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psnet.ahrq.gov/node/44981/psn-pdf
June 07, 2016 - Simulation-based training: the missing link to lastingly
improved patient safety and health?
June 7, 2016
Mileder LP, Schmölzer GM. Simulation-based training: the missing link to lastingly improved patient safety
and health? Postgrad Med J. 2016;92(1088):309-11. doi:10.1136/postgradmedj-2015-133732.
https://psnet.…
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psnet.ahrq.gov/node/44619/psn-pdf
November 04, 2015 - Seeing through Google Glass: using an innovative
technology to improve medication safety behaviors in
undergraduate nursing students.
November 4, 2015
Schneidereith T. Seeing Through Google Glass: Using an Innovative Technology to Improve Medication
Safety Behaviors in Undergraduate Nursing Students. Nurs Educ Per…
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psnet.ahrq.gov/node/849136/psn-pdf
May 17, 2023 - Using morbidity and mortality conferences to drive
quality improvement and reduce errors.
May 17, 2023
Lai B, Horn J, Wilkinson J, et al. Fam Pract Manag. 2023;30(2):13-17.
https://psnet.ahrq.gov/issue/using-morbidity-and-mortality-conferences-drive-quality-improvement-and-
reduce-errors
Morbidity and mortality (…
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psnet.ahrq.gov/node/837204/psn-pdf
May 25, 2022 - Resident physicians' advice seeking and error making: a
social networks approach.
May 25, 2022
Katz-Navon T, Naveh E. Resident physicians' advice seeking and error making: a social networks
approach. Health Care Manage Rev. 2022;47(3):e41-e49. doi:10.1097/hmr.0000000000000333.
https://psnet.ahrq.gov/issue/resident…
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psnet.ahrq.gov/node/46270/psn-pdf
April 16, 2018 - Impact of a restraint management bundle on restraint use
in an intensive care unit.
April 16, 2018
Hall DK, Zimbro KS, Maduro RS, et al. Impact of a Restraint Management Bundle on Restraint Use in an
Intensive Care Unit. J Nurs Care Qual. 2018;33(2):143-148. doi:10.1097/NCQ.0000000000000273.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/836809/psn-pdf
March 30, 2022 - Pharmacist transition-of-care services improve patient
satisfaction and decrease hospital readmissions.
March 30, 2022
March KL, Peters MJ, Finch CK, et al. J Pharm Pract. 2022;35(1):86-93.
https://psnet.ahrq.gov/issue/pharmacist-transition-care-services-improve-patient-satisfaction-and-decrease-
hospital
Tr…
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psnet.ahrq.gov/node/43886/psn-pdf
July 13, 2016 - The Armstrong Institute Resident/Fellow Scholars: a
multispecialty curriculum to train future leaders in patient
safety and quality improvement.
July 13, 2016
Rinke ML, Mock CK, Persing NM, et al. The Armstrong Institute Resident/Fellow Scholars: A Multispecialty
Curriculum to Train Future Leaders in Patient Safet…
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psnet.ahrq.gov/node/41606/psn-pdf
February 01, 2019 - Safe use of opioids in hospitals.
December 23, 2016
Sentinel Event Alert. 2012;49:1-5.
https://psnet.ahrq.gov/issue/safe-use-opioids-hospitals
Opioid pain medications are considered high-risk medications due to the potential for respiratory
depression and other adverse effects. Because these medications are freque…
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psnet.ahrq.gov/node/35832/psn-pdf
August 04, 2009 - The incorporation of patient safety into board certification
examinations.
August 4, 2009
Kachalia A, Johnson J, Miller ST, et al. The incorporation of patient safety into board certification
examinations. Acad Med. 2006;81(4):317-25.
https://psnet.ahrq.gov/issue/incorporation-patient-safety-board-certification-ex…
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psnet.ahrq.gov/node/44891/psn-pdf
July 03, 2016 - Characteristics of morbidity and mortality conferences
associated with the implementation of patient safety
improvement initiatives, an observational study.
