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psnet.ahrq.gov/node/42683/psn-pdf
December 02, 2014 - Approval and perceived impact of duty hour regulations:
survey of pediatric program directors.
December 2, 2014
Drolet BC, Whittle SB, Khokhar MT, et al. Approval and perceived impact of duty hour regulations: survey
of pediatric program directors. Pediatrics. 2013;132(5):819-24. doi:10.1542/peds.2013-1045.
https:…
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psnet.ahrq.gov/node/866408/psn-pdf
July 31, 2024 - Influences of leadership, organizational culture, and
hierarchy on raising concerns about patient deterioration:
a qualitative study.
July 31, 2024
Vehvilainen E, Charles A, Sainsbury J, et al. Influences of leadership, organizational culture, and hierarchy
on raising concerns about patient deterioration: a qualit…
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psnet.ahrq.gov/node/47793/psn-pdf
June 12, 2019 - Can mindfulness in health care professionals improve
patient care? An integrative review and proposed model.
June 12, 2019
Braun SE, Kinser PA, Rybarczyk B. Can mindfulness in health care professionals improve patient care? An
integrative review and proposed model. Transl Behav Med. 2019;9(2):187-201. doi:10.1093/t…
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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/46654/psn-pdf
December 13, 2017 - Organisational paradoxes in speaking up for safety:
implications for the interprofessional field.
December 13, 2017
Rowland P. Organisational paradoxes in speaking up for safety: Implications for the interprofessional field.
J Interprof Care. 2017;31(5):553-556. doi:10.1080/13561820.2017.1321305.
https://psnet.ahr…
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psnet.ahrq.gov/node/862152/psn-pdf
February 07, 2024 - Risk identification and prediction of complaints and
misconduct against health practitioners: a scoping
review.
February 7, 2024
Wang Y, Ram SS, Scahill S. Risk identification and prediction of complaints and misconduct against health
practitioners: a scoping review. Int J Qual Health Care. 2024;36(1):mzad114. doi…
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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/73681/psn-pdf
September 08, 2021 - Medical errors during training: how do residents cope?: a
descriptive study.
September 8, 2021
Fatima S, Soria S, Esteban- Cruciani N. Medical errors during training: how do residents cope?: a
descriptive study. BMC Med Educ. 2021;21(1):408. doi:10.1186/s12909-021-02850-1.
https://psnet.ahrq.gov/issue/medical-erro…
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psnet.ahrq.gov/node/44716/psn-pdf
April 15, 2016 - An integrative review of patient safety in studies on the
care and safety of patients with communication
disabilities in hospital.
April 15, 2016
Hemsley B, Georgiou A, Hill S, et al. An integrative review of patient safety in studies on the care and
safety of patients with communication disabilities in hospital. …
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psnet.ahrq.gov/node/43137/psn-pdf
May 28, 2015 - Weaving quality improvement and patient safety skills
into all levels of medical training: an annotated
bibliography.
May 28, 2015
Mochan E, Nash DB. Weaving quality improvement and patient safety skills into all levels of medical
training: an annotated bibliography. Am J Med Qual. 2015;30(3):232-47. doi:10.1177/1…
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psnet.ahrq.gov/node/43767/psn-pdf
February 04, 2015 - Self-reported patient safety competence among Canadian
medical students and postgraduate trainees: a cross-
sectional survey.
February 4, 2015
Doyle P, VanDenKerkhof E, Edge DS, et al. Self-reported patient safety competence among Canadian
medical students and postgraduate trainees: a cross-sectional survey. BMJ Q…
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psnet.ahrq.gov/node/34957/psn-pdf
February 28, 2011 - Coordinating care across diseases, settings, and
clinicians: a key role for the generalist in practice.
February 28, 2011
Stille CJ, Jerant A, Bell D, et al. Coordinating care across diseases, settings, and clinicians: a key role for
the generalist in practice. Ann Intern Med. 2005;142(8):700-708.
https://psnet.ah…
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psnet.ahrq.gov/node/43311/psn-pdf
July 02, 2014 - Some IV medications are diluted unnecessarily in patient
care areas, creating undue risk.
July 2, 2014
ISMP Medication Safety Alert! Acute Care Edition. June 19, 2014;19:1-5.
https://psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating-
undue-risk
This newsletter article …
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psnet.ahrq.gov/node/867755/psn-pdf
March 12, 2025 - Nurse leader perspectives and experiences on caregiver
support following a serious medical error.
March 12, 2025
Prothero MM, Sorhus M, Huefner K. Nurse leader perspectives and experiences on caregiver support
following a serious medical error. J Nurs Adm. 2024;54(12):664-669. doi:10.1097/nna.0000000000001510.
htt…
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psnet.ahrq.gov/node/74842/psn-pdf
February 16, 2022 - An initiative to reduce insulin-related adverse drug events
in a children's hospital.
February 16, 2022
Lawson SA, Hornung LN, Lawrence M, et al. An initiative to reduce insulin-related adverse drug events in a
children's hospital. Pediatrics. 2022;149(1):e2020004937. doi:10.1542/peds.2020-004937.
https://psnet.ah…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/swot-analysis
January 01, 2023 - Strength, Weakness, Opportunities, and Threats Analysis
Acronym
SWOT
Also Known As
SWOT Analysis
Description
A strength, weakness, opportunities, and threats (SWOT) analysis is a strategic technique used to identify elements of strength, weakness, opportunity, and threats. The anal…
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psnet.ahrq.gov/node/37294/psn-pdf
May 21, 2013 - Improving Hand-Off Communication.
May 21, 2013
Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907.
https://psnet.ahrq.gov/issue/improving-hand-communication
The process of transferring primary responsibility for patient care is commonly referred to as a handoff.
Handoffs are inherently dange…
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psnet.ahrq.gov/node/60732/psn-pdf
July 29, 2020 - Restructuring of a general surgery residency program in
an epicenter of the coronavirus disease 2019 pandemic:
lessons from New York City.
July 29, 2020
Juprasert JM, Gray KD, Moore MD, et al. Restructuring of a general surgery residency program in an
epicenter of the coronavirus disease 2019 pandemic: lessons fro…
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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/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…