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psnet.ahrq.gov/node/837847/psn-pdf
August 17, 2022 - Defining and studying errors in surgical care: a
systematic review.
August 17, 2022
Marsh KM, Turrentine FE, Knight K, et al. Defining and studying errors in surgical care: a systematic
review. Ann Surg. 2022;275(6):1067-1073. doi:10.1097/sla.0000000000005351.
https://psnet.ahrq.gov/issue/defining-and-studying-err…
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psnet.ahrq.gov/node/60696/psn-pdf
July 15, 2020 - Culture as a Cure: Assessments of Patient Safety Culture
in OECD Countries.
July 15, 2020
de Bienassisi K, Kristensenii S, Burtscheri M, et al for the Organisation for Economic Co-operation
and Development. Paris, France: OECD Publishing; 2020. OECD Health Working Papers, No. 119.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/47229/psn-pdf
August 01, 2018 - The practice of respect in the ICU.
August 1, 2018
Brown SM, Azoulay E, Benoit D, et al. The Practice of Respect in the ICU. Am J Respir Crit Care Med.
2018;197(11):1389-1395. doi:10.1164/rccm.201708-1676CP.
https://psnet.ahrq.gov/issue/practice-respect-icu
This commentary explores the results of a multidisciplina…
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psnet.ahrq.gov/node/838142/psn-pdf
September 21, 2022 - A health system that won't learn from its mistakes.
September 21, 2022
Keller C. A health system that won't learn from its mistakes. Health Aff (Millwood). 2022;41(9):1353-1356.
doi:10.1377/hlthaff.2022.00581.
https://psnet.ahrq.gov/issue/health-system-wont-learn-its-mistakes
Communication failures due to hierarch…
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psnet.ahrq.gov/node/854637/psn-pdf
October 18, 2023 - A scoping review of clinical handover mnemonic devices.
October 18, 2023
Yung AHW, Pak CS, Watson B. A scoping review of clinical handover mnemonic devices. Int J Qual Health
Care. 2023;35(3):mzad065. doi:10.1093/intqhc/mzad065.
https://psnet.ahrq.gov/issue/scoping-review-clinical-handover-mnemonic-devices
Cogniti…
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psnet.ahrq.gov/node/844551/psn-pdf
February 15, 2023 - Emotional safety is patient safety.
February 15, 2023
Lyndon A, Davis D-A, Sharma AE, et al. Emotional safety is patient safety. BMJ Qual Saf. 2023;32(7):369-
372. doi:10.1136/bmjqs-2022-015573.
https://psnet.ahrq.gov/issue/emotional-safety-patient-safety
Patient perspectives can provide unique insights into care …
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psnet.ahrq.gov/node/74215/psn-pdf
October 25, 2011 - Race and the clinical diagnosis of depression in new
primary care patients.
October 25, 2011
Lukachko A, Olfson M. Race and the clinical diagnosis of depression in new primary care patients. Gen
Hosp Psychiatry. 2011;34(1):98-100. doi:10.1016/j.genhosppsych.2011.09.008.
https://psnet.ahrq.gov/issue/race-and-clinic…
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psnet.ahrq.gov/node/866524/psn-pdf
August 14, 2024 - Generative artificial intelligence, patient safety and
healthcare quality: a review.
August 14, 2024
Howell MD. Generative artificial intelligence, patient safety and healthcare quality: a review. BMJ Qual Saf.
2024;33(11):748-754. doi:10.1136/bmjqs-2023-016690.
https://psnet.ahrq.gov/issue/generative-artificial-i…
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psnet.ahrq.gov/node/40872/psn-pdf
January 23, 2012 - Hospital performance trends on national quality measures
and the association with Joint Commission accreditation.
January 23, 2012
Schmaltz SP, Williams SC, Chassin MR, et al. Hospital performance trends on national quality measures
and the association with joint commission accreditation. J Hosp Med. 2011;6(8). doi…
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psnet.ahrq.gov/node/34731/psn-pdf
July 08, 2016 - Crossing the Quality Chasm: A New Health System for the
21st Century.
July 8, 2016
Committee on Quality of Health Care in America, Institute of Medicine. Washington DC: National
Academies Press; 2001. ISBN: 9780309072809.
https://psnet.ahrq.gov/issue/crossing-quality-chasm-new-health-system-21st-century
Following…
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psnet.ahrq.gov/issue/20-years-later-err-leadership-failure
November 30, 2016 - Special or Theme Issue
20 years later: to err is a leadership failure.
Citation Text:
20 years later: to err is a leadership failure. Castellucci M, Meyer H. Modern Healthcare: November 11, 2019;49:18-22;28-30;32-34.
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psnet.ahrq.gov/issue/medical-liability-and-patient-safety-setting-proper-course
January 12, 2011 - Commentary
Medical liability and patient safety: setting the proper course.
Citation Text:
Pearlman MD, Gluck PA. Medical liability and patient safety: setting the proper course. Obstet Gynecol. 2005;105(5 Pt 1):941-943.
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psnet.ahrq.gov/issue/ismp-long-term-care-advise-err
June 07, 2017 - Newsletter/Journal
ISMP Long-Term Care Advise-ERR.
Citation Text:
ISMP Long-Term Care Advise-ERR. Horsham, PA; Institute for Safe Medication Practices.
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psnet.ahrq.gov/issue/role-physician-specialty-board-certification-status-quality-movement
October 01, 2007 - Review
The role of physician specialty board certification status in the quality movement.
Citation Text:
Brennan TA, Horwitz RI, Duffy FD, et al. The Role of Physician Specialty Board Certification Status in the Quality Movement. JAMA. 2004;292(9). doi:10.1001/jama.292.9.1038.
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psnet.ahrq.gov/issue/supporting-nurses-essential-partners-diagnosis
August 05, 2020 - Newspaper/Magazine Article
Supporting nurses as essential partners in diagnosis.
Citation Text:
Supporting nurses as essential partners in diagnosis. Carr S. ImproveDx. March 2021:8(2)
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psnet.ahrq.gov/issue/employee-discipline-solution-patient-safety
September 15, 2011 - Commentary
Is employee discipline the solution for patient safety?
Citation Text:
Mace KA. Is employee discipline the solution for patient safety? Nurs Manag. 2005;36(12):57-59.
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psnet.ahrq.gov/issue/anesthesia-outside-or-cause-patient-safety-concerns
May 25, 2022 - Newspaper/Magazine Article
Anesthesia outside of the OR: cause for patient safety concerns?
Citation Text:
Anesthesia outside of the OR: cause for patient safety concerns? DePeau-Wilson M. MedPage Today. January 13, 2023.
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psnet.ahrq.gov/issue/nhs-patient-safety-strategy
April 15, 2020 - Organizational Policy/Guidelines
The NHS Patient Safety Strategy.
Citation Text:
The NHS Patient Safety Strategy. NHS England
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psnet.ahrq.gov/issue/ebola-case-raises-concern-about-everyday-hospital-safety
June 21, 2017 - Newspaper/Magazine Article
Ebola case raises concern about everyday hospital safety.
Citation Text:
Ebola case raises concern about everyday hospital safety. Rodricks D. Baltimore Sun. October 14, 2014.
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psnet.ahrq.gov/issue/state-patient-safety-centers-new-approach-promote-patient-safety
November 29, 2009 - Book/Report
State Patient Safety Centers: A New Approach to Promote Patient Safety.
Citation Text:
State Patient Safety Centers: A New Approach to Promote Patient Safety. Rosenthal J, Booth M. Portland, ME National Academy for State Health Policy; October 2004.
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