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psnet.ahrq.gov/node/47472/psn-pdf
October 24, 2018 - Patient Safety Certificate Course.
October 24, 2018
American Board of Quality Assurance and Utilization Review Physicians; ABQAURP.
https://psnet.ahrq.gov/issue/patient-safety-certificate-course
This online course offers three modules designed to build awareness of key patient safety topics, including
how to ident…
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psnet.ahrq.gov/node/40802/psn-pdf
January 01, 2012 - Nurses' clinical reasoning: processes and practices of
medication safety.
December 15, 2011
Dickson GL, Flynn L. Nurses' clinical reasoning: processes and practices of medication safety. Qual Health
Res. 2012;22(1):3-16. doi:10.1177/1049732311420448.
https://psnet.ahrq.gov/issue/nurses-clinical-reasoning-processes…
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psnet.ahrq.gov/node/36971/psn-pdf
September 12, 2011 - Hospital patient safety: characteristics of best-performing
hospitals.
September 12, 2011
Longo DR, Hewett JE, Ge B, et al. Hospital patient safety: characteristics of best-performing hospitals. J
Healthc Manag. 2007;52(3):188-204; discussion 204-5.
https://psnet.ahrq.gov/issue/hospital-patient-safety-characterist…
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psnet.ahrq.gov/node/35949/psn-pdf
May 24, 2006 - Implementation of patient safety initiatives in US
hospitals.
May 24, 2006
McFadden KL, Stock GN, Gowen CR. Implementation of patient safety initiatives in US hospitals. Int J
Oper Prod Manag. 2006;26(3):326-347. doi:10.1108/01443570610651052.
https://psnet.ahrq.gov/issue/implementation-patient-safety-initiatives-…
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psnet.ahrq.gov/node/43902/psn-pdf
April 25, 2016 - Patients' perspectives of surgical safety: do they feel
safe?
April 25, 2016
Dixon JL, Tillman MM, Wehbe-Janek H, et al. Patients' Perspectives of Surgical Safety: Do They Feel
Safe? The Ochsner J. 2015;15(2):143-148.
https://psnet.ahrq.gov/issue/patients-perspectives-surgical-safety-do-they-feel-safe
In this sur…
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psnet.ahrq.gov/node/37704/psn-pdf
April 23, 2008 - Decreasing paediatric prescribing errors in a district
general hospital.
April 23, 2008
Davey AL, Britland A, Naylor RJ. Decreasing paediatric prescribing errors in a district general hospital.
Qual Saf Health Care. 2008;17(2):146-9. doi:10.1136/qshc.2006.021212.
https://psnet.ahrq.gov/issue/decreasing-paediatric-…
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psnet.ahrq.gov/node/37013/psn-pdf
July 14, 2010 - Engagement of leadership in quality improvement
initiatives: executive quality improvement survey results.
July 14, 2010
Vaughn T, Koepke M, Kroch E, et al. J Patient Saf. 2006;2(1):2-9.
https://psnet.ahrq.gov/issue/engagement-leadership-quality-improvement-initiatives-executive-quality-
improvement-survey
The in…
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psnet.ahrq.gov/sites/default/files/2023-11/spotlight_case_the_risk_of_malpositioned.pdf
January 01, 2023 - The subsequent lack of consistent communication identifying this complication
and the associated plan
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psnet.ahrq.gov/web-mm/standard-deviations
January 01, 2006 - Missed Appendicitis
June 1, 2003
Perspective
Identifying
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psnet.ahrq.gov/issue/characterization-adverse-events-detected-large-health-care-delivery-system-using-enhanced
May 25, 2013 - Study
Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval.
Citation Text:
Kennerly DA, Kudyakov R, da Graca B, et al. Characterization of adverse events detected in a large health care delivery…
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psnet.ahrq.gov/issue/effect-point-care-computer-reminders-physician-behaviour-systematic-review
September 02, 2009 - Review
Classic
Effect of point-of-care computer reminders on physician behaviour: a systematic review.
Citation Text:
Shojania KG, Jennings A, Mayhew A, et al. Effect of point-of-care computer reminders on physician behaviour: a systematic review. CMAJ. 2010;1…
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psnet.ahrq.gov/issue/implementing-robust-process-improvement-program-neonatal-intensive-care-unit-reduce-harm
March 23, 2022 - Study
Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm.
Citation Text:
Nether KG, Thomas EJ, Khan A, et al. Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. J Healthc Qual. 2022;44(1)…
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psnet.ahrq.gov/issue/patient-safety-emergency-departments-problem-health-care-systems-international-survey
February 26, 2020 - Study
Patient safety in emergency departments: a problem for health care systems? An international survey.
Citation Text:
Petrino R, Tuunainen E, Bruzzone G, et al. Patient safety in emergency departments: a problem for health care systems? An international survey. Eur J Emerg Med. 2023;…
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psnet.ahrq.gov/issue/impact-simulation-based-closed-loop-communication-training-medical-errors-pediatric-emergency
July 22, 2020 - Study
Impact of simulation-based closed-loop communication training on medical errors in a pediatric emergency department.
Citation Text:
Diaz MCG, Dawson K. Impact of Simulation-Based Closed-Loop Communication Training on Medical Errors in a Pediatric Emergency Department. Am J Med Qual…
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psnet.ahrq.gov/issue/twelve-month-review-infusion-pump-near-miss-medication-and-dose-selection-errors-and-user
November 04, 2020 - Study
Twelve-month review of infusion pump near-miss medication and dose selection errors and user-initiated "good save" corrections: retrospective study.
Citation Text:
Waterson J, Al-Jaber R, Kassab T, et al. Twelve-month review of infusion pump near-miss medication and dose selection …
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psnet.ahrq.gov/issue/safety-implications-remote-assessments-suspected-covid-19-qualitative-study-uk-primary-care
July 08, 2020 - Study
Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care.
Citation Text:
Wieringa S, Neves AL, Rushforth A, et al. Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care. BMJ Qual Saf. 202…
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psnet.ahrq.gov/issue/simulating-quality-centralized-quality-improvement-and-patient-safety-simulation-curriculum
January 03, 2017 - Study
Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for residents and fellows.
Citation Text:
Luty JT, Oldham H, Smeraglio A, et al. Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for…
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psnet.ahrq.gov/issue/characteristics-disease-specific-and-generic-diagnostic-pitfalls-qualitative-study
December 02, 2020 - Study
Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study.
Citation Text:
Schiff GD, Volodarskaya M, Ruan E, et al. Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. JAMA Netw Open. 2022;5(1):e2144531. doi:10.10…
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psnet.ahrq.gov/issue/improving-general-practice-computer-systems-patient-safety-qualitative-study-key-stakeholders
October 16, 2012 - Study
Improving general practice computer systems for patient safety: qualitative study of key stakeholders.
Citation Text:
Avery A, Savelyich BSP, Sheikh A, et al. Improving general practice computer systems for patient safety: qualitative study of key stakeholders. Qual Saf Health Ca…
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psnet.ahrq.gov/issue/exploring-factors-promote-or-diminish-psychologically-safe-environment-qualitative-interview
September 01, 2021 - Study
Exploring the factors that promote or diminish a psychologically safe environment: a qualitative interview study with critical care staff.
Citation Text:
Grailey K, Leon-Villapalos C, Murray E, et al. Exploring the factors that promote or diminish a psychologically safe environment…