line entanglement: the unspoken patient safety
hazard of medical devices.
May 3, 2023
Larimer C, Sumner V, Wander D. Medical line entanglement: the unspoken patient safety hazard of
medical devices. Nutr Clin Pract. 2023;38(6):1296-1308. doi:10.1002/ncp.11000.
https://psnet.ahrq.gov/issue/medical-line-enta…
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psnet.ahrq.gov/node/47962/psn-pdf
May 01, 2019 - Understanding the clinical implications of resident
involvement in uncommon operations.
May 1, 2019
Dasani SS, Simmons KD, Wirtalla CJ, et al. Understanding the Clinical Implications of Resident
Involvement in Uncommon Operations. J Surg Educ. 2019;76(5):1319-1328.
doi:10.1016/j.jsurg.2019.03.011.
https://psnet.a…