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psnet.ahrq.gov/node/44285/psn-pdf
November 06, 2015 - Hospital board oversight of quality and safety: a
stakeholder analysis exploring the role of trust and
intelligence.
November 6, 2015
Millar R, Freeman T, Mannion R. Hospital board oversight of quality and safety: a stakeholder analysis
exploring the role of trust and intelligence. BMC Health Serv Res. 2015;15:196…
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psnet.ahrq.gov/node/46374/psn-pdf
August 30, 2017 - Structured patient handoffs: the movement toward
adverse event reduction in the perioperative unit.
August 30, 2017
Hamilton WL.
https://psnet.ahrq.gov/issue/structured-patient-handoffs-movement-toward-adverse-event-reduction-
perioperative-unit
Miscommunication during care transitions can contribute to medical e…
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psnet.ahrq.gov/node/45952/psn-pdf
May 31, 2017 - Surgeon, Heal Thyself: Optimising Surgical Performance
by Managing Stress.
May 31, 2017
Shiralkar U. Boca Raton, FL: CRC Press; 2017. ISBN: 9781498724036.
https://psnet.ahrq.gov/issue/surgeon-heal-thyself-optimising-surgical-performance-managing-stress
Stress, information overload, and high-risk decisions are prev…
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psnet.ahrq.gov/node/41803/psn-pdf
December 16, 2013 - E-prescribing: a focused review and new approach to
addressing safety in pharmacies and primary care.
December 16, 2013
Odukoya OK, Chui MA. E-prescribing: a focused review and new approach to addressing safety in
pharmacies and primary care. Res Social Adm Pharm. 2013;9(6):996-1003.
doi:10.1016/j.sapharm.2012.09.…
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psnet.ahrq.gov/node/46699/psn-pdf
March 20, 2018 - Disclosure of harmful medical error to patients: a review
with recommendations for pathologists.
March 20, 2018
Heher YK, Dintzis SM. Disclosure of Harmful Medical Error to Patients: A Review With Recommendations
for Pathologists. Adv Anat Pathol. 2018;25(2):124-130. doi:10.1097/PAP.0000000000000181.
https://psnet…
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psnet.ahrq.gov/node/46254/psn-pdf
October 09, 2017 - Using risk stratification to reduce medical errors in
cervical cancer prevention.
October 9, 2017
Perkins RB, Cain JM, Feldman S. Using Risk Stratification to Reduce Medical Errors in Cervical Cancer
Prevention. JAMA Intern Med. 2017;177(10):1411-1412. doi:10.1001/jamainternmed.2017.3999.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/44994/psn-pdf
October 11, 2017 - Diagnostic delays and errors in head and neck cancer
patients: opportunities for improvement.
October 11, 2017
Franco J, Elghouche AN, Harris MS, et al. Diagnostic Delays and Errors in Head and Neck Cancer
Patients: Opportunities for Improvement. Am J Med Qual. 2017;32(3):330-335.
doi:10.1177/1062860616638413.
ht…
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psnet.ahrq.gov/node/44404/psn-pdf
August 26, 2015 - Nurse interrupted: development of a realistic medication
administration simulation for undergraduate nurses.
August 26, 2015
Hayes C, Power T, Davidson PM, et al. Nurse interrupted: Development of a realistic medication
administration simulation for undergraduate nurses. Nurse Educ Today. 2015;35(9):981-6.
doi:10.…
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psnet.ahrq.gov/node/850927/psn-pdf
June 21, 2023 - Room of horrors simulation in healthcare education: a
systematic review.
June 21, 2023
Lee SE, Repsha C, Seo WJ, et al. Room of horrors simulation in healthcare education: a systematic
review. Nurse Educ Today. 2023;126:105824. doi:10.1016/j.nedt.2023.105824.
https://psnet.ahrq.gov/issue/room-horrors-simulation-he…
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psnet.ahrq.gov/node/47061/psn-pdf
July 25, 2018 - Technical rationality and the decentring of patients and
care delivery: a critique of 'unavoidable' in the context of
patient harm.
July 25, 2018
Hutchinson M, Jackson D, Wilson S. Technical rationality and the decentring of patients and care delivery:
A critique of 'unavoidable' in the context of patient harm. Nu…
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psnet.ahrq.gov/node/74693/psn-pdf
January 26, 2022 - Including the reason for use on prescriptions sent to
pharmacists: scoping review.
