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psnet.ahrq.gov/node/43334/psn-pdf
July 16, 2014 - Changing our culture: adopting the military aviation
safety system.
July 16, 2014
Kerber CW. Changing our culture: adopting the military aviation safety system. J Neurointerv Surg.
2014;6(5):332-41. doi:10.1136/neurintsurg-2013-011070.
https://psnet.ahrq.gov/issue/changing-our-culture-adopting-military-aviation-sa…
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psnet.ahrq.gov/node/74166/psn-pdf
March 14, 2022 - Preventing home medication administration errors.
March 14, 2022
Yin HS, Neuspiel DR, Paul IM, et al. Preventing home medication administration errors. Pediatrics.
2021;148(6):e2021054666. doi:10.1542/peds.2021-054666.
https://psnet.ahrq.gov/issue/preventing-home-medication-administration-errors
Children with comp…
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psnet.ahrq.gov/node/73971/psn-pdf
October 13, 2021 - Safety culture as a patient safety practice for alarm
fatigue.
October 13, 2021
Winters BD, Slota JM, Bilimoria KY. Safety culture as a patient safety practice for alarm fatigue. JAMA.
2021;326(12):1207-1208. doi:10.1001/jama.2021.8316.
https://psnet.ahrq.gov/issue/safety-culture-patient-safety-practice-alarm-fati…
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www.ahrq.gov/funding/training-grants/kaward/evaluation-report.html
August 01, 2016 - Agency for Healthcare Research and Quality Individual Career Development (K) Award Program
Evaluation Report
As part of its mission, the Agency for Healthcare Research and Quality (AHRQ) provides a variety of extramural funding opportunities designed to support and enhance the education and career…
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www.ahrq.gov/sites/default/files/2024-07/madison-report.pdf
January 01, 2024 - be used in participant’s work: 4.41
• Agreement that discussions during the summit were helpful and enhanced … Discussions during the summit were helpful and enhanced the experience.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
April 30, 2025 - HIOH enhanced self-efficacy primarily in participants with: (1)
more depressive symptoms; (2) lower … with medical conditions: (1) Unit-
based Physician Teams, (2) Unit Nurse-Physician Co-Leadership, (3) Enhanced … The enhanced curriculum puts patients at the center of
communication and actively solicits participation
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psnet.ahrq.gov/node/867849/psn-pdf
February 26, 2025 - High Reliability Organization (HRO) Principles and Patient
Safety
February 26, 2025
Vogus T, Lee M, Mossburg SE. High Reliability Organization (HRO) Principles and Patient Safety. PSNet
[internet]. 2025.
https://psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
In To Err I…
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psnet.ahrq.gov/node/41440/psn-pdf
August 17, 2016 - The Toolkit for Using the AHRQ Quality Indicators: How
To Improve Hospital Quality and Safety.
August 17, 2016
Rockville, MD: Agency for Healthcare Research and Quality; July 2016.
https://psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety
This toolkit provides resou…
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psnet.ahrq.gov/node/764413/psn-pdf
March 02, 2022 - Telemedicine: Ensuring Safe, Equitable, Person-Centered
Virtual Care.
March 2, 2022
Perry AF, Federico F, Huebner J. Boston, MA: Institute for Healthcare Improvement; 2021.
https://psnet.ahrq.gov/issue/telemedicine-ensuring-safe-equitable-person-centered-virtual-care
The emergence of telemedicine during…
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psnet.ahrq.gov/node/47718/psn-pdf
March 20, 2019 - Impact of patient safety culture on missed nursing care
and adverse patient events.
March 20, 2019
Hessels AJ, Paliwal M, Weaver SH, et al. Impact of Patient Safety Culture on Missed Nursing Care and
Adverse Patient Events. J Nurs Care Qual. 2019;34(4):287-294. doi:10.1097/NCQ.0000000000000378.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/74093/psn-pdf
November 17, 2021 - Prevent errors during emergency use of hypertonic
sodium chloride solutions.
