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psnet.ahrq.gov/node/43097/psn-pdf
April 23, 2014 - Is culture associated with patient safety in the emergency
department? A study of staff perspectives.
April 23, 2014
Van Noord IV-, Wagner C, van Dyck C, et al. Is culture associated with patient safety in the emergency
department? A study of staff perspectives. Int J Qual Health Care. 2014;26(1):64-70.
doi:10.109…
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psnet.ahrq.gov/node/837040/psn-pdf
May 04, 2022 - Use duodenoscopes with innovative designs to enhance
safety: FDA Safety Communication.
May 4, 2022
Silver Spring, MD: US Food and Drug Administration; April 5, 2022.
https://psnet.ahrq.gov/issue/use-duodenoscopes-innovative-designs-enhance-safety-fda-safety-
communication
The challenge of medical device steriliza…
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psnet.ahrq.gov/node/864855/psn-pdf
March 20, 2024 - Operating room organization and surgical performance: a
systematic review.
March 20, 2024
Pasquer A, Ducarroz S, Lifante JC, et al. Operating room organization and surgical performance: a
systematic review. Patient Saf Surg. 2024;18(1):5. doi:10.1186/s13037-023-00388-3.
https://psnet.ahrq.gov/issue/operating-room-…
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psnet.ahrq.gov/node/866255/psn-pdf
July 10, 2024 - Cyberattack led to harrowing lapses at Ascension
hospitals, clinicians say.
July 10, 2024
Pradhan R, Wells K. KFF Health News and Morning Edition, Michigan Public Radio: June 19, 2024.
https://psnet.ahrq.gov/issue/cyberattack-led-harrowing-lapses-ascension-hospitals-clinicians-say
Cybersecurity is increasingly see…
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psnet.ahrq.gov/node/74722/psn-pdf
February 02, 2022 - Preventing and mitigating radiology system failures: a
guide to disaster planning.
February 2, 2022
Gibney BT, Roberts JM, D'Ortenzio RM, et al. Preventing and mitigating radiology system failures: a guide
to disaster planning. RadioGraphics. 2021;41(7):2111-2126. doi:10.1148/rg.2021210083.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/47646/psn-pdf
February 06, 2019 - Systematic review of computerized prescriber order entry
and clinical decision support.
February 6, 2019
Vélez-Díaz-Pallarés M, Pérez-Menéndez-Conde C, Bermejo-Vicedo T. Systematic review of computerized
prescriber order entry and clinical decision support. Am J Health Syst Pharm. 2018;75(23):1909-1921.
doi:10.214…
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psnet.ahrq.gov/node/854379/psn-pdf
October 11, 2023 - The limits of psychological safety: nonlinear relationships
with performance.
October 11, 2023
Eldor L, Hodor M, Cappelli P. The limits of psychological safety: nonlinear relationships with performance.
Org Behav Human Decision Proc. 2023;177:104255. doi:10.1016/j.obhdp.2023.104255.
https://psnet.ahrq.gov/issue/li…
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psnet.ahrq.gov/node/73476/psn-pdf
July 07, 2021 - The role of apology laws in medical malpractice.
July 7, 2021
Ross NE, Newman WJ. J Am Acad Psychiatry Law. 2021;49(3):406-414.
https://psnet.ahrq.gov/issue/role-apology-laws-medical-malpractice
Open disclosure of errors and adverse events is increasingly encouraged in healthcare, but clinicians
frequently ci…
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psnet.ahrq.gov/node/34723/psn-pdf
April 07, 2011 - Pushing the profession: how the news media turned
patient safety into a priority.
April 7, 2011
Millenson ML. Pushing the profession: how the news media turned patient safety into a priority. Qual Saf
Health Care. 2002;11(1):57-63.
https://psnet.ahrq.gov/issue/pushing-profession-how-news-media-turned-patient-safet…
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psnet.ahrq.gov/node/44908/psn-pdf
June 07, 2016 - Speak up! Addressing the paradox plaguing patient-
centered care.
June 7, 2016
Mazor KM, Smith KM, Fisher K, et al. Speak Up! Addressing the Paradox Plaguing Patient-Centered Care.
