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psnet.ahrq.gov/node/45594/psn-pdf
December 19, 2017 - Teaching quality improvement and patient safety in
residency education: strategies for meaningful resident
quality and safety initiatives.
December 19, 2017
Morrison RJ, Bowe SN, Brenner MJ. Teaching Quality Improvement and Patient Safety in Residency
Education: Strategies for Meaningful Resident Quality and Safet…
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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/73979/psn-pdf
January 01, 2022 - The work of nurses to provide good and safe services to
children receiving hospital-at-home: a qualitative
interview study from the perspectives of hospital nurses
and physicians.
October 20, 2021
Aasen L, Johannessen A?K, Ruud Knutsen I, et al. The work of nurses to provide good and safe services
to children rec…
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psnet.ahrq.gov/node/74153/psn-pdf
December 08, 2021 - The benefits and harms of open notes in mental health: a
Delphi survey of international experts.
December 8, 2021
Blease CR, Kharko A, Hägglund M, et al. The benefits and harms of open notes in mental health: a Delphi
survey of international experts. PLoS ONE. 2021;16(10):e0258056. doi:10.1371/journal.pone.0258056.…
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psnet.ahrq.gov/node/46017/psn-pdf
July 11, 2017 - Challenging hierarchy in healthcare teams--ways to
flatten gradients to improve teamwork and patient care.
July 11, 2017
Green B, Oeppen RS, Smith DW, et al. Challenging hierarchy in healthcare teams - ways to flatten
gradients to improve teamwork and patient care. Br J Oral Maxillofac Surg. 2017;55(5):449-453.
do…
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psnet.ahrq.gov/node/45484/psn-pdf
December 04, 2016 - High prevalence of medication discrepancies between
home health referrals and Centers for Medicare and
Medicaid Services home health certification and plan of
care and their potential to affect safety of vulnerable
elderly adults.
December 4, 2016
Brody AA, Gibson B, Tresner-Kirsch D, et al. High Prevalence of Me…
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psnet.ahrq.gov/node/44616/psn-pdf
November 04, 2015 - Development of "SWARM" as a model for high reliability,
rapid problem solving, and institutional learning.
November 4, 2015
Williams EA, Nikolai DA, Ladwig L, et al. Development of "SWARM" as a Model for High Reliability, Rapid
Problem Solving, and Institutional Learning. Jt Comm J Qual Patient Saf. 2015;41(11):508…
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psnet.ahrq.gov/node/45014/psn-pdf
July 18, 2016 - Improving patient safety through simulation training in
anesthesiology: where are we?
July 18, 2016
Green M, Tariq R, Green P. Improving Patient Safety through Simulation Training in Anesthesiology:
Where Are We? Anesthesiol Res Pract. 2016;2016:4237523. doi:10.1155/2016/4237523.
https://psnet.ahrq.gov/issue/impro…
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psnet.ahrq.gov/node/47388/psn-pdf
March 13, 2019 - Artificial intelligence systems for complex decision-
making in acute care medicine: a review.
March 13, 2019
Lynn LA. Artificial intelligence systems for complex decision-making in acute care medicine: a review.
Patient Saf Surg. 2019;13:6. doi:10.1186/s13037-019-0188-2.
https://psnet.ahrq.gov/issue/artificial-in…
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psnet.ahrq.gov/node/45340/psn-pdf
August 17, 2016 - To the point: integrating patient safety education Into the
obstetrics and gynecology undergraduate curriculum.
August 17, 2016
Abbott JF, Pradhan A, Buery-Joyner S, et al. To the Point: Integrating Patient Safety Education Into the
Obstetrics and Gynecology Undergraduate Curriculum. J Patient Saf. 2016;16(1):e39-e…
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psnet.ahrq.gov/node/46142/psn-pdf
June 14, 2017 - Introducing a new junior doctor electronic weekend
handover on an orthopaedic ward.
