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psnet.ahrq.gov/node/50656/psn-pdf
November 13, 2019 - Whistleblowing over patient safety and care quality: a
review of the literature.
November 13, 2019
Blenkinsopp J, Snowden N, Mannion R, et al. Whistleblowing over patient safety and care quality: a review
of the literature. J Health Org Manag. 2019;33(6):737-756. doi:10.1108/JHOM-12-2018-0363.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/47181/psn-pdf
August 22, 2018 - Critical role of the surgeon–anesthesiologist relationship
for patient safety.
August 22, 2018
Cooper JB. Critical Role of the Surgeon-Anesthesiologist Relationship for Patient Safety. Anesthesiology.
2018;129(3):402-405. doi:10.1097/ALN.0000000000002324.
https://psnet.ahrq.gov/issue/critical-role-surgeon-anesthes…
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psnet.ahrq.gov/node/60622/psn-pdf
January 01, 2021 - Managing teamwork in the face of pandemic: evidence-
based tips.
June 24, 2020
Tannenbaum SI, Traylor AM, Thomas EJ, et al. Managing teamwork in the face of pandemic: evidence-
based tips. BMJ Qual Saf. 2021;30(1):59-63. doi:10.1136/bmjqs-2020-011447.
https://psnet.ahrq.gov/issue/managing-teamwork-face-pandemic-ev…
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psnet.ahrq.gov/node/74065/psn-pdf
November 10, 2021 - AHRQ announces interest in research on digital
healthcare safety.
November 10, 2021
Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 28, 2021
Publication No. NOT-HS-22-004.
https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-digital-healthcare-safety
Digital in…
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psnet.ahrq.gov/node/35635/psn-pdf
June 24, 2010 - Patient safety problems in adolescent medical care.
June 24, 2010
Woods D, Holl JL, Klein JD, et al. Patient safety problems in adolescent medical care. J Adolesc Health.
2006;38(1):5-12.
https://psnet.ahrq.gov/issue/patient-safety-problems-adolescent-medical-care
Using data from the Colorado and Utah Medical Prac…
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psnet.ahrq.gov/node/44512/psn-pdf
September 23, 2015 - Increased mortality associated with weekend hospital
admission: a case for expanded seven day services?
September 23, 2015
Freemantle N, Ray D, McNulty D, et al. Increased mortality associated with weekend hospital admission: a
case for expanded seven day services? BMJ. 2015;351:h4596. doi:10.1136/bmj.h4596.
https…
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psnet.ahrq.gov/node/73683/psn-pdf
September 08, 2021 - Why and how to approach user experience in safety-
critical domains: the example of health care.
September 8, 2021
Grundgeiger T, Hurtienne J, Happel O. Why and how to approach user experience in safety-critical
domains: the example of health care. Hum Factors. 2020;63(5):821-832. doi:10.1177/0018720819887575.
htt…
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psnet.ahrq.gov/node/34861/psn-pdf
November 11, 2015 - When things go wrong: how health care organizations
deal with major failures.
November 11, 2015
Walshe K, Shortell SM. When things go wrong: how health care organizations deal with major failures.
Health Aff (Millwood). 2004;23(3):103-11.
https://psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizati…
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psnet.ahrq.gov/node/34587/psn-pdf
January 04, 2017 - John M. Eisenberg Patient Safety Awards. Individual
lifetime achievement: Jeffrey B. Cooper, Ph.D.,
Massachusetts General Hospital.
January 4, 2017
Cooper JB. John M. Eisenberg Patient Safety Awards. Individual lifetime achievement: Jeffrey B. Cooper,
Ph.D., Massachusetts General Hospital. Interview by Steven Berm…
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psnet.ahrq.gov/node/863758/psn-pdf
March 06, 2024 - Medication safety gaps in English pediatric inpatient
units: an exploration using work domain analysis.
March 6, 2024
Sutherland A, Phipps DL, Gill A, et al. Medication safety gaps in English pediatric inpatient units: an
exploration using work domain analysis. J Patient Saf. 2024;20(1):7-15.
doi:10.1097/pts.00000…
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psnet.ahrq.gov/node/34812/psn-pdf
March 05, 2008 - The critical incident technique.
March 5, 2008
FLANAGAN JC. The critical incident technique. Psychol Bull. 1954;51(4):327-358.
https://psnet.ahrq.gov/issue/critical-incident-technique
This review details the background of a methodology aimed to record specific behaviors, rather than
opinions or estimates, in evalu…
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psnet.ahrq.gov/node/46492/psn-pdf
November 29, 2017 - Themed Issue on the Opioid Epidemic.
November 29, 2017
Benzon HT, Anderson TA, eds. Anesth Analg. 2017;125(5):1427-1778.
https://psnet.ahrq.gov/issue/themed-issue-opioid-epidemic
Anesthesiologists provide pain management services in both perioperative and inpatient settings. Articles
in this special issue review f…
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psnet.ahrq.gov/node/34706/psn-pdf
December 23, 2012 - Analysing potential harm in Australian general practice:
an incident-monitoring study.
December 23, 2012
Bhasale AL, Miller GC, Reid SE, et al. Analysing potential harm in Australian general practice: an incident-
monitoring study. Med J Aust. 1998;169(2):73-6.
https://psnet.ahrq.gov/issue/analysing-potential-harm…
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www.uspreventiveservicestaskforce.org/apps/
The Prevention TaskForce (formerly ePSS) application assists primary care clinicians to identify the screening, counseling, and preventive medication services that are appropriate for their patients.
The Prevention TaskForce data is based on the current recommendations of the U.S. Preventive Services Task Force (USPS…
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pso.ahrq.gov/common-formats/npsd-data-spotlights
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www.uspreventiveservicestaskforce.org/uspstf/draft-update-summary/cardiovascular-disease-enhanced-risk-assessment-non-traditional-risk-factors
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Enhanced Risk Assessment for Cardiovascular Disease: Coronary Artery Calcium Scoring
An Update for This Topic is In Progress
LAST UPDATED: Sep 19, 2024
The Task Force keeps rec…
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psnet.ahrq.gov/node/34774/psn-pdf
June 02, 2010 - Medical Harm: Historical, Conceptual, and Ethical
Dimensions of Iatrogenic Illness.
June 2, 2010
Sharpe VA, Faden AI. Cambridge NY; Cambridge University Press; 1998. ISBN: 9780521634908
https://psnet.ahrq.gov/issue/medical-harm-historical-conceptual-and-ethical-dimensions-iatrogenic-illness
An academic exploration…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-1.html
September 01, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction
Introduction
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Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction
Introduction
Rationale for Use
Content-Specific Versus Process-Focused Checklis…
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psnet.ahrq.gov/node/867085/psn-pdf
November 06, 2024 - The medication kit conundrum: considerations to
enhance safety and efficiency.
November 6, 2024
Arthur KJ, Fuller J, Dossett HA, et al. The medication kit conundrum: considerations to enhance safety and
efficiency. Am J Health Syst Pharm. 2024;Epub Sep 4. doi:10.1093/ajhp/zxae233.
https://psnet.ahrq.gov/issue/medi…
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psnet.ahrq.gov/node/837506/psn-pdf
June 22, 2022 - Reducing pediatric emergency department prescription
errors.
June 22, 2022
Devarajan V, Nadeau NL, Creedon JK, et al. Reducing pediatric emergency department prescription errors.
Pediatrics. 2022;149(6):e2020014696. doi:10.1542/peds.2020-014696.
https://psnet.ahrq.gov/issue/reducing-pediatric-emergency-department-…