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psnet.ahrq.gov/node/43094/psn-pdf
May 28, 2015 - Implementing human factors in clinical practice.
May 28, 2015
Timmons S, Baxendale B, Buttery A, et al. Implementing human factors in clinical practice. Emerg Med J.
2015;32(5):368-72. doi:10.1136/emermed-2013-203203.
https://psnet.ahrq.gov/issue/implementing-human-factors-clinical-practice
Human factors approache…
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psnet.ahrq.gov/node/40959/psn-pdf
November 30, 2011 - Error detection and recovery in dialysis nursing.
November 30, 2011
Wilkinson WE, Cauble LA, Patel VL. Error detection and recovery in dialysis nursing. J Patient Saf.
2011;7(4):213-23. doi:10.1097/PTS.0b013e3182388d20.
https://psnet.ahrq.gov/issue/error-detection-and-recovery-dialysis-nursing
This study found tha…
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psnet.ahrq.gov/node/40431/psn-pdf
May 11, 2011 - A Call for Change: The 2011 Commonwealth Fund Survey
of Public Views of the U.S. Health System.
May 11, 2011
Stremikis K, Schoen C, Fryer AK. Issue Brief. Washington DC: The Commonwealth Fund; April 2011.
https://psnet.ahrq.gov/issue/call-change-2011-commonwealth-fund-survey-public-views-us-health-system
This publ…
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psnet.ahrq.gov/node/41374/psn-pdf
September 24, 2016 - Interruptions and miscommunications in surgery: an
observational study.
September 24, 2016
Gillespie BM, Chaboyer W, Fairweather N. Interruptions and miscommunications in surgery: an
observational study. AORN J. 2012;95(5):576-90. doi:10.1016/j.aorn.2012.02.012.
https://psnet.ahrq.gov/issue/interruptions-and-misco…
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psnet.ahrq.gov/node/72642/psn-pdf
January 13, 2021 - Patient Safety
January 13, 2021
Zheng F ed. Surg Clin North Am. 2021;101(1):1-160.
https://psnet.ahrq.gov/issue/patient-safety-22
Surgical safety is a recognized area of emphasis in patient safety improvement. Articles in this special
issue cover topics such as human factors, checklists, teamwork, and telem…
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psnet.ahrq.gov/node/36908/psn-pdf
January 05, 2017 - Benefits of a rapid response system at a community
hospital.
January 5, 2017
Gessner P. Benefits of a Rapid Response System at a Community Hospital. The Joint Commission Journal
on Quality and Patient Safety. 2016;33(6). doi:10.1016/s1553-7250(07)33040-7.
https://psnet.ahrq.gov/issue/benefits-rapid-response-system…
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psnet.ahrq.gov/node/50787/psn-pdf
January 08, 2020 - Q3 Health Innovation Partners.
January 8, 2020
New Jersey Hospital Association, the Ohio Hospital Association and The Hospital and Healthsystem
Association of Pennsylvania.
https://psnet.ahrq.gov/issue/q3-health-innovation-partners
Local efforts that draw from the experience of its leaders serve an important role …
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psnet.ahrq.gov/node/42340/psn-pdf
June 05, 2013 - Medical errors are hard for doctors to admit, but it's wise
to apologize to patients.
June 5, 2013
Jain M.
https://psnet.ahrq.gov/issue/medical-errors-are-hard-doctors-admit-its-wise-apologize-patients
This newspaper article reports on disclosure and apology for medical errors, recounts a physician's
personal exp…
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psnet.ahrq.gov/node/43107/psn-pdf
March 14, 2016 - Researchers' roles in patient safety improvement.
March 14, 2016
Pietikäinen E, Reiman T, Heikkilä J, et al. Researchers' Roles in Patient Safety Improvement. J Patient Saf.
2016;12(1):25-33. doi:10.1097/PTS.0000000000000096.
https://psnet.ahrq.gov/issue/researchers-roles-patient-safety-improvement
Through a self-…
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psnet.ahrq.gov/node/850675/psn-pdf
June 14, 2023 - Patient and Family Roles in Safety
June 14, 2023
Johnson B, Lee M, Mossburg S. Patient and Family Roles in Safety. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/patient-and-family-roles-safety
Moving From Engagement to Partnership
Involving patients and families in healthcare decisions about patient c…
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psnet.ahrq.gov/perspective/conversation-suchi-saria-phd
March 27, 2024 - In Conversation With… Suchi Saria, PhD
July 1, 2019
Citation Text:
In Conversation With… Suchi Saria, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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…
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psnet.ahrq.gov/node/855057/psn-pdf
October 31, 2023 - Addressing Workplace Violence and Creating a Safer
Workplace
October 31, 2023
Jones CB, Sousane Z, Mossburg S. Addressing Workplace Violence and Creating a Safer Workplace.
PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
While violence in the w…
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psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
February 01, 2012 - A study of resident experiences and perceptions before and after hours reductions. … December 2, 2009
Surgeon and surgical trainee experiences after adverse patient events
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psnet.ahrq.gov/node/50613/psn-pdf
October 30, 2019 - For a prenatal test, the patient experiences the blood leaving their vein and that's the end of
their
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psnet.ahrq.gov/node/60610/psn-pdf
June 24, 2020 - Women’s experiences of endometriosis: a systematic review and
synthesis of qualitative research.
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psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
May 01, 2012 - Situational Awareness and Patient Safety
Citation Text:
Farnan JE. Situational Awareness and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Format:
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psnet.ahrq.gov/perspective/acgmes-2017-revision-common-program-requirements
January 31, 2018 - ACGME's 2017 Revision of Common Program Requirements
Kathy Malloy; Timothy P. Brigham, PhD; Thomas J. Nasca, MD | August 1, 2017
View more articles from the same authors.
Citation Text:
Malloy K, Brigham TP, Nasca TJ. ACGME's 2017 Revision of Common Program Requir…
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psnet.ahrq.gov/node/49715/psn-pdf
August 21, 2014 - Liver Biopsy: Proceed With Caution
August 21, 2014
Rockey DC. Liver Biopsy: Proceed With Caution. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
The Case
A 42-year-old woman with a history of multiple malignancies, including osteosarcoma and recurrent breast
cancer, presented t…
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psnet.ahrq.gov/node/35034/psn-pdf
November 05, 2015 - Seven Leadership Leverage Points for Organization-Level
Improvement in Health Care. Second edition.
November 5, 2015
Reinertsen JL, Bisognano M, Pugh MD. Cambridge, MA: Institute for Healthcare Improvement; 2008.
https://psnet.ahrq.gov/issue/seven-leadership-leverage-points-organization-level-improvement-health-car…
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psnet.ahrq.gov/node/35408/psn-pdf
August 05, 2009 - Factors influencing preceptors' responses to medical
errors: a factorial survey.
August 5, 2009
Mazor KM, Fischer M, Haley H-L, et al. Factors influencing preceptors' responses to medical errors: a
factorial survey. Acad Med. 2005;80(10 Suppl):S88-92.
https://psnet.ahrq.gov/issue/factors-influencing-preceptors-res…