July 3, 2016
François P, Prate F, Vidal-Trecan G, et al. Characteristics of morbidity and mortality conferences
associated with the implementation of patient …
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psnet.ahrq.gov/node/44903/psn-pdf
September 27, 2016 - What would you ideally do if there were no targets? An
ethnographic study of the unintended consequences of
top-down governance in two clinical settings.
September 27, 2016
Allard J, Bleakley A. What would you ideally do if there were no targets? An ethnographic study of the
unintended consequences of top-down gov…
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psnet.ahrq.gov/node/836755/psn-pdf
March 16, 2022 - Adverse event and complication tracking in
anaesthesiology: dependence on self-reporting despite
implementation of electronic health records.
March 16, 2022
Tewfik G, Naftalovich R, Kaushal N, et al. Adverse event and complication tracking in anaesthesiology:
dependence on self-reporting despite implementation of …
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psnet.ahrq.gov/node/45645/psn-pdf
November 16, 2016 - Simulated settings; powerful arenas for learning patient
safety practices and facilitating transference to clinical
practice. A mixed method study.
November 16, 2016
Reime MH, Johnsgaard T, Kvam FI, et al. Simulated settings; powerful arenas for learning patient safety
practices and facilitating transference to cl…
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psnet.ahrq.gov/node/849123/psn-pdf
May 17, 2023 - Maximizing student potential: lessons for pharmacy
programs from the patient safety movement.
May 17, 2023
Abebe E, Bao A, Kokkinias P, et al. Maximizing student potential: lessons for pharmacy programs from the
patient safety movement. Explor Res Clin Soc Pharm. 2023;9:100216. doi:10.1016/j.rcsop.2022.100216.
htt…
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psnet.ahrq.gov/node/60280/psn-pdf
April 29, 2020 - Missed, rationed or unfinished nursing care: a scoping
review of patient outcomes.
April 29, 2020
Kalánková D, Kirwan M, Bartoní?ková D, et al. Missed, rationed or unfinished nursing care: A scoping
review of patient outcomes. J Nurs Manag. 2020;28(8):1783-1797. doi:10.1111/jonm.12978.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/47186/psn-pdf
October 24, 2018 - Quality, Value, and Patient Safety in Orthopedic Surgery.
October 24, 2018
Azar FM, ed. Orthop Clin North Am. 2018;49(4):A1-A8,389-552.
https://psnet.ahrq.gov/issue/quality-value-and-patient-safety-orthopedic-surgery
Quality and value have intersecting influence on the safety of health care. Articles in this specia…
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psnet.ahrq.gov/node/43727/psn-pdf
January 28, 2015 - Pediatric crisis resource management training improves
emergency medicine trainees' perceived ability to manage
emergencies and ability to identify teamwork errors.
January 28, 2015
Bank I, Snell L, Bhanji F. Pediatric crisis resource management training improves emergency medicine
trainees' perceived ability to m…
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psnet.ahrq.gov/node/36118/psn-pdf
September 24, 2010 - Implementing patient safety practices in small ambulatory
care settings.
September 24, 2010
Schauberger CW, Larson P. Implementing patient safety practices in small ambulatory care settings. Jt
Comm J Qual Patient Saf. 2006;32(8):419-425.
https://psnet.ahrq.gov/issue/implementing-patient-safety-practices-small-amb…
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psnet.ahrq.gov/node/73209/psn-pdf
May 05, 2021 - Medication incident recovery and prevention utilising an
Australian community pharmacy incident reporting
system: the QUMwatch study.
May 5, 2021
Adie K, Fois RA, McLachlan AJ, et al. Medication incident recovery and prevention utilising an Australian
community pharmacy incident reporting system: the QUMwatch stud…
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psnet.ahrq.gov/node/44528/psn-pdf
January 22, 2016 - Consumer participation in early detection of the
deteriorating patient and call activation to rapid response
systems: a literature review.
January 22, 2016
Vorwerk J, King L. Consumer participation in early detection of the deteriorating patient and call activation
to rapid response systems: a literature review. J…