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psnet.ahrq.gov/node/46365/psn-pdf
September 06, 2017 - Learning to overcome hierarchical pressures to achieve
safer patient care: an interprofessional simulation for
nursing, medical, and physician assistant students.
September 6, 2017
Reeves SA, Denault D, Huntington JT, et al. Learning to Overcome Hierarchical Pressures to Achieve
Safer Patient Care: An Interprofess…
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psnet.ahrq.gov/node/46631/psn-pdf
March 20, 2018 - Simulation-based education to ensure provider
competency within the healthcare system.
March 20, 2018
Griswold S, Fralliccardi A, Boulet J, et al. Simulation-based Education to Ensure Provider Competency
Within the Health Care System. Acad Emerg Med. 2018;25(2):168-176. doi:10.1111/acem.13322.
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psnet.ahrq.gov/node/47034/psn-pdf
May 16, 2018 - Disruptive physician behavior: the importance of
recognition and intervention and its impact on patient
safety.
May 16, 2018
John PR, Heitt MC. Disruptive Physician Behavior: The Importance of Recognition and Intervention and Its
Impact on Patient Safety. J Hosp Med. 2018;13(3):210-212. doi:10.12788/jhm.2945.
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psnet.ahrq.gov/node/73664/psn-pdf
September 01, 2021 - Chief resident indirect supervision in training safety
study: is a chief resident general surgery service safe for
patients?
September 1, 2021
Speaks L, Helmer SD, Quinn KR, et al. Chief resident indirect supervision in training safety study: is a chief
resident general surgery service safe for patients? J Surg Ed…
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psnet.ahrq.gov/node/44596/psn-pdf
December 04, 2016 - Health literacy in transitions of care: an innovative
objective structured clinical examination for fourth-year
medical students in an internship preparation course.
December 4, 2016
Bloom-Feshbach K, Casey D, Schulson L, et al. Health Literacy in Transitions of Care: An Innovative
Objective Structured Clinical Ex…
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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…
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psnet.ahrq.gov/node/61059/psn-pdf
October 28, 2020 - Long-term effects of teamwork training on
communication and teamwork climate in ambulatory
reproductive health care.
October 28, 2020
Dodge LE, Nippita S, Hacker MR, et al. Long?term effects of teamwork training on communication and
teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 202…
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psnet.ahrq.gov/node/47755/psn-pdf
July 24, 2019 - Animated stories of medical error as a means of teaching
undergraduates patient safety: an evaluation study.
July 24, 2019
Cooper K, Hatfield E, Yeomans J. Animated stories of medical error as a means of teaching
undergraduates patient safety: an evaluation study. Perspect Med Edu. 2019;8(2):118-122.
doi:10.1007/s…
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psnet.ahrq.gov/node/44166/psn-pdf
October 13, 2015 - Development and validation of electronic health
record–based triggers to detect delays in follow-up of
abnormal lung imaging findings.
October 13, 2015
Murphy DR, Thomas EJ, Meyer AND, et al. Development and Validation of Electronic Health Record-based
Triggers to Detect Delays in Follow-up of Abnormal Lung Imagin…
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psnet.ahrq.gov/node/867693/psn-pdf
March 05, 2025 - Leveraging artificial intelligence to reduce diagnostic
errors in emergency medicine: challenges, opportunities,
and future directions.
March 5, 2025
Taylor RA, Sangal RB, Smith ME, et al. Leveraging artificial intelligence to reduce diagnostic errors in
emergency medicine: challenges, opportunities, and future di…
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psnet.ahrq.gov/node/42503/psn-pdf
September 18, 2013 - The patient is in: patient involvement strategies for
diagnostic error mitigation.
September 18, 2013
McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error
mitigation. BMJ Qual Saf. 2013;22 Suppl 2:ii33-ii39. doi:10.1136/bmjqs-2012-001623.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/840140/psn-pdf
January 01, 2023 - Implementation of the I-PASS handoff program in diverse
clinical environments: a multicenter prospective
effectiveness implementation study.
November 16, 2022
Starmer AJ, Spector ND, O'Toole JK, et al. Implementation of the I?PASS handoff program in diverse
clinical environments: a multicenter prospective effectiv…
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psnet.ahrq.gov/node/45199/psn-pdf
June 15, 2016 - Towards safer transitions: a curriculum to teach and
assess hospital-to-hospice handoffs.
June 15, 2016
Darrah NJ, O'Connor NR. Toward Safer Transitions: A Curriculum to Teach and Assess Hospital-to-
Hospice Handoffs. J Pain Symptom Manage. 2016;51(6):959-962.e2.
doi:10.1016/j.jpainsymman.2016.01.012.
https://psn…
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psnet.ahrq.gov/node/867446/psn-pdf
January 08, 2025 - Methodological approaches for analyzing medication
error reports in patient safety reporting systems: a
scoping review.
January 8, 2025
Tchijevitch O, Hansen SM-B, Hallas J, et al. Methodological approaches for analyzing medication error
reports in patient safety reporting systems: a scoping review. Jt Comm J Qual…
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psnet.ahrq.gov/node/843320/psn-pdf
February 01, 2023 - Society for Maternal-Fetal Medicine Special Statement:
telemedicine in obstetrics-quality and safety
considerations.
February 1, 2023
Healy A, Davidson C, Allbert J, et al. Society for Maternal-Fetal Medicine Special Statement: telemedicine
in obstetrics-quality and safety considerations. Am J Obstet Gynecol. 2023…
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psnet.ahrq.gov/node/855434/psn-pdf
January 22, 2022 - A risk science perspective on the discussion concerning
Safety I, Safety II and Safety III.
January 22, 2022
Aven T. A risk science perspective on the discussion concerning Safety I, Safety II and Safety III. Reliability
Eng System Saf. 2022;217:108077. doi:10.1016/j.ress.2021.108077.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/46121/psn-pdf
January 01, 2021 - Quality of handoffs in community pharmacies.
May 10, 2017
Abebe E, Stone JA, Lester CA, et al. Quality of Handoffs in Community Pharmacies. J Patient Saf.
2021;17(6):405-411. doi:10.1097/PTS.0000000000000382.
https://psnet.ahrq.gov/issue/quality-handoffs-community-pharmacies
Handoffs present a significant patient …
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psnet.ahrq.gov/node/46186/psn-pdf
August 02, 2017 - Pain Management and the Opioid Epidemic: Balancing
Societal and Individual Benefits and Risks of Prescription
Opioid Use.
August 2, 2017
Bonnie RJ, Ford MA, Pillips JK, eds. Washington, DC: National Academies Press; 2017.
https://psnet.ahrq.gov/issue/pain-management-and-opioid-epidemic-balancing-societal-and-indiv…
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psnet.ahrq.gov/node/44038/psn-pdf
May 06, 2015 - Engineering Patient Safety in Radiation Oncology:
University of North Carolina's Pursuit for High Reliability
and Value Creation.
May 6, 2015
Marks L, Mazur L, Chera B, Adams R. Boca Raton, FL: Productivity Press; 2015. ISBN: 9781482233643.
https://psnet.ahrq.gov/issue/engineering-patient-safety-radiation-oncology…
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psnet.ahrq.gov/node/44809/psn-pdf
March 02, 2016 - Seniors managing multiple medications: using mixed
methods to view the home care safety lens.
March 2, 2016
Lang A, Macdonald M, Marck P, et al. Seniors managing multiple medications: using mixed methods to
view the home care safety lens. BMC Health Serv Res. 2015;15:548. doi:10.1186/s12913-015-1193-5.
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