November 17, 2021
ISMP Medication Safety Alert! Acute care edition. November 4, 2021;26(22); 1-4.
https://psnet.ahrq.gov/issue/prevent-errors-during-emergency-use-hypertonic-sodium-chloride-solutions
Delays in diagnosis and treatment duri…
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psnet.ahrq.gov/node/44670/psn-pdf
January 23, 2017 - Shift-to-shift handoff effects on patient safety and
outcomes: a systematic review.
January 23, 2017
Mardis M, Davis JJ, Benningfield B, et al. Shift-to-Shift Handoff Effects on Patient Safety and Outcomes.
Am J Med Qual. 2017;32(1):34-42. doi:10.1177/1062860615612923.
https://psnet.ahrq.gov/issue/shift-shift-hand…
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psnet.ahrq.gov/node/60604/psn-pdf
June 17, 2020 - The limits of current A.I. in health care: patient safety
policing in hospitals.
June 17, 2020
Furrow BR. NE Univ Law Rev. 2020;12(1):1-55.
https://psnet.ahrq.gov/issue/limits-current-ai-health-care-patient-safety-policing-hospitals
Artificial intelligence (AI) has the potential to improve the use of big data to e…
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psnet.ahrq.gov/node/47085/psn-pdf
June 06, 2018 - Medical Device Safety Action Plan: Protecting Patients,
Promoting Public Health.
June 6, 2018
Silver Spring, MD: US Food and Drug Administration; April 2018.
https://psnet.ahrq.gov/issue/medical-device-safety-action-plan-protecting-patients-promoting-public-health
Reliable use of medical devices is an important co…
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psnet.ahrq.gov/node/47708/psn-pdf
February 13, 2019 - The role of purple pens in learning to prescribe.
February 13, 2019
Kinston R, McCarville N, Hassell A. The role of purple pens in learning to prescribe. Clin Teach.
2019;16(6):598-603. doi:10.1111/tct.12991.
https://psnet.ahrq.gov/issue/role-purple-pens-learning-prescribe
Interventions utilizing color as visual c…
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psnet.ahrq.gov/node/854265/psn-pdf
October 04, 2023 - Can AI help doctors come up with better diagnoses?
October 4, 2023
Landro L. Wall Street Journal. September 24, 2023.
https://psnet.ahrq.gov/issue/can-ai-help-doctors-come-better-diagnoses
Artificial intelligence (AI) is being considered as a strong contender in the effort to reduce harmful
diagnostic error, but c…
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psnet.ahrq.gov/node/764410/psn-pdf
March 02, 2022 - Five strategies for clinicians to advance diagnostic
excellence.
March 2, 2022
Singh H, Connor DM, Dhaliwal G. Five strategies for clinicians to advance diagnostic excellence. BMJ.
2022;376:e068044. doi:10.1136/bmj-2021-068044.
https://psnet.ahrq.gov/issue/five-strategies-clinicians-advance-diagnostic-excellence
…
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psnet.ahrq.gov/node/45970/psn-pdf
March 22, 2017 - A learning health care system using computer-aided
diagnosis.
March 22, 2017
Cahan A, Cimino JJ. A Learning Health Care System Using Computer-Aided Diagnosis. J Med Internet
Res. 2017;19(3):e54. doi:10.2196/jmir.6663.
https://psnet.ahrq.gov/issue/learning-health-care-system-using-computer-aided-diagnosis
Although…
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psnet.ahrq.gov/node/47632/psn-pdf
April 10, 2019 - Perception of the usability and implementation of a
metacognitive mnemonic to check cognitive errors in
clinical setting.
April 10, 2019
Chew KS, van Merrienboer JJG, Durning SJ. Perception of the usability and implementation of a
metacognitive mnemonic to check cognitive errors in clinical setting. BMC Med Educ. …
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psnet.ahrq.gov/node/42135/psn-pdf
April 22, 2013 - Interprofessional education in team communication:
working together to improve patient safety.
April 22, 2013
Brock DM, Abu-Rish E, Chiu C-R, et al. Interprofessional education in team communication: working
together to improve patient safety. BMJ Qual Saf. 2013;22(5):414-23. doi:10.1136/bmjqs-2012-000952.
https:/…