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psnet.ahrq.gov/node/45542/psn-pdf
October 05, 2016 - Bipartisan Consensus: The Public Wants Well-Rested
Medical Residents to Help Ensure Safe Patient Care.
October 5, 2016
Almashat S, Carome M, Wolfe S, Landrigan CP, Czeisler C. Washington, DC: Public Citizen; September
13, 2016.
https://psnet.ahrq.gov/issue/bipartisan-consensus-public-wants-well-rested-medical-resi…
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psnet.ahrq.gov/node/838625/psn-pdf
October 19, 2022 - Improving communication and response to clinical
deterioration to increase patient safety in the intensive
care unit.
October 19, 2022
Liu SI, Shikar M, Gante E, et al. Improving communication and response to clinical deterioration to increase
patient safety in the intensive care unit. Crit Care Nurse. 2022;42(5):…
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psnet.ahrq.gov/node/40191/psn-pdf
May 28, 2014 - The Value of Close Calls in Improving Patient Safety.
May 28, 2014
Wu AW, ed. Oakbrook Terrace, IL: Joint Commission Resources; 2011. ISBN: 9781599404158.
https://psnet.ahrq.gov/issue/value-close-calls-improving-patient-safety
Close calls (sometimes called near misses) pose unique challenges and opportunities when …
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psnet.ahrq.gov/node/862155/psn-pdf
February 07, 2024 - Society of Critical Care Medicine Guidelines on
Recognizing and Responding to Clinical Deterioration
Outside the ICU: 2023.
February 7, 2024
Honarmand K, Wax RS, Penoyer D, et al. Society of Critical Care Medicine Guidelines on Recognizing and
Responding to Clinical Deterioration Outside the ICU: 2023. Crit Care M…
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psnet.ahrq.gov/node/43581/psn-pdf
December 26, 2014 - Moving beyond misuse and diversion: the urgent need to
consider the role of iatrogenic addiction in the current
opioid epidemic.
December 26, 2014
Beauchamp GA, Winstanley EL, Ryan SA, et al. Moving beyond misuse and diversion: the urgent need to
consider the role of iatrogenic addiction in the current opioid epid…
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psnet.ahrq.gov/node/44953/psn-pdf
March 09, 2016 - Patient safety room of horrors: a novel method to assess
medical students and entering residents' ability to identify
hazards of hospitalisation.
March 9, 2016
Farnan JM, Gaffney S, Poston JT, et al. Patient safety room of horrors: a novel method to assess medical
students and entering residents' ability to identi…
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psnet.ahrq.gov/node/860727/psn-pdf
January 17, 2024 - Patient safety in nursing homes from an ecological
perspective: an integrated review.
January 17, 2024
Min D, Park S, Kim S, et al. Patient safety in nursing homes from an ecological perspective: an integrated
review. J Patient Saf. 2024;20(2):77-84. doi:10.1097/pts.0000000000001189.
https://psnet.ahrq.gov/issue/p…
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psnet.ahrq.gov/node/72483/psn-pdf
November 18, 2020 - ACGME Summary Report: The Pursuing Excellence
Pathway Leaders Patient Safety Collaborative.
November 18, 2020
Passiment M, Wagner R, Weiss KB for the Pursuing Excellence in Clinical Learning Environments:
Pathway Leaders Patient Safety Collaborative. Chicago, IL: Accreditation Council for Graduate Medical
Educatio…
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psnet.ahrq.gov/node/46346/psn-pdf
October 29, 2017 - Root cause analysis of ICU adverse events in the
Veterans Health Administration.
October 29, 2017
Corwin GS, Mills PD, Shanawani H, et al. Root Cause Analysis of ICU Adverse Events in the Veterans
Health Administration. Jt Comm J Qual Patient Saf. 2017;43(11):580-590. doi:10.1016/j.jcjq.2017.04.009.
https://psnet.…
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psnet.ahrq.gov/node/47508/psn-pdf
October 24, 2018 - Root cause analysis of reported patient falls in ORs in the
Veterans Health Administration.
