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psnet.ahrq.gov/node/847553/psn-pdf
April 12, 2023 - Listening, Learning, Responding to Concerns.
April 12, 2023
Newcastle Upon Tyne, UK: Care Quality Commission; March 2023.
https://psnet.ahrq.gov/issue/listening-learning-responding-concerns
The ability to raise patient safety concerns without fear of retribution is a core element of a safety culture.
This pair of …
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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/72626/psn-pdf
January 13, 2021 - Reducing inappropriate outpatient medication prescribing
in older adults across electronic health record systems.
January 13, 2021
Friebe MP, LeGrand JR, Shepherd BE, et al. Reducing inappropriate outpatient medication prescribing in
older adults across electronic health record systems. Appl Clin Inform. 2020;11(5)…
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psnet.ahrq.gov/node/46147/psn-pdf
August 08, 2018 - A Department of Medicine infrastructure for patient safety
and clinical quality improvement.
August 8, 2018
Mathews SC, Pronovost P, Biddison LD, et al. A Department of Medicine Infrastructure for Patient Safety
and Clinical Quality Improvement. Am J Med Qual. 2018;33(4):413-419. doi:10.1177/1062860617743324.
http…
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psnet.ahrq.gov/node/866171/psn-pdf
June 19, 2024 - Keeping Children and Young People with Mental Health
Needs Safe: the Design of the Paediatric Ward.
June 19, 2024
Dorset, UK: Health Services Safety Investigations Body; May 2024
https://psnet.ahrq.gov/issue/keeping-children-and-young-people-mental-health-needs-safe-design-
paediatric-ward
Acute mental health car…
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psnet.ahrq.gov/node/73964/psn-pdf
October 13, 2021 - Medication reconciliation in the geriatric unit: impact on
the maintenance of post-hospitalization prescriptions.
October 13, 2021
Montaleytang M, Correard F, Spiteri C, et al. Medication reconciliation in the geriatric unit: impact on the
maintenance of post-hospitalization prescriptions. Int J Clin Pharm. 2021;43…
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psnet.ahrq.gov/node/43598/psn-pdf
October 08, 2014 - Clinical faculty: taking the lead in teaching quality
improvement and patient safety.
October 8, 2014
Davis NL, Davis DA, Rayburn WF. Clinical faculty: taking the lead in teaching quality improvement and
patient safety. Am J Obstet Gynecol. 2014;211(3):215-215.e1. doi:10.1016/j.ajog.2014.05.043.
https://psnet.ahrq…
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psnet.ahrq.gov/node/43498/psn-pdf
October 06, 2016 - Creating a distraction simulation for safe medication
administration.
October 6, 2016
Thomas CM, McIntosh CE, Allen R. Creating a Distraction Simulation for Safe Medication Administration.
Clin Simul Nurs. 2014;10(8). doi:10.1016/j.ecns.2014.03.004.
https://psnet.ahrq.gov/issue/creating-distraction-simulation-safe…
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psnet.ahrq.gov/node/46289/psn-pdf
January 01, 2021 - Communication training, adverse events, and quality
measures: 2 retrospective database analyses in
Washington State hospitals.
August 9, 2017
Slade IR, Beck SJ, Kramer B, et al. Communication Training, Adverse Events, and Quality Measures: 2
Retrospective Database Analyses in Washington State Hospitals. J Patient …
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psnet.ahrq.gov/node/837865/psn-pdf
August 17, 2022 - Hospitals will still have to share safety data
publicly—CMS will publish scorecard of avoidable patient
harm after all.
August 17, 2022
Clark C. MedPage Today. August 4.
https://psnet.ahrq.gov/issue/hospitals-will-still-have-share-safety-data-publicly-cms-will-publish-scorecard-
avoidable
Consistent policy…
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psnet.ahrq.gov/node/45034/psn-pdf
February 25, 2019 - Future directions for diagnostic decision support.