January 26, 2022
Mercer K, Carter C, Burns C, et al. Including the reason for use on prescriptions sent to pharmacists:
scoping review. JMIR Hum Factors. 2021;8(4):e22325. doi:10.2196/22325.
https://psnet.ahrq.gov/issue/including-re…
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psnet.ahrq.gov/node/45316/psn-pdf
August 31, 2016 - The thinking doctor: clinical decision making in
contemporary medicine.
August 31, 2016
Trimble M, Hamilton P. The thinking doctor: clinical decision making in contemporary medicine. Clin Med
(Lond). 2016;16(4):343-346. doi:10.7861/clinmedicine.16-4-343.
https://psnet.ahrq.gov/issue/thinking-doctor-clinical-decisi…
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psnet.ahrq.gov/node/47408/psn-pdf
September 19, 2018 - Ways to Improve Electronic Health Record Safety.
September 19, 2018
Philadelphia, PA: Pew Charitable Trusts, American Medical Association, and Medstar Health; 2018.
https://psnet.ahrq.gov/issue/ways-improve-electronic-health-record-safety
Electronic health records both contribute to and detract from safe care. This…
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psnet.ahrq.gov/node/46360/psn-pdf
October 25, 2017 - Creating a culture of caregiver support.
October 25, 2017
Gold KJ, Andrew LB, Goldman EB, et al. “I would never want to have a mental health diagnosis on my
record”: A survey of female physicians on mental health diagnosis, treatment, and reporting. General
Hospital Psychiatry. 2016;43. doi:10.1016/j.genhosppsych.2…
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psnet.ahrq.gov/node/837517/psn-pdf
June 22, 2022 - Zero: Eliminating Unnecessary Deaths in a Post-
pandemic NHS.
June 22, 2022
Hunt J. London, UK: Swift Press; 2022. ISBN: ? 9781800751224.
https://psnet.ahrq.gov/issue/zero-eliminating-unnecessary-deaths-post-pandemic-nhs
The National Health Service (NHS) has been a leader in patient safety for over 20 years, and y…
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psnet.ahrq.gov/node/45042/psn-pdf
September 07, 2016 - The aging surgeon.
September 7, 2016
Katlic MR, Coleman JA. The Aging Surgeon. Adv Surg. 2016;50(1):93-103.
doi:10.1016/j.yasu.2016.03.008.
https://psnet.ahrq.gov/issue/aging-surgeon
Senior clinicians often elicit respect from their junior colleagues. This respect can affect colleagues'
willingness to intervene s…
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psnet.ahrq.gov/node/60034/psn-pdf
March 11, 2020 - Responding to unprofessional behavior by trainees - a
"just culture" framework.
March 11, 2020
Wasserman JA, Redinger M, Gibb T. Responding to Unprofessional Behavior by Trainees — A “Just
Culture” Framework. New England Journal of Medicine. 2020;382(8). doi:10.1056/nejmms1912591.
https://psnet.ahrq.gov/issue/resp…
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psnet.ahrq.gov/node/46398/psn-pdf
June 25, 2018 - Challenges in health care simulation: are we learning
anything new?
June 25, 2018
Henriksen K, Rodrick D, Grace EN, et al. Challenges in Health Care Simulation: Are We Learning Anything
New? Acad Med. 2018;93(5):705-708. doi:10.1097/ACM.0000000000001891.
https://psnet.ahrq.gov/issue/challenges-health-care-simulati…
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psnet.ahrq.gov/node/46128/psn-pdf
June 14, 2017 - Does a checklist reduce the number of errors made in
nurse-assembled discharge prescriptions?
June 14, 2017
Byrne C, Sierra H, Tolhurst R. Does a checklist reduce the number of errors made in nurse-assembled
discharge prescriptions? Br J Nurs. 2017;26(8):464-467. doi:10.12968/bjon.2017.26.8.464.
https://psnet.ahrq…
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psnet.ahrq.gov/node/849126/psn-pdf
May 17, 2023 - The family's contribution to patient safety.
May 17, 2023
Correia T, Martins MM, Barroso F, et al. The family's contribution to patient safety. Nurs Rep.
2023;13(2):634-643. doi:10.3390/nursrep13020056.
https://psnet.ahrq.gov/issue/familys-contribution-patient-safety
Family involvement in care can have mixed resul…