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psnet.ahrq.gov/node/47970/psn-pdf
May 01, 2019 - Can we import improvements from industry to
healthcare?
May 1, 2019
Macrae C, Stewart K. Can we import improvements from industry to healthcare? BMJ. 2019;364:l1039.
doi:10.1136/bmj.l1039.
https://psnet.ahrq.gov/issue/can-we-import-improvements-industry-healthcare
Principles from high-risk industries can be appli…
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psnet.ahrq.gov/node/45312/psn-pdf
July 27, 2016 - Perioperative safety: learning, not taking, from aviation.
July 27, 2016
Neuhaus C, Hofer S, Hofmann G, et al. Perioperative Safety: Learning, Not Taking, from Aviation. Anesth
Analg. 2016;122(6):2059-63. doi:10.1213/ANE.0000000000001315.
https://psnet.ahrq.gov/issue/perioperative-safety-learning-not-taking-aviatio…
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psnet.ahrq.gov/node/60234/psn-pdf
April 15, 2020 - Mistakes, Errors and Failures across Cultures.
April 15, 2020
Vanderheiden E, Mayer C, eds. Springer Nature. Cham, Switzerland: 2020. ISBN 9783030355739
https://psnet.ahrq.gov/issue/mistakes-errors-and-failures-across-cultures-navigating-potentials
Human error, mistakes and failure have cultural aspects that are im…
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psnet.ahrq.gov/node/45369/psn-pdf
October 29, 2017 - The aging physician and the medical profession: a review.
October 29, 2017
Dellinger P, Pellegrini CA, Gallagher TH. The Aging Physician and the Medical Profession: A Review.
JAMA Surg. 2017;152(10):967-971. doi:10.1001/jamasurg.2017.2342.
https://psnet.ahrq.gov/issue/aging-physician-and-medical-profession-review
…
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psnet.ahrq.gov/node/853058/psn-pdf
August 30, 2023 - Diagnostic reliability in teledermatology: a systematic
review and a meta-analysis.
August 30, 2023
Bourkas AN, Barone N, Bourkas MEC, et al. Diagnostic reliability in teledermatology: a systematic review
and a meta-analysis. BMJ Open. 2023;13(8):e068207. doi:10.1136/bmjopen-2022-068207.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/845276/psn-pdf
March 01, 2023 - Cognitive biases in surgery: systematic review.
March 1, 2023
Armstrong BA, Dutescu IA, Tung A, et al. Cognitive biases in surgery: systematic review. Br J Surg.
2023;110(6):645-654. doi:10.1093/bjs/znad004.
https://psnet.ahrq.gov/issue/cognitive-biases-surgery-systematic-review
Cognitive biases are a known source…
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psnet.ahrq.gov/node/44825/psn-pdf
January 01, 2019 - Does physician's training induce overconfidence that
hampers disclosing errors?
February 10, 2016
Brezis M, Orkin-Bedolach Y, Fink D, et al. Does Physician's Training Induce Overconfidence That Hampers
Disclosing Errors? J Patient Saf. 2019;15(4):296-298. doi:10.1097/PTS.0000000000000255.
https://psnet.ahrq.gov/is…
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www.ahrq.gov/action-alliance/webinars/measuring-safety-culture.html
May 01, 2025 - Measuring and Responding to Safety Culture Across Healthcare
This webinar was the third of a three-part series on Safety Culture in Healthcare. On April 15, 2025, presenters discussed how to measure and improve safety culture using tools like AHRQ’s Surveys on Patient Safety Culture® (SOPS®) Program, the Safety…
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www.ahrq.gov/action-alliance/webinars/addressing-workforce-burnout.html
December 01, 2024 - National Action Alliance Webinar: Addressing Healthcare Workforce Burnout
Summary Burnout among healthcare staff is at a critical level, making the need for effective solutions more urgent than ever. This webinar held on November 12, part of a series on workforce safety and well-being, examined strategies for r…
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digital.ahrq.gov/ahrq-funded-projects/direct-patient-alert-glycated-hemoglobin-screening-using-prediction-modeling/final-report
January 01, 2023 - A Direct-to-Patient Alert for Glycated Hemoglobin Screening Using Prediction Modeling and Mobile Health (mHealth) - Final Report
Citation
Wells B. A Direct-to-Patient Alert for Glycated Hemoglobin Screening Using Prediction Modeling and Mobile Health (mHealth) - Final Report. (Prepared by the Wake For…
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digital.ahrq.gov/ahrq-funded-projects/treat-ecards-translating-evidence-action-electronic-clinical-decision-support/final-report
January 01, 2023 - TREAT ECARDS: Translating Evidence into Action: Electronic Clinical Decision Support in ARDS - Final Report
Citation
Gong M. TREAT ECARDS: Translating Evidence into Action: Electronic Clinical Decision Support in ARDS - Final Report. (Prepared by Albert Einstein College of Medicine under Grant No. R18…
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psnet.ahrq.gov/node/72852/psn-pdf
March 17, 2021 - Declaring uncertainty: using quality improvement
methods to change the conversation of diagnosis.
