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psnet.ahrq.gov/node/836871/psn-pdf
April 06, 2022 - The spectrum of harm associated with modern medicine.
April 6, 2022
Schattner A. The spectrum of harm associated with modern medicine. J Gen Intern Med. 2022;37(3):664-
667. doi:10.1007/s11606-021-06997-x.
https://psnet.ahrq.gov/issue/spectrum-harm-associated-modern-medicine
Interest in harm resulting from medical…
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psnet.ahrq.gov/node/34722/psn-pdf
April 07, 2011 - A preliminary taxonomy of medical errors in family
practice.
April 7, 2011
Dovey S, Meyers DS, Phillips RL, et al. A preliminary taxonomy of medical errors in family practice. Qual
Saf Health Care. 2002;11(3):233-8.
https://psnet.ahrq.gov/issue/preliminary-taxonomy-medical-errors-family-practice
Efforts to improv…
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psnet.ahrq.gov/node/73972/psn-pdf
October 13, 2021 - The less-discussed consequence of healthcare's labor
shortage.
October 13, 2021
Bean M, Masson G. Becker's Hospital Review. October 4, 2021.
https://psnet.ahrq.gov/issue/less-discussed-consequence-healthcares-labor-shortage
Staffing shortages can impact the safety of care by enabling burnout, care omission, a…
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psnet.ahrq.gov/node/38225/psn-pdf
February 16, 2011 - Changing conversations: teaching safety and quality in
residency training.
February 16, 2011
Voss JD, May NB, Schorling JB, et al. Changing conversations: teaching safety and quality in residency
training. Acad Med. 2008;83(11):1080-7. doi:10.1097/ACM.0b013e31818927f8.
https://psnet.ahrq.gov/issue/changing-convers…
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psnet.ahrq.gov/node/43529/psn-pdf
October 01, 2014 - National pediatric anesthesia safety quality improvement
program in the United States.
October 1, 2014
Kurth D, Tyler D, Heitmiller ES, et al. National pediatric anesthesia safety quality improvement program in
the United States. Anesth Analg. 2014;119(1):112-21. doi:10.1213/ANE.0000000000000040.
https://psnet.ahr…
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psnet.ahrq.gov/node/837982/psn-pdf
August 31, 2022 - Patient Safety Incident Response Framework.
August 31, 2022
London, England: NHS England; August 2022.
https://psnet.ahrq.gov/issue/patient-safety-incident-response-framework
Effective response to medical error requires a comprehensive systemic and process-focused incident
examination approach to ensure organizati…
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psnet.ahrq.gov/node/836972/psn-pdf
April 20, 2022 - Diagnostic Centers of Excellence: Partnerships to
Improve Diagnostic Safety and Quality (R18).
April 20, 2022
Rockville, MD: Agency for Healthcare Research and Quality; April 7, 2022. RFA-HS-22-008.
https://psnet.ahrq.gov/issue/diagnostic-centers-excellence-partnerships-improve-diagnostic-safety-and-
quality-r18
…
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psnet.ahrq.gov/node/45223/psn-pdf
September 27, 2017 - Hospital safety climate and safety behavior: a social
exchange perspective.
September 27, 2017
Ancarani A, Di Mauro C, Giammanco MD. Hospital safety climate and safety behavior: A social exchange
perspective. Health Care Manage Rev. 2017;42(4):341-351. doi:10.1097/HMR.0000000000000118.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/60921/psn-pdf
September 16, 2020 - How physicians think: a case-based diagnostic simulation
exercise.
September 16, 2020
Gupta A, Quinn M, Saint S, et al. The variability in how physicians think: a casebased diagnostic simulation
exercise. Diagnosis (Berl). 2021;8(2):167-175. doi:10.1515/dx-2020-0010.
https://psnet.ahrq.gov/issue/how-physicians-thi…
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psnet.ahrq.gov/node/47978/psn-pdf
May 01, 2019 - Patient Safety.
May 1, 2019
GMS J Med Educ. 2019;36:Doc11-Doc22.
https://psnet.ahrq.gov/issue/patient-safety-16
Patient safety has been described as an unmet need in physician training. This special issue covers areas
of focus for a patient safety curriculum drawn from experience in the German medical education sy…
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psnet.ahrq.gov/node/842777/psn-pdf
January 18, 2023 - Patient safety performance: reversing recent declines
through shared profession-wide system-level solutions.
