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psnet.ahrq.gov/node/47311/psn-pdf
October 10, 2018 - Cognitive error in an academic emergency department.
October 10, 2018
Schnapp BH, Sun JE, Kim JL, et al. Cognitive error in an academic emergency department. Diagnosis
(Berl). 2018;5(3):135-142. doi:10.1515/dx-2018-0011.
https://psnet.ahrq.gov/issue/cognitive-error-academic-emergency-department
In 2015, the Nation…
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psnet.ahrq.gov/node/44531/psn-pdf
September 30, 2015 - Never Events for Hospital Care in Canada: Safer Care for
Patients.
September 30, 2015
Toronto, ON: Health Quality Ontario and the Canadian Patient Safety Institute; September 2015. ISBN:
9781460666180.
https://psnet.ahrq.gov/issue/never-events-hospital-care-canada-safer-care-patients
The never events list was dev…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-conclusion.html
May 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Conclusion
Previous Page
Table of Contents
Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Overview
The Comprehensive Unit-based Safety Program (CUSP)
Measurement…
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psnet.ahrq.gov/node/40581/psn-pdf
November 02, 2011 - Retractions in the medical literature: how many patients
are put at risk by flawed research?
November 2, 2011
Steen G. Retractions in the medical literature: how many patients are put at risk by flawed research? J Med
Ethics. 2011;37(11):688-92. doi:10.1136/jme.2011.043133.
https://psnet.ahrq.gov/issue/retractions…
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psnet.ahrq.gov/node/50679/psn-pdf
November 20, 2019 - Respectful, trusting relationships are essential for patient
safety, especially the surgeon-anesthesiologist dyad.
November 20, 2019
Cooper J. Anesthesiology 2019. October 19th, 2019; Orlando, FL.
https://psnet.ahrq.gov/issue/respectful-trusting-relationships-are-essential-patient-safety-especially-surgeon
This re…
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psnet.ahrq.gov/node/44745/psn-pdf
February 17, 2016 - Implications of case managers' perceptions and attitude
on safety of home-delivered care.
February 17, 2016
Jones S. Implications of case managers' perceptions and attitude on safety of home-delivered care. Br J
Community Nurs. 2015;20(12):602-7. doi:10.12968/bjcn.2015.20.12.602.
https://psnet.ahrq.gov/issue/impli…
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psnet.ahrq.gov/node/46366/psn-pdf
September 27, 2017 - Errors in diagnosis of spinal epidural abscesses in the
era of electronic health records.
September 27, 2017
Bhise V, Meyer AND, Singh H, et al. Errors in Diagnosis of Spinal Epidural Abscesses in the Era of
Electronic Health Records. Am J Med. 2017;130(8). doi:10.1016/j.amjmed.2017.03.009.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/43753/psn-pdf
December 10, 2014 - Improving the quality and safety of patient care in cardiac
anesthesia.
December 10, 2014
Merry A, Weller J, Mitchell SJ. Improving the quality and safety of patient care in cardiac anesthesia. J
Cardiothorac Vasc Anesth. 2014;28(5):1341-51. doi:10.1053/j.jvca.2014.02.018.
https://psnet.ahrq.gov/issue/improving-qu…
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psnet.ahrq.gov/node/45489/psn-pdf
October 24, 2018 - Tolerating uncertainty—the next medical revolution?
October 24, 2018
Simpkin AL, Schwartzstein RM. Tolerating Uncertainty - The Next Medical Revolution? New Engl J Med.
2016;375(18):1713-1715.
https://psnet.ahrq.gov/issue/tolerating-uncertainty-next-medical-revolution
Uncertainty is a difficult concept to accept f…
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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 …
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psnet.ahrq.gov/node/44192/psn-pdf
November 10, 2015 - Hospital ratings: a guide for the perplexed.