March 17, 2021
Ipsaro AJ, Patel SJ, Warner DC, et al. Declaring Uncertainty: Using Quality Improvement Methods to
Change the Conversation of Diagnosis. Hosp Pediatr. 2021;11(4):334-341. doi:10.1542/hpeds.2020-
000174.…
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psnet.ahrq.gov/node/43791/psn-pdf
December 17, 2014 - Facilitating Patient Understanding of Discharge
Instructions: Workshop Summary.
December 17, 2014
Alper J, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health
Practice, Institute of Medicine. Washington, DC: National Academies Press; December 2014. ISBN:
9780309307383.
https:…
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psnet.ahrq.gov/node/45383/psn-pdf
August 31, 2016 - Case report of a medication error: in the eye of the
beholder.
August 31, 2016
Naunton M, Nor K, Bartholomaeus A, et al. Case report of a medication error. Medicine (Baltimore).
2016;95(28):e4186. doi:10.1097/md.0000000000004186.
https://psnet.ahrq.gov/issue/case-report-medication-error-eye-beholder
Look-alike dr…
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psnet.ahrq.gov/node/46900/psn-pdf
August 29, 2018 - Developing agreement on never events in primary care
dentistry: an international eDelphi study.
August 29, 2018
Ensaldo-Carrasco E, Carson-Stevens A, Cresswell K, et al. Developing agreement on never events in
primary care dentistry: an international eDelphi study. Br Dent J. 2018;224(9):733-740.
doi:10.1038/sj.bd…
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psnet.ahrq.gov/node/73298/psn-pdf
May 19, 2021 - The Future of Nursing 2020-2030: Charting a Path to
Achieve Health Equity.
May 19, 2021
National Academies of Sciences, Engineering, and Medicine. Washington DC: National
Academies Press; 2021. ISBN: 9780309685061.
https://psnet.ahrq.gov/issue/future-nursing-2020-2030-charting-path-achieve-he…
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psnet.ahrq.gov/node/855093/psn-pdf
November 08, 2023 - Viewpoint: Patient safety in primary care - patients are not
just a beneficiary but a critical component in its
achievement.
November 8, 2023
Kavanagh KT, Cormier LE. Viewpoint: Patient safety in primary care – patients are not just a beneficiary
but a critical component in its achievement. Medicine (Baltimore). 2…
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psnet.ahrq.gov/node/44893/psn-pdf
March 09, 2016 - Improving the governance of patient safety in emergency
care: a systematic review of interventions.
March 9, 2016
Hesselink G, Berben S, Beune T, et al. Improving the governance of patient safety in emergency care: a
systematic review of interventions. BMJ Open. 2016;6(1):e009837. doi:10.1136/bmjopen-2015-009837.
…
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psnet.ahrq.gov/node/36069/psn-pdf
May 11, 2014 - Health literacy, medication errors, and health outcomes:
is there a relationship?
May 11, 2014
Warner A, Menachemi N, Brooks RG. Health Literacy, Medication Errors, and Health Outcomes: Is There a
Relationship? Hosp Pharm. 2010;41(6):542-551. doi:10.1310/hpj4106-538.
https://psnet.ahrq.gov/issue/health-literacy-me…
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appb.html
August 01, 2022 - Planning Grants Final Evaluation Report
Appendix B. References
Previous Page
Table of Contents
Planning Grants Final Evaluation Report
Executive Summary
Introduction
Methodology
Findings
Appendix A. Grantee Profiles
Appendix B. References
1. Mincer SL, Lee MJ, Bransfor…