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psnet.ahrq.gov/node/42540/psn-pdf
September 04, 2013 - A qualitative study comparing experiences of the surgical
safety checklist in hospitals in high-income and low-
income countries.
September 4, 2013
Aveling E-L, McCulloch P, Dixon-Woods M. A qualitative study comparing experiences of the surgical
safety checklist in hospitals in high-income and low-income countrie…
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psnet.ahrq.gov/node/43022/psn-pdf
May 29, 2014 - Using simulation to improve root cause analysis of
adverse surgical outcomes.
May 29, 2014
Slakey DP, Simms ER, Rennie K, et al. Using simulation to improve root cause analysis of adverse surgical
outcomes. Int J Qual Health Care. 2014;26(2):144-50. doi:10.1093/intqhc/mzu011.
https://psnet.ahrq.gov/issue/using-sim…
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psnet.ahrq.gov/node/42747/psn-pdf
November 20, 2013 - Drug related problems and pharmacist interventions in a
geriatric unit employing electronic prescribing.
November 20, 2013
Raimbault-Chupin M, Spiesser-Robelet L, Guir V, et al. Drug related problems and pharmacist
interventions in a geriatric unit employing electronic prescribing. Int J Clin Pharm. 2013;35(5):847-…
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psnet.ahrq.gov/node/40535/psn-pdf
July 22, 2011 - A framework for classifying patient safety practices:
results from an expert consensus process.
July 22, 2011
Dy SM, Taylor SL, Carr LH, et al. A framework for classifying patient safety practices: results from an
expert consensus process. BMJ Qual Saf. 2011;20(7):618-24. doi:10.1136/bmjqs.2010.049296.
https://psn…
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psnet.ahrq.gov/node/37056/psn-pdf
February 24, 2011 - Use of multidisciplinary rounds to simultaneously
improve quality outcomes, enhance resident education,
and shorten length of stay.
February 24, 2011
O'Mahony S, Mazur E, Charney P, et al. Use of multidisciplinary rounds to simultaneously improve quality
outcomes, enhance resident education, and shorten length of …
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psnet.ahrq.gov/node/43515/psn-pdf
July 03, 2016 - Targeting improvements in patient safety at a large
academic center: an institutional handoff curriculum for
graduate medical education.
July 3, 2016
Allen S, Caton C, Cluver J, et al. Targeting improvements in patient safety at a large academic center: an
institutional handoff curriculum for graduate medical educ…
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psnet.ahrq.gov/node/851461/psn-pdf
July 19, 2023 - Patient safety 2.0: slaying dragons, not just investigating
them.
July 19, 2023
Card AJ. Patient safety 2.0: slaying dragons, not just investigating them. J Patient Saf. 2023;19(6):394-395.
doi:10.1097/pts.0000000000001140.
https://psnet.ahrq.gov/issue/patient-safety-20-slaying-dragons-not-just-investigating-them
…
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psnet.ahrq.gov/node/864352/psn-pdf
March 13, 2024 - Creating a just culture in the perioperative setting.
March 13, 2024
Hooven K, Altmiller G. Creating a just culture in the perioperative setting. AORN J. 2024;119(2):152-160.
doi:10.1002/aorn.14074.
https://psnet.ahrq.gov/issue/creating-just-culture-perioperative-setting
Fear of retaliation by leaders or colleague…
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psnet.ahrq.gov/node/42436/psn-pdf
August 07, 2013 - Office-based physicians are responding to incentives and
assistance by adopting and using electronic health
records.
August 7, 2013
Hsiao C-J, Jha AK, King J, et al. Office-based physicians are responding to incentives and assistance by
adopting and using electronic health records. Health Aff (Millwood). 2013;32(8…
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psnet.ahrq.gov/node/73189/psn-pdf
April 28, 2021 - Time out! Rethinking surgical safety: more than just a
checklist.
April 28, 2021
Weinger MB. Time out! Rethinking surgical safety: more than just a checklist. BMJ Qual Saf.
