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psnet.ahrq.gov/node/50585/psn-pdf
October 30, 2019 - Introducing the New SOPS Hospital Survey 2.0.
October 30, 2019
Agency for Healthcare Research and Quality. October 30, 2019.
https://psnet.ahrq.gov/issue/updates-hospital-survey-patient-safety-culture
This webinar recording provides information on the updated Hospital Survey on Patient Safety Culture™
(SOPS™) 2.0.…
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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - Sustaining This Innovation
The following elements are key to sustaining this innovation:
Incorporate
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psnet.ahrq.gov/node/39301/psn-pdf
February 16, 2011 - Team training of medical students in the 21st century:
would Flexner approve?
February 16, 2011
Morrison G, Goldfarb S, Lanken PN. Team training of medical students in the 21st century: would Flexner
approve? Acad Med. 2010;85(2):254-9. doi:10.1097/ACM.0b013e3181c8845e.
https://psnet.ahrq.gov/issue/team-training-m…
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psnet.ahrq.gov/node/865486/psn-pdf
April 03, 2024 - Clinical informatics team members' perspectives on
health information technology safety after experiential
learning and safety process development: qualitative
descriptive study.
April 3, 2024
Recsky C, Rush KL, MacPhee M, et al. Clinical informatics team members' perspectives on health
information technology saf…
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psnet.ahrq.gov/node/40952/psn-pdf
December 07, 2011 - Hospital quality and patient safety competencies:
development, description, and recommendations for use.
December 7, 2011
O'Leary KJ, Afsar-Manesh N, Budnitz T, et al. Hospital quality and patient safety competencies:
Development, description, and recommendations for use. J Hosp Med. 2011;6(9). doi:10.1002/jhm.937.…
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psnet.ahrq.gov/node/45079/psn-pdf
May 03, 2016 - A piece of my mind. Mentorship malpractice.
May 3, 2016
Chopra V, Edelson DP, Saint S. A PIECE OF MY MIND. Mentorship Malpractice. JAMA.
2016;315(14):1453-4. doi:10.1001/jama.2015.18884.
https://psnet.ahrq.gov/issue/piece-my-mind-mentorship-malpractice
Mentors can serve as coaches to help improve student performan…
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psnet.ahrq.gov/node/38967/psn-pdf
June 09, 2011 - Eight rights of safe electronic health record use.
June 9, 2011
Sittig DF, Singh H. Eight rights of safe electronic health record use. JAMA. 2009;302(10):1111-3.
doi:10.1001/jama.2009.1311.
https://psnet.ahrq.gov/issue/eight-rights-safe-electronic-health-record-use
Incorporating human factors engineering models, t…
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psnet.ahrq.gov/primer/patient-safety-indicators
June 15, 2024 - never events and trigger tools ) in that they have numerator and denominator specifications and often incorporate
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psnet.ahrq.gov/node/73373/psn-pdf
January 01, 2022 - State medical board regulation of compounding in
physician offices.
June 9, 2021
Reynolds KA, Hellquist K, Ibrahim SA, et al. State medical board regulation of compounding in physician
offices. Arch Dermatol Res. 2022;314(4):363-367. doi:10.1007/s00403-021-02237-8.
https://psnet.ahrq.gov/issue/state-medical-board-…
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psnet.ahrq.gov/node/73968/psn-pdf
October 13, 2021 - Institution of just culture physician peer review in an
academic medical center.
October 13, 2021
Volkar JK, Phrampus P, English D, et al. Institution of just culture physician peer review in an academic
medical center. J Patient Saf. 2021;17(7):e689-e693. doi:10.1097/pts.0000000000000449.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/855001/psn-pdf
November 01, 2023 - Rethinking Patient Safety: A Discussion Guide for
Patients, Healthcare Providers and Leaders.
November 1, 2023
Gilbert R, Asselbergs M, Davis D, et al. Healthcare Excellence Canada; 2023.
https://psnet.ahrq.gov/issue/rethinking-patient-safety-discussion-guide-patients-healthcare-providers-and-
leaders
Patient saf…
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psnet.ahrq.gov/node/837330/psn-pdf
June 08, 2022 - A call to action: next steps to advance diagnosis
education in the health professions.
June 8, 2022
Graber ML, Holmboe ES, Stanley J, et al. A call to action: next steps to advance diagnosis education in the
health professions. Diagnosis (Berl). 2022;9(2):166-175. doi:10.1515/dx-2021-0103.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/44978/psn-pdf
June 01, 2016 - Josie's Story: A Patient Safety Curriculum.
June 1, 2016
Kaprielian VS, Sullivan DT, eds. Chapel Hill, NC: Josie King Foundation; Duke University School of
Medicine; 2013.
https://psnet.ahrq.gov/issue/josies-story-patient-safety-curriculum
The experience of Sorrel King and the death of her daughter has motivated h…
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psnet.ahrq.gov/node/38437/psn-pdf
February 25, 2009 - Beyond "see one, do one, teach one": toward a different
training paradigm.
February 25, 2009
Rodriguez-Paz JM, Kennedy M, Salas E, et al. Beyond "see one, do one, teach one": toward a different
training paradigm. Qual Saf Health Care. 2009;18(1):63-8. doi:10.1136/qshc.2007.023903.
https://psnet.ahrq.gov/issue/beyo…
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psnet.ahrq.gov/node/41321/psn-pdf
April 25, 2012 - Cognitive balanced model: a conceptual scheme of
diagnostic decision making.
April 25, 2012
Lucchiari C, Pravettoni G. Cognitive balanced model: a conceptual scheme of diagnostic decision making.
J Eval Clin Pract. 2012;18(1):82-8. doi:10.1111/j.1365-2753.2011.01771.x.
https://psnet.ahrq.gov/issue/cognitive-balanc…
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psnet.ahrq.gov/node/39626/psn-pdf
June 23, 2010 - The Medication Manager: results of a medication at the
bedside pilot in a pediatric teaching institution.
June 23, 2010
Wagner D, Pasko D, Glenn D, et al. The Medication Manager. J Patient Saf. 2010;6(2).
doi:10.1097/pts.0b013e3181cb43b4.
https://psnet.ahrq.gov/issue/medication-manager-results-medication-bedside-p…
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psnet.ahrq.gov/node/866735/psn-pdf
September 18, 2024 - Achieving diagnostic excellence: roadmaps to develop
and use patient-reported measures with an equity lens.
September 18, 2024
McDonald KM, Gleason KT, Jajodia A, et al. Achieving diagnostic excellence: roadmaps to develop and
use patient-reported measures with an equity lens. Int J Health Policy Manag. 2024;13:804…
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psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
August 06, 2014 - The clinical decision support should incorporate a final check that assures that a REMS-authorized provider
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psnet.ahrq.gov/node/73387/psn-pdf
March 17, 2021 - Ultimately, facilities may need to prioritize what new practices to incorporate into their built environment
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psnet.ahrq.gov/node/60957/psn-pdf
September 30, 2020 - A narrative review of strategies to increase patient safety
event reporting by residents.
September 30, 2020
Aaron M, Webb A, Luhanga U. A narrative review of strategies to increase patient safety event reporting by
residents. J Grad Med Educ. 2020;12(4):415-424. doi:10.4300/jgme-d-19-00649.1.
https://psnet.ahrq.g…