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psnet.ahrq.gov/node/36077/psn-pdf
July 05, 2006 - Perinatal patient safety from the perspective of nurse
executives: a round table discussion.
July 5, 2006
Thorman KE; Capitulo KL; Dubow J; Hanold K; Noonan M; Wehmeyer J.
https://psnet.ahrq.gov/issue/perinatal-patient-safety-perspective-nurse-executives-round-table-discussion
The authors summarize a discussion be…
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psnet.ahrq.gov/node/39467/psn-pdf
April 21, 2010 - Nursing handoffs: a systematic review of the literature.
April 21, 2010
Riesenberg LA, Leitzsch J, Cunningham JM. Nursing handoffs: a systematic review of the literature. Am J
Nurs. 2010;110(4):24-34; quiz 35-6. doi:10.1097/01.NAJ.0000370154.79857.09.
https://psnet.ahrq.gov/issue/nursing-handoffs-systematic-review-…
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psnet.ahrq.gov/node/35177/psn-pdf
June 23, 2009 - Narrativizing errors of care: critical incident reporting in
clinical practice.
June 23, 2009
Iedema R, Flabouris A, Grant S, et al. Narrativizing errors of care: critical incident reporting in clinical
practice. Soc Sci Med. 2006;62(1):134-44.
https://psnet.ahrq.gov/issue/narrativizing-errors-care-critical-incide…
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psnet.ahrq.gov/node/42956/psn-pdf
February 19, 2014 - Patient safety: it takes a team.
February 19, 2014
Rosemont, IL: American Academy of Orthopaedic Surgeons.
https://psnet.ahrq.gov/issue/patient-safety-it-takes-team
Patient engagement is a promising strategy for error reduction and has become a priority of influential
regulatory and governmental organizations. Thi…
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psnet.ahrq.gov/node/41600/psn-pdf
August 15, 2012 - The role of nursing surveillance in keeping patients safe.
August 15, 2012
Dresser S. The role of nursing surveillance in keeping patients safe. J Nurs Adm. 2012;42(7-8):361-368.
doi:10.1097/NNA.0b013e3182619377.
https://psnet.ahrq.gov/issue/role-nursing-surveillance-keeping-patients-safe
This commentary discusses…
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psnet.ahrq.gov/node/39202/psn-pdf
February 25, 2015 - Strengthening the core. Middle managers play a vital role
in improving safety.
February 25, 2015
Federico F, Bonacum D. Strengthening the core. Middle managers play a vital role in improving safety.
Healthcare executive. 2010;25(1):68-70.
https://psnet.ahrq.gov/issue/strengthening-core-middle-managers-play-vital-r…
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psnet.ahrq.gov/node/36571/psn-pdf
January 05, 2017 - The Objective Structured Clinical Examination as an
educational tool in patient safety.
January 5, 2017
Varkey P, Natt N. The Objective Structured Clinical Examination as an educational tool in patient safety. Jt
Comm J Qual Patient Saf. 2007;33(1):48-53.
https://psnet.ahrq.gov/issue/objective-structured-clinical-…
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psnet.ahrq.gov/node/40380/psn-pdf
November 21, 2016 - Preventing sentinel events caused by family members.
November 21, 2016
Wall Y, Kautz DD. Preventing sentinel events caused by family members. Dimens Crit Care Nurs.
2011;30(1):25-7. doi:10.1097/DCC.0b013e3181fd02a0.
https://psnet.ahrq.gov/issue/preventing-sentinel-events-caused-family-members
This commentary discu…
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psnet.ahrq.gov/node/41617/psn-pdf
August 22, 2012 - Medical devices and patient safety.
August 22, 2012
Mattox E. Medical devices and patient safety. Crit Care Nurse. 2012;32(4):60-8. doi:10.4037/ccn2012925.
https://psnet.ahrq.gov/issue/medical-devices-and-patient-safety
This commentary discusses errors associated with medical device use in intensive care environmen…
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psnet.ahrq.gov/node/41656/psn-pdf
September 05, 2012 - ACOG SCOPE: Safety Certification in Outpatient Practice
Excellence for Women's Health.
