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psnet.ahrq.gov/issue/does-concept-safety-culture-help-or-hinder-systems-thinking-safety
October 12, 2011 - Commentary
Does the concept of safety culture help or hinder systems thinking in safety?
Citation Text:
Reiman T, Rollenhagen C. Does the concept of safety culture help or hinder systems thinking in safety? Accid Anal Prev. 2014;68(July):5-15. doi:10.1016/j.aap.2013.10.033.
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psnet.ahrq.gov/issue/actions-needed-help-ensure-appropriate-medication-continuation-and-prescribing-practices
September 07, 2016 - Book/Report
Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing Practices.
Citation Text:
Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing Practices. Washington, DC: United States Government Accountability Office; January 5, …
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psnet.ahrq.gov/issue/check-your-medicines-tips-taking-medicines-safely
September 04, 2018 - Government Resource
Check Your Medicines: Tips for Taking Medicines Safely.
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April 23, 2012
This 5-point checklist provides consu…
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psnet.ahrq.gov/node/35993/psn-pdf
June 07, 2006 - Video games can help cut surgical errors.
June 7, 2006
Baertlein L.
https://psnet.ahrq.gov/issue/video-games-can-help-cut-surgical-errors
This article reports on a study that found that playing video games before surgery enhanced surgical
dexterity and minimized errors.
https://psnet.ahrq.gov/issue/video-games-ca…
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psnet.ahrq.gov/node/37961/psn-pdf
May 05, 2010 - Does the Leapfrog program help identify high-quality
hospitals?
May 5, 2010
Jha AK, Orav J, Ridgway AB, et al. Does the Leapfrog program help identify high-quality hospitals? Jt
Comm J Qual Patient Saf. 2008;34(6):318-325.
https://psnet.ahrq.gov/issue/does-leapfrog-program-help-identify-high-quality-hospitals
The…
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psnet.ahrq.gov/issue/re-finding-human-side-human-factors-nursing-helping-student-nurses-combine-person-centred
December 21, 2017 - Commentary
Re-finding the 'human side' of human factors in nursing: helping student nurses to combine person-centred care with the rigours of patient safety.
Citation Text:
Fawcett TJN, Rhynas SJ. Re-finding the 'human side' of human factors in nursing: helping student nurses to combine …
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psnet.ahrq.gov/issue/reducing-medical-error-military-health-system-how-can-team-training-help
March 29, 2007 - Commentary
Reducing medical error in the Military Health System: how can team training help?
Citation Text:
Alonso A, Baker DP, Holtzman A, et al. Reducing medical error in the Military Health System: How can team training help? Human Resource Management Review. 2006;16(3). doi:10.101…
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psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp
May 31, 2023 - We're finding that patients support the technologies if they believe it helps their doctor.
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psnet.ahrq.gov/node/33907/psn-pdf
November 21, 2016 - Ways You Can Help Your Family Prevent Medical Errors!
November 21, 2016
Agency for Healthcare Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/ways-you-can-help-your-family-prevent-medical-errors
A brief presentation of "pearls" to allow consumers to take an active role in preventing medical errors.
https:…
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psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
August 29, 2021 - were prepared in a non-sterile environment. 1 In addition, proper disposal of medications not only helps
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psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimer
May 01, 2005 - Second, a standardized risk stratification score like the HEART score helps to inform further evaluation
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psnet.ahrq.gov/web-mm/who-nose-where-airway
May 01, 2016 - Good handoff communication helps to prevent errors.
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psnet.ahrq.gov/node/33660/psn-pdf
December 01, 2007 - professional
community and the family caregiver advocacy community would benefit from a discussion that helps
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psnet.ahrq.gov/node/49639/psn-pdf
November 01, 2011 - ISMP survey helps define and near miss and close call. ISMP Medication Safety Alert!
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psnet.ahrq.gov/node/33663/psn-pdf
September 15, 2008 - Most germane to this paper, a Patient Safety/Evidence-based Practice
Committee helps to formulate and
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psnet.ahrq.gov/node/49549/psn-pdf
December 06, 2007 - This helps staff who are busy with other patients and
who may not notice when the patient leaves.
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psnet.ahrq.gov/node/49606/psn-pdf
August 01, 2010 - The STOP-BANG questionnaire helps identify the presence of OSA.
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psnet.ahrq.gov/node/39738/psn-pdf
June 10, 2018 - Preventing catheter/tubing misconnections: much needed
help is on the way.
June 10, 2018
ISMP Medication Safety Alert! Acute care edition! July 15, 2010;15:1-2.
https://psnet.ahrq.gov/issue/preventing-cathetertubing-misconnections-much-needed-help-way
This piece describes reports of tubing misconnections and discu…
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psnet.ahrq.gov/node/49457/psn-pdf
September 01, 2004 - Doctor, Don't Treat Thyself
September 1, 2004
Rosvold EO. Doctor, Don't Treat Thyself. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
The Case
A 50-year-old radiologist presented to the emergency department of the community hospital where he
worked and reported increasing shortnes…
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psnet.ahrq.gov/node/846935/psn-pdf
March 29, 2023 - Maternal Safety and Perinatal Mental Health
March 29, 2023
Allen C, Van CM, Mossburg S. Maternal Safety and Perinatal Mental Health . PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
Maternal patient safety is a critical aspect of healthcare given the complex pr…