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psnet.ahrq.gov/node/43154/psn-pdf
August 22, 2016 - Root cause analysis of ambulatory adverse drug events
that present to the emergency department.
August 22, 2016
Gertler SA, Coralic Z, Lopez A, et al. Root Cause Analysis of Ambulatory Adverse Drug Events That
Present to the Emergency Department. J Patient Saf. 2014;12(3). doi:10.1097/pts.0000000000000072.
https:/…
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psnet.ahrq.gov/node/36784/psn-pdf
February 24, 2011 - The many faces of error disclosure: a common set of
elements and a definition.
February 24, 2011
Fein SP, Hilborne LH, Spiritus EM, et al. The many faces of error disclosure: a common set of elements
and a definition. J Gen Intern Med. 2007;22(6):755-761.
https://psnet.ahrq.gov/issue/many-faces-error-disclosure-co…
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psnet.ahrq.gov/node/44518/psn-pdf
January 22, 2016 - Embracing errors in simulation-based training: the effect
of error training on retention and transfer of central
venous catheter skills.
January 22, 2016
Gardner AK, Abdelfattah K, Wiersch J, et al. Embracing Errors in Simulation-Based Training: The Effect of
Error Training on Retention and Transfer of Central Ven…
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psnet.ahrq.gov/node/47482/psn-pdf
December 05, 2018 - Examining the effects of an obstetrics interprofessional
programme on reductions to reportable events and their
related costs.
December 5, 2018
Geary M, Ruiter PJA, Yasseen AS. Examining the effects of an obstetrics interprofessional programme on
reductions to reportable events and their related costs. J Interprof…
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psnet.ahrq.gov/node/45594/psn-pdf
December 19, 2017 - Teaching quality improvement and patient safety in
residency education: strategies for meaningful resident
quality and safety initiatives.
December 19, 2017
Morrison RJ, Bowe SN, Brenner MJ. Teaching Quality Improvement and Patient Safety in Residency
Education: Strategies for Meaningful Resident Quality and Safet…
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psnet.ahrq.gov/node/45720/psn-pdf
April 13, 2017 - Medical morbidity and mortality conferences: past,
present and future.
April 13, 2017
George J. Medical morbidity and mortality conferences: past, present and future. Postgrad Med J.
2017;93(1097):148-152. doi:10.1136/postgradmedj-2016-134103.
https://psnet.ahrq.gov/issue/medical-morbidity-and-mortality-conference…
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psnet.ahrq.gov/node/35540/psn-pdf
August 05, 2009 - Lost in translation: challenges and opportunities in
physician-to-physician communication during patient
handoffs.
August 5, 2009
Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to-
physician communication during patient handoffs. Acad Med. 2005;80(12):1094-9.
…
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psnet.ahrq.gov/node/38033/psn-pdf
September 24, 2010 - Implementing online medication reconciliation at a large
academic medical center.
September 24, 2010
Bails D, Clayton K, Roy K, et al. Implementing online medication reconciliation at a large academic medical
center. Jt Comm J Qual Patient Saf. 2008;34(9):499-508.
https://psnet.ahrq.gov/issue/implementing-online-m…
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psnet.ahrq.gov/node/45340/psn-pdf
August 17, 2016 - To the point: integrating patient safety education Into the
obstetrics and gynecology undergraduate curriculum.
August 17, 2016
Abbott JF, Pradhan A, Buery-Joyner S, et al. To the Point: Integrating Patient Safety Education Into the
Obstetrics and Gynecology Undergraduate Curriculum. J Patient Saf. 2016;16(1):e39-e…
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psnet.ahrq.gov/node/44238/psn-pdf
November 03, 2015 - Use of temporary names for newborns and associated
risks.
November 3, 2015
Adelman JS, Aschner JL, Schechter CB, et al. Use of Temporary Names for Newborns and Associated
Risks. Pediatrics. 2015;136(2):327-333. doi:10.1542/peds.2015-0007.
https://psnet.ahrq.gov/issue/use-temporary-names-newborns-and-associated-ris…
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psnet.ahrq.gov/node/43999/psn-pdf
May 19, 2018 - Label design affects medication safety in an operating
room crisis: a controlled simulation study.
May 19, 2018
Estock JL, Murray AW, Mizah MT, et al. Label Design Affects Medication Safety in an Operating Room
Crisis: A Controlled Simulation Study. J Patient Saf. 2018;14(2):101-106.
doi:10.1097/PTS.00000000000001…
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psnet.ahrq.gov/node/38517/psn-pdf
February 17, 2011 - Use of electronic health records in US hospitals.
February 17, 2011
Jha AK, DesRoches CM, Campbell EG, et al. Use of electronic health records in U.S. hospitals.
doi:10.1056/NEJMsa0900592.
https://psnet.ahrq.gov/issue/use-electronic-health-records-us-hospitals
Increasing the use of electronic health records (EHRs)…
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psnet.ahrq.gov/node/37569/psn-pdf
March 21, 2017 - How often are potential patient safety events present on
admission?
March 21, 2017
Houchens RL, Elixhauser A, Romano PS. How often are potential patient safety events present on
admission? Jt Comm J Qual Patient Saf. 2008;34(3):154-63.
https://psnet.ahrq.gov/issue/how-often-are-potential-patient-safety-events-pres…
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psnet.ahrq.gov/node/46467/psn-pdf
October 18, 2017 - The Role of Clinical Learning Environments in Preparing
New Clinicians to Engage in Patient Safety.
October 18, 2017
Disch J, Kilo CM, Passiment M, Wagner R, Weiss KB; National Collaborative for Improving the Clinical
Learning Environment. Chicago, IL: Accreditation Council for Graduate Medical Education; 2017.
ht…
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psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
July 23, 2024 - Resources Used and Skills Needed
Staffing: The PROMPT program requires no new staff, as existing staff incorporate … Resources Used and Skills Needed
Staffing: The PROMPT program requires no new staff, as existing staff incorporate
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psnet.ahrq.gov/node/33850/psn-pdf
January 01, 2018 - these
toolkits and auditing features to help elucidate how best to educate, implement change, and incorporate
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psnet.ahrq.gov/node/48165/psn-pdf
August 28, 2019 - Competencies for improving diagnosis: an
interprofessional framework for education and training in
health care.
August 28, 2019
Olson A, Rencic J, Cosby K, et al. Competencies for improving diagnosis: an interprofessional framework
for education and training in health care. Diagnosis (Berl). 2019;6(4):335-341. doi…
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psnet.ahrq.gov/node/47524/psn-pdf
June 19, 2019 - Learning from patients' experiences related to diagnostic
errors is essential for progress in patient safety.
June 19, 2019
Giardina TD, Haskell H, Menon S, et al. Learning From Patients' Experiences Related To Diagnostic Errors
Is Essential For Progress In Patient Safety. Health Aff (Millwood). 2018;37(11):1821-18…
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psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
November 27, 2023 - That leads me almost directly into my next question, which is how the Essentials incorporate safety … I would be curious to hear you talk about how practice partners could engage academics and incorporate
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psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
November 27, 2023 - That leads me almost directly into my next question, which is how the Essentials incorporate safety … I would be curious to hear you talk about how practice partners could engage academics and incorporate