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psnet.ahrq.gov/node/46210/psn-pdf
July 12, 2017 - Could emotional intelligence make patients safer?
July 12, 2017
Codier E, Codier DD. Could Emotional Intelligence Make Patients Safer? Am J Nurs. 2017;117(7):58-62.
doi:10.1097/01.NAJ.0000520946.39224.db.
https://psnet.ahrq.gov/issue/could-emotional-intelligence-make-patients-safer
Nontechnical skill development i…
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psnet.ahrq.gov/node/38451/psn-pdf
March 23, 2011 - Towards safer, better healthcare: harnessing the natural
properties of complex sociotechnical systems.
March 23, 2011
Braithwaite J, Runciman WB, Merry AF. Towards safer, better healthcare: harnessing the natural properties
of complex sociotechnical systems. Qual Saf Health Care. 2009;18(1):37-41.
doi:10.1136/qshc…
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psnet.ahrq.gov/node/39796/psn-pdf
July 09, 2013 - Selecting Quality and Resource Use Measures: A
Decision Guide for Community Quality Collaboratives.
July 9, 2013
Romano PS, Hussey P, Ritley D. Rockville, MD: Agency for Healthcare Research and Quality; 2010.
AHRQ Publication No. 09(10)-0073.
https://psnet.ahrq.gov/issue/selecting-quality-and-resource-use-measures…
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psnet.ahrq.gov/node/60157/psn-pdf
March 25, 2020 - Conspicuous by its absence: diagnostic expert testing
under uncertainty.
March 25, 2020
Dai T, Singh S. Conspicuous by Its absence: diagnostic expert testing under uncertainty. Market Sci.
2020;39(3):540-563. doi:10.1287/mksc.2019.1201.
https://psnet.ahrq.gov/issue/conspicuous-its-absence-diagnostic-expert-testing…
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psnet.ahrq.gov/node/47164/psn-pdf
January 01, 2022 - Quality Improvement Series.
February 25, 2019
British Medical Journal. 2022.
https://psnet.ahrq.gov/issue/quality-improvement-series
Efforts to enhance safety and quality are integrated into daily work in health care, but improvements are not
being realized as quickly as desired. This compiled series of articles h…
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psnet.ahrq.gov/node/44939/psn-pdf
March 09, 2016 - Listening for What Matters: Avoiding Contextual Errors in
Health Care.
March 9, 2016
Weiner SJ, Schwartz A. New York, NY: Oxford University Press; 2016. ISBN: 9780190228996.
https://psnet.ahrq.gov/issue/listening-what-matters-avoiding-contextual-errors-health-care
This book discusses how physicians can reduce cont…
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psnet.ahrq.gov/node/40249/psn-pdf
June 20, 2011 - Nurses' perceptions of how rapid response teams affect
the nurse, team, and system.
June 20, 2011
Williams DJ, Newman A, Jones CB, et al. Nurses' perceptions of how rapid response teams affect the
nurse, team, and system. J Nurs Care Qual. 2011;26(3):265-72. doi:10.1097/NCQ.0b013e318209f135.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/39098/psn-pdf
November 11, 2009 - Building team and technical competency for obstetric
emergencies: the mobile obstetric emergencies simulator
(MOES) system.
November 11, 2009
Deering S, Rosen MA, Salas E, et al. Building team and technical competency for obstetric emergencies:
the mobile obstetric emergencies simulator (MOES) system. Simul Health…
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psnet.ahrq.gov/node/39966/psn-pdf
February 01, 2011 - Journey to no preventable risk: The Baylor Health Care
System patient safety experience.
February 1, 2011
Kennerly DA, Richter KM, Good V, et al. Journey to no preventable risk: the Baylor Health Care System
patient safety experience. Am J Med Qual. 2011;26(1):43-52. doi:10.1177/1062860610374645.
https://psnet.ahr…
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psnet.ahrq.gov/node/47821/psn-pdf
May 22, 2019 - Patient Safety.
May 22, 2019
National Pharmacy Association; NPA.
https://psnet.ahrq.gov/issue/patient-safety-15
This website for independent community pharmacy owners across the United Kingdom features both free
and members-only guidance, reporting platforms, and document templates to support patient safety. It
i…
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psnet.ahrq.gov/node/74764/psn-pdf
February 09, 2022 - ESPEN guideline on hospital nutrition.
