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psnet.ahrq.gov/node/45578/psn-pdf
January 23, 2017 - S-TEAMS: a truly multiprofessional course focusing on
nontechnical skills to improve patient safety in the
operating theater.
January 23, 2017
Stewart-Parker E, Galloway R, Vig S. S-TEAMS: A Truly Multiprofessional Course Focusing on
Nontechnical Skills to Improve Patient Safety in the Operating Theater. J Surg Ed…
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psnet.ahrq.gov/node/48019/psn-pdf
June 26, 2019 - Please reconcile, not wait a while.
June 26, 2019
Trivedi A, Sharma S, Ajitsaria R, et al. Please reconcile, not wait a while. Arch Dis Child Educ Pract Ed.
2019;105(2):122-126. doi:10.1136/archdischild-2018-316356.
https://psnet.ahrq.gov/issue/please-reconcile-not-wait-while
Medication reconciliation to ensure ac…
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psnet.ahrq.gov/node/73285/psn-pdf
May 19, 2021 - The mindful path to nursing accuracy: a quasi-
experimental study on minimizing medication
administration errors.
May 19, 2021
Ekkens CL, Gordon PA. The mindful path to nursing accuracy: a quasi-experimental study on minimizing
medication administration errors. Holist Nurs Pract. 2021;35(3):115-122.
doi:10.1097/h…
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psnet.ahrq.gov/node/44150/psn-pdf
August 21, 2015 - Reflection on adverse event disclosure in the
postsurgical hospital context.
August 21, 2015
Roberts F, Gettings P, Torbeck L, et al. Reflection on adverse event disclosure in the postsurgical hospital
context. J Surg Educ. 2015;72(4):767-70. doi:10.1016/j.jsurg.2014.12.016.
https://psnet.ahrq.gov/issue/reflection…
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psnet.ahrq.gov/node/45920/psn-pdf
May 05, 2017 - Examining the nature of interprofessional interventions
designed to promote patient safety: a narrative review.
May 5, 2017
Reeves ST, Clark E, Lawton S, et al. Examining the nature of interprofessional interventions designed to
promote patient safety: a narrative review. International Journal for Quality in Health…
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psnet.ahrq.gov/node/867134/psn-pdf
November 13, 2024 - Improving adverse drug event reporting by healthcare
professionals.
November 13, 2024
Shalviri G, Mohebbi N, Mirbaha F, et al. Improving adverse drug event reporting by healthcare
professionals. Cochrane Database Syst Rev. 2024;2024(10):CD012594.
doi:10.1002/14651858.cd012594.pub2.
https://psnet.ahrq.gov/issue/im…
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psnet.ahrq.gov/node/47080/psn-pdf
May 02, 2018 - The next generation of doctors may be learning bad
habits at teaching hospitals with many safety violations.
May 2, 2018
Blau M. STAT. April 20, 2018.
https://psnet.ahrq.gov/issue/next-generation-doctors-may-be-learning-bad-habits-teaching-hospitals-many-
safety-violations
The hidden curriculum, staff burnout, an…
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psnet.ahrq.gov/node/74264/psn-pdf
January 19, 2022 - Characteristics of critical incident reporting systems in
primary care: an international survey.
January 19, 2022
Höcherl A, Lüttel D, Schütze D, et al. Characteristics of critical incident reporting systems in primary care:
an international survey. J Patient Saf. 2022;18(1):e85-e91. doi:10.1097/pts.000000000000070…
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psnet.ahrq.gov/node/46372/psn-pdf
September 13, 2017 - Impact of a successful speaking up program on health-
care worker hand hygiene behavior.
September 13, 2017
Linam MW; Honeycutt MD; Gilliam CH; Wisdom CM; Deshpande JK.
https://psnet.ahrq.gov/issue/impact-successful-speaking-program-health-care-worker-hand-hygiene-
behavior
Improving hand hygiene in health care f…
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psnet.ahrq.gov/node/45400/psn-pdf
August 10, 2016 - ISMP National Vaccine Errors Reporting Program: one in
three vaccine errors associated with age-related factors.