Ann Intern Med. 2016;164(9):618-9. doi:10.7326/M15-2416.
https://psnet.ahrq.gov/issue/speak-addressing-paradox-plaguing-patient-center…
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psnet.ahrq.gov/node/47959/psn-pdf
May 15, 2019 - A quality improvement initiative to reduce safety events
among adolescents hospitalized after a suicide attempt.
May 15, 2019
Noelck M, Velazquez-Campbell M, Austin JP. A Quality Improvement Initiative to Reduce Safety Events
Among Adolescents Hospitalized After a Suicide Attempt. Hosp Pediatr. 2019;9(5):365-372.
…
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psnet.ahrq.gov/node/836856/psn-pdf
April 06, 2022 - To what extent are patients involved in researching safety
in acute mental healthcare?
April 6, 2022
Brierley-Jones L, Ramsey L, Canvin K, et al. To what extent are patients involved in researching safety in
acute mental healthcare? Res Involv Engagem. 2022;8(1):8. doi:10.1186/s40900-022-00337-x.
https://psnet.ahr…
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psnet.ahrq.gov/node/862153/psn-pdf
February 07, 2024 - Anticipating patient safety events in psychiatric care.
February 7, 2024
Yerstein MC, SUNDARARAJ DEEPIKA, McClean M, et al. Anticipating patient safety events in psychiatric
care. J Psychiatr Pract. 2024;30(1):68-72. doi:10.1097/pra.0000000000000760.
https://psnet.ahrq.gov/issue/anticipating-patient-safety-events-p…
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psnet.ahrq.gov/node/35127/psn-pdf
February 24, 2011 - Beyond the medical record: other modes of error
acknowledgment.
February 24, 2011
Rosenthal M, Cornett PL, Sutcliffe K, et al. Beyond the medical record: other modes of error
acknowledgment. J Gen Intern Med. 2005;20(5):404-9.
https://psnet.ahrq.gov/issue/beyond-medical-record-other-modes-error-acknowledgment
Thi…
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psnet.ahrq.gov/node/44003/psn-pdf
June 17, 2015 - Effects of patient safety culture interventions on incident
reporting in general practice: a cluster randomised trial.
June 17, 2015
Verbakel NJ, Langelaan M, Verheij TJM, et al. Effects of patient safety culture interventions on incident
reporting in general practice: a cluster randomised trial. Br J Gen Pract. 20…
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psnet.ahrq.gov/node/844796/psn-pdf
September 18, 2019 - Workplace violence against anesthesiologists: we are not
immune to this patient safety threat.
September 18, 2019
Udoji MA, Ifeanyi-Pillette IC, Miller TR, Lin DM. Int Anesthesiol Clin. 2019;57:123-137.
https://psnet.ahrq.gov/issue/workplace-violence-against-anesthesiologists-we-are-not-immune-patient-
safety-thre…
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psnet.ahrq.gov/node/46159/psn-pdf
May 31, 2017 - Despite technology, verbal orders persist, read back is
not widespread, and errors continue.
May 31, 2017
ISMP Medication Safety Alert! Acute Care Edition. May 18, 2017;22:1-4.
https://psnet.ahrq.gov/issue/despite-technology-verbal-orders-persist-read-back-not-widespread-and-
errors-continue
Verbal orders are kno…
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psnet.ahrq.gov/node/44615/psn-pdf
November 04, 2015 - Implementing an obstetric emergency team response
system: overcoming barriers and sustaining response
dose.
November 4, 2015
Richardson MG, Domaradzki KA, McWeeney DT. Implementing an Obstetric Emergency Team Response
System: Overcoming Barriers and Sustaining Response Dose. Jt Comm J Qual Patient Saf.
2015;41(11…
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psnet.ahrq.gov/node/46554/psn-pdf
October 25, 2017 - Severe hyperglycemia in patients incorrectly using insulin
pens at home.
October 25, 2017
National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American
Society of Health-System Pharmacists. October 12, 2017.
https://psnet.ahrq.gov/issue/severe-hyperglycemia-patients-incorrect…
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psnet.ahrq.gov/node/44724/psn-pdf
November 25, 2015 - What's in your kit? A safety checkup may be in order.
November 25, 2015
Paparella S. What's In Your Kit? A Safety Checkup May Be In Order. Journal of emergency nursing: JEN :
official publication of the Emergency Department Nurses Association. 2015;41(6):513-5.
doi:10.1016/j.jen.2015.07.001.
https://psnet.ahrq.gov…