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psnet.ahrq.gov/node/44022/psn-pdf
May 28, 2015 - Initiatives to identify and mitigate medication errors in
England.
May 28, 2015
Cousins D, Gerrett D, Richards N, et al. Initiatives to identify and mitigate medication errors in England.
Drug Saf. 2015;38(4):349-357. doi:10.1007/s40264-015-0270-3.
https://psnet.ahrq.gov/issue/initiatives-identify-and-mitigate-med…
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psnet.ahrq.gov/node/73135/psn-pdf
April 14, 2021 - Debrief it all: a tool for inclusion of Safety-II.
April 14, 2021
Bentley SK, McNamara S, Meguerdichian MJ, et al. Debrief it all: a tool for inclusion of Safety-II. Adv Simul
(Lond). 2021;6(1):9. doi:10.1186/s41077-021-00163-3.
https://psnet.ahrq.gov/issue/debrief-it-all-tool-inclusion-safety-ii
Debriefing is a c…
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psnet.ahrq.gov/node/35599/psn-pdf
July 10, 2008 - The effects of work-hour limitations on resident well-
being, patient care, and education in an internal medicine
residency program.
July 10, 2008
Goitein L, Shanafelt TD, Wipf JE, et al. The effects of work-hour limitations on resident well-being, patient
care, and education in an internal medicine residency prog…
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psnet.ahrq.gov/node/839311/psn-pdf
January 01, 2023 - How to induce an error management climate:
experimental evidence from newly formed teams.
November 2, 2022
Horvath D, Keith N, Klamar A, et al. How to induce an error management climate: experimental evidence
from newly formed teams. J Bus Psychol. 2023;38:763–775. doi:10.1007/s10869-022-09835-x.
https://psnet.ahr…
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psnet.ahrq.gov/node/865704/psn-pdf
May 01, 2024 - Supporting error management and safety climate in
ambulatory care practices: the CIRSforte study.
May 1, 2024
Müller BS, Lüttel D, Schütze D, et al. Supporting error management and safety climate in ambulatory care
practices: the CIRSforte study. J Patient Saf. 2024;20(5):314-322. doi:10.1097/pts.0000000000001225.
…
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psnet.ahrq.gov/node/45962/psn-pdf
April 24, 2018 - In this study, researchers described lessons learned
from creating a leadership role that bridges quality
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psnet.ahrq.gov/node/43796/psn-pdf
June 02, 2015 - creating-fellowship-curriculum-patient-safety-and-quality
https://psnet.ahrq.gov/issue/developing-quality-and-safety-curriculum-fellows-lessons-learned-neonatology-fellowship
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psnet.ahrq.gov/node/45578/psn-pdf
January 23, 2017 - The
authors found that teams continued to apply what they learned long after completing the training
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psnet.ahrq.gov/node/46182/psn-pdf
June 28, 2017 - This
commentary outlines lessons learned by a team that implemented a multifaceted safety intervention
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psnet.ahrq.gov/node/44804/psn-pdf
November 18, 2016 - The investigators
developed themes and lessons learned through semistructured interviews with hospital
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psnet.ahrq.gov/node/34642/psn-pdf
June 24, 2015 - The authors also share lessons learned from exploring similar high-
complexity industries.
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psnet.ahrq.gov/node/34848/psn-pdf
February 17, 2011 - end-beginning-patient-safety-five-years-after-err-human
https://psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned
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psnet.ahrq.gov/node/47465/psn-pdf
October 17, 2018 - national-survey-safe-practice-epidural-analgesia-obstetric-units
https://psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
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psnet.ahrq.gov/node/46962/psn-pdf
April 25, 2018 - The authors
outline lessons learned such as the importance of engaging interprofessional stakeholders
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psnet.ahrq.gov/node/34849/psn-pdf
May 14, 2012 - improving-patient-safety-five-years-after-iom-report
https://psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned
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psnet.ahrq.gov/node/34735/psn-pdf
June 16, 2014 - goals to create unified reporting mechanisms, support an
open learning culture, ensure that lessons learned
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psnet.ahrq.gov/node/45350/psn-pdf
October 21, 2016 - This report discusses the need to ensure that lessons
learned in military trauma care are acted on and
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psnet.ahrq.gov/node/37478/psn-pdf
February 22, 2011 - adversedrugevent
https://psnet.ahrq.gov/issue/intravenous-medication-safety-and-smart-infusion-systems-lessons-learned-and-future
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psnet.ahrq.gov/node/47505/psn-pdf
March 19, 2019 - A past PSNet perspective explored insights learned from experience with the
AHRQ-supported teamwork
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psnet.ahrq.gov/node/45490/psn-pdf
September 01, 2018 - collaboration-regulators-support-quality-and-accountability-following-medical-errors
https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters