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psnet.ahrq.gov/issue/see-one-sim-one-do-one-national-pre-internship-boot-camp-ensure-safer-student-doctor
February 16, 2011 - Study
"See One, Sim One, Do One"—a national pre-internship boot-camp to ensure a safer "student to doctor" transition.
Citation Text:
Minha S'ar, Shefet D, Sagi D, et al. "See One, Sim One, Do One"- A National Pre-Internship Boot-Camp to Ensure a Safer "Student to Doctor" Transition. PLo…
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psnet.ahrq.gov/issue/biopsy-site-selfies-quality-improvement-pilot-study-assist-correct-surgical-site
August 02, 2015 - Study
Biopsy site selfies—a quality improvement pilot study to assist with correct surgical site identification.
Citation Text:
Nijhawan RI, Lee EH, Nehal KS. Biopsy site selfies--a quality improvement pilot study to assist with correct surgical site identification. Dermatol Surg. 2015;4…
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psnet.ahrq.gov/issue/improving-quality-written-prescriptions-general-hospital-influence-10-years-serial-audits-and
August 24, 2022 - Study
Improving the quality of written prescriptions in a general hospital: the influence of 10 years of serial audits and targeted interventions.
Citation Text:
Gommans J, McIntosh P, Bee S, et al. Improving the quality of written prescriptions in a general hospital: the influence of …
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psnet.ahrq.gov/issue/dna-damage-response-and-patient-safety-engaging-our-molecular-biology-oriented-colleagues
March 11, 2020 - Commentary
The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues.
Citation Text:
Pukk K, Aron DC. The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. International Journal for Quality in Health Care. 2…
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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - The patient and caregiver are thereby asked to explain, in their own words, what they have just learned
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psnet.ahrq.gov/node/74711/psn-pdf
April 14, 2023 - World Patient Safety, Science & Technology Summit.
April 14, 2023
Patient Safety Movement Foundation. VEA Newport Beach, Newport Beach, CA, June 1-2, 2023.
https://psnet.ahrq.gov/issue/world-patient-safety-science-technology-summit
Multidisciplinary educational opportunities promote cross-industry learning to impro…
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psnet.ahrq.gov/node/43318/psn-pdf
July 02, 2014 - Sign up to Safety.
July 2, 2014
National Health Service.
https://psnet.ahrq.gov/issue/sign-safety
Through a coordinated effort to set goals and devise plans to improve safety in hospitals, the Sign up to
Safety campaign aims to prevent 6000 patient deaths in the next 3 years in National Health Service
facilities.…
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psnet.ahrq.gov/node/36431/psn-pdf
March 28, 2011 - Using the internet to deliver education on drug safety.
March 28, 2011
Franklin B, O'Grady K, Parr J, et al. Using the internet to deliver education on drug safety. Qual Saf Health
Care. 2006;15(5):329-33.
https://psnet.ahrq.gov/issue/using-internet-deliver-education-drug-safety
The project team implemented a web-…
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psnet.ahrq.gov/node/40460/psn-pdf
April 30, 2024 - Patient Safety Authority Annual Reports.
April 30, 2024
Pennsylvania Patient Safety Authority. Harrisburg, PA: Patient Safety Authority; April 2024.
https://psnet.ahrq.gov/issue/patient-safety-authority-annual-reports
This report summarizes patient safety improvement work in the state of Pennsylvania. It reviews th…
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psnet.ahrq.gov/node/36283/psn-pdf
April 19, 2011 - The 80-hour duty week: rationale, early attitudes, and
future questions.
April 19, 2011
Friedlaender GE. The 80-hour duty week: rationale, early attitudes, and future questions. Clin Orthop Relat
Res. 2006;449:138-142.
https://psnet.ahrq.gov/issue/80-hour-duty-week-rationale-early-attitudes-and-future-questions
T…
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psnet.ahrq.gov/node/36272/psn-pdf
June 29, 2011 - Selecting indicators for patient safety at the health
system level in OECD countries.