2021;30(8):613-617. doi:10.1136/bmjqs-2020-012600.
https://psnet.ahrq.gov/issue/time-out-rethinking-surgical-safety-more-just-checklist
Check…
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psnet.ahrq.gov/node/46221/psn-pdf
July 02, 2017 - Tools and methods for quality improvement and patient
safety in perinatal care.
July 2, 2017
Nathan AT, Kaplan HC. Tools and methods for quality improvement and patient safety in perinatal care.
Semin Perinatol. 2017;41(3):142-150. doi:10.1053/j.semperi.2017.03.002.
https://psnet.ahrq.gov/issue/tools-and-methods-q…
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psnet.ahrq.gov/node/42844/psn-pdf
May 29, 2014 - Does the concept of safety culture help or hinder systems
thinking in safety?
May 29, 2014
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.
https://psnet.ahrq.gov/issue/does-concept-safety-cult…
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psnet.ahrq.gov/node/47433/psn-pdf
February 22, 2019 - Impact of nurse peer review on a culture of safety.
February 22, 2019
Herrington CR, Hand MW. Impact of Nurse Peer Review on a Culture of Safety. J Nurs Care Qual.
2019;34(2):158-162. doi:10.1097/NCQ.0000000000000361.
https://psnet.ahrq.gov/issue/impact-nurse-peer-review-culture-safety
This commentary describes an…
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psnet.ahrq.gov/node/48104/psn-pdf
August 28, 2019 - The computer will see you now.
August 28, 2019
Whitaker P. New Statesman. August 2, 2019;148:38-43.
https://psnet.ahrq.gov/issue/computer-will-see-you-now
Artificial intelligence (AI) and advanced computing technologies can enhance clinical decision-making.
Exploring the strengths and weaknesses of artificial inte…
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psnet.ahrq.gov/node/45832/psn-pdf
April 05, 2017 - Best Practices in Patient Safety: 2nd Global Ministerial
Summit on Patient Safety.
April 5, 2017
Federal Ministry of Health and World Health Organization: Bonn, Germany; March 2017.
https://psnet.ahrq.gov/issue/best-practices-patient-safety-2nd-global-ministerial-summit-patient-safety
This report summarizes a wide…
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psnet.ahrq.gov/node/43622/psn-pdf
December 19, 2014 - Checklist usage decreases critical task omissions when
training residents to separate from simulated
cardiopulmonary bypass.
December 19, 2014
Petrik EW, Ho D, Elahi M, et al. Checklist usage decreases critical task omissions when training residents
to separate from simulated cardiopulmonary bypass. J Cardiothorac…
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psnet.ahrq.gov/node/47188/psn-pdf
August 08, 2018 - Disclosure and apology: nursing and risk management
working together.
August 8, 2018
Russell D. Disclosure and apology: Nursing and risk management working together. Nurs Manage.
2018;49(6):17-19. doi:10.1097/01.NUMA.0000533773.14544.e2.
https://psnet.ahrq.gov/issue/disclosure-and-apology-nursing-and-risk-manageme…
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psnet.ahrq.gov/node/39741/psn-pdf
October 13, 2010 - Disclosure and reporting of surgical complications: a
double-edged sword?
October 13, 2010
Stahel PF, Flierl MA, Smith WR, et al. Disclosure and reporting of surgical complications: a double-edged
sword? Am J Med Qual. 2010;25(5):398-401. doi:10.1177/1062860610370989.
https://psnet.ahrq.gov/issue/disclosure-and-re…
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psnet.ahrq.gov/node/837042/psn-pdf
April 04, 2022 - Leadership Response to a Sentinel Event: Respectful,
Effective Crisis Management.
April 4, 2022
Institute for Healthcare Improvement.
https://psnet.ahrq.gov/issue/leadership-response-sentinel-event-respectful-effective-crisis-management
Crisis management skills are valuable at both the organizational and clinical …
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psnet.ahrq.gov/node/37846/psn-pdf
April 11, 2011 - Clinical profile of hospitalized children provided with
urgent assistance from a medical emergency team.
April 11, 2011
Kinney S, Tibballs J, Johnston L, et al. Clinical profile of hospitalized children provided with urgent
assistance from a medical emergency team. Pediatrics. 2008;121(6):e1577-e1584. doi:10.1542/p…