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psnet.ahrq.gov/node/46421/psn-pdf
November 08, 2017 - A novel ICU hand-over tool: the glass door of the patient
room.
November 8, 2017
Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J
Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947.
https://psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-p…
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psnet.ahrq.gov/node/45218/psn-pdf
June 15, 2016 - Patient Safety and Quality Improvement Act of 2005--HHS
guidance regarding patient safety work product and
providers' external obligations.
June 15, 2016
Agency for Healthcare Research and Quality. Fed Regist. 2016;81(100);32655-32660.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-hh…
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psnet.ahrq.gov/node/44028/psn-pdf
April 01, 2015 - Alarm system management: evidence-based guidance
encouraging direct measurement of informativeness to
improve alarm response.
April 1, 2015
Rayo MF, Moffatt-Bruce SD. Alarm system management: evidence-based guidance encouraging direct
measurement of informativeness to improve alarm response. BMJ Qual Saf. 2015;24(…
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psnet.ahrq.gov/node/45563/psn-pdf
October 19, 2016 - Using a change model to reduce the risk of surgical site
infection.
October 19, 2016
Burden M. Using a change model to reduce the risk of surgical site infection. Br J Nurs. 2016;25(17):949-
955.
https://psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection
Surgical site infections can resul…
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psnet.ahrq.gov/node/45041/psn-pdf
September 28, 2016 - Structure and outcomes of interdisciplinary rounds in
hospitalized medicine patients: a systematic review and
suggested taxonomy.
September 28, 2016
Bhamidipati S, Elliott DJ, Justice EM, et al. Structure and outcomes of interdisciplinary rounds in
hospitalized medicine patients: A systematic review and suggested …
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psnet.ahrq.gov/node/47030/psn-pdf
June 06, 2018 - Creating a safer operating room: groups, team dynamics
and crew resource management principles.
June 6, 2018
Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource
management principles. Semin Pediatr Surg. 2018;27(2):107-113. doi:10.1053/j.sempedsurg.2018.02.008.
https://p…
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psnet.ahrq.gov/node/47604/psn-pdf
December 21, 2018 - Principles for Patient and Family Partnership in Care: An
American College of Physicians Position Paper.
December 21, 2018
Nickel WK, Weinberger SE, Guze PA, et al. Principles for Patient and Family Partnership in Care: An
American College of Physicians Position Paper. Ann Intern Med. 2018;169(11):796-799. doi:10.7…
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psnet.ahrq.gov/node/42722/psn-pdf
November 13, 2013 - Patient safety perspectives of providers and nurses: the
experience of a rural ambulatory care practice using an
EHR with e-prescribing.
November 13, 2013
Bramble JD, Abbott AA, Fuji KT, et al. Patient safety perspectives of providers and nurses: the experience
of a rural ambulatory care practice using an EHR with…
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psnet.ahrq.gov/node/47783/psn-pdf
April 10, 2019 - An IDEA: safety training to improve critical thinking by
individuals and teams.
April 10, 2019
Browne AM, Deutsch ES, Corwin K, et al. An IDEA: Safety Training to Improve Critical Thinking by
Individuals and Teams. Am J Med Qual. 2019;34(6):569-576. doi:10.1177/1062860618820687.
https://psnet.ahrq.gov/issue/idea-s…
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psnet.ahrq.gov/node/853611/psn-pdf
September 20, 2023 - Preventing potential patient harm through clinical content
interventions during oncology clinical trial
implementation.
September 20, 2023
Loo VC, Kim S, Johnson LM, et al. Preventing potential patient harm through clinical content interventions
during oncology clinical trial implementation. J Patient Saf. 2023;19…
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psnet.ahrq.gov/node/60955/psn-pdf
September 30, 2020 - The emergency department trigger tool: a novel approach
to screening for quality and safety events.
September 30, 2020
Griffey RT, Schneider RM, Todorov AA. The emergency department trigger tool: a novel approach to
screening for quality and safety events. Ann Emerg Med. 2020;76(2):230-240.
doi:10.1016/j.annemergm…
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psnet.ahrq.gov/node/47833/psn-pdf
March 20, 2019 - Americans' growing exposure to clinician quality
information: insights and implications.
March 20, 2019
Schlesinger MJ, Rybowski L, Shaller D, et al. Americans' Growing Exposure To Clinician Quality
Information: Insights And Implications. Health Aff (Millwood). 2019;38(3):374-382.
doi:10.1377/hlthaff.2018.05006.
…
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psnet.ahrq.gov/node/45239/psn-pdf
August 24, 2016 - Using simulation to improve first-year pharmacy students'
ability to identify medication errors involving the top 100
prescription medications.
August 24, 2016
Atayee RS, Awdishu L, Namba J. Using Simulation to Improve First-Year Pharmacy Students' Ability to
Identify Medication Errors Involving the Top 100 Prescr…
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psnet.ahrq.gov/node/46146/psn-pdf
June 07, 2017 - Increasing patient safety event reporting in an emergency
medicine residency.
June 7, 2017
Steen S, Jaeger C, Price L, et al. Increasing Patient Safety Event Reporting in an Emergency Medicine
Residency. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u223876.w5716.
https://psnet.ahrq.gov/issue/increasing-p…
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psnet.ahrq.gov/node/866447/psn-pdf
August 07, 2024 - Older adults are often misdiagnosed. Specialized ERs and
trained clinicians can help.
August 7, 2024
Milne-Tyte A. Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. Health
Shots. National Public Radio. July 30, 2024;
https://psnet.ahrq.gov/issue/older-adults-are-often-misdiagnos…
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psnet.ahrq.gov/node/853073/psn-pdf
August 30, 2023 - Mind the power gap: how hierarchical leadership in
healthcare is a risk to patient safety.
August 30, 2023
Kanaris C. Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. J Child
Health Care. 2023;27(3):319-322. doi:10.1177/13674935231196197.
https://psnet.ahrq.gov/issue/mind-…
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psnet.ahrq.gov/node/47982/psn-pdf
July 31, 2019 - Walking the plank: an experimental paradigm to
investigate safety voice.
July 31, 2019
Noort MC, Reader TW, Gillespie A. Walking the Plank: An Experimental Paradigm to Investigate Safety
Voice. Front Psychol. 2019;10:668. doi:10.3389/fpsyg.2019.00668.
https://psnet.ahrq.gov/issue/walking-plank-experimental-paradig…
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psnet.ahrq.gov/node/44202/psn-pdf
June 10, 2015 - Medication reconciliation to facilitate transitions of care
after hospitalization.
June 10, 2015
Liu VC, Garwood CL. Medication reconciliation to facilitate transitions of care after hospitalization. Am J
Health Syst Pharm. 2015;72(9):690-693. doi:10.2146/ajhp140133.
https://psnet.ahrq.gov/issue/medication-reconci…
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psnet.ahrq.gov/node/44356/psn-pdf
October 03, 2017 - Breaking the silence of the switch—increasing
transparency about trainee participation in surgery.
October 3, 2017
McAlister C. Breaking the Silence of the Switch--Increasing Transparency about Trainee Participation in
Surgery. N Engl J Med. 2015;372(26):2477-9. doi:10.1056/NEJMp1502901.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/45346/psn-pdf
November 18, 2016 - How do simulated error experiences impact attitudes
related to error prevention?
November 18, 2016
Breitkreuz KR, Dougal RL, Wright MC. How Do Simulated Error Experiences Impact Attitudes Related to
Error Prevention? Simul Healthc. 2016;11(5):323-333.
https://psnet.ahrq.gov/issue/how-do-simulated-error-experiences…