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psnet.ahrq.gov/node/60880/psn-pdf
September 02, 2020 - Cold debriefings after in-hospital cardiac arrest in an
international pediatric resuscitation quality improvement
collaborative.
September 2, 2020
Wolfe H, Wenger J, Sutton RM, et al. Cold debriefings after in-hospital cardiac arrest in an international
pediatric resuscitation quality improvement collaborative. Pe…
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psnet.ahrq.gov/node/43425/psn-pdf
July 03, 2016 - Graduate medical education's new focus on resident
engagement in quality and safety: will it transform the
culture of teaching hospitals?
July 3, 2016
Myers JS, Nash DB. Graduate Medical Education’s New Focus on Resident Engagement in Quality and
Safety. Acad Med. 2014;89(10):1328-1330. doi:10.1097/acm.00000000000…
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psnet.ahrq.gov/node/851067/psn-pdf
June 28, 2023 - Assessing medication safety in settings not designated
solely for pediatric patients.
June 28, 2023
ISMP Medication Safety Alert! Acute care edition. June 15, 2023;28(12);1-5.
https://psnet.ahrq.gov/issue/assessing-medication-safety-settings-not-designated-solely-pediatric-patients
Pediatric patients are at increa…
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psnet.ahrq.gov/node/44061/psn-pdf
November 16, 2015 - Quality improvement and patient safety organizations in
anesthesiology.
November 16, 2015
Dutton RP. Quality improvement and patient safety organizations in anesthesiology. AMA J Ethics.
2015;17(3):248-52. doi:10.1001/journalofethics.2015.17.3.pfor1-1503.
https://psnet.ahrq.gov/issue/quality-improvement-and-patien…
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psnet.ahrq.gov/node/60266/psn-pdf
April 29, 2020 - Diagnostic Strategy for the COVID-19 Pandemic – Bench
to Bedside to Blueprint for Policymakers.
April 22, 2020
Armstrong Institute for Patient Safety and Quality. April 29, 2020.
https://psnet.ahrq.gov/issue/diagnostic-strategy-covid-19-pandemic-bench-bedside-blueprint-policymakers
As the COVID-19 pandemic evolves…
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psnet.ahrq.gov/node/44259/psn-pdf
April 01, 2024 - Training Program for Nurses on Shift Work and Long
Work Hours.
April 1, 2024
Caruso CC, Geiger-Brown J, Takahashi M, Trinkoff A, Nakata A. Cincinnati, OH: US Department of Health
and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute
for Occupational Safety and He…
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psnet.ahrq.gov/node/841764/psn-pdf
December 21, 2022 - Lessons learned in implementing a chronic opioid
therapy management system.
December 21, 2022
Carlile N, Fuller TE, Benneyan JC, et al. Lessons learned in implementing a chronic opioid therapy
management system. J Patient Saf. 2022;18(8):e1142-e1149. doi:10.1097/pts.0000000000001039.
https://psnet.ahrq.gov/issue/l…
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psnet.ahrq.gov/node/46292/psn-pdf
August 02, 2017 - Clinical alerts to decrease high-risk medication use in
older adults.
August 2, 2017
Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol
Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04.
https://psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medi…
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psnet.ahrq.gov/node/47786/psn-pdf
June 26, 2019 - Creating a Safe Space: Psychological Health and Safety
of Healthcare Workers.
June 26, 2019
Canadian Patient Safety Institute: 2019.
https://psnet.ahrq.gov/issue/creating-safe-space-psychological-health-and-safety-healthcare-workers
Structured approaches to managing negative psychological consequences of medical e…
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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/39819/psn-pdf
April 04, 2011 - Performance characteristics of a methodology to quantify
adverse events over time in hospitalized patients.
April 4, 2011
Sharek PJ, Parry G, Goldmann DA, et al. Performance characteristics of a methodology to quantify
adverse events over time in hospitalized patients. Health Serv Res. 2011;46(2):654-78. doi:10.111…
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psnet.ahrq.gov/node/43186/psn-pdf
May 19, 2014 - ASPEN parenteral nutrition safety consensus
recommendations: translation into practice.
May 19, 2014
Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations:
translation into practice. Nutr Clin Pract. 2014;29(3):277-82. doi:10.1177/0884533614531294.
https://psnet.ahr…
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psnet.ahrq.gov/node/37981/psn-pdf
June 16, 2011 - Nurses' perceptions of error communication and
reporting in the intensive care unit.
June 16, 2011
Elder NC, Brungs SM, Nagy M, et al. Nurses' Perceptions of Error Communication and Reporting in the
Intensive Care Unit. J Patient Saf. 2008;4(3). doi:10.1097/pts.0b013e3181839b48.
https://psnet.ahrq.gov/issue/nurses…
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psnet.ahrq.gov/node/34890/psn-pdf
February 17, 2011 - Electronic alerts to prevent venous thromboembolism
among hospitalized patients.
February 17, 2011
Kucher N, Koo S, Quiroz R, et al. Electronic alerts to prevent venous thromboembolism among hospitalized
patients. N Engl J Med. 2005;352(10):969-77.
https://psnet.ahrq.gov/issue/electronic-alerts-prevent-venous-thro…
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psnet.ahrq.gov/node/38681/psn-pdf
June 03, 2009 - To Err Is Human — To Delay Is Deadly.
June 3, 2009
Jewell K, McGiffert L. Austin, TX: Consumers Union; 2009.
https://psnet.ahrq.gov/issue/err-human-delay-deadly
The 10 years since the release of the Institute of Medicine's To Err Is Human report have yielded some
improvements in patient safety, but this Consumers …
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psnet.ahrq.gov/node/47887/psn-pdf
August 07, 2019 - Nurses' safety motivation: examining predictors of
nurses' willingness to report medication errors.
August 7, 2019
Farag A, Lose D, Gedney-Lose A. Nurses' Safety Motivation: Examining Predictors of Nurses' Willingness
to Report Medication Errors. West J Nurs Res. 2019;41(7):954-972. doi:10.1177/0193945918815462.
h…
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psnet.ahrq.gov/node/60622/psn-pdf
January 01, 2021 - Managing teamwork in the face of pandemic: evidence-
based tips.
June 24, 2020
Tannenbaum SI, Traylor AM, Thomas EJ, et al. Managing teamwork in the face of pandemic: evidence-
based tips. BMJ Qual Saf. 2021;30(1):59-63. doi:10.1136/bmjqs-2020-011447.
https://psnet.ahrq.gov/issue/managing-teamwork-face-pandemic-ev…
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psnet.ahrq.gov/node/35023/psn-pdf
March 04, 2011 - Building a framework for trust: critical event analysis of
deaths in surgical care.
March 4, 2011
Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical
care. BMJ. 2005;330(7500):1139-42.
https://psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysi…
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psnet.ahrq.gov/node/43535/psn-pdf
September 24, 2014 - The friends and family test: a qualitative study of
concerns that influence the willingness of English
National Health Service staff to recommend their
organisation.
September 24, 2014
Dixon-Woods M, Minion JT, McKee L, et al. The friends and family test: a qualitative study of concerns that
influence the willing…
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psnet.ahrq.gov/node/43294/psn-pdf
April 25, 2016 - The right and wrong way to talk to patients about adverse
events.
April 25, 2016
Beaulieu-Volk D. The right and wrong way to talk to patients about adverse events. Medical economics.
2014;91(11):52-5.
https://psnet.ahrq.gov/issue/right-and-wrong-way-talk-patients-about-adverse-events
Apology laws have been explor…