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psnet.ahrq.gov/issue/integrating-incident-data-five-reporting-systems-assess-patient-safety-making-sense-elephant
November 25, 2009 - Study
Classic
Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant.
Citation Text:
Levtzion-Korach O, Frankel A, Alcalai H, et al. Integrating incident data from five reporting systems to assess patient saf…
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psnet.ahrq.gov/issue/diagnostic-error-experiences-patients-and-families-limited-english-language-health-literacy
October 27, 2021 - Study
Diagnostic error experiences of patients and families with limited English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey.
Citation Text:
Bell SK, Dong J, Ngo L, et al. Diagnostic error experiences of patients and fa…
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psnet.ahrq.gov/issue/comprehensive-obstetric-patient-safety-program-reduces-liability-claims-and-payments
June 22, 2017 - Study
A comprehensive obstetric patient safety program reduces liability claims and payments.
Citation Text:
Pettker CM, Thung SF, Lipkind HS, et al. A comprehensive obstetric patient safety program reduces liability claims and payments. Am J Obstet Gynecol. 2014;211(4):319-25. doi:10.10…
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psnet.ahrq.gov/issue/performance-global-assessment-pediatric-patient-safety-gapps-tool
August 14, 2018 - Study
Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) tool.
Citation Text:
Landrigan CP, Stockwell DC, Toomey SL, et al. Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) Tool. Pediatrics. 2016;137(6). doi:10.1542/peds.2015-4076.
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psnet.ahrq.gov/issue/multispecialty-physician-online-survey-reveals-burnout-related-adverse-event-involvement-may
July 13, 2022 - Study
Multispecialty physician online survey reveals that burnout related to adverse event involvement may be mitigated by peer support.
Citation Text:
Gupta K, Rivadeneira NA, Lisker S, et al. Multispecialty physician online survey reveals that burnout related to adverse event involveme…
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psnet.ahrq.gov/issue/global-trigger-tool-shows-adverse-events-hospitals-may-be-ten-times-greater-previously
February 15, 2011 - Study
Classic
'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.
Citation Text:
Classen D, Resar RK, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times grea…
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psnet.ahrq.gov/issue/multistate-point-prevalence-survey-health-care-associated-infections
November 14, 2018 - Study
Multistate point-prevalence survey of health care-associated infections.
Citation Text:
Magill SS, Edwards JR, Bamberg W, et al. Multistate point-prevalence survey of health care-associated infections. N Engl J Med. 2014;370(13):1198-208. doi:10.1056/NEJMoa1306801.
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psnet.ahrq.gov/issue/readiness-us-general-surgery-residents-independent-practice
April 24, 2018 - Study
Classic
Readiness of US general surgery residents for independent practice.
Citation Text:
George BC, Bohnen JD, Williams RG, et al. Readiness of US General Surgery Residents for Independent Practice. Ann Surg. 2017;266(4):582-594. doi:10.1097/SLA.00000000…
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psnet.ahrq.gov/issue/intensive-care-unit-critical-incident-analysis-objective-tool-select-content-simulation
June 28, 2023 - Study
Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum.
Citation Text:
Yartsev A, Yang F. Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. Simul Healthc. 202…
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psnet.ahrq.gov/node/33984/psn-pdf
April 17, 2024 - ISMP List of Error-Prone Abbreviations, Symbols, and
Dose Designations.
April 17, 2024
Horsham, PA; Institute for Safe Medication Practices; April 17, 2024.
https://psnet.ahrq.gov/issue/ismp-list-error-prone-abbreviations-symbols-and-dose-designations
A handy list for medical personnel to ensure and implement safe…
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psnet.ahrq.gov/node/33968/psn-pdf
July 08, 2016 - Health Literacy: A Prescription to End Confusion.
July 8, 2016
Nielsen-Bohlman L; Panzer AM; Kindig DA; Board on Neuroscience and Behavioral Health, Institute of
Medicine. Washington, DC: The National Academies Press; 2004. ISBN: 9780309283328.
https://psnet.ahrq.gov/issue/health-literacy-prescription-end-confusion…
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psnet.ahrq.gov/node/43676/psn-pdf
November 12, 2014 - Is surgery safer at a teaching hospital?
November 12, 2014
Webster H. US News & World Report. October 27, 2014.
https://psnet.ahrq.gov/issue/surgery-safer-teaching-hospital
This magazine article explores whether receiving care at a teaching hospital affects patient safety and
highlights how the demands of the educ…
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psnet.ahrq.gov/node/36216/psn-pdf
August 03, 2012 - Hospital Medication Errors Commonplace.
August 3, 2012
Berwick D; Lassman S; Bates D. National Public Radio. July 28, 2006.
https://psnet.ahrq.gov/issue/hospital-medication-errors-commonplace
This segment features Donald Berwick, David Bates, and other experts discussing the Institute of Medicine
(IOM) report Prev…
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psnet.ahrq.gov/node/34009/psn-pdf
November 12, 2014 - Consumer Safe Medicine.
November 12, 2014
Plymouth Meeting, PA; Institute for Safe Medication Practices.
https://psnet.ahrq.gov/issue/ismps-safe-medicine
ISMP's electronic consumer medication safety newsletter is published six times a year and its content aims
to engage patients and families in reducing medication…
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psnet.ahrq.gov/node/40419/psn-pdf
October 21, 2011 - ISMP Medication Safety Self Assessment for Hospitals.
October 21, 2011
Horsham, PA: Institute for Safe Medication Practices; April 2011.
https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-hospitals
This tool provides hospitals with a team-based process to evaluate medication practices in their faci…
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psnet.ahrq.gov/node/40523/psn-pdf
August 31, 2011 - A Hospital Accident: Lessons Learned – A Death, A
Conviction, and A Healing.
August 31, 2011
Texas Medical Institute of Technology. June 16, 2011.
https://psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing
This webinar covered how medical errors affect both the family and provider …
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psnet.ahrq.gov/node/40086/psn-pdf
December 15, 2010 - The Safe Use Initiative and Health Literacy: Workshop
Summary.
December 15, 2010
Vancheri C; Roundtable on Health Literacy; Institute of Medicine. Washington, DC: National Academies
Press; 2010. ISBN-10: 0309159318.
https://psnet.ahrq.gov/issue/safe-use-initiative-and-health-literacy-workshop-summary
This publica…
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psnet.ahrq.gov/node/43441/psn-pdf
July 12, 2018 - Fixing Healthcare Delivery.
July 12, 2018
University of Florida, Institute for Healthcare Improvement, Coursera.
https://psnet.ahrq.gov/issue/fixing-healthcare-delivery
This online course presents teamwork, systems design, leadership, and change management as strategies
to improve health care safety. The course in…
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psnet.ahrq.gov/node/37656/psn-pdf
May 08, 2019 - Canadian Disclosure Guidelines: Being Open and Honest
with Patients and Families.
May 8, 2019
Disclosure Working Group. Edmonton, AB, Canada; Canadian Patient Safety Institute; 2011. ISBN
9781926541389.
https://psnet.ahrq.gov/issue/canadian-disclosure-guidelines-being-open-and-honest-patients-and-families
These n…
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psnet.ahrq.gov/node/41091/psn-pdf
October 01, 2021 - ISMP List of High-Alert Medications in
Community/Ambulatory Healthcare.
October 1, 2021
Horsham, PA: Institute for Safe Medication Practices; 2021.
https://psnet.ahrq.gov/issue/ismp-list-high-alert-medications-communityambulatory-healthcare
This fact sheet provides a list of high-alert medications commonly used in…