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psnet.ahrq.gov/node/41668/psn-pdf
December 21, 2014 - A surgical simulation curriculum for senior medical
students based on TeamSTEPPS.
December 21, 2014
Meier AH, Boehler ML, McDowell CM, et al. A surgical simulation curriculum for senior medical students
based on TeamSTEPPS. Arch Surg. 2012;147(8):761-6. doi:10.1001/archsurg.2012.1340.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/41360/psn-pdf
September 30, 2012 - The simulated ward: ideal for training clinical clerks in an
era of patient safety.
September 30, 2012
Mollo EA, Reinke CE, Nelson C, et al. The simulated ward: ideal for training clinical clerks in an era of
patient safety. J Surg Res. 2012;177(1):e1-6. doi:10.1016/j.jss.2012.03.050.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/47539/psn-pdf
November 28, 2018 - The star of the diagnostic journey: assessing patient
perspectives.
November 28, 2018
Gipson K. PA-PSRS Pa Patient Saf Advis. 2018 Oct 31;15(suppl 1):39-45.
https://psnet.ahrq.gov/issue/star-diagnostic-journey-assessing-patient-perspectives
Patients are increasingly seen as partners in efforts to improve health ca…
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psnet.ahrq.gov/node/50805/psn-pdf
January 15, 2020 - Advancing safety with closed-loop communication of test
results.
January 15, 2020
Quick Safety. December 17, 2019;(52):1-3.
https://psnet.ahrq.gov/issue/advancing-safety-closed-loop-communication-test-results
Incomplete or delayed test result communication is a known factor in diagnostic error. This article shares…
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psnet.ahrq.gov/node/41053/psn-pdf
December 30, 2014 - Time to accelerate integration of human factors and
ergonomics in patient safety.
December 30, 2014
Gurses AP, Ozok A, Pronovost P. Time to accelerate integration of human factors and ergonomics in
patient safety. BMJ Qual Saf. 2012;21(4):347-51. doi:10.1136/bmjqs-2011-000421.
https://psnet.ahrq.gov/issue/time-acc…
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psnet.ahrq.gov/node/46553/psn-pdf
October 25, 2017 - Telehealth.
October 25, 2017
Tuckson R, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med. 2017;377(16):1585-1592.
doi:10.1056/NEJMsr1503323.
https://psnet.ahrq.gov/issue/telehealth
Telemedicine can improve patient experience and access to health care. This commentary reviews the
current state of telehealth practi…
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psnet.ahrq.gov/node/44770/psn-pdf
September 24, 2016 - Obstacles to research on the effects of interruptions in
healthcare.
September 24, 2016
Grundgeiger T, Dekker SWA, Sanderson P, et al. Obstacles to research on the effects of interruptions in
healthcare. BMJ Qual Saf. 2016;25(6):392-5. doi:10.1136/bmjqs-2015-004083.
https://psnet.ahrq.gov/issue/obstacles-research-…
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psnet.ahrq.gov/node/860400/psn-pdf
January 10, 2024 - AHA Patient Safety Initiative.
January 10, 2024
American Hospital Association.
https://psnet.ahrq.gov/issue/aha-patient-safety-initiative
Leadership at the organization and system level is crucial to gaining improvement traction and
sustainability. This initiative centers on safety culture, care inequities, and wo…
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psnet.ahrq.gov/node/44155/psn-pdf
June 24, 2015 - Patient Safety Tool Kit.
June 24, 2015
WHO Regional Office for the Eastern Mediterranean. Cairo, Egypt: World Health Organization; 2015. ISBN:
9789290220596.
https://psnet.ahrq.gov/issue/patient-safety-tool-kit
Patient safety programs should reflect local needs, motivate clinician and leadership engagement, and
s…
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psnet.ahrq.gov/node/43591/psn-pdf
August 02, 2015 - The automated operating room: a team approach to
patient safety and communication.
August 2, 2015
Nissan J, Campos V, Delgado H, et al. The automated operating room: a team approach to patient safety
and communication. JAMA Surg. 2014;149(11):1209-10. doi:10.1001/jamasurg.2014.1825.
https://psnet.ahrq.gov/issue/au…
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psnet.ahrq.gov/node/43152/psn-pdf
May 07, 2014 - The trainee's voice: recognising the importance of
preoperative briefings for surgical trainees.