October 24, 2018
Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the
Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.1002/aorn.12372.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/847054/psn-pdf
April 05, 2023 - Patient generated research priorities to improve
diagnostic safety: a systematic prioritization exercise.
April 5, 2023
Zwaan L, Smith KM, Giardina TD, et al. Patient generated research priorities to improve diagnostic safety:
a systematic prioritization exercise. Patient Educ Couns. 2023;110:107650.
doi:10.1016/j…
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psnet.ahrq.gov/node/73424/psn-pdf
June 23, 2021 - The psychological experiences of nurses after inpatient
suicide: a meta-synthesis of qualitative research studies.
June 23, 2021
Shao Q, Wang Y, Hou K, et al. The psychological experiences of nurses after inpatient suicide: a meta?
synthesis of qualitative research studies. J Adv Nurs. 2021;77(10):4005-4016. doi:10…
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psnet.ahrq.gov/node/60816/psn-pdf
August 19, 2020 - Workplace verbal abuse, nurse-reported quality of care,
and patient safety outcomes among early-career hospital
nurses.
August 19, 2020
Cho H, Pavek K, Steege LM. Workplace verbal abuse, nurse?reported quality of care and patient safety
outcomes among early?career hospital nurses. J Nurs Manag. 2020;28(6):1250-125…
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psnet.ahrq.gov/node/852271/psn-pdf
August 09, 2023 - Redesign of health care systems to reduce diagnostic
errors: leveraging human experience and artificial
intelligence.
August 9, 2023
Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and
artificial intelligence. J Clin Outcomes Manag. 2023;30(3):67-70. doi:10.12788/j…
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psnet.ahrq.gov/issue/centre-patient-safety-and-service-quality
August 01, 2024 - Multi-use Website
Centre for Patient Safety and Service Quality.
Save
Save to your library
Print
Download PDF
Share
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Copy URL
February 17, 2009
This research program was established to explo…
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psnet.ahrq.gov/node/852447/psn-pdf
August 16, 2023 - Patient safety in palliative care at the end of life from the
perspective of complex thinking.
August 16, 2023
Bittencourt NCC de M, Duarte S da CM, Marcon SS, et al. Patient safety in palliative care at the end of life
from the perspective of complex thinking. Healthcare (Basel). 2023;11(14):2030.
doi:10.3390/hea…
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psnet.ahrq.gov/node/74695/psn-pdf
January 26, 2022 - Impact of teamwork and communication training
interventions on safety culture and patient safety in
emergency departments: a systematic review.
January 26, 2022
Alsabri M, Boudi Z, Lauque D, et al. Impact of teamwork and communication training interventions on
safety culture and patient safety in emergency departm…
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psnet.ahrq.gov/node/47498/psn-pdf
March 05, 2019 - Data omission by physician trainees on ICU rounds.
March 5, 2019
Artis KA, Bordley J, Mohan V, et al. Data Omission by Physician Trainees on ICU Rounds. Crit Care Med.
2019;47(3):403-409. doi:10.1097/CCM.0000000000003557.
https://psnet.ahrq.gov/issue/data-omission-physician-trainees-icu-rounds
Reporting complete p…
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psnet.ahrq.gov/node/853067/psn-pdf
August 30, 2023 - The Pursuing Excellence Collaborative: engaging first-
year residents and fellows in patient safety event
investigations.
August 30, 2023
Paull DE, Newton RC, Tess AV, et al. The Pursuing Excellence Collaborative: engaging first-year residents
and fellows in patient safety event investigations. J Patient Saf. 2023…
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psnet.ahrq.gov/node/50432/psn-pdf
September 04, 2019 - Patient Suicide on a Locked Mental Health Unit at the
West Palm Beach VA Medical Center, Florida.
September 4, 2019
Washington, DC: Department of Veterans Affairs, Office of Inspector General. August 22, 2019. Report No.
19-07429-195.
https://psnet.ahrq.gov/issue/patient-suicide-locked-mental-health-unit-west-palm…