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psnet.ahrq.gov/node/45396/psn-pdf
August 10, 2016 - Examining the July Effect: a national survey of academic
leaders in medicine.
August 10, 2016
Levy K, Voit J, Gupta A, et al. Examining the July Effect: A National Survey of Academic Leaders in
Medicine. Am J Med. 2016;129(7):754.e1-5. doi:10.1016/j.amjmed.2016.05.001.
https://psnet.ahrq.gov/issue/examining-july-e…
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psnet.ahrq.gov/node/837853/psn-pdf
August 17, 2022 - RaDonda Vaught, medication safety, and the profession
of pharmacy: steps to improve safety and ensure justice.
August 17, 2022
Lambert BL, Schiff GD. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to
improve safety and ensure justice. J Am Coll Clin Pharm. 2022;5(9):981-987. doi:10.1002/ja…
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psnet.ahrq.gov/node/848089/psn-pdf
April 26, 2023 - Patient Safety Advisory: fentanyl counterfeit prescription
medications that contain fentanyl and patient safety.
April 26, 2023
Jewell ML, Jewell HL, Singer R, et al. Patient Safety Advisory: fentanyl counterfeit prescription medications
that contain fentanyl and patient safety. Aesthetic Plast Surg. 2023;47(3):123…
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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/44928/psn-pdf
April 27, 2016 - Impact of stewardship interventions on antiretroviral
medication errors in an urban medical center: a three
year, multi-phase study.
April 27, 2016
Zucker J, Mittal J, Jen S-P, et al. Impact of Stewardship Interventions on Antiretroviral Medication Errors in
an Urban Medical Center: A 3-Year, Multiphase Study. Pha…
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psnet.ahrq.gov/node/853059/psn-pdf
August 30, 2023 - Anesthesia Risk Alert program: a proactive safety
initiative.
August 30, 2023
Lee B, Marhalik-Helms J, Penzi L. Anesthesia Risk Alert program: a proactive safety initiative. Jt Comm J
Qual Patient Saf. 2023;49(9):441-449. doi:10.1016/j.jcjq.2023.06.005.
https://psnet.ahrq.gov/issue/anesthesia-risk-alert-program-pr…
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psnet.ahrq.gov/node/861277/psn-pdf
January 24, 2024 - Clinical deterioration as a nurse sensitive indicator in the
out-of-hospital context: a scoping review.
January 24, 2024
Mccullough K, Baker M, Bloxsome D, et al. Clinical deterioration as a nurse sensitive indicator in the out?of
?hospital context: a scoping review. J Clin Nurs. 2024;33(3):874-889. doi:10.1111/joc…
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psnet.ahrq.gov/node/47525/psn-pdf
October 31, 2018 - Peer training using cognitive rehearsal to promote a
culture of safety in health care.
October 31, 2018
Roberts T, Hanna K, Hurley S, et al. Peer Training Using Cognitive Rehearsal to Promote a Culture of
Safety in Health Care. Nurse Educ. 2018;43(5):262-266. doi:10.1097/NNE.0000000000000478.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/852456/psn-pdf
August 16, 2023 - Residents, responsibility, and error: how residents learn
to navigate the intersection.
August 16, 2023
Shepherd L, Chilton S, Cristancho SM. Residents, responsibility, and error: how residents learn to navigate
the intersection. Acad Med. 2023;98(8):934-940. doi:10.1097/acm.0000000000005267.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/72636/psn-pdf
January 13, 2021 - Resident-faculty overnight discrepancy rates as a
function of number of consecutive nights during a week
of night float.
January 13, 2021
Peterson C, Moore M, Sarwani N, et al. Resident-faculty overnight discrepancy rates as a function of
number of consecutive nights during a week of night float. Diagnosis (Berl).…
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psnet.ahrq.gov/node/45821/psn-pdf
May 09, 2017 - Putting knowledge into practice: does information on
adverse drug interactions influence people's dosing
behaviour?
May 9, 2017
Dohle S, Dawson IGJ. Putting knowledge into practice: Does information on adverse drug interactions
influence people's dosing behaviour? Br J Health Psychol. 2017;22(2):330-344. doi:10.11…
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psnet.ahrq.gov/node/47604/psn-pdf
December 21, 2018 - Principles for Patient and Family Partnership in Care: An
American College of Physicians Position Paper.
December 21, 2018
Nickel WK, Weinberger SE, Guze PA, et al. Principles for Patient and Family Partnership in Care: An
American College of Physicians Position Paper. Ann Intern Med. 2018;169(11):796-799. doi:10.7…
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psnet.ahrq.gov/node/47659/psn-pdf
January 27, 2019 - Medical overuse as a physician cognitive error: looking
under the hood.
January 27, 2019
Korenstein D. Medical overuse as a physician cognitive error: looking under the hood. JAMA Intern Med.
2019;179(1):26-27. doi:10.1001/jamainternmed.2018.5136.
https://psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-er…
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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/46273/psn-pdf
August 30, 2017 - Increasing patient safety with neonates via handoff
communication during delivery: a call for
interprofessional health care team training across GME
and CME.
August 30, 2017
Vanderbilt AA, Pappada SM, Stein H, et al. Increasing patient safety with neonates via handoff
communication during delivery: a call for int…
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psnet.ahrq.gov/node/48105/psn-pdf
July 10, 2019 - Teaching medical students to recognise and report
errors.
July 10, 2019
Mohsin SU, Ibrahim Y, Levine D. Teaching medical students to recognise and report errors. BMJ Open
Qual. 2019;8(2):e000558. doi:10.1136/bmjoq-2018-000558.
https://psnet.ahrq.gov/issue/teaching-medical-students-recognise-and-report-errors
This…
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psnet.ahrq.gov/node/838911/psn-pdf
October 26, 2022 - Medication adverse events in the ambulatory setting: a
mixed-methods analysis.
October 26, 2022
Wong J, Lee S-Y, Sarkar U, et al. Medication adverse events in the ambulatory setting: a mixed-methods
analysis. Am J Health Syst Pharm. 2022;79(24):2230-2243. doi:10.1093/ajhp/zxac253.
https://psnet.ahrq.gov/issue/medi…
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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/46146/psn-pdf
June 07, 2017 - Increasing patient safety event reporting in an emergency
medicine residency.
June 7, 2017
Steen S, Jaeger C, Price L, et al. Increasing Patient Safety Event Reporting in an Emergency Medicine
Residency. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u223876.w5716.
https://psnet.ahrq.gov/issue/increasing-p…
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psnet.ahrq.gov/node/853073/psn-pdf
August 30, 2023 - Mind the power gap: how hierarchical leadership in
healthcare is a risk to patient safety.
August 30, 2023
Kanaris C. Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. J Child
Health Care. 2023;27(3):319-322. doi:10.1177/13674935231196197.
https://psnet.ahrq.gov/issue/mind-…