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psnet.ahrq.gov/node/35588/psn-pdf
February 03, 2011 - Creating a safer health care system: finding the
constraint.
February 3, 2011
Pauker SG, Zane EM, Salem D. Creating a safer health care system: finding the constraint. JAMA.
2005;294(22):2906-8.
https://psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint
This editorial builds on the discussi…
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psnet.ahrq.gov/node/837305/psn-pdf
June 01, 2022 - Simulating for quality: a centralized quality improvement
and patient safety simulation curriculum for residents and
fellows.
June 1, 2022
Luty JT, Oldham H, Smeraglio A, et al. Simulating for quality: a centralized quality improvement and patient
safety simulation curriculum for residents and fellows. Acad Med. 2…
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psnet.ahrq.gov/node/44726/psn-pdf
January 07, 2016 - The impact of resident duty hour and supervision
changes: a review.
January 7, 2016
Greenberg WE, Borus JF. The Impact of Resident Duty Hour and Supervision Changes: A Review. Harv
Rev Psychiatry. 2016;24(1):69-76. doi:10.1097/HRP.0000000000000061.
https://psnet.ahrq.gov/issue/impact-resident-duty-hour-and-supervi…
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psnet.ahrq.gov/node/73714/psn-pdf
September 15, 2021 - Evaluation of Quality, Safety, and Value in Veterans
Health Administration Facilities, FY 2020.
September 15, 2021
Washington, DC: Veterans Affairs Office of Inspector General; August 26, 2021. Report No. 21-01502-240.
https://psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-f…
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psnet.ahrq.gov/node/47783/psn-pdf
April 10, 2019 - An IDEA: safety training to improve critical thinking by
individuals and teams.
April 10, 2019
Browne AM, Deutsch ES, Corwin K, et al. An IDEA: Safety Training to Improve Critical Thinking by
Individuals and Teams. Am J Med Qual. 2019;34(6):569-576. doi:10.1177/1062860618820687.
https://psnet.ahrq.gov/issue/idea-s…
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psnet.ahrq.gov/node/47030/psn-pdf
June 06, 2018 - Creating a safer operating room: groups, team dynamics
and crew resource management principles.
June 6, 2018
Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource
management principles. Semin Pediatr Surg. 2018;27(2):107-113. doi:10.1053/j.sempedsurg.2018.02.008.
https://p…
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psnet.ahrq.gov/node/46032/psn-pdf
May 03, 2017 - Leveraging the Partnership for Patients' initiative to
improve patient safety and quality within the Military
Health System.
May 3, 2017
King HB, Kesling K, Birk C, et al. Leveraging the Partnership for Patients' Initiative to Improve Patient
Safety and Quality Within the Military Health System. Mil Med. 2017;182(…
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psnet.ahrq.gov/node/35089/psn-pdf
August 05, 2009 - Teaching medical students about medical errors and
patient safety: evaluation of a required curriculum.
August 5, 2009
Halbach JL, Sullivan LL. Teaching medical students about medical errors and patient safety: evaluation of
a required curriculum. Acad Med. 2005;80(6):600-6.
https://psnet.ahrq.gov/issue/teaching-m…
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psnet.ahrq.gov/node/46793/psn-pdf
February 28, 2018 - Patient safety movement: history and future directions.
February 28, 2018
Lark ME, Kirkpatrick K, Chung KC. Patient Safety Movement: History and Future Directions. J Hand Surg
Am. 2018;43(2). doi:10.1016/j.jhsa.2017.11.006.
https://psnet.ahrq.gov/issue/patient-safety-movement-history-and-future-directions
The pati…
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psnet.ahrq.gov/node/838183/psn-pdf
September 28, 2022 - Adding automation and independent dual verification to
reduce wrong blood in tube (WBIT) events.