November 10, 2015
Zuger A. Hospital ratings: a guide for the perplexed. JAMA. 2015;313(19):1911-2.
doi:10.1001/jama.2015.5269.
https://psnet.ahrq.gov/issue/hospital-ratings-guide-perplexed
Concerns have been raised about the variability of measures used to rate safety a…
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psnet.ahrq.gov/node/40290/psn-pdf
May 25, 2011 - Fatigue, performance and the work environment: a survey
of registered nurses.
May 25, 2011
Barker LM, Nussbaum MA. Fatigue, performance and the work environment: a survey of registered nurses.
J Adv Nurs. 2011;67(6):1370-82. doi:10.1111/j.1365-2648.2010.05597.x.
https://psnet.ahrq.gov/issue/fatigue-performance-and…
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psnet.ahrq.gov/node/43430/psn-pdf
October 20, 2014 - Positive deviance: a different approach to achieving
patient safety.
October 20, 2014
Lawton R, Taylor N, Clay-Williams R, et al. Positive deviance: a different approach to achieving patient
safety. BMJ Qual Saf. 2014;23(11):880-3. doi:10.1136/bmjqs-2014-003115.
https://psnet.ahrq.gov/issue/positive-deviance-diffe…
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psnet.ahrq.gov/node/46630/psn-pdf
November 15, 2017 - Patient Safety in the Office-Based Practice Setting.
November 15, 2017
Philadelphia, PA: American College of Physicians; 2017.
https://psnet.ahrq.gov/issue/patient-safety-office-based-practice-setting
Patient safety in the ambulatory setting is gaining traction as a focus for research, intervention, and policy.
Th…
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psnet.ahrq.gov/node/44332/psn-pdf
July 29, 2015 - Health IT Safety Center Roadmap.
July 29, 2015
RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology;
July 2015.
https://psnet.ahrq.gov/issue/health-it-safety-center-roadmap
The Institute of Medicine called for enhanced transparency in the reporting of health IT sa…
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psnet.ahrq.gov/node/838909/psn-pdf
October 26, 2022 - Designing safety interventions for specific contexts:
results from a literature review.
October 26, 2022
Karanikas N, Khan SR, Baker PRA, et al. Designing safety interventions for specific contexts: Results from
a literature review. Safety Sci. 2022;156:105906. doi:10.1016/j.ssci.2022.105906.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/36783/psn-pdf
August 23, 2011 - Doctors are more dangerous than gun owners: a rejoinder
to error counting.
August 23, 2011
Dekker SWA. Doctors are more dangerous than gun owners: a rejoinder to error counting. Hum Factors.
2007;49(2):177-84.
https://psnet.ahrq.gov/issue/doctors-are-more-dangerous-gun-owners-rejoinder-error-counting
The author a…
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psnet.ahrq.gov/node/47412/psn-pdf
October 31, 2018 - The systems approach at the sharp end.
October 31, 2018
Cross SRH. The systems approach at the sharp end. Future Healthc J. 2019;5(3):176-180.
doi:10.7861/futurehosp.5-3-176.
https://psnet.ahrq.gov/issue/systems-approach-sharp-end
Systems solutions are often focused on creating improvements at the organizational o…
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digital.ahrq.gov/ahrq-funded-projects/scalable-digital-communication-intervention-support-older-adults-and-care/citation/digital
January 01, 2024 - A digital communication intervention to support older adults and their care partners transitioning home after major surgery: Protocol for a qualitative research study.
Citation
Campos BA, Cummins E, Sonnay Y, Brindle ME, Cauley CE. A digital communication intervention to support older adults and their…
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digital.ahrq.gov/ahrq-funded-projects/accessibility-and-beyond-designing-consumer-health-it-disabled-individuals/final-report
January 01, 2023 - Accessibility and Beyond: Designing Consumer Health IT for Disabled Individuals - Final Report
Citation
Valdez, R. Accessibility and Beyond: Designing Consumer Health IT for Disabled Individuals - Final Report. (Prepared by University of Virginia under Grant No. R21 HS023849). Rockville, MD: Agency fo…