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psnet.ahrq.gov/node/43152/psn-pdf
May 07, 2014 - The trainee's voice: recognising the importance of
preoperative briefings for surgical trainees.
May 7, 2014
Bethune R, Blencowe NS. The trainee's voice: recognising the importance of preoperative briefings for
surgical trainees. J Perioper Pract. 2014;24(3):56-58.
https://psnet.ahrq.gov/issue/trainees-voice-recog…
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psnet.ahrq.gov/node/40658/psn-pdf
August 03, 2011 - Development and validation of a tool to improve
paediatric referral/consultation communication.
August 3, 2011
Stille CJ, Mazor KM, Meterko V, et al. Development and validation of a tool to improve paediatric
referral/consultation communication. BMJ Qual Saf. 2011;20(8):692-7. doi:10.1136/bmjqs.2010.045781.
https:…
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psnet.ahrq.gov/node/45093/psn-pdf
September 04, 2016 - Radically redesigning patient safety.
September 4, 2016
Radick LE. Radically Redesigning Patient Safety. Healthcare executive. 2016;31(2):32-4, 36-40, 42.
https://psnet.ahrq.gov/issue/radically-redesigning-patient-safety
Leadership and staff commitment are required to achieve improvements in patient safety. Discuss…
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psnet.ahrq.gov/node/36041/psn-pdf
June 21, 2006 - Intraoperative adverse events and related postoperative
complications in spine surgery: implications for
enhancing patient safety founded on evidence-based
protocols.
June 21, 2006
Rampersaud YR; Moro ER; Neary MA; White K; Lewis SJ; Massicotte EM; Fehlings MG.
https://psnet.ahrq.gov/issue/intraoperative-adverse-…
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psnet.ahrq.gov/node/42263/psn-pdf
January 14, 2014 - The Quality and Safety Educators Academy: fulfilling an
unmet need for faculty development.
January 14, 2014
Myers JS, Tess A, Glasheen JJ, et al. The Quality and Safety Educators Academy: fulfilling an unmet need
for faculty development. Am J Med Qual. 2014;29(1):5-12. doi:10.1177/1062860613484082.
https://psnet.…
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psnet.ahrq.gov/node/39863/psn-pdf
January 04, 2011 - Improving the quality of drug error reporting.
January 4, 2011
Armitage G, Newell R, Wright J. Improving the quality of drug error reporting. J Eval Clin Pract.
2010;16(6):1189-97. doi:10.1111/j.1365-2753.2009.01293.x.
https://psnet.ahrq.gov/issue/improving-quality-drug-error-reporting
This analysis of voluntarily…
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psnet.ahrq.gov/node/37216/psn-pdf
July 28, 2010 - Discharge rounds in the 80-hour workweek: importance of
the trauma nurse practitioner.
July 28, 2010
Haan JM, Dutton RP, Willis M, et al. Discharge rounds in the 80-hour workweek: importance of the trauma
nurse practitioner. J Trauma. 2007;63(2):339-43.
https://psnet.ahrq.gov/issue/discharge-rounds-80-hour-workwee…
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psnet.ahrq.gov/node/42370/psn-pdf
June 19, 2013 - Resident Projects for Improvement.
June 19, 2013
Heilman J, ed. UNM CIR Journal of Quality Improvement in Healthcare. Albuquerque, NM: University of
New Mexico; May 2013.
https://psnet.ahrq.gov/issue/journal-quality-improvement-healthcare-second-edition
This publication outlines quality and safety improvement proj…
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psnet.ahrq.gov/node/34782/psn-pdf
November 01, 2016 - When systems fail.
November 1, 2016
Roberts KH, Bea RG. When systems fail. Organ Dyn. 2002;29(3):179-191. doi:10.1016/s0090-
2616(01)00025-0.
https://psnet.ahrq.gov/issue/when-systems-fail
This review provides a detailed account of managerial causes of failure and managerial failure prevention
strategies. The aut…
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psnet.ahrq.gov/node/46971/psn-pdf
July 18, 2018 - The Future of NHS Patient Safety Investigation.
July 18, 2018
NHS Improvement. London, UK: National Health Service; 2018.
https://psnet.ahrq.gov/issue/future-nhs-patient-safety-investigation
Organizational processes to investigate adverse care incidents play an important part in generating the
learning needed for …
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psnet.ahrq.gov/node/43185/psn-pdf
May 14, 2014 - Preventing health care–associated harm in children.
