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psnet.ahrq.gov/node/73922/psn-pdf
October 06, 2021 - Leading causes of anesthesia-related liability claims in
ambulatory surgery centers.
October 6, 2021
Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory
surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000000000431.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/43976/psn-pdf
November 16, 2015 - Multicenter development, implementation, and patient
safety impacts of a simulation-based module to teach
handovers to pediatric residents.
November 16, 2015
Johnson DP, Zimmerman K, Staples B, et al. Multicenter development, implementation, and patient safety
impacts of a simulation-based module to teach handover…
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psnet.ahrq.gov/node/61097/psn-pdf
November 04, 2020 - Obstetrician-gynecologist views of pregnancy-related
medication safety.
November 4, 2020
SteelFisher GK, Hero JO, Caporello HL, et al. Obstetrician-gynecologist views of pregnancy-related
medication safety. J Womens Health (Larchmt). 2020;29(8):1113-1121. doi:10.1089/jwh.2019.8007.
https://psnet.ahrq.gov/issue/obs…
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psnet.ahrq.gov/node/44341/psn-pdf
July 22, 2015 - Impact of resident participation on morbidity and
mortality in neurosurgical procedures: an analysis of
16,098 patients.
July 22, 2015
Bydon M, Abt NB, De la Garza-Ramos R, et al. Impact of resident participation on morbidity and mortality in
neurosurgical procedures: an analysis of 16,098 patients. J NeuroSurg. 2…
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psnet.ahrq.gov/node/40162/psn-pdf
December 29, 2014 - Using an enhanced oral chemotherapy computerized
provider order entry system to reduce prescribing errors
and improve safety.
December 29, 2014
Collins CM, Elsaid KA. Using an enhanced oral chemotherapy computerized provider order entry system to
reduce prescribing errors and improve safety. Int J Qual Health Care…
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psnet.ahrq.gov/node/44862/psn-pdf
March 16, 2016 - Patient safety science in cardiothoracic surgery: an
overview.
March 16, 2016
Sanchez JA, Ferdinand FD, Fann J. Patient Safety Science in Cardiothoracic Surgery: An Overview. Ann
Thorac Surg. 2016;101(2):426-33. doi:10.1016/j.athoracsur.2015.12.034.
https://psnet.ahrq.gov/issue/patient-safety-science-cardiothoraci…
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psnet.ahrq.gov/node/46699/psn-pdf
March 20, 2018 - Disclosure of harmful medical error to patients: a review
with recommendations for pathologists.
March 20, 2018
Heher YK, Dintzis SM. Disclosure of Harmful Medical Error to Patients: A Review With Recommendations
for Pathologists. Adv Anat Pathol. 2018;25(2):124-130. doi:10.1097/PAP.0000000000000181.
https://psnet…
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psnet.ahrq.gov/node/839312/psn-pdf
November 02, 2022 - Documenting the indication for antimicrobial prescribing:
a scoping review.
November 2, 2022
Saini S, Leung V, Si E, et al. Documenting the indication for antimicrobial prescribing: a scoping review.
BMJ Qual Saf. 2022;31(11):787-799. doi:10.1136/bmjqs-2021-014582.
https://psnet.ahrq.gov/issue/documenting-indicati…
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psnet.ahrq.gov/node/838637/psn-pdf
October 19, 2022 - Patient safety and legal regulations: a total-scale analysis
of the scientific literature.
October 19, 2022
Yeung AWK, Kletecka-Pulker M, Klager E, et al. Patient safety and legal regulations: a total-scale analysis
of the scientific literature. J Patient Saf. 2022;18(7):e1116-e1123. doi:10.1097/pts.000000000000104…
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psnet.ahrq.gov/node/44088/psn-pdf
May 13, 2015 - Safety culture and care: a program to prevent surgical
errors.
May 13, 2015
Hemingway MW, O'Malley C, Silvestri S. Safety culture and care: a program to prevent surgical errors.
