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psnet.ahrq.gov/node/46172/psn-pdf
June 21, 2017 - Flying lessons for clinicians: developing system 2
practice.
June 21, 2017
Gregoire JN, Alfes CM, Reimer AP, et al. Flying Lessons for Clinicians: Developing System 2 Practice. Air
Med J. 2017;36(3):135-137. doi:10.1016/j.amj.2017.02.003.
https://psnet.ahrq.gov/issue/flying-lessons-clinicians-developing-system-2-p…
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psnet.ahrq.gov/node/48011/psn-pdf
May 29, 2019 - Is it time for safeguards in the adoption of robotic
surgery?
May 29, 2019
Sheetz KH, Dimick JB. Is It Time for Safeguards in the Adoption of Robotic Surgery? JAMA.
2019;321(20):1971-1972. doi:10.1001/jama.2019.3736.
https://psnet.ahrq.gov/issue/it-time-safeguards-adoption-robotic-surgery
The FDA recently raised …
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psnet.ahrq.gov/node/44579/psn-pdf
September 01, 2016 - Increased appropriateness of customized alert
acknowledgement reasons for overridden medication
alerts in a computerized provider order entry system.
September 1, 2016
Dekarske BM, Zimmerman CR, Chang R, et al. Increased appropriateness of customized alert
acknowledgement reasons for overridden medication alerts i…
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psnet.ahrq.gov/node/44737/psn-pdf
December 16, 2015 - How effective are incident-reporting systems for
improving patient safety? A systematic literature review.
December 16, 2015
Stavropoulou C, Doherty C, Tosey P. Milbank Q. 2015;93(4):826-866.
https://psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety-
systematic-literature
…
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psnet.ahrq.gov/node/45339/psn-pdf
August 10, 2016 - Hospital at night: an organizational design that provides
safer care at night.
August 10, 2016
Hamilton-Fairley D, Coakley J, Moss F. Hospital at night: an organizational design that provides safer care
at night. BMC Med Edu. 2014;14(Suppl 1):S17. doi:10.1186/1472-6920-14-S1-S17.
https://psnet.ahrq.gov/issue/hospi…
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psnet.ahrq.gov/node/43698/psn-pdf
November 19, 2014 - Alcohol and drug testing of health professionals following
preventable adverse events: a bad idea.
November 19, 2014
Banja J. Alcohol and drug testing of health professionals following preventable adverse events: a bad idea.
Am J Bioeth. 2014;14(12):25-36. doi:10.1080/15265161.2014.964873.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/print/pdf/node/865308
January 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Organizational Learning
Curated Library
Foundations
Organizational learning: health care leaders need to design structures and processes that enhance
collective learning.
Bohmer RM, Edmondson AC. Health Forum J. 2001;44:32-35.
This comment…
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psnet.ahrq.gov/node/60362/psn-pdf
April 13, 2018 - Statewide Telehealth Program Enhances Access to Care,
Improves Outcomes for High-Risk Pregnancies in Rural
Area
June 12, 2020
https://psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-
high-risk
Summary
Formerly known as the Antenatal and Neonatal Guidelines, Education…
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psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
February 26, 2025 - April 26, 2023
Patient Safety Innovations
Enhancing
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psnet.ahrq.gov/node/60167/psn-pdf
April 12, 2024 - Reducing readmissions using teach-back: enhancing patient
and family education.
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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - Enhancing the quality of morbidity and mortality rounds: the
Ottawa M&M Model.
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psnet.ahrq.gov/node/33773/psn-pdf
September 01, 2014 - costs as side-
effects of treatments.(16) Decreasing medical overuse can have the dual benefit of enhancing
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psnet.ahrq.gov/node/857060/psn-pdf
November 27, 2023 - ” as one of
its 10 domains of competence, which is described as a “core value of nursing practice, enhancing
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psnet.ahrq.gov/node/33846/psn-pdf
November 01, 2017 - ways that patients prefer to communicate, furthering the move toward patient-centered care.(5-7
)
Enhancing
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psnet.ahrq.gov/node/837785/psn-pdf
August 05, 2022 - App-based healthcare has enormous potential for enhancing care
delivery and revolutionizing traditional
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psnet.ahrq.gov/node/49598/psn-pdf
February 01, 2010 - Take-Home Points
This medication error illustrates several key points about enhancing the safety of
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psnet.ahrq.gov/node/33797/psn-pdf
January 01, 2016 - follow-up of abnormal
clinical findings, identifying at-risk patients for better tracking or follow-up, enhancing
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psnet.ahrq.gov/node/43926/psn-pdf
April 22, 2015 - The impact of a nurse led rapid response system on
adverse, major adverse events and activation of the
medical emergency team.
April 22, 2015
Massey D, Aitken LM, Chaboyer W. The impact of a nurse led rapid response system on adverse, major
adverse events and activation of the medical emergency team. Intensive Cri…
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psnet.ahrq.gov/node/60704/psn-pdf
July 22, 2020 - Planning for a pandemic: mitigating risk to radiation
therapy service delivery in the COVID-19 era.
July 22, 2020
Anderson N, Thompson K, Andrews J, et al. Planning for a pandemic: mitigating risk to radiation therapy
service delivery in the COVID?19 era. J Med Radiat Sci. 2020;67(3):243-248. doi:10.1002/jmrs.406.
…
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psnet.ahrq.gov/node/46518/psn-pdf
October 29, 2017 - Implementing the Comprehensive Unit-Based Safety
Program (CUSP) to improve patient safety in an academic
primary care practice.
October 29, 2017
Pitts SI, Maruthur NM, Luu N-P, et al. Implementing the Comprehensive Unit-Based Safety Program
(CUSP) to Improve Patient Safety in an Academic Primary Care Practice. Jt …