May 14, 2014
Walsh KE, Bundy DG, Landrigan CP. Preventing health care-associated harm in children. JAMA.
2014;311(17):1731-2. doi:10.1001/jama.2014.2038.
https://psnet.ahrq.gov/issue/preventing-health-care-associated-harm-children
This commentary describes why de…
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psnet.ahrq.gov/node/41185/psn-pdf
March 24, 2012 - Learning from near misses: from quick fixes to closing off
the Swiss-cheese holes.
March 24, 2012
Jeffs L, Berta W, Lingard LA, et al. Learning from near misses: from quick fixes to closing off the Swiss-
cheese holes. BMJ Qual Saf. 2012;21(4):287-94. doi:10.1136/bmjqs-2011-000256.
https://psnet.ahrq.gov/issue/lea…
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psnet.ahrq.gov/node/47214/psn-pdf
June 20, 2018 - Journal of Patient Safety and Risk Management.
June 20, 2018
Wu AW, ed. Thousand Oaks, CA: SAGE Publications. ISSN: 2516-0435.
https://psnet.ahrq.gov/issue/journal-patient-safety-and-risk-management
Risk management and legal issues can affect safety responses throughout a health care system. Articles in
this publi…
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psnet.ahrq.gov/node/73572/psn-pdf
August 04, 2021 - Center for Innovations in Quality, Effectiveness and
Safety. IQuESt!
August 4, 2021
Houston, TX: Baylor College of Medicine.
https://psnet.ahrq.gov/issue/center-innovations-quality-effectiveness-and-safety-iquest
This Center represents a partnership with the Veterans Affairs Health Services Research & Develo…
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psnet.ahrq.gov/node/44912/psn-pdf
November 18, 2016 - Patient safety in genomic medicine: an exploratory study.
November 18, 2016
Korngiebel DM, Fullerton SM, Burke W. Patient safety in genomic medicine: an exploratory study. Genet
Med. 2016;18(11):1136-1142. doi:10.1038/gim.2016.16.
https://psnet.ahrq.gov/issue/patient-safety-genomic-medicine-exploratory-study
This …
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psnet.ahrq.gov/node/40584/psn-pdf
July 25, 2011 - Crisis checklists for the operating room: development
and pilot testing.
July 25, 2011
Ziewacz JE, Arriaga AF, Bader AM, et al. Crisis checklists for the operating room: development and pilot
testing. J Am Coll Surg. 2011;213(2):212-217.e10. doi:10.1016/j.jamcollsurg.2011.04.031.
https://psnet.ahrq.gov/issue/crisi…
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www.ahrq.gov/nursing-home/resources/nahca-resources.html
February 01, 2021 - National Association of Health Care Assistants (NAHCA) Website
Resource: National Association of Health Care Assistants (NAHCA) website
The National Association of Health Care Assistants works to elevate the professional standing and performance of caregivers through recognition, advocacy, education and e…
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psnet.ahrq.gov/node/43356/psn-pdf
July 16, 2014 - Introducing the safety score audit for staff member and
patient safety.
July 16, 2014
Sinnott M, Eley R, Winch S. Introducing the safety score audit for staff member and patient safety. AORN
J. 2014;100(1):91-5. doi:10.1016/j.aorn.2014.05.006.
https://psnet.ahrq.gov/issue/introducing-safety-score-audit-staff-membe…
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psnet.ahrq.gov/node/42279/psn-pdf
May 15, 2013 - Interdisciplinary collaboration to maintain a culture of
safety in a labor and delivery setting.
May 15, 2013
Burke C, Grobman WA, Miller D. Interdisciplinary collaboration to maintain a culture of safety in a labor and
delivery setting. J Perinat Neonatal Nurs. 2013;27(2):113-23; quiz 124-5.
doi:10.1097/JPN.0b013…
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psnet.ahrq.gov/node/37934/psn-pdf
July 23, 2008 - Pediatric safety in the emergency department: identifying
risks and preparing to care for child and family.
July 23, 2008
Nadzam D, Westergaard F. Pediatric safety in the emergency department: identifying risks and preparing
to care for child and family. J Nurs Care Qual. 2008;23(3):189-194.
doi:10.1097/01.NCQ.000…