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psnet.ahrq.gov/node/61062/psn-pdf
January 01, 2022 - Medication errors in anesthesiology: is it time to train by
example? Vignettes can assess error awareness,
assessment of harm, disclosure, and reporting practices.
October 28, 2020
Duffy CC, Bass GA, Duncan JR, et al. Medication errors in anesthesiology: is it time to train by example?
Vignettes can assess error a…
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psnet.ahrq.gov/node/45894/psn-pdf
June 23, 2017 - Tell me how pleased you are with your workplace, and I
will tell you how often you wash your hands.
June 23, 2017
Sholomovich L, Magnezi R. Tell me how pleased you are with your workplace, and I will tell you how often
you wash your hands. Am J Infect Control. 2017;45(6):677-681. doi:10.1016/j.ajic.2016.12.005.
ht…
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psnet.ahrq.gov/node/867013/psn-pdf
October 23, 2024 - Reducing automated dispensing cabinet overrides in the
peri-anesthesia care unit: a quality improvement project.
October 23, 2024
Franciscovich CD, Bieniek A, Dunn K, et al. Reducing automated dispensing cabinet overrides in the peri-
anesthesia care unit: a quality improvement project. Jt Comm J Qual Patient Saf. …
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psnet.ahrq.gov/node/35737/psn-pdf
July 15, 2010 - Shepherding change: how the market, healthcare
providers, and public policy can deliver quality care for
the 21st century.
July 15, 2010
Kennedy P, Pronovost P. Shepherding change: how the market, healthcare providers, and public policy
can deliver quality care for the 21st century. Crit Care Med. 2006;34(3 Suppl)…
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psnet.ahrq.gov/node/33859/psn-pdf
June 01, 2018 - The same thing is true in pediatrics. … We take graduates from internal
medicine, family medicine, and pediatrics residencies for the fellowship
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psnet.ahrq.gov/perspective/safety-retail-pharmacy
May 11, 2016 - Pediatrics. 2013;131:e811-e820. [go to PubMed]
5.
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psnet.ahrq.gov/node/46660/psn-pdf
October 18, 2018 - Using a network organisational architecture to support
the development of Learning Healthcare Systems.
October 18, 2018
Britto MT, Fuller SC, Kaplan HC, et al. Using a network organisational architecture to support the
development of Learning Healthcare Systems. BMJ Qual