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psnet.ahrq.gov/node/40851/psn-pdf
October 12, 2011 - Improving Patient Safety Through Simulation Research:
Funded Projects.
October 12, 2011
Agency for Healthcare Quality and Research; AHRQ.
https://psnet.ahrq.gov/issue/improving-patient-safety-through-simulation-research-funded-projects
This AHRQ announcement lists projects funded in 2011 to evaluate how simulation…
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psnet.ahrq.gov/node/40419/psn-pdf
October 21, 2011 - ISMP Medication Safety Self Assessment for Hospitals.
October 21, 2011
Horsham, PA: Institute for Safe Medication Practices; April 2011.
https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-hospitals
This tool provides hospitals with a team-based process to evaluate medication practices in their faci…
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psnet.ahrq.gov/node/35179/psn-pdf
June 06, 2016 - Patient safety in cataract surgery.
June 6, 2016
Kelly SP, Astbury NJ. Patient safety in cataract surgery. Eye (Lond). 2006;20(3):275-82.
https://psnet.ahrq.gov/issue/patient-safety-cataract-surgery
The authors evaluate patient safety issues involved with cataract surgery and provide several
recommendations for sa…
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psnet.ahrq.gov/node/39137/psn-pdf
June 07, 2016 - The rise of patient safety organizations.
June 7, 2016
Ivill DS, Kearbey AH. New York Law J. November 2, 2009.
https://psnet.ahrq.gov/issue/rise-patient-safety-organizations
This news feature discusses legal aspects of Patient Safety Organizations' (PSO) role in data collection
and evaluation, work product designa…
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psnet.ahrq.gov/node/35952/psn-pdf
August 02, 2010 - Manage staff fatigue to improve patient safety.
August 2, 2010
Spath P. Manage staff fatigue to improve patient safety. Part 2 of 2. Hospital peer review. 2006;31(5):70-2.
https://psnet.ahrq.gov/issue/manage-staff-fatigue-improve-patient-safety
The author discusses three steps for reducing staff fatigue. Part I of …
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psnet.ahrq.gov/node/42241/psn-pdf
May 01, 2013 - Special Issue on Teamwork.
May 1, 2013
Salas E, Rosen MA, eds. BMJ Qual Saf. 2013;22(5):369-448.
https://psnet.ahrq.gov/issue/special-issue-teamwork
Articles in this special issue explore theory-driven and simulation-based approaches to improve teamwork
in health care.
https://psnet.ahrq.gov/issue/special-…
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psnet.ahrq.gov/node/38074/psn-pdf
June 04, 2018 - Questions and Answers on FDA's Adverse Event
Reporting System (FAERS).
October 3, 2017
Center for Drug Evaluation and Research, US Food and Drug Administration. June 4, 2018.
https://psnet.ahrq.gov/issue/questions-and-answers-fdas-adverse-event-reporting-system-faers
This FAQ provides information on and access to …
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psnet.ahrq.gov/node/42244/psn-pdf
June 27, 2018 - Medical simulation: a holistic approach to highly reliable
healthcare.
June 27, 2018
Fanning RM.
https://psnet.ahrq.gov/issue/medical-simulation-holistic-approach-highly-reliable-healthcare
This magazine article describes various ways simulation can be used to augment safety in health care,
including evaluating w…
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psnet.ahrq.gov/node/44652/psn-pdf
November 11, 2015 - Developing a principle-based approach to safe
medication practices.
November 11, 2015
Hallaran A, McNabb A, Anderson J. J Nurs Reg. 2015;6:43-47.
https://psnet.ahrq.gov/issue/developing-principle-based-approach-safe-medication-practices
This commentary describes the development, implementation, and evaluation of n…
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psnet.ahrq.gov/node/42650/psn-pdf
October 16, 2013 - The cost of disruptive and unprofessional behaviors in
health care.
October 16, 2013
Rawson J, Thompson N, Sostre G, et al. The cost of disruptive and unprofessional behaviors in health
care. Acad Radiol. 2013;20(9):1074-6. doi:10.1016/j.acra.2013.05.009.
https://psnet.ahrq.gov/issue/cost-disruptive-and-unprofessi…
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psnet.ahrq.gov/node/38393/psn-pdf
October 03, 2017 - Adverse Health Care Events Reporting System: What
Have We Learned?
October 3, 2017
St. Paul, MN: Minnesota Department of Health; January 2009.
https://psnet.ahrq.gov/issue/adverse-health-care-events-reporting-system-what-have-we-learned
Through a qualitative evaluation of the Minnesota statewide reporting initiati…
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psnet.ahrq.gov/issue/breast-cancer-missed-screening-hindsight-or-mistakes
November 15, 2023 - January 29, 2020
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/discrepancies-between-clinical-and-autopsy-diagnosis-and-value-post-mortem-histology-meta
September 22, 2021 - March 23, 2012
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/missed-lesions-abdominal-oncologic-ct-lessons-learned-quality-assurance
April 21, 2011 - October 4, 2011
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/evaluation-12-strategies-obtaining-second-opinions-improve-interpretation-breast
November 03, 2015 - April 9, 2013
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/characteristics-and-predictors-missed-opportunities-lung-cancer-diagnosis-electronic-health
January 19, 2012 - October 31, 2014
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/diagnostic-errors-musculoskeletal-oncology-and-possible-mitigation-strategies
May 01, 2013 - December 27, 2014
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/big-dog-effect-variability-assessing-causes-error-diagnoses-patients-lung-cancer
March 28, 2012 - April 9, 2013
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/delayed-or-missed-diagnosis-cervical-spine-injuries
May 05, 2010 - October 31, 2014
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/patient-safety-leadership-academy-university-pennsylvania-first-cohorts-learning-experience
October 04, 2011 - June 18, 2013
Why Current Breast Pathology Practices Must Be Evaluated.