February 25, 2019
Carr S. ImproveDx. April 2016;3:1-3.
https://psnet.ahrq.gov/issue/future-directions-diagnostic-decision-support
Clinical decision support systems are tools being used to augment clinical reasoning and diagnostic
accuracy. This newsletter article …
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psnet.ahrq.gov/node/48035/psn-pdf
May 29, 2019 - Is the future of medical diagnosis in computer
algorithms?
May 29, 2019
Gruber K. Is the future of medical diagnosis in computer algorithms? Lancet Digit Health. 2019;1(1):e15-
e16. doi:10.1016/s2589-7500(19)30011-1.
https://psnet.ahrq.gov/issue/future-medical-diagnosis-computer-algorithms
Artificial intelligence…
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psnet.ahrq.gov/node/47237/psn-pdf
January 01, 2020 - First-year analysis of the Operating Room Black Box
study.
July 25, 2018
Jung JJ, Jüni P, Lebovic G, et al. First-year Analysis of the Operating Room Black Box Study. Ann Surg.
2020;271(1):122-127. doi:10.1097/SLA.0000000000002863.
https://psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study
An…
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psnet.ahrq.gov/node/866690/psn-pdf
September 11, 2024 - The effectiveness of checklists and error reporting
systems in enhancing patient safety and reducing
medical errors in hospital settings: a narrative review.
September 11, 2024
Chance EA, Florence D, Sardi Abdoul I. The effectiveness of checklists and error reporting systems in
enhancing patient safety and reducin…
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psnet.ahrq.gov/node/50656/psn-pdf
November 13, 2019 - Whistleblowing over patient safety and care quality: a
review of the literature.
November 13, 2019
Blenkinsopp J, Snowden N, Mannion R, et al. Whistleblowing over patient safety and care quality: a review
of the literature. J Health Org Manag. 2019;33(6):737-756. doi:10.1108/JHOM-12-2018-0363.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/34724/psn-pdf
May 27, 2011 - From patients to politicians: a cognitive engineering view
of patient safety.
May 27, 2011
Vicente KJ. From patients to politicians: a cognitive engineering view of patient safety. Qual Saf Health
Care. 2002;11(4):302-4.
https://psnet.ahrq.gov/issue/patients-politicians-cognitive-engineering-view-patient-safety
V…
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psnet.ahrq.gov/node/35417/psn-pdf
February 15, 2010 - Errors in laboratory medicine: practical lessons to
improve patient safety.
February 15, 2010
Howanitz PJ. Errors in laboratory medicine: practical lessons to improve patient safety. Arch Pathol Lab
Med. 2005;129(10):1252-1261.
https://psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patie…
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psnet.ahrq.gov/node/50776/psn-pdf
January 08, 2020 - Application of human factors to improve usability of
clinical decision support for diagnostic decision-making:
a scenario-based simulation study.
January 8, 2020
Carayon P, Hoonakker P, Hundt AS, et al. Application of human factors to improve usability of clinical
decision support for diagnostic decision-making: a…
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psnet.ahrq.gov/node/50904/psn-pdf
February 19, 2020 - The harms of promoting 'Zero Harm'.
February 19, 2020
Thomas EJ. The harms of promoting ‘Zero Harm’. BMJ Qual Saf. 2019;29(1):4-6. doi:10.1136/bmjqs-2019-
009703.
https://psnet.ahrq.gov/issue/harms-promoting-zero-harm
Achieving “zero harm” has been advocated as a patient safety goal. This editorial proposes that t…
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psnet.ahrq.gov/node/855431/psn-pdf
January 01, 2024 - The benefits and opportunities: engaging patients in
identifying and reporting patient safety incidents.
November 15, 2023
Pozzobon LD, Rotter T, Sears K. The benefits and opportunities: engaging patients in identifying and
reporting patient safety incidents. Healthc Manage Forum. 2024;37(4):196-201.
doi:10.1177/0…