September 5, 2012
Sclafani J, Levy BS, Lawrence H, et al. Building a Better Safety Net. doi:10.1097/aog.0b013e318260957c.
https://psnet.ahrq.gov/issue/acog-scope-safety-certification-outpatient-practice-excellence-womens-health
…
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psnet.ahrq.gov/node/43032/psn-pdf
June 17, 2014 - EAU policy on live surgery events.
June 17, 2014
Artibani W, Ficarra V, Challacombe BJ, et al. EAU policy on live surgery events. Eur Urol. 2014;66(1):87-
97. doi:10.1016/j.eururo.2014.01.028.
https://psnet.ahrq.gov/issue/eau-policy-live-surgery-events
The practice of live surgical procedures for educational purpo…
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psnet.ahrq.gov/node/37819/psn-pdf
April 14, 2010 - Standardizing Medication Labels: Confusing Patients
Less, Workshop Summary.
April 14, 2010
Hernandez LM; for Roundtable on Health Literacy, Board on Population Health and Public Health Practice,
Institute of Medicine. Washington, DC: National Academies Press; 2008.
https://psnet.ahrq.gov/issue/standardizing-medica…
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psnet.ahrq.gov/node/41639/psn-pdf
September 27, 2016 - Physical environments that promote safe medication use.
September 27, 2016
Grissinger M. Physical environments that promote safe medication use. PT. 2012;37(7):377-378.
https://psnet.ahrq.gov/issue/physical-environments-promote-safe-medication-use
This commentary discusses standards related to workspace design that…
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psnet.ahrq.gov/node/37773/psn-pdf
May 21, 2008 - Critical incident reporting system in emergency medicine.
May 21, 2008
Kram R. Critical incident reporting system in emergency medicine. Curr Opin Anaesthesiol.
2008;21(2):240-244. doi:10.1097/ACO.0b013e3282f60d82.
https://psnet.ahrq.gov/issue/critical-incident-reporting-system-emergency-medicine
This article expl…
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psnet.ahrq.gov/node/42176/psn-pdf
April 17, 2013 - Checklists improve experts' diagnostic decisions.
April 17, 2013
Sibbald M, de Bruin A, van Merrienboer JJG. Checklists improve experts' diagnostic decisions. Med Educ.
2013;47(3):301-8. doi:10.1111/medu.12080.
https://psnet.ahrq.gov/issue/checklists-improve-experts-diagnostic-decisions
Checklists have recently be…
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psnet.ahrq.gov/node/42331/psn-pdf
June 05, 2013 - Using the ABCs of situational awareness for patient
safety.
June 5, 2013
Cohen NL. Using the ABCs of situational awareness for patient safety. Nursing (Brux). 2013;43(4):64-5.
doi:10.1097/01.NURSE.0000428332.23978.82.
https://psnet.ahrq.gov/issue/using-abcs-situational-awareness-patient-safety
This commentary exa…
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psnet.ahrq.gov/node/34621/psn-pdf
September 27, 2017 - Human Factors and Medical Devices.
September 27, 2017
Center for Devices and Radiological Health, US Food and Drug Administration.
https://psnet.ahrq.gov/issue/human-factors-and-medical-devices
Human factors engineering (HFE) helps improve human performance and reduce the risks associated with
use error. The U.S. …
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psnet.ahrq.gov/node/34632/psn-pdf
March 28, 2005 - Keeping Each Patient Safe.
March 28, 2005
University of Pittsburgh Schools of the Health Sciences
https://psnet.ahrq.gov/issue/keeping-each-patient-safe
A collection of three educational modules that address key areas of concern in patient safety. These
include protecting patients from hospital-acquired infection,…
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psnet.ahrq.gov/node/35816/psn-pdf
July 21, 2010 - Involving users in the design of a system for sharing
lessons from adverse incidents in anaesthesia.
July 21, 2010
Sharma S, Smith AF, Rooksby J, et al. Involving users in the design of a system for sharing lessons from
adverse incidents in anaesthesia. Anaesthesia. 2006;61(4):350-4.
https://psnet.ahrq.gov/issue/i…
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psnet.ahrq.gov/node/39612/psn-pdf
June 16, 2010 - National Action Plan to Improve Health Literacy.
June 16, 2010
Washington, DC: United States Department of Health and Human Services; 2010.
https://psnet.ahrq.gov/issue/national-action-plan-improve-health-literacy
This report presents goals for improved health literacy in the United States and recommends pra…