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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/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/74056/psn-pdf
January 01, 2022 - Critical care simulation education program during the
COVID-19 pandemic.
November 10, 2021
Leibner ES, Baron EL, Shah RS, et al. Critical care simulation education program during the COVID-19
pandemic. J Patient Saf. 2022;18(4):e810-e815. doi:10.1097/pts.0000000000000928.
https://psnet.ahrq.gov/issue/critical-care…
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psnet.ahrq.gov/node/72722/psn-pdf
February 10, 2021 - Knowledge, attitudes, and expectations of medical staff
toward medical error management policies in
humanitarian medicine: a qualitative study.
February 10, 2021
Biquet J-M, Schopper D, Sprumont D, et al. Knowledge, attitudes, and Expectations of Medical Staff
Toward Medical Error Management Policies in Humanitari…
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psnet.ahrq.gov/node/36068/psn-pdf
September 28, 2010 - Getting doctors to report medical errors: project
DISCLOSE.
September 28, 2010
King ES, Moyer D, Couturie MJ, et al. Getting doctors to report medical errors: project DISCLOSE. Jt
Comm J Qual Patient Saf. 2006;32(7):382-392.
https://psnet.ahrq.gov/issue/getting-doctors-report-medical-errors-project-disclose
This …
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psnet.ahrq.gov/node/46485/psn-pdf
October 18, 2017 - Medical team training improves team performance: AOA
critical issues.
October 18, 2017
Carpenter JE, Bagian JP, Snider RG, et al. Medical Team Training Improves Team Performance: AOA
Critical Issues. J Bone Joint Surg Am. 2017;99(18):1604-1610. doi:10.2106/JBJS.16.01290.
https://psnet.ahrq.gov/issue/medical-team-t…
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psnet.ahrq.gov/node/44514/psn-pdf
April 05, 2016 - Impact of automated dispensing cabinets on medication
selection and preparation error rates in an emergency
department: a prospective and direct observational
before-and-after study.
April 5, 2016
Fanning L, Jones N, Manias E. Impact of automated dispensing cabinets on medication selection and
preparation error r…
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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/45650/psn-pdf
December 14, 2016 - Are physicians safely prescribing opioids for chronic
noncancer pain? A systematic review of current evidence.
December 14, 2016
Tournebize J, Gibaja V, Muszczak A, et al. Are Physicians Safely Prescribing Opioids for Chronic
Noncancer Pain? A Systematic Review of Current Evidence. Pain Pract. 2016;16(3):370-83.
d…
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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/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/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/34083/psn-pdf
June 30, 2011 - Handoff strategies in settings with high consequences for
failure: lessons for health care operations.
June 30, 2011
Patterson ES. Handoff strategies in settings with high consequences for failure: lessons for health care
operations. Int J Qual Health Care. 2004;16(2):125-132. doi:10.1093/intqhc/mzh026.
https://ps…
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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/37907/psn-pdf
May 26, 2011 - Assessing the anticipated consequences of computer-
based provider order entry at three community hospitals
using an open-ended, semi-structured survey instrument.
May 26, 2011
Sittig DF, Ash JS, Guappone KP, et al. Assessing the anticipated consequences of Computer-based
Provider Order Entry at three community ho…
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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/856634/psn-pdf
January 01, 2024 - Perspectives on perioperative team-based morbidity and
mortality conferences: a mixed-methods study.
November 29, 2023
Samost-Williams A, Rosen R, Cummins E, et al. Perspectives on Perioperative Team-Based Morbidity and
Mortality Conferences: A Mixed Methods Study. Jt Comm J Qual Patient Saf. 2024;50(2):139-148.
d…
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psnet.ahrq.gov/node/47147/psn-pdf
November 19, 2018 - Developing a standard handoff process for operating
room–to-ICU transitions: multidisciplinary clinician
perspectives from the Handoffs and Transitions in Critical
Care (HATRICC) study.
November 19, 2018
Lane-Fall MB, Pascual JL, Massa S, et al. Developing a Standard Handoff Process for Operating Room-to-
ICU Tra…
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psnet.ahrq.gov/node/47183/psn-pdf
May 11, 2019 - Incorporation of quality and safety principles in
maintenance of certification: a qualitative analysis of
American Board of Medical Specialties member boards.
May 11, 2019
Davis JJ, Price DW, Kraft W, et al. Incorporation of Quality and Safety Principles in Maintenance of
Certification: A Qualitative Analysis of A…
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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…