AORN J. 2015;101(4):404-12; quiz 413-5. doi:10.1016/j.aorn.2015.01.002.
https://psnet.ahrq.gov/issue/safety-culture-and-care-program-prev…
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psnet.ahrq.gov/node/844793/psn-pdf
September 11, 2019 - PC standards for maternal safety.
September 11, 2019
The Joint Commission. R3 Report. August 21, 2019;24:1-6.
https://psnet.ahrq.gov/issue/pc-standards-maternal-safety
Maternal safety in the United States is gaining momentum as a system-level patient safety concern. This
report reviews the new Joint Commission Pro…
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psnet.ahrq.gov/node/46734/psn-pdf
February 07, 2018 - To err is human: use of simulation to enhance training
and patient safety in anaesthesia.
February 7, 2018
Higham H, Baxendale B. To err is human: use of simulation to enhance training and patient safety in
anaesthesia. Br J Anaesth. 2017;119(suppl_1):i106-i114. doi:10.1093/bja/aex302.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/46640/psn-pdf
August 08, 2018 - IDEA4PS: the development of a research-oriented
learning healthcare system.
August 8, 2018
Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented
Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044.
https://psnet.ahrq.gov/issue/idea4ps-…
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psnet.ahrq.gov/node/842434/psn-pdf
June 01, 2024 - AHRQ Safety Program for Telemedicine.
January 22, 2024
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/ahrq-safety-program-telemedicine
Telemedicine efforts harbor both risk and reward to patients and clinicians. The AHRQ Safety Program for
Telemedicine is a national effort to develop and …
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psnet.ahrq.gov/node/45896/psn-pdf
March 15, 2017 - Medication governance: preventing errors and promoting
patient safety.
March 15, 2017
Kavanagh C. Medication governance: preventing errors and promoting patient safety. Br J Nurs.
2017;26(3):159-165. doi:10.12968/bjon.2017.26.3.159.
https://psnet.ahrq.gov/issue/medication-governance-preventing-errors-and-promoting…
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psnet.ahrq.gov/node/44557/psn-pdf
November 20, 2015 - Reforming the Veterans Health Administration—beyond
palliation of symptoms.
November 20, 2015
Giroir BP, Wilensky GR. Reforming the Veterans Health Administration--Beyond Palliation of Symptoms. N
Engl J Med. 2015;373(18):1693-5. doi:10.1056/NEJMp1511438.
https://psnet.ahrq.gov/issue/reforming-veterans-health-admi…
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psnet.ahrq.gov/node/47762/psn-pdf
April 10, 2019 - 2018 John M. Eisenberg Patient Safety and Quality Award
Recipients Announced.
April 10, 2019
Joint Commission.
https://psnet.ahrq.gov/issue/2018-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced
The Eisenberg Award honors individuals and organizations who have made unique and sustained
contri…
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psnet.ahrq.gov/node/45232/psn-pdf
August 10, 2016 - Promoting patient safety with perioperative hand-off
communication.
August 10, 2016
Robinson NL. Promoting Patient Safety With Perioperative Hand-off Communication. J Perianesth Nurs.
2016;31(3):245-53. doi:10.1016/j.jopan.2014.08.144.
https://psnet.ahrq.gov/issue/promoting-patient-safety-perioperative-hand-commun…
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psnet.ahrq.gov/node/849126/psn-pdf
May 17, 2023 - The family's contribution to patient safety.
May 17, 2023
Correia T, Martins MM, Barroso F, et al. The family's contribution to patient safety. Nurs Rep.
2023;13(2):634-643. doi:10.3390/nursrep13020056.
https://psnet.ahrq.gov/issue/familys-contribution-patient-safety
Family involvement in care can have mixed resul…
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psnet.ahrq.gov/node/44019/psn-pdf
March 25, 2015 - A systematic review of human factors and ergonomics
(HFE)-based healthcare system redesign for quality of
care and patient safety.
March 25, 2015
Xie A, Carayon P. A systematic review of human factors and ergonomics (HFE)-based healthcare system
redesign for quality of care and patient safety. Ergonomics. 2015;58(…