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psnet.ahrq.gov/node/46650/psn-pdf
July 12, 2018 - Towards a more patient-centered approach to medication
safety.
July 12, 2018
Lee JL, Dy SM, Gurses AP, et al. Towards a More Patient-Centered Approach to Medication Safety. J
Patient Exp. 2018;5(2):83-87. doi:10.1177/2374373517727532.
https://psnet.ahrq.gov/issue/towards-more-patient-centered-approach-medication-s…
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psnet.ahrq.gov/node/44918/psn-pdf
April 13, 2016 - National Reporting and Learning System Research and
Development.
April 13, 2016
Mayer E, Flott K, Callahan R, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research
Centre; 2016.
https://psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development
Incident reporting has a…
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psnet.ahrq.gov/node/47662/psn-pdf
February 21, 2024 - Lucian Leape Patient Safety Fellowship Award.
February 21, 2024
International Society for Quality in Health Care
https://psnet.ahrq.gov/issue/lucian-leape-patient-safety-fellowship-award
Inspired by the work and leadership of Dr. Lucian Leape, this award is a mentoring program to develop
physicians and leaders see…
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psnet.ahrq.gov/node/836856/psn-pdf
April 06, 2022 - To what extent are patients involved in researching safety
in acute mental healthcare?
April 6, 2022
Brierley-Jones L, Ramsey L, Canvin K, et al. To what extent are patients involved in researching safety in
acute mental healthcare? Res Involv Engagem. 2022;8(1):8. doi:10.1186/s40900-022-00337-x.
https://psnet.ahr…
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psnet.ahrq.gov/node/45184/psn-pdf
June 01, 2016 - Measuring patient safety in primary care: the
development and validation of the "Patient Reported
Experiences and Outcomes of Safety in Primary Care"
(PREOS-PC).
June 1, 2016
Ricci-Cabello I, Avery A, Reeves D, et al. Measuring Patient Safety in Primary Care: The Development and
Validation of the "Patient Reporte…
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psnet.ahrq.gov/node/43030/psn-pdf
March 26, 2014 - Recommendations for practitioners and manufacturers to
address system-based causes of vaccine errors.
March 26, 2014
ISMP Medication Safety Alert! Acute care edition. March 13, 2014;19:1-2,4-5.
https://psnet.ahrq.gov/issue/recommendations-practitioners-and-manufacturers-address-system-based-
causes-vaccine-…
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psnet.ahrq.gov/node/43861/psn-pdf
July 01, 2016 - Misdiagnosis and missed diagnoses in foster and
adopted children with prenatal alcohol exposure.
July 1, 2016
Chasnoff IJ, Wells AM, King L. Misdiagnosis and missed diagnoses in foster and adopted children with
prenatal alcohol exposure. Pediatrics. 2015;135(2):264-70. doi:10.1542/peds.2014-2171.
https://psnet.ahr…
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psnet.ahrq.gov/node/867049/psn-pdf
October 30, 2024 - National Review of Maternity Services in England 2022 to
2024.
October 30, 2024
National Review Of Maternity Services In England 2022 To 2024. Newcastle Upon Tyne, UK: Care Quality
Commission; September 2024.
https://psnet.ahrq.gov/issue/national-review-maternity-services-england-2022-2024
Maternal safety is a gl…
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psnet.ahrq.gov/node/41087/psn-pdf
November 26, 2014 - Use of an appreciative inquiry approach to improve
resident sign-out in an era of multiple shift changes.
November 26, 2014
Helms AS, Perez TE, Baltz J, et al. Use of an appreciative inquiry approach to improve resident sign-out in
an era of multiple shift changes. J Gen Intern Med. 2012;27(3):287-91. doi:10.1007/s…
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psnet.ahrq.gov/node/46931/psn-pdf
January 15, 2019 - Strategies for optimizing OR drug safety.
January 15, 2019
Meyer TA, McAllister RK. Pharmacy Practice News. March 19, 2018.
https://psnet.ahrq.gov/issue/strategies-optimizing-or-drug-safety
Perioperative adverse drug events are common and understudied. Reporting on the complexity of
medication administration durin…
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psnet.ahrq.gov/node/45705/psn-pdf
January 23, 2017 - ASPEN Safe Practices for Enteral Nutrition Therapy.
January 23, 2017
Boullata JI, Carrera AL, Harvey L, et al. ASPEN Safe Practices for Enteral Nutrition Therapy. JPEN J
Parenter Enteral Nutr. 2017;41(1):15-103. doi:10.1177/0148607116673053.
https://psnet.ahrq.gov/issue/aspen-safe-practices-enteral-nutrition-therap…
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psnet.ahrq.gov/node/45752/psn-pdf
January 11, 2017 - TeamSTEPPS in long-term care- an academic partnership:
part 1 and part 2.
January 11, 2017
Roman TC, Abraham K, Dever K. TeamSTEPPS in Long-Term Care-An Academic Partnership: Part I. J
Contin Educ Nurs. 2016;47(11):490-492. doi:10.3928/00220124-20161017-06.
https://psnet.ahrq.gov/issue/teamstepps-long-term-care-ac…
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psnet.ahrq.gov/node/60034/psn-pdf
March 11, 2020 - Responding to unprofessional behavior by trainees - a
"just culture" framework.
March 11, 2020
Wasserman JA, Redinger M, Gibb T. Responding to Unprofessional Behavior by Trainees — A “Just
Culture” Framework. New England Journal of Medicine. 2020;382(8). doi:10.1056/nejmms1912591.
https://psnet.ahrq.gov/issue/resp…
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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.