January 18, 2023
doi:full/10.1056/CAT.22.0318.
https://psnet.ahrq.gov/issue/patient-safety-performance-reversing-recent-declines-through-shared-
profession-wide-system
The COVID-19 pandemic revealed fractu…
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psnet.ahrq.gov/node/44023/psn-pdf
November 16, 2015 - Impact of organizations on healthcare-associated
infections.
November 16, 2015
Castro-Sánchez E, Holmes AH. Impact of organizations on healthcare-associated infections. J Hosp Infect.
2015;89(4):346-50. doi:10.1016/j.jhin.2015.01.012.
https://psnet.ahrq.gov/issue/impact-organizations-healthcare-associated-infectio…
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psnet.ahrq.gov/node/46158/psn-pdf
October 31, 2017 - Improving care teams' functioning: recommendations
from team science.
October 31, 2017
Fiscella K, Mauksch L, Bodenheimer T, et al. Improving Care Teams' Functioning: Recommendations from
Team Science. Jt Comm J Qual Patient Saf. 2017;43(7):361-368. doi:10.1016/j.jcjq.2017.03.009.
https://psnet.ahrq.gov/issue/impr…
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psnet.ahrq.gov/node/867393/psn-pdf
December 18, 2024 - The predictors of patient safety culture in hospital setting:
a systematic review.
December 18, 2024
Vibe A, Rasmussen SH, Rasmussen NOP, et al. The predictors of patient safety culture in hospital setting:
a systematic review. J Patient Saf. 2024;20(8):576-592. doi:10.1097/pts.0000000000001285.
https://psnet.ahrq…
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psnet.ahrq.gov/node/44243/psn-pdf
November 09, 2015 - Concept analysis: wrong-site surgery.
November 9, 2015
Watson DS. Concept analysis: wrong-site surgery. AORN J. 2015;101(6):650-6.
doi:10.1016/j.aorn.2015.03.012.
https://psnet.ahrq.gov/issue/concept-analysis-wrong-site-surgery
Despite large-scale efforts to prevent wrong-site surgeries, they continue to occur. Th…
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psnet.ahrq.gov/node/46059/psn-pdf
July 11, 2017 - Pathologists' perspectives on disclosing harmful
pathology error.
July 11, 2017
Dintzis SM, Clennon EK, Prouty CD, et al. Pathologists' Perspectives on Disclosing Harmful Pathology
Error. Arch Pathol Lab Med. 2017;141(6):841-845. doi:10.5858/arpa.2016-0136-OA.
https://psnet.ahrq.gov/issue/pathologists-perspectives…
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www.ahrq.gov/pqmp/measures/adapt-survey.html
August 01, 2021 - Adolescent Assessment of Preparation for Transition (ADAPT) Survey
Measure Domain: Patient-Reported Outcomes (Health Outcomes and Patient Experiences of Care)
Measure Sub-Domain: Transitions
PQMP COE: CEPQM
Associated NQF # and Name: 2789, Adolescent Assessment of Preparation for Transition (ADAPT) to…
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psnet.ahrq.gov/node/45951/psn-pdf
October 31, 2017 - A systematic review of team training in health care: ten
questions.
October 31, 2017
Marlow SL, Hughes A, Sonesh SC, et al. A Systematic Review of Team Training in Health Care: Ten
Questions. Jt Comm J Qual Patient Saf. 2017;43(4):197-204. doi:10.1016/j.jcjq.2016.12.004.
https://psnet.ahrq.gov/issue/systematic-rev…
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psnet.ahrq.gov/node/73861/psn-pdf
September 22, 2021 - Bringing the clinical laboratory into the strategy to
advance diagnostic excellence.
September 22, 2021
Lubin IM, Astles J R, Shahangian S, et al. Bringing the clinical laboratory into the strategy to advance
diagnostic excellence. Diagnosis (Berl). 2021;8(3):281-294. doi:10.1515/dx-2020-0119.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/72581/psn-pdf
December 16, 2020 - Dispensing Errors.
December 16, 2020
Phipps D, Ashour A, Riste L, et al. The Pharmaceutical Journal. 2020;305(7943, 7944).
November 10, December 1, 2020.
https://psnet.ahrq.gov/issue/dispensing-errors
Dispensing mistakes are a common contributor to preventable adverse events in community pharmacies.
Par…