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psnet.ahrq.gov/node/849326/psn-pdf
May 24, 2023 - Proactive patient safety: focusing on what goes right in
the perioperative environment.
May 24, 2023
Duffy C, Menon N, Horak D, et al. Proactive patient safety: focusing on what goes right in the perioperative
environment. J Patient Saf. 2023;19(4):281-286. doi:10.1097/pts.0000000000001113.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/850673/psn-pdf
June 14, 2023 - We learned during the pandemic that we can do this virtually—families can participate in rounds from … And that’s sad because they didn’t tap into the value of having patient and family partners
participate … because it is easier for many families, especially those from diverse and
underserved communities, to participate
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psnet.ahrq.gov/node/50821/psn-pdf
January 22, 2020 - Communicating with patients about diagnostic errors in
breast cancer care: providers' attitudes, experiences, and
advice
January 22, 2020
Reisch LM, Prouty CD, Elmore JG, et al. Communicating with patients about diagnostic errors in breast
cancer care: Providers’ attitudes, experiences, and advice. Patient Educ Co…
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psnet.ahrq.gov/node/853618/psn-pdf
September 20, 2023 - Improving patients' intensive care admission through
multidisciplinary simulation-based crisis resource
management: a qualitative study.
September 20, 2023
Jensen JF, Ramos J, Ørom M?L, et al. Improving patients' intensive care admission through
multidisciplinary simulation?based crisis resource management: a qual…
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psnet.ahrq.gov/node/853969/psn-pdf
September 27, 2023 - Perceptions of chief clinical information officers on the
state of electronic health records systems interoperability
in NHS England: a qualitative interview study.
September 27, 2023
Li E, Lounsbury O, Clarke J, et al. Perceptions of chief clinical information officers on the state of electronic
health records sy…
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psnet.ahrq.gov/node/867089/psn-pdf
November 06, 2024 - Focused team engagements to enhance interprofessional
collaboration and safety behaviors among novice nurses
and medical residents.
November 6, 2024
Manuel R, Barber A, Kern J, et al. Focused team engagements to enhance interprofessional collaboration
and safety behaviors among novice nurses and medical residents.…
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psnet.ahrq.gov/issue/supplemental-item-set-nursing-home-sops-call-pilot-participants
December 24, 2008 - Measurement Tool/Indicator
Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants.
Citation Text:
Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants. Rockville, MD: Agency for Health Quality and Research; June 2022.
Copy Citation
…
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psnet.ahrq.gov/issue/self-reported-adherence-high-reliability-practices-among-participants-childrens-hospitals
October 20, 2021 - Study
Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative.
Citation Text:
Randall KH, Slovensky D, Weech-Maldonado R, et al. Self-reported adherence to high reliability practices among participan…
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psnet.ahrq.gov/issue/patient-identification-diagnostic-safety-blindspots-and-participation-good-catches-through
October 27, 2021 - Study
Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes.
Citation Text:
Bell SK, Bourgeois FC, Dong J, et al. Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visi…
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psnet.ahrq.gov/issue/exploring-safety-culture-within-inpatient-mental-health-units-results-participant-observation
September 23, 2020 - Study
Exploring safety culture within inpatient mental health units: the results from participant observation across three mental health services.
Citation Text:
Molloy L, Wilson V, O'Connor MF, et al. Exploring safety culture within inpatient mental health units: the results from partic…
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psnet.ahrq.gov/node/73485/psn-pdf
July 14, 2021 - The RCA ReCAst: a root cause analysis simulation for the
interprofessional clinical learning environment.
July 14, 2021
Ziemba JB, Berns JS, Huzinec JG, et al. The RCA ReCAst: a root cause analysis simulation for the
interprofessional clinical learning environment. Acad Med. 2021;96(7):997-1001.
doi:10.1097/acm.00…
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psnet.ahrq.gov/node/47242/psn-pdf
January 01, 2021 - "It matters what I think, not what you say": scientific
evidence for a medical error disclosure competence
(MEDC) model.
October 10, 2018
Hannawa AF, Frankel RM. "It Matters What I Think, Not What You Say": Scientific Evidence for a Medical
Error Disclosure Competence (MEDC) Model. J Patient Saf. 2021;17(8):e1130-…
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psnet.ahrq.gov/node/72660/psn-pdf
January 20, 2021 - An in situ simulation program: a quantitative and
qualitative prospective study identifying latent safety
threats and examining participant experiences.
January 20, 2021
Kjaergaard-Andersen G, Ibsgaard P, Paltved C, et al. An in situ simulation program: a quantitative and
qualitative prospective study identifying …
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psnet.ahrq.gov/node/73910/psn-pdf
October 06, 2021 - Association of hospital public quality reporting with
electronic health record medication safety performance.
October 6, 2021
Holmgren AJ, Bates DW. Association of hospital public quality reporting with electronic health record
medication safety performance. JAMA Netw Open. 2021;4(9):e2125173.
doi:10.1001/jamanetw…
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psnet.ahrq.gov/node/844545/psn-pdf
February 15, 2023 - Providers' and patients' perspectives on diagnostic errors
in the acute care setting.
February 15, 2023
Schnock KO, Garber A, Fraser H, et al. Providers' and patients' perspectives on diagnostic errors in the
acute care setting. Jt Comm J Qual Patient Saf. 2023;49(2):89-97. doi:10.1016/j.jcjq.2022.11.009.
https://…
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psnet.ahrq.gov/issue/simulation-based-assessment-management-critical-events-board-certified-anesthesiologists
February 19, 2010 - Study
Simulation-based assessment of the management of critical events by board-certified anesthesiologists.
Citation Text:
Weinger MB, Banerjee A, Burden AR, et al. Simulation-based assessment of the management of critical events by board-certified anesthesiologists. Anesthesiology. 201…
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psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
July 17, 2024 - Would you want to participate in the review? … At this level, an authority figure may direct the involved professional to participate in a practice
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psnet.ahrq.gov/node/839319/psn-pdf
November 02, 2022 - Improving safety in the operating room: medication icon
labels increase visibility and discrimination.
November 2, 2022
Lusk C, Catchpole K, Neyens DM, et al. Improving safety in the operating room: medication icon labels
increase visibility and discrimination. Appl Ergon. 2022;104:103831. doi:10.1016/j.apergo.2022…
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psnet.ahrq.gov/node/48079/psn-pdf
June 12, 2019 - Evaluating the implementation and impact of a pharmacy
technician-supported medicines administration service
designed to reduce omitted doses in hospitals: a
qualitative study.
June 12, 2019
Seston EM, Ashcroft DM, Lamerton E, et al. Evaluating the implementation and impact of a pharmacy
technician-supported medi…
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psnet.ahrq.gov/node/840142/psn-pdf
November 16, 2022 - The neglected barrier to medication use: a systematic
review of difficulties associated with opening medication
packaging.
November 16, 2022
Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of
difficulties associated with opening medication packaging. Age Ageing. 2022…