June 29, 2011
McLoughlin V, Millar J, Mattke S, et al. Selecting indicators for patient safety at the health system level in
OECD countries. Int J Qual Health Care. 2006;18 Suppl 1:14-20.
https://psnet.ahrq.gov/issue/selecting-in…
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psnet.ahrq.gov/node/60332/psn-pdf
May 13, 2020 - Circle Up Training.
May 13, 2020
Center for Medical Simulation.
https://psnet.ahrq.gov/issue/circle-training
Communication strategies are important for engaging staff in behaviors that support effective teamwork.
This website highlights a process that involves briefings, supportive conversations, and debriefings a…
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psnet.ahrq.gov/node/35379/psn-pdf
June 15, 2011 - Report 6: Managing Risk and Minimising Mistakes in
Services to Children and Families.
June 15, 2011
Bostock L, Bairstow S, Fish S, et al. London, UK: Social Care Institute for Excellence; September 2005.
https://psnet.ahrq.gov/issue/report-6-managing-risk-and-minimising-mistakes-services-children-and-families
This…
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psnet.ahrq.gov/node/38808/psn-pdf
January 01, 2013 - Patient Safety Organizations: a new paradigm in quality
management and communication systems in healthcare.
July 22, 2009
Dotan DB. Patient safety organizations. J Clin Engineer. 2013;34(3):142-146.
doi:10.1097/jce.0b013e3181aae4b2.
https://psnet.ahrq.gov/issue/patient-safety-organizations-new-paradigm-quality-man…
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psnet.ahrq.gov/node/47678/psn-pdf
December 19, 2018 - When mistakes happen.
December 19, 2018
Beck DL. ASH Clinical News. December 1, 2018.
https://psnet.ahrq.gov/issue/when-mistakes-happen
This article provides an overview of efforts to understand and improve patient safety and covers topics
such as the epidemiology of error, its impact on the individuals involved, …
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psnet.ahrq.gov/node/33946/psn-pdf
July 26, 2010 - AHRQ WebM&M: Morbidity & Mortality Rounds on the
Web.
July 26, 2010
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/ahrq-webmm-morbidity-mortality-rounds-web
The Agency for Healthcare Research and Quality's (AHRQ) online journal and forum on patient safety and
health care quality. The sit…
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psnet.ahrq.gov/node/35085/psn-pdf
July 24, 2018 - Working Knowledge: How Organizations Manage What
They Know.
July 24, 2018
Davenport TH, Prusak L. Boston MA: Harvard Business School Press; 1998. ISBN: 0875846556.
https://psnet.ahrq.gov/issue/working-knowledge-how-organizations-manage-what-they-know
Two innovators in management consulting introduce core concepts …
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psnet.ahrq.gov/node/38939/psn-pdf
September 09, 2009 - A model framework for patient safety training in
chiropractic: a literature synthesis.
September 9, 2009
Zaugg B, Wangler M. A model framework for patient safety training in chiropractic: a literature synthesis. J
Manipulative Physiol Ther. 2009;32(6):493-499. doi:10.1016/j.jmpt.2009.06.004.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/39711/psn-pdf
July 28, 2010 - Revisiting old slides—how worthwhile is it?
July 28, 2010
Agarwal S, Wadhwa N. Revisiting old slides--how worthwhile is it? Pathol Res Pract. 2010;206(6):368-71.
doi:10.1016/j.prp.2010.01.006.
https://psnet.ahrq.gov/issue/revisiting-old-slides-how-worthwhile-it
This study reviewed more than 2400 surgical pathology…
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psnet.ahrq.gov/node/40660/psn-pdf
October 04, 2011 - Incidence, nature and impact of error in surgery.
October 4, 2011
Bosma E, Veen EJ, Roukema JA. Incidence, nature and impact of error in surgery. Br J Surg.
2011;98(11):1654-1659. doi:10.1002/bjs.7594.
https://psnet.ahrq.gov/issue/incidence-nature-and-impact-error-surgery
This study noted a 6% error rate for patie…