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psnet.ahrq.gov/node/74749/psn-pdf
February 09, 2022 - A safety maturity model for technology-induced errors.
February 9, 2022
Borycki EM, Kushniruk AW. A safety maturity model for technology-induced errors. Stud Health Technol
Inform. 2022;289:447-451. doi:10.3233/shti210954.
https://psnet.ahrq.gov/issue/safety-maturity-model-technology-induced-errors
Although health…
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psnet.ahrq.gov/node/46787/psn-pdf
October 15, 2018 - Institute for Safe Medication Practices International
Mentorship Program.
October 15, 2018
Institute for Safe Medication Practices.
https://psnet.ahrq.gov/issue/institute-safe-medication-practices-international-mentorship-program
Structured interaction with a wide variety of experts and environments enables medica…
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psnet.ahrq.gov/node/45315/psn-pdf
September 07, 2016 - Healthcare professionals' views on feedback of a patient
safety culture assessment.
September 7, 2016
Zwijnenberg NC, Hendriks M, Hoogervorst-Schilp J, et al. Healthcare professionals' views on feedback of a
patient safety culture assessment. BMC Health Serv Res. 2016;16:199. doi:10.1186/s12913-016-1404-8.
https:/…
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psnet.ahrq.gov/node/853251/psn-pdf
July 19, 2024 - Annual Speak Up Data Reports.
July 19, 2024
Stratford, London; The National Guardian.
https://psnet.ahrq.gov/issue/annual-speak-data-reports
Organizational efforts to collect and respond to the concerns of staff and patients are a cornerstone to
patient safety improvement despite challenges to implement them. This…
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psnet.ahrq.gov/node/44863/psn-pdf
July 01, 2016 - Rating the raters: the inconsistent quality of health care
performance measurement.
July 1, 2016
Shahian DM, Normand S-LT, Friedberg MW, et al. Rating the Raters: The Inconsistent Quality of Health
Care Performance Measurement. Ann Surg. 2016;264(1):36-8. doi:10.1097/SLA.0000000000001631.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/47684/psn-pdf
March 20, 2019 - The impact of mobile technology on teamwork and
communication in hospitals: a systematic review.
March 20, 2019
Martin G, Khajuria A, Arora S, et al. The impact of mobile technology on teamwork and communication in
hospitals: a systematic review. J Am Med Inform Assoc. 2019;26(4):339-355. doi:10.1093/jamia/ocy175.
…
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psnet.ahrq.gov/node/44300/psn-pdf
July 29, 2015 - Learning From Serious Failings in Care: Main Report.
July 29, 2015
Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Academy of Medical Royal Colleges
and Faculties in Scotland; May 2015.
https://psnet.ahrq.gov/issue/learning-serious-failings-care-main-report
Substantive reports of failures have t…
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psnet.ahrq.gov/node/42467/psn-pdf
August 08, 2013 - Changes in language services use by US pediatricians.
August 8, 2013
DeCamp LR, Kuo DZ, Flores G, et al. Changes in language services use by US pediatricians. Pediatrics.
2013;132(2):e396-406. doi:10.1542/peds.2012-2909.
https://psnet.ahrq.gov/issue/changes-language-services-use-us-pediatricians
Limited English pr…
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psnet.ahrq.gov/node/40550/psn-pdf
June 22, 2011 - Applying a multidisciplinary approach to the selection,
evaluation, and acquisition of smart infusion pumps.
June 22, 2011
Namshirin P. Applying a multidisciplinary approach to the selection, evaluation, and acquisition of smart
infusion pumps. . J Med Bio Eng. 2011;31(2):93-98. doi:10.5405/jmbe.839.
https://psnet…
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psnet.ahrq.gov/node/44132/psn-pdf
May 13, 2015 - Adverse outcomes: why bad things happen to good
people.
May 13, 2015
Sonnenberg A. Adverse outcomes: why bad things happen to good people. Clin Gastroenterol Hepatol.
