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psnet.ahrq.gov/node/836984/psn-pdf
April 27, 2022 - A 6-year thematic review of reported incidents associated
with cardiopulmonary resuscitation calls in a United
Kingdom hospital.
April 27, 2022
Beed M, Hussain S, Woodier N, et al. A 6-year thematic review of reported incidents associated with
cardiopulmonary resuscitation calls in a United Kingdom hospital. J Pat…
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psnet.ahrq.gov/node/43655/psn-pdf
December 19, 2014 - Systematic biases in group decision-making: implications
for patient safety.
December 19, 2014
Mannion R, Thompson C. Systematic biases in group decision-making: implications for patient safety. Int J
Qual Health Care. 2014;26(6):606-12. doi:10.1093/intqhc/mzu083.
https://psnet.ahrq.gov/issue/systematic-biases-gro…
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psnet.ahrq.gov/node/37324/psn-pdf
February 16, 2011 - A complementary approach to promoting
professionalism: identifying, measuring, and addressing
unprofessional behaviors.
February 16, 2011
Hickson GB, Pichert JW, Webb LE, et al. A complementary approach to promoting professionalism:
identifying, measuring, and addressing unprofessional behaviors. Acad Med. 2007;82…
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psnet.ahrq.gov/node/39249/psn-pdf
September 30, 2015 - Patient participation: current knowledge and applicability
to patient safety.
September 30, 2015
Longtin Y, Sax H, Leape L, et al. Patient participation: current knowledge and applicability to patient safety.
Mayo Clin Proc. 2010;85(1):53-62. doi:10.4065/mcp.2009.0248.
https://psnet.ahrq.gov/issue/patient-particip…
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psnet.ahrq.gov/node/73486/psn-pdf
July 14, 2021 - ACGME 2011 duty hours restrictions and their effects on
surgical residency training and patients outcomes: a
systematic review.
July 14, 2021
Awan M, Zagales I, McKenney M, et al. ACGME 2011 duty hours restrictions and their effects on surgical
residency training and patients outcomes: a systematic review. J Surg …
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psnet.ahrq.gov/node/74866/psn-pdf
February 23, 2022 - Eliminating explicit and implicit biases in health care:
evidence and research needs.
February 23, 2022
Vela MB, Erondu AI, Smith NA, et al. Eliminating explicit and implicit biases in health care: evidence and
research needs. Annu Rev Public Health. 2022;43(1):477-501. doi:10.1146/annurev-publhealth-052620-
10352…
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psnet.ahrq.gov/node/43090/psn-pdf
November 23, 2016 - Safety Is Personal: Partnering With Patients and Families
for the Safest Care.
November 23, 2016
NPSF Lucian Leape Institute Roundtable on Consumer Engagement in Patient Safety. Boston, MA:
National Patient Safety Foundation; March 2014.
https://psnet.ahrq.gov/issue/safety-personal-partnering-patients-and-families…
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psnet.ahrq.gov/issue/gooddxorg
August 07, 2019 - Multi-use Website
GoodDx.org
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April 26, 2023
GoodDx.
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psnet.ahrq.gov/node/867340/psn-pdf
December 11, 2024 - Multiple points of system failure underpin continuous
subcutaneous infusion safety incidents in palliative care:
a mixed methods analysis.
December 11, 2024
Brown AJ, Yardley S, Bowers B, et al. Multiple points of system failure underpin continuous subcutaneous
infusion safety incidents in palliative care: a mixed…
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psnet.ahrq.gov/node/854994/psn-pdf
January 01, 2024 - Contextual factors influencing the implementation of a
multifaceted intervention to improve teamwork and
quality for hospitalized patients: a multi-site qualitative
comparative case study.
November 1, 2023
Terwilliger IA, Johnson JK, Manojlovich M, et al. Contextual Factors Influencing the Implementation of a
Mul…
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psnet.ahrq.gov/node/60576/psn-pdf
June 10, 2020 - Patient safety over power hierarchy: a scoping review of
healthcare professionals' speaking-up skills training.