February 9, 2022
Thibault R, Abbasoglu O, Ioannou E, et al. ESPEN guideline on hospital nutrition. Clin Nutr.
2021;40(12):5684-5709. doi:10.1016/j.clnu.2021.09.039.
https://psnet.ahrq.gov/issue/espen-guideline-hospital-nutrition
Mistakes in hospital dietary services can contr…
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psnet.ahrq.gov/node/44452/psn-pdf
September 04, 2016 - Reflecting on diagnostic errors: taking a second look is
not enough.
September 4, 2016
Monteiro SD, Sherbino J, Patel A, et al. Reflecting on Diagnostic Errors: Taking a Second Look is Not
Enough. J Gen Intern Med. 2015;30(9):1270-4. doi:10.1007/s11606-015-3369-4.
https://psnet.ahrq.gov/issue/reflecting-diagnostic…
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psnet.ahrq.gov/node/46875/psn-pdf
March 07, 2018 - Improving medication-related clinical decision support.
March 7, 2018
Tolley CL, Slight SP, Husband AK, et al. Improving medication-related clinical decision support. Am J
Health Syst Pharm. 2018;75(4):239-246. doi:10.2146/ajhp160830.
https://psnet.ahrq.gov/issue/improving-medication-related-clinical-decision-suppo…
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psnet.ahrq.gov/node/38361/psn-pdf
January 31, 2011 - IOM: shorten residents' work shifts to reduce fatigue,
improve patient safety.
January 31, 2011
Kuehn BM. IOM: Shorten residents' work shifts to reduce fatigue, improve patient safety. JAMA.
2009;301(3):259-61. doi:10.1001/jama.2008.940.
https://psnet.ahrq.gov/issue/iom-shorten-residents-work-shifts-reduce-fatigue…
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psnet.ahrq.gov/node/38592/psn-pdf
April 29, 2009 - The teaching of a structured tool improves the clarity and
content of interprofessional clinical communication.
April 29, 2009
Marshall S, Harrison J, Flanagan B. The teaching of a structured tool improves the clarity and content of
interprofessional clinical communication. Qual Saf Health Care. 2009;18(2):137-40.
…
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psnet.ahrq.gov/node/841197/psn-pdf
December 07, 2022 - Does malpractice liability promote patient safety? A
methodological excursion.
December 7, 2022
Saks MJ, Landsman S. Jurimetrics. 2022;62:397-419.
https://psnet.ahrq.gov/issue/does-malpractice-liability-promote-patient-safety-methodological-excursion
Malpractice liability is an unconfirmed driver for safety. This …
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psnet.ahrq.gov/node/46593/psn-pdf
November 08, 2017 - Unreadable barcodes and multiple barcodes on packages
can lead to errors.
November 8, 2017
ISMP Medication Safety Alert! Acute care edition. October 19, 2017;22:1-3.
https://psnet.ahrq.gov/issue/unreadable-barcodes-and-multiple-barcodes-packages-can-lead-errors
Barcodes can both enhance and degrade the medication …
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psnet.ahrq.gov/node/44468/psn-pdf
September 23, 2015 - LINNEAUS Collaboration on Patient Safety in Primary
Care.
September 23, 2015
Eur J Gen Pract. 2015;(suppl 21):1-77.
https://psnet.ahrq.gov/issue/linneaus-collaboration-patient-safety-primary-care
Collaborative efforts provide learning opportunities for groups that seek to develop widely implementable
improvements…
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psnet.ahrq.gov/node/41929/psn-pdf
January 09, 2013 - Quality improvement: Universal Protocol use in office-
based gastrointestinal procedure units.
January 9, 2013
Hardee LK. Quality improvement: universal protocol use in office-based gastrointestinal procedure units.
Gastroenterol Nurs. 2012;35(6):380-2. doi:10.1097/SGA.0b013e3182747956.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/37286/psn-pdf
December 23, 2011 - Different roles, same goal: risk and quality management
partnering for patient safety. By the ASHRM Monographs
Task Force.
December 23, 2011
Bokar V, Perry DG. Different Roles, Same Goal: Risk And Quality Management Partnering For Patient
Safety. By The Ashrm Monographs Task Force.; 2007:17-23, 25. doi:10.1002/jhr…