August 10, 2016
ISMP Medication Safety Alert! Acute Care Edition. July 28, 2016;21:1-6.
https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-one-three-vaccine-errors-
associated-a…
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psnet.ahrq.gov/node/44884/psn-pdf
February 17, 2016 - Changes in default alarm settings and standard in-service
are insufficient to improve alarm fatigue in an intensive
care unit: a pilot project.
February 17, 2016
Sowan AK, Gomez TM, Tarriela AF, et al. Changes in Default Alarm Settings and Standard In-Service are
Insufficient to Improve Alarm Fatigue in an Intensi…
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psnet.ahrq.gov/node/863222/psn-pdf
February 28, 2024 - Systematic review of morbidity and mortality meeting
standardization: does it lead to improved professional
development, system improvements, clinician
engagement, and enhanced patient safety culture?
February 28, 2024
Steel EJ, Janda M, Jamali S, et al. Systematic review of morbidity and mortality meeting standar…
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psnet.ahrq.gov/node/73865/psn-pdf
September 22, 2021 - Second victims among baccalaureate nursing students in
the aftermath of a patient safety incident: an exploratory
cross-sectional study.
September 22, 2021
Van Slambrouck L, Verschueren R, Seys D, et al. Second victims among baccalaureate nursing students in
the aftermath of a patient safety incident: an explorato…
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psnet.ahrq.gov/node/73534/psn-pdf
July 28, 2021 - "It's a big part of being good surgeons": surgical trainees'
perceptions of error recovery in the operating room.
July 28, 2021
Gabrysz-Forget F, Zahabi S, Young M, et al. "It's a big part of being good surgeons": surgical trainees'
perceptions of error recovery in the operating room. J Surg Educ. 2021;78(6):2020-2…
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psnet.ahrq.gov/node/836773/psn-pdf
March 23, 2022 - Association between operative autonomy of surgical
residents and patient outcomes.
March 23, 2022
Oliver JB, Kunac A, McFarlane JL, et al. Association between operative autonomy of surgical residents and
patient outcomes. JAMA Surg. 2022;157(3):211-219. doi:10.1001/jamasurg.2021.6444.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/46014/psn-pdf
April 05, 2017 - Immersive high fidelity simulation of critically ill patients
to study cognitive errors: a pilot study.
April 5, 2017
Prakash S, Bihari S, Need P, et al. Immersive high fidelity simulation of critically ill patients to study
cognitive errors: a pilot study. BMC Med Educ. 2017;17(1):36. doi:10.1186/s12909-017-0871-x…
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psnet.ahrq.gov/node/60869/psn-pdf
September 02, 2020 - A systematic review of trauma crew resource
management training: what can the United States and the
United Kingdom learn from each other?
September 2, 2020
Ashcroft J, Wilkinson A, Khan M. A systematic review of trauma crew resource management training: what
can the United States and the United Kingdom learn from …
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psnet.ahrq.gov/node/45096/psn-pdf
May 05, 2016 - Patient safety at the crossroads.
May 5, 2016
Gandhi TK, Berwick DM, Shojania KG. Patient Safety at the Crossroads. JAMA. 2016;315(17):1829-30.
doi:10.1001/jama.2016.1759.
https://psnet.ahrq.gov/issue/patient-safety-crossroads
This commentary discusses findings from the National Patient Safety Foundation report in…
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psnet.ahrq.gov/node/45876/psn-pdf
January 01, 2021 - Making residents part of the safety culture: improving
error reporting and reducing harms.
February 15, 2017
Fox MD, Bump GM, Butler GA, et al. Making Residents Part of the Safety Culture: Improving Error
Reporting and Reducing Harms. J Patient Saf. 2021;17(5):e373-e378.
doi:10.1097/PTS.0000000000000344.
https://…
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psnet.ahrq.gov/node/39009/psn-pdf
April 08, 2011 - Pediatric adverse drug events in the outpatient setting: an
11-year national analysis.
April 8, 2011
Bourgeois FT, Mandl KD, Valim C, et al. Pediatric adverse drug events in the outpatient setting: an 11-year
national analysis. Pediatrics. 2009;124(4):e744-e750. doi:10.1542/peds.2008-3505.
https://psnet.ahrq.gov/i…