June 10, 2020
Kim S, Appelbaum NP, Baker N, et al. Patient Safety Over Power Hierarchy: A Scoping Review of
Healthcare Professionals' Speaking-up Skills Training. J Healthc Qual. 2020;42(5):249-263.
doi:…
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psnet.ahrq.gov/node/60612/psn-pdf
January 01, 2021 - COVID-19: patient safety and quality improvement skills
to deploy during the surge.
June 24, 2020
Staines A, Amalberti R, Berwick DM, et al. COVID-19: patient safety and quality improvement skills to
deploy during the surge. Int J Qual Health Care. 2021;33(1):mzaa050. doi:10.1093/intqhc/mzaa050.
https://psnet.ahrq…
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psnet.ahrq.gov/node/39709/psn-pdf
September 20, 2011 - A systems approach to morbidity and mortality
conference.
September 20, 2011
Szostek JH, Wieland ML, Loertscher LL, et al. A systems approach to morbidity and mortality conference.
Am J Med. 2010;123(7):663-668. doi:10.1016/j.amjmed.2010.03.010.
https://psnet.ahrq.gov/issue/systems-approach-morbidity-and-mortality…
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psnet.ahrq.gov/node/36812/psn-pdf
June 30, 2011 - Work patterns and fatigue-related risk among junior
doctors.
June 30, 2011
Gander P, Purnell H, Garden A, et al. Work patterns and fatigue-related risk among junior doctors. Occup
Environ Med. 2007;64(11):733-8.
https://psnet.ahrq.gov/issue/work-patterns-and-fatigue-related-risk-among-junior-doctors
Mandated work…
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psnet.ahrq.gov/node/838319/psn-pdf
October 12, 2022 - Training in safe opioid prescribing and treatment of
opioid use disorder in internal medicine residencies: a
national survey of program directors.
October 12, 2022
Windish DM, Catalanotti JS, Zaas A, et al. Training in safe opioid prescribing and treatment of opioid use
disorder in internal medicine residencies: a…
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psnet.ahrq.gov/node/38097/psn-pdf
January 02, 2017 - Adverse events during hospitalization: results of a patient
survey.
January 2, 2017
Fowler FJ, Epstein AM, Weingart SN, et al. Adverse events during hospitalization: results of a patient
survey. Jt Comm J Qual Patient Saf. 2008;34(10):583-90.
https://psnet.ahrq.gov/issue/adverse-events-during-hospitalization-resul…
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psnet.ahrq.gov/node/844764/psn-pdf
September 11, 2019 - IV Push Gap Analysis Tool (GAT) helps uncover national
priorities for safe injection practices.
September 11, 2019
ISMP Medication Safety Alert! Acute Care Edition. August 29, 2019;24.
https://psnet.ahrq.gov/issue/iv-push-gap-analysis-tool-gat-helps-uncover-national-priorities-safe-injection-
practices
Mistakes i…
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psnet.ahrq.gov/node/61004/psn-pdf
October 07, 2020 - National Nursing Home COVID Action Network.
October 7, 2020
Rockville, MD: Agency for Healthcare Research and Quality; September 2020.
https://psnet.ahrq.gov/issue/national-nursing-home-covid-action-network
Nursing home residents are especially vulnerable to COVID-19 due to their age, and communal living
condition…
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psnet.ahrq.gov/node/860729/psn-pdf
January 17, 2024 - From the flight deck to the bedside: core aviation
concepts applied to acute care physical therapist practice
and education.
January 17, 2024
Shoemaker MJ, Collins SM. From the flight deck to the bedside: core aviation concepts applied to acute
care physical therapist practice and education. Phys Ther. 2023;103(12…
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psnet.ahrq.gov/node/72855/psn-pdf
March 17, 2021 - We asked the experts: the WHO Surgical Safety Checklist
and the COVID-19 pandemic: recommendations for
content and implementation adaptations.
March 17, 2021
Panda N, Etheridge JC, Singh T, et al. The WHO Surgical Safety Checklist and the COVID-19 pandemic:
recommendations for content and implementation adaptation…