September 28, 2022
Passwater M, Huggins YM, Delvo Favre ED, et al. Adding automation and independent dual verification to
reduce wrong blood in tube (WBIT) events. Am J Clin Pathol. 2022;158(2):212-215.
doi:10.1093/ajc…
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psnet.ahrq.gov/node/46040/psn-pdf
April 12, 2017 - How does audit and feedback influence intentions of
health professionals to improve practice? A laboratory
experiment and field study in cardiac rehabilitation.
April 12, 2017
Gude WT, van Engen-Verheul MM, van der Veer SN, et al. How does audit and feedback influence
intentions of health professionals to improve …
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psnet.ahrq.gov/node/43855/psn-pdf
April 15, 2016 - Perioperative safety in plastic surgery: is the World
Health Organization checklist useful in a broad practice?
April 15, 2016
Biskup N, Workman AD, Kutzner E, et al. Perioperative Safety in Plastic Surgery: Is the World Health
Organization Checklist Useful in a Broad Practice? Ann Plast Surg. 2016;76(5):550-5.
do…
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psnet.ahrq.gov/node/44799/psn-pdf
July 11, 2017 - Unintended Consequences: New Problems and New
Solutions.
July 11, 2017
Lehmann CU, Sroussi B, Jaulent MC, eds. Yearb Med Inform. 2016;1:1-271.
https://psnet.ahrq.gov/issue/unintended-consequences-new-problems-and-new-solutions
Unexpected effects associated with implementation and use of health information technolo…
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psnet.ahrq.gov/node/73675/psn-pdf
September 08, 2021 - A system-wide hospital child maltreatment patient safety
program.
September 8, 2021
Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program.
Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555.
https://psnet.ahrq.gov/issue/system-wide-hospital-child-ma…
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psnet.ahrq.gov/node/40263/psn-pdf
March 02, 2011 - Trauma resuscitation errors and computer-assisted
decision support.
March 2, 2011
FitzGerald M, Cameron P, Mackenzie CF, et al. Trauma resuscitation errors and computer-assisted
decision support. Arch Surg. 2011;146(2):218-25. doi:10.1001/archsurg.2010.333.
https://psnet.ahrq.gov/issue/trauma-resuscitation-errors-…
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psnet.ahrq.gov/node/43377/psn-pdf
April 25, 2016 - Using Lean "automation with a human touch" to improve
medication safety: a step closer to the "perfect dose."
April 25, 2016
Ching JM, Williams BL, Idemoto LM, et al. Using lean "automation with a human touch" to improve
medication safety: a step closer to the "perfect dose". Jt Comm J Qual Patient Saf. 2014;40(8):…
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psnet.ahrq.gov/node/865704/psn-pdf
May 01, 2024 - Supporting error management and safety climate in
ambulatory care practices: the CIRSforte study.
May 1, 2024
Müller BS, Lüttel D, Schütze D, et al. Supporting error management and safety climate in ambulatory care
practices: the CIRSforte study. J Patient Saf. 2024;20(5):314-322. doi:10.1097/pts.0000000000001225.
…
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psnet.ahrq.gov/node/46421/psn-pdf
November 08, 2017 - A novel ICU hand-over tool: the glass door of the patient
room.
November 8, 2017
Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J
Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947.
https://psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-p…
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psnet.ahrq.gov/node/46706/psn-pdf
March 20, 2018 - Realizing e-prescribing's potential to reduce outpatient
psychiatric medication errors.
March 20, 2018
Hirschtritt ME, Chan S, Ly WO. Realizing E-Prescribing's Potential to Reduce Outpatient Psychiatric
Medication Errors. Psychiatr Serv. 2018;69(2):129-132. doi:10.1176/appi.ps.201700269.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/46187/psn-pdf
December 06, 2017 - A randomised controlled trial assessing the efficacy of an
electronic discharge communication tool for preventing
death or hospital readmission.
December 6, 2017
Santana MJ, Holroyd-Leduc J, Southern DA, et al. A randomised controlled trial assessing the efficacy of
an electronic discharge communication tool for p…