2015;13(5):820-3.e1. doi:10.1016/j.cgh.2014.07.064.
https://psnet.ahrq.gov/issue/adverse-outcomes-why-bad-things-happen-good-people
This commentary…
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psnet.ahrq.gov/node/42095/psn-pdf
April 09, 2013 - Six things every plastic surgeon needs to know about
teamwork training and checklists.
April 9, 2013
Harden SW. Six things every plastic surgeon needs to know about teamwork training and checklists.
Aesthet Surg J. 2013;33(3):443-8. doi:10.1177/1090820X13477417.
https://psnet.ahrq.gov/issue/six-things-every-plasti…
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psnet.ahrq.gov/node/35344/psn-pdf
March 11, 2011 - Creating the web-based intensive care unit safety
reporting system.
March 11, 2011
Holzmueller CG. Creating the Web-based Intensive Care Unit Safety Reporting System. Journal of the
American Medical Informatics Association. 2004;12(2). doi:10.1197/jamia.m1408.
https://psnet.ahrq.gov/issue/creating-web-based-inten…
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psnet.ahrq.gov/node/44729/psn-pdf
January 07, 2016 - The morbidity and mortality meeting: time for a different
approach?
January 7, 2016
Fraser J. The morbidity and mortality meeting: time for a different approach? Arch Dis Child. 2016;101(1):4-
8. doi:10.1136/archdischild-2015-309536.
https://psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-appro…
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psnet.ahrq.gov/node/46401/psn-pdf
September 13, 2017 - Understanding middle managers' influence in
implementing patient safety culture.
September 13, 2017
Gutberg J, Berta W. Understanding middle managers' influence in implementing patient safety culture.
BMC Health Serv Res. 2017;17(1):582. doi:10.1186/s12913-017-2533-4.
https://psnet.ahrq.gov/issue/understanding-mid…
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psnet.ahrq.gov/node/35176/psn-pdf
June 23, 2009 - Mapping changes in surgical mortality over 9 years by
peer review audit.
June 23, 2009
Thompson A, Ashraf Z, Burton H, et al. Mapping changes in surgical mortality over 9 years by peer review
audit. Br J Surg. 2005;92(11):1449-52.
https://psnet.ahrq.gov/issue/mapping-changes-surgical-mortality-over-9-years-peer-re…
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psnet.ahrq.gov/node/866169/psn-pdf
June 19, 2024 - Safe and equitable pediatric clinical use of AI.
June 19, 2024
Handley JL, Lehmann CU, Ratwani RM. Safe and equitable pediatric clinical use of AI. JAMA Pediatr.
2024;178(7):637-638. doi:10.1001/jamapediatrics.2024.0897.
https://psnet.ahrq.gov/issue/safe-and-equitable-pediatric-clinical-use-ai
Accepting shared res…
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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/45364/psn-pdf
September 04, 2016 - A piece of my mind. Changing the narrative.
September 4, 2016
Allen-Dicker J. Changing the Narrative. JAMA. 2016;316(3). doi:10.1001/jama.2016.3029.
https://psnet.ahrq.gov/issue/piece-my-mind-changing-narrative
Storytelling can share knowledge and build community among physicians. However, if clinicians
communicat…
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psnet.ahrq.gov/node/836928/psn-pdf
April 13, 2022 - Action on patient safety can reduce health inequalities.
April 13, 2022
Wade C, Malhotra AM, McGuire P, et al. Action on patient safety can reduce health inequalities. BMJ.
2022;376:e067090. doi:10.1136/bmj-2021-067090.
https://psnet.ahrq.gov/issue/action-patient-safety-can-reduce-health-inequalities
The role of h…
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psnet.ahrq.gov/node/45560/psn-pdf
October 19, 2016 - Learning from excellence in healthcare: a new approach
to incident reporting.
October 19, 2016
Kelly N, Blake S, Plunkett A. Learning from excellence in healthcare: a new approach to incident reporting.
Arch Dis Child. 2016;101(9):788-791. doi:10.1136/archdischild-2015-310021.
https://psnet.ahrq.gov/issue/learning…