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psnet.ahrq.gov/node/36244/psn-pdf
June 13, 2012 - With Safety in Mind: Mental Health Services and Patient
Safety.
June 13, 2012
Scobie S, Minghella E, Dale C, et al. London, UK: National Patient Safety Agency; 2006.
https://psnet.ahrq.gov/issue/safety-mind-mental-health-services-and-patient-safety
This report, the second in a series from the United Kingdom's Nati…
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psnet.ahrq.gov/node/841790/psn-pdf
September 01, 2021 - Diagnostic errors, health disparities, and artificial
intelligence: a combination for health or harm.
September 1, 2021
Ibrahim SA, Pronovost PJ. Diagnostic errors, health disparities, and artificial intelligence: a combination for
health or harm. JAMA Health Forum. 2021;2(9):e212430. doi:10.1001/jamahealthforum.20…
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psnet.ahrq.gov/node/37547/psn-pdf
February 20, 2008 - Intensive care unit nurses' perceptions of safety after a
highly specific safety intervention.
February 20, 2008
Elder NC, Brungs SM, Nagy M, et al. Intensive care unit nurses' perceptions of safety after a highly specific
safety intervention. Qual Saf Health Care. 2008;17(1):25-30. doi:10.1136/qshc.2006.021949.
h…
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psnet.ahrq.gov/node/47271/psn-pdf
August 08, 2018 - NAM Action Collaborative on Countering the U.S. Opioid
Epidemic.
August 8, 2018
National Academy of Medicine; Aspen Institute.
https://psnet.ahrq.gov/issue/nam-action-collaborative-countering-us-opioid-epidemic
Despite increased awareness regarding the public health impacts of opioid misuse and overdose in the
Un…
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psnet.ahrq.gov/node/45546/psn-pdf
October 05, 2016 - Using standardized OR checklists and creating extended
time-out checklists.
October 5, 2016
Hey LA, Turner TC. Using Standardized OR Checklists and Creating Extended Time-Out Checklists.
AORN J. 2016;104(3):248-53. doi:10.1016/j.aorn.2016.07.007.
https://psnet.ahrq.gov/issue/using-standardized-or-checklists-and-cr…
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psnet.ahrq.gov/node/46693/psn-pdf
December 20, 2017 - Coupling policymaking with evaluation—the case of the
opioid crisis.
December 20, 2017
Barnett ML, Gray J, Zink A, et al. Coupling Policymaking with Evaluation - The Case of the Opioid Crisis.
New Engl J Med. 2017;377(24):2306-2309. doi:10.1056/NEJMp1710014.
https://psnet.ahrq.gov/issue/coupling-policymaking-evalu…
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psnet.ahrq.gov/node/73113/psn-pdf
April 07, 2021 - Analysis of results from event investigations in industrial
and patient safety contexts.
April 7, 2021
Harms-Ringdahl L. Analysis of results from event investigations in industrial and patient safety contexts.
Safety. 2021;7(1):19. doi:10.3390/safety7010019.
https://psnet.ahrq.gov/issue/analysis-results-event-inve…
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psnet.ahrq.gov/node/46013/psn-pdf
January 01, 2018 - The dichotomy of the application of a systems approach
in UK healthcare the challenges and priorities for
implementation.
December 19, 2017
Pickup L, Lang A, Atkinson S, et al. The dichotomy of the application of a systems approach in UK
healthcare the challenges and priorities for implementation. Ergonomics. 2018…
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psnet.ahrq.gov/node/47155/psn-pdf
October 17, 2018 - Medication errors with pediatric liquid acetaminophen
after standardization of concentration and packaging
improvements.
October 17, 2018
Brass EP, Reynolds KM, Burnham RI, et al. Medication Errors With Pediatric Liquid Acetaminophen After
Standardization of Concentration and Packaging Improvements. Acad Pediatr. …
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psnet.ahrq.gov/node/35736/psn-pdf
May 27, 2011 - Video capture of clinical care to enhance patient safety.
May 27, 2011
Weinger MB, Gonzales DC, Slagle J, et al. Video capture of clinical care to enhance patient safety. Qual
Saf Health Care. 2004;13(2):136-44.
https://psnet.ahrq.gov/issue/video-capture-clinical-care-enhance-patient-safety
This study describes th…
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psnet.ahrq.gov/node/36470/psn-pdf
September 27, 2010 - Prioritizing patient safety interventions in small and rural
hospitals.