June 14, 2017
Maroo S, Raj D. Introducing a New Junior Doctor Electronic Weekend Handover on an Orthopaedic Ward.
BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u212695.w5059.
https://psnet.ahrq.gov/issue/introducing-new-ju…
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psnet.ahrq.gov/node/73215/psn-pdf
May 05, 2021 - To err is system: a comparison of methodologies for the
investigation of adverse outcomes in healthcare.
May 5, 2021
Isherwood P, Waterson P. To err is system: a comparison of methodologies for the investigation of adverse
outcomes in healthcare. J Patient Saf Risk Manag. 2021;26(2):64-73. doi:10.1177/2516043521990…
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psnet.ahrq.gov/node/45805/psn-pdf
April 12, 2017 - 2016 Updated American Society of Clinical
Oncology/Oncology Nursing Society Chemotherapy
Administration Safety Standards, including standards for
pediatric oncology.
April 12, 2017
Belderson KM, Billett AL. Chemotherapy safety standards: A pediatric perspective. J Oncol Pract.
2017;64(6):e26484. doi:10.1002/pbc.2…
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psnet.ahrq.gov/node/44519/psn-pdf
December 02, 2015 - Drug-related-problem outcomes and program satisfaction
from a comprehensive brown bag medication review.
December 2, 2015
O'Connell MB, Chang F, Tocco A, et al. Drug-Related-Problem Outcomes and Program Satisfaction from a
Comprehensive Brown Bag Medication Review. J Am Geriatr Soc. 2015;63(9):1900-1905.
doi:10.11…
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psnet.ahrq.gov/node/39872/psn-pdf
February 25, 2013 - The Essential Guide for Patient Safety Officers, Second
Edition.
February 25, 2013
Leonard M, Frankel A, Federico F, et al, eds. Oakbrook Terrace, IL: Joint Commission Resources, Institute
for Healthcare Improvement; 2013. ISBN: 9781599407036.
https://psnet.ahrq.gov/issue/essential-guide-patient-safety-officers-se…
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psnet.ahrq.gov/node/46370/psn-pdf
November 08, 2017 - Standard admission order sets promote ordering of
unnecessary investigations: a quasi-randomised
evaluation in a simulated setting.
November 8, 2017
Leis B, Frost A, Bryce R, et al. Standard admission order sets promote ordering of unnecessary
investigations: a quasi-randomised evaluation in a simulated setting. B…
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psnet.ahrq.gov/node/46905/psn-pdf
October 13, 2018 - Association of hospital participation in a regional trauma
quality improvement collaborative with patient outcomes.
October 13, 2018
Hemmila MR, Cain-Nielsen AH, Jakubus JL, et al. Association of Hospital Participation in a Regional
Trauma Quality Improvement Collaborative With Patient Outcomes. JAMA Surg. 2018;153…
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psnet.ahrq.gov/node/60522/psn-pdf
May 27, 2020 - Nursing turbulence in critical care: relationships with
nursing workload and patient safety.
May 27, 2020
Browne J, Braden CJ. Nursing turbulence in critical care: relationships with nursing workload and patient
safety. Am J Crit Care. 2020;29(3):182-191. doi:10.4037/ajcc2020180.
https://psnet.ahrq.gov/issue/nursi…
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psnet.ahrq.gov/node/74127/psn-pdf
December 01, 2021 - Effectiveness of using simulation in the development of
clinical reasoning in undergraduate nursing students: a
systematic review.
December 1, 2021
Theobald KA, Tutticci N, Ramsbotham J, et al. Effectiveness of using simulation in the development of
clinical reasoning in undergraduate nursing students: a systemati…
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psnet.ahrq.gov/node/45463/psn-pdf
April 12, 2017 - Implementation of the trigger review method in Scottish
general practices: patient safety outcomes and potential
for quality improvement.
April 12, 2017
de Wet C, Black C, Luty S, et al. Implementation of the trigger review method in Scottish general practices:
patient safety outcomes and potential for quality imp…