May 7, 2014
Bethune R, Blencowe NS. The trainee's voice: recognising the importance of preoperative briefings for
surgical trainees. J Perioper Pract. 2014;24(3):56-58.
https://psnet.ahrq.gov/issue/trainees-voice-recog…
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psnet.ahrq.gov/node/40658/psn-pdf
August 03, 2011 - Development and validation of a tool to improve
paediatric referral/consultation communication.
August 3, 2011
Stille CJ, Mazor KM, Meterko V, et al. Development and validation of a tool to improve paediatric
referral/consultation communication. BMJ Qual Saf. 2011;20(8):692-7. doi:10.1136/bmjqs.2010.045781.
https:…
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psnet.ahrq.gov/node/45093/psn-pdf
September 04, 2016 - Radically redesigning patient safety.
September 4, 2016
Radick LE. Radically Redesigning Patient Safety. Healthcare executive. 2016;31(2):32-4, 36-40, 42.
https://psnet.ahrq.gov/issue/radically-redesigning-patient-safety
Leadership and staff commitment are required to achieve improvements in patient safety. Discuss…
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psnet.ahrq.gov/node/42263/psn-pdf
January 14, 2014 - The Quality and Safety Educators Academy: fulfilling an
unmet need for faculty development.
January 14, 2014
Myers JS, Tess A, Glasheen JJ, et al. The Quality and Safety Educators Academy: fulfilling an unmet need
for faculty development. Am J Med Qual. 2014;29(1):5-12. doi:10.1177/1062860613484082.
https://psnet.…
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psnet.ahrq.gov/node/39863/psn-pdf
January 04, 2011 - Improving the quality of drug error reporting.
January 4, 2011
Armitage G, Newell R, Wright J. Improving the quality of drug error reporting. J Eval Clin Pract.
2010;16(6):1189-97. doi:10.1111/j.1365-2753.2009.01293.x.
https://psnet.ahrq.gov/issue/improving-quality-drug-error-reporting
This analysis of voluntarily…
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psnet.ahrq.gov/node/37216/psn-pdf
July 28, 2010 - Discharge rounds in the 80-hour workweek: importance of
the trauma nurse practitioner.
July 28, 2010
Haan JM, Dutton RP, Willis M, et al. Discharge rounds in the 80-hour workweek: importance of the trauma
nurse practitioner. J Trauma. 2007;63(2):339-43.
https://psnet.ahrq.gov/issue/discharge-rounds-80-hour-workwee…
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psnet.ahrq.gov/node/42370/psn-pdf
June 19, 2013 - Resident Projects for Improvement.
June 19, 2013
Heilman J, ed. UNM CIR Journal of Quality Improvement in Healthcare. Albuquerque, NM: University of
New Mexico; May 2013.
https://psnet.ahrq.gov/issue/journal-quality-improvement-healthcare-second-edition
This publication outlines quality and safety improvement proj…
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psnet.ahrq.gov/node/34782/psn-pdf
November 01, 2016 - When systems fail.
November 1, 2016
Roberts KH, Bea RG. When systems fail. Organ Dyn. 2002;29(3):179-191. doi:10.1016/s0090-
2616(01)00025-0.
https://psnet.ahrq.gov/issue/when-systems-fail
This review provides a detailed account of managerial causes of failure and managerial failure prevention
strategies. The aut…
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psnet.ahrq.gov/node/46971/psn-pdf
July 18, 2018 - The Future of NHS Patient Safety Investigation.
July 18, 2018
NHS Improvement. London, UK: National Health Service; 2018.
https://psnet.ahrq.gov/issue/future-nhs-patient-safety-investigation
Organizational processes to investigate adverse care incidents play an important part in generating the
learning needed for …
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psnet.ahrq.gov/node/41185/psn-pdf
March 24, 2012 - Learning from near misses: from quick fixes to closing off
the Swiss-cheese holes.
March 24, 2012
Jeffs L, Berta W, Lingard LA, et al. Learning from near misses: from quick fixes to closing off the Swiss-
cheese holes. BMJ Qual Saf. 2012;21(4):287-94. doi:10.1136/bmjqs-2011-000256.
https://psnet.ahrq.gov/issue/lea…