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psnet.ahrq.gov/node/38487/psn-pdf
March 18, 2009 - Competence and certification of registered nurses and
safety of patients in intensive care units.
March 18, 2009
Kendall-Gallagher D, Blegen MA. Competence and certification of registered nurses and safety of patients
in intensive care units. Am J Crit Care. 2009;18(2):106-113; quiz 114. doi:10.4037/ajcc2009487.
h…
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psnet.ahrq.gov/node/35410/psn-pdf
September 11, 2009 - Intravenous medication safety and smart infusion
systems: lessons learned and future opportunities.
September 11, 2009
Keohane C, Hayes J, Saniuk C, et al. Intravenous medication safety and smart infusion systems: lessons
learned and future opportunities. J Infus Nurs. 2005;28(5):321-328.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/37121/psn-pdf
March 09, 2009 - An innovative mobile approach for patient safety
services: the case of a Taiwan health care provider.
March 9, 2009
Chao CC, Jen WY, Hung MC, et al. An innovative mobile approach for patient safety services: The case of
a Taiwan health care provider. Technovation. 2007;27(6-7). doi:10.1016/j.technovation.2006.12.00…
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psnet.ahrq.gov/node/39712/psn-pdf
July 02, 2014 - Swapping horses midstream: factors related to
physicians' changing their minds about a diagnosis.
July 2, 2014
Eva KW, Link CL, Lutfey KE, et al. Swapping horses midstream: factors related to physicians' changing
their minds about a diagnosis. Acad Med. 2010;85(7):1112-7. doi:10.1097/ACM.0b013e3181e16103.
https://…
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psnet.ahrq.gov/node/863766/psn-pdf
March 06, 2024 - Legacy: a Black Physician Reckons with Racism in
Medicine.
March 6, 2024
Blackstock U. New York, NY: Viking; 2024. ISBN: 9780593491287.
https://psnet.ahrq.gov/issue/legacy-black-physician-reckons-racism-medicine
The history of systemic racism is emerging to motivate health care equity and safety efforts. This memo…
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psnet.ahrq.gov/node/47164/psn-pdf
January 01, 2022 - Quality Improvement Series.
February 25, 2019
British Medical Journal. 2022.
https://psnet.ahrq.gov/issue/quality-improvement-series
Efforts to enhance safety and quality are integrated into daily work in health care, but improvements are not
being realized as quickly as desired. This compiled series of articles h…
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psnet.ahrq.gov/node/38258/psn-pdf
April 14, 2011 - How often do physicians review medication charts on
ward rounds?
April 14, 2011
Looi KL, Black PN. How often do physicians review medication charts on ward rounds? BMC Clin
Pharmacol. 2008;8:9. doi:10.1186/1472-6904-8-9.
https://psnet.ahrq.gov/issue/how-often-do-physicians-review-medication-charts-ward-rounds
Thi…
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psnet.ahrq.gov/node/35317/psn-pdf
July 14, 2009 - Accreditation Council on Graduate Medical Education
technical skills competency compliance: urologic surgical
skills.
July 14, 2009
Hammond L, Ketchum J, Schwartz BF. Accreditation Council on Graduate Medical Education Technical
Skills Competency Compliance: Urologic Surgical Skills. J Am Coll Surg. 2005;201(3).
…
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psnet.ahrq.gov/node/42018/psn-pdf
February 27, 2013 - Scale, nature, preventability and causes of adverse
events in hospitalised older patients.
February 27, 2013
Merten H, Zegers M, de Bruijne M, et al. Scale, nature, preventability and causes of adverse events in
hospitalised older patients. Age Ageing. 2013;42(1):87-93. doi:10.1093/ageing/afs153.
https://psnet.ahr…
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psnet.ahrq.gov/print/pdf/node/848754
January 01, 2025 - This study describes the
experiences of 50 Massachusetts hospitals that collaborated in an initiative … This study describes the
experiences of 50 Massachusetts hospitals that collaborated in an initiative
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psnet.ahrq.gov/print/pdf/node/845971
January 01, 2024 - This article proposes a new concept of safety as the preservation of values/valuables,
experiences, and … This article proposes a new concept of safety as the preservation of values/valuables,
experiences, and
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psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
May 31, 2023 - These experiences led me to pursue fellowship training, where I learned the importance of tying the assessment … additional components including interactive training sessions for residents where simulations and role-play experiences
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psnet.ahrq.gov/perspective/conversation-thomas-j-nasca-md-macp
July 10, 2024 - alertness, the ability to internalize the educational information that's provided during our clinical experiences … , and the didactic experiences that they had.
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psnet.ahrq.gov/node/848107/psn-pdf
April 26, 2023 - creating-learning-health-system-improving-diagnostic-safety-pragmatic-insights-us-health-care
https://psnet.ahrq.gov/issue/diagnostic-error-experiences-patients-and-families-limited-english-language-health-literacy … https://psnet.ahrq.gov/issue/diagnostic-error-experiences-patients-and-families-limited-english-language-health-literacy
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psnet.ahrq.gov/node/33759/psn-pdf
October 01, 2012 - technical or electronic resources.(4) For example, health care simulation offers
high-value learning experiences … their institutions.(17) CAHPS surveys "ask
consumers and patients to report on and evaluate their experiences
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psnet.ahrq.gov/node/49813/psn-pdf
January 01, 2018 - In one study comparing
end-of-life experiences of patients with dementia who were enrolled or not enrolled … Physician Orders for Life-Sustaining Treatment
program: Oregon emergency medical technicians' practical experiences
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psnet.ahrq.gov/node/45916/psn-pdf
March 08, 2017 - Feeling unsafe in the healthcare setting: patients'
perspectives.
March 8, 2017
Kenward L, Whiffin C, Spalek B. Feeling unsafe in the healthcare setting: patients' perspectives. Br J Nurs.
2017;26(3):143-149. doi:10.12968/bjon.2017.26.3.143.
https://psnet.ahrq.gov/issue/feeling-unsafe-healthcare-setting-patients-p…
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psnet.ahrq.gov/node/44832/psn-pdf
February 03, 2016 - Crowdsourcing diagnosis for patients with undiagnosed
illnesses: an evaluation of CrowdMed.
February 3, 2016
Meyer AND, Longhurst CA, Singh H. Crowdsourcing Diagnosis for Patients With Undiagnosed Illnesses:
An Evaluation of CrowdMed. J Med Internet Res. 2016;18(1):e12. doi:10.2196/jmir.4887.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/47847/psn-pdf
July 10, 2024 - CHPSO Annual Reports.
July 10, 2024
California Hospital Patient Safety Organization: Sacramento, CA; 2024.
https://psnet.ahrq.gov/issue/chpso-2019-annual-report
Patient Safety Organizations (PSOs) capture and analyze local data to inform learning among their 490
members. This report highlights 2023 trends, activit…
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psnet.ahrq.gov/node/50758/psn-pdf
December 18, 2019 - Still Not Safe: Patient Safety and the Middle-Managing of
American Medicine.
December 18, 2019
Wears R, Sutcliffe K. New York, NY: Oxford University Press; 2019. ISBN: 9780190271268.
https://psnet.ahrq.gov/issue/still-not-safe-patient-safety-and-middle-managing-american-medicine
The modern patient safety movement …