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psnet.ahrq.gov/node/50612/psn-pdf
October 30, 2019 - In the discussion,
he learned that the intern had never before rotated at this particular hospital and
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psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure
February 26, 2025 - As a result of implementation, screening for IPV greatly increased, and healthcare teams learned about
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psnet.ahrq.gov/node/49523/psn-pdf
November 01, 2006 - During morning rounds, the
surgeon learned of the patient's continued difficulty voiding and ordered
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psnet.ahrq.gov/node/49538/psn-pdf
June 01, 2007 - I believe that it should be construed more broadly—as safety
relating to any information that is learned
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psnet.ahrq.gov/node/847538/psn-pdf
April 12, 2023 - Crisis scenarios for simulation-based nontechnical skills
training for cardiac surgery teams: a national survey
among cardiac anesthesiologists, cardiac surgeons,
clinical perfusionists, and cardiac operating room nurses.
April 12, 2023
Kemper T, van Haperen M, Eberl S, et al. Crisis scenarios for simulation-based…
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psnet.ahrq.gov/node/44164/psn-pdf
November 03, 2015 - Use of nondisclosure agreements in medical malpractice
settlements by a large academic health care system.
November 3, 2015
Sage WM, Jablonski JS, Thomas EJ. Use of Nondisclosure Agreements in Medical Malpractice
Settlements by a Large Academic Health Care System. JAMA Intern Med. 2015;175(7):1130-1135.
doi:10.100…
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psnet.ahrq.gov/node/47500/psn-pdf
October 24, 2018 - Use of a novel, electronic health record–centered,
interprofessional ICU rounding simulation to understand
latent safety issues.
October 24, 2018
Bordley J, Sakata KK, Bierman J, et al. Use of a Novel, Electronic Health Record-Centered,
Interprofessional ICU Rounding Simulation to Understand Latent Safety Issues. …
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psnet.ahrq.gov/node/42802/psn-pdf
January 07, 2015 - Patient engagement in the inpatient setting: a systematic
review.
January 7, 2015
Prey JE, Woollen J, Wilcox L, et al. Patient engagement in the inpatient setting: a systematic review. J Am
Med Inform Assoc. 2014;21(4):742-750. doi:10.1136/amiajnl-2013-002141.
https://psnet.ahrq.gov/issue/patient-engagement-inpati…
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psnet.ahrq.gov/node/867638/psn-pdf
February 26, 2025 - Artificial intelligence related safety issues associated with
FDA medical device reports.
February 26, 2025
Handley JL, Krevat SA, Fong A, et al. Artificial intelligence related safety issues associated with FDA
medical device reports. NPJ Digit Med. 2024;7(1):351. doi:10.1038/s41746-024-01357-5.
https://psnet.ahr…
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psnet.ahrq.gov/node/853234/psn-pdf
September 06, 2023 - Perceptions and attitudes of pediatricians and families
with regard to pediatric medication errors at home.
September 6, 2023
de Dios JG, Lopez-Pineda A, Juan GM-P, et al. Perceptions and attitudes of pediatricians and families with
regard to pediatric medication errors at home. BMC Pediatr. 2023;23(1):380. doi:10.…
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psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care-0
September 08, 2021 - Multi-use Website
Patient Safety Tools: Improving Safety at the Point of Care.
Save
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November 14, 2011
Produced in conjunction with it…
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psnet.ahrq.gov/node/38863/psn-pdf
August 12, 2009 - Use of strategies from high-reliability organisations to the
patient hand-off by resident physicians: practical
implications.
August 12, 2009
Philibert I. Use of strategies from high-reliability organisations to the patient hand-off by resident
physicians: practical implications. Qual Saf Health Care. 2009;18(4):2…
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psnet.ahrq.gov/node/42882/psn-pdf
November 23, 2016 - Structuring patient and family involvement in medical
error event disclosure and analysis.
November 23, 2016
Etchegaray J, Ottosen M, Burress L, et al. Structuring patient and family involvement in medical error event
disclosure and analysis. Health Aff (Millwood). 2014;33(1):46-52. doi:10.1377/hlthaff.2013.0831.
…
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psnet.ahrq.gov/node/74864/psn-pdf
February 23, 2022 - Exploring changes in patient safety incidents during the
COVID-19 pandemic in a Canadian regional hospital
system: a retrospective time series analysis.
February 23, 2022
Lombardi J, Strobel S, Pullar V, et al. Exploring changes in patient safety incidents during the COVID-19
pandemic in a Canadian regional hospit…
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psnet.ahrq.gov/node/45120/psn-pdf
September 11, 2016 - Saving lives: a meta-analysis of team training in
healthcare.
September 11, 2016
Hughes A, Gregory ME, Joseph DL, et al. Saving lives: A meta-analysis of team training in healthcare. J
Appl Psychol. 2016;101(9):1266-304. doi:10.1037/apl0000120.
https://psnet.ahrq.gov/issue/saving-lives-meta-analysis-team-training-…
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psnet.ahrq.gov/node/847537/psn-pdf
April 12, 2023 - Measuring team hierarchy during high-stakes clinical
decision making: development and validation of a new
behavioral observation method.
April 12, 2023
Johansson AC, Manago B, Sell J, et al. Measuring team hierarchy during high-stakes clinical decision
making: development and validation of a new behavioral observa…
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psnet.ahrq.gov/node/35611/psn-pdf
June 23, 2010 - Error or "act of God"? A study of patients' and operating
room team members' perceptions of error definition,
reporting, and disclosure.
June 23, 2010
Espin S, Levinson W, Regehr G, et al. Error or "act of God"? A study of patients' and operating room team
members' perceptions of error definition, reporting, and d…
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psnet.ahrq.gov/node/866643/psn-pdf
September 04, 2024 - Three scans are better than two for follow-up: an
automatic method for finding missed and misidentified
lesions in cross-sectional follow-up of oncology patients.
September 4, 2024
Joskowicz L, Di Veroli B, Lederman R, et al. Three scans are better than two for follow-up: an automatic
method for finding missed and…
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psnet.ahrq.gov/node/34763/psn-pdf
March 07, 2005 - The Limits of Safety: Organizations, Accidents and
Nuclear Weapons.
March 7, 2005
Sagan SD. Princeton NJ: Princeton University Press; 1993. ISBN: 9780691032214.
https://psnet.ahrq.gov/issue/limits-safety-organizations-accidents-and-nuclear-weapons
Two competing paradigms dominate the study of the hazards associate…
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psnet.ahrq.gov/node/865334/psn-pdf
March 27, 2024 - Describing the evidence linking interprofessional
education interventions to improving the delivery of safe
and effective patient care: a scoping review.
March 27, 2024
Cadet T, Cusimano J, McKearney S, et al. Describing the evidence linking interprofessional education
interventions to improving the delivery of sa…