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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/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/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/training-catalog
June 01, 2025 - Training Catalog
The AHRQ PSNet Training Catalog is an easy to use resource for healthcare professionals across all settings of care and specialties looking for education opportunities to further their knowledge of patient safety practices and principles. Some training opportunities are available as in-person meeting…
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psnet.ahrq.gov/node/33650/psn-pdf
May 01, 2007 - Patient Safety in the United Kingdom: Evolution and
Progress
May 1, 2007
Burnett S, Vincent CA. Patient Safety in the United Kingdom: Evolution and Progress. PSNet [internet].
2007.
https://psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
Perspective
The dangers of health care in B…
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psnet.ahrq.gov/perspective/acgmes-2017-revision-common-program-requirements
January 31, 2018 - ACGME's 2017 Revision of Common Program Requirements
Kathy Malloy; Timothy P. Brigham, PhD; Thomas J. Nasca, MD | August 1, 2017
View more articles from the same authors.
Citation Text:
Malloy K, Brigham TP, Nasca TJ. ACGME's 2017 Revision of Common Program Requir…
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psnet.ahrq.gov/node/867044/psn-pdf
October 30, 2024 - "Near miss": a mixed-methods analysis of medical
student assignments in patient safety.
October 30, 2024
Plugge T, Breviu A, Lappé K, et al. "Near miss": a mixed-methods analysis of medical student assignments
in patient safety. Am J Med Qual. 2024;39(4):168-173. doi:10.1097/jmq.0000000000000196.
https://psnet.ahr…
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psnet.ahrq.gov/node/48044/psn-pdf
June 12, 2019 - What has an Airbus A380 captain got to do with OMFS?
Lessons from aviation to improve patient safety.
June 12, 2019
Davidson M, Brennan PA. Leading article: What has an Airbus A380 Captain got to do with OMFS?
Lessons from aviation to improve patient safety. Br J Oral Maxillofac Surg. 2019;57(5):407-411.
doi:10.10…
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psnet.ahrq.gov/node/841152/psn-pdf
December 07, 2022 - Interprofessional clinical event debriefing-does it make a
difference? Attitudes of emergency department care
providers to INFO clinical event debriefings.
December 7, 2022
Rose SC, Ashari NA, Davies JM, et al. Interprofessional clinical event debriefing-does it make a difference?
Attitudes of emergency department…
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psnet.ahrq.gov/node/837142/psn-pdf
January 01, 2023 - Creating psychological safety in interprofessional
simulation for health professional learners: a scoping
review of the barriers and enablers.
May 18, 2022
Lackie K, Hayward K, Ayn C, et al. Creating psychological safety in interprofessional simulation for health
professional learners: a scoping review of the barr…
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psnet.ahrq.gov/node/74157/psn-pdf
December 08, 2021 - An international perspective on definitions and
terminology used to describe serious reportable patient
safety incidents: a systematic review.
December 8, 2021
Hegarty J, Flaherty SJ, Saab MM, et al. An international perspective on definitions and terminology used to
describe serious reportable patient safety inci…
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psnet.ahrq.gov/node/867038/psn-pdf
October 30, 2024 - From reporting to improving: how root cause analysis in
teams shape patient safety culture.
October 30, 2024
Tsamasiotis C, Fiard G, Bouzat P, et al. From reporting to improving: how root cause analysis in teams
shape patient safety culture. Risk Manag Healthc Policy. 2024;17:1847-1858. doi:10.2147/rmhp.s466852.
h…
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psnet.ahrq.gov/node/865664/psn-pdf
April 24, 2024 - The use of positive deviance approach to improve health
service delivery and quality of care: a scoping review.
April 24, 2024
Kassie AM, Eakin E, Abate BB, et al. The use of positive deviance approach to improve health service
delivery and quality of care: a scoping review. BMC Health Serv Res. 2024;24(1):438. doi…
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psnet.ahrq.gov/node/851200/psn-pdf
July 05, 2023 - Deficient Care of a Patient Who Died by Suicide and
Facility Leaders' Response at the Charlie Norwood VA
Medical Center in Augusta, Georgia.
July 5, 2023
Washington DC: Department of Veterans Affairs, Office of Inspector General; May 10, 2023.
Report no. 22-01116-110.
https://psnet.ahrq.gov/issue/defi…
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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
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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