September 27, 2010
Casey M, Wakefield M, Coburn AF, et al. Prioritizing patient safety interventions in small and rural
hospitals. Jt Comm J Qual Patient Saf. 2006;32(12):693-702.
https://psnet.ahrq.gov/issue/prioritizing-patient-safety-interv…
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psnet.ahrq.gov/node/837855/psn-pdf
August 17, 2022 - Patterns of error in interpretive pathology.
August 17, 2022
Packer MDC, Ravinsky E, Azordegan N. Patterns of error in interpretive pathology. Am J Clin Pathol.
2022;157(5):767-773. doi:10.1093/ajcp/aqab190.
https://psnet.ahrq.gov/issue/patterns-error-interpretive-pathology
Studies have shown diagnostic discordanc…
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psnet.ahrq.gov/node/845657/psn-pdf
March 08, 2023 - Dissemination and Implementation of Equity-Focused
Evidence-Based Interventions in Healthcare Delivery
Systems (R18).
March 8, 2023
Rockville, MD: Agency for Healthcare Research and Quality. February 15, 2023. RFA-HS-23-002.
https://psnet.ahrq.gov/issue/dissemination-and-implementation-equity-focused-evidence-base…
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psnet.ahrq.gov/node/34781/psn-pdf
June 23, 2015 - Standards for patient monitoring during general
anesthesia at Harvard Medical School.
June 23, 2015
Eichhorn JH, Cooper JB, Cullen DJ, et al. Standards for patient monitoring during anesthesia at Harvard
Medical School. JAMA. 1986;256(8):1017-20.
https://psnet.ahrq.gov/issue/standards-patient-monitoring-during-gen…
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psnet.ahrq.gov/node/44836/psn-pdf
January 27, 2016 - Advancing the next generation of handover research and
practice with cognitive load theory.
January 27, 2016
Young JQ, Wachter R, Cate OT, et al. Advancing the next generation of handover research and practice
with cognitive load theory. BMJ Qual Saf. 2016;25(2):66-70. doi:10.1136/bmjqs-2015-004181.
https://psnet.…
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psnet.ahrq.gov/node/39021/psn-pdf
October 14, 2009 - Medication safety in acute care in Australia: where are we
now? Part 2: a review of strategies and activities for
improving medication safety 2002-2008.
October 14, 2009
Semple SJ, Roughead EE. Medication safety in acute care in Australia: where are we now? Part 2: a
review of strategies and activities for improvi…
-
psnet.ahrq.gov/node/46964/psn-pdf
April 11, 2018 - The gaps in specialists' diagnoses.
April 11, 2018
Scott IA, Campbell DA. The gaps in specialists' diagnoses. Med J Aust. 2018;208(5):196-197.
https://psnet.ahrq.gov/issue/gaps-specialists-diagnoses
Leaders in the effort to improve diagnosis have heralded diagnosis as a team activity. This commentary
suggests that…
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psnet.ahrq.gov/node/50710/psn-pdf
December 04, 2019 - Safety in office-based anesthesia: an updated review of
the literature from 2016 to 2019
December 4, 2019
de Lima A, Osman BM, Shapiro FE. Safety in office-based anesthesia. Curr Opin Anaesthesiol.
2019;32(6):749-755. doi:10.1097/aco.0000000000000794.
https://psnet.ahrq.gov/issue/safety-office-based-anesthesia-upd…
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psnet.ahrq.gov/node/40084/psn-pdf
December 15, 2010 - Patterns in nursing home medication errors:
disproportionality analysis as a novel method to identify
quality improvement opportunities.
December 15, 2010
Hansen RA, Cornell PY, Ryan PB, et al. Patterns in nursing home medication errors: disproportionality
analysis as a novel method to identify quality improvement…
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psnet.ahrq.gov/node/35216/psn-pdf
December 22, 2009 - An educational intervention to enhance nurse leaders'
perceptions of patient safety culture.
December 22, 2009
Ginsburg LR, Norton PG, Casebeer A, et al. An educational intervention to enhance nurse leaders'
perceptions of patient safety culture. Health Serv Res. 2005;40(4):997-1020.
https://psnet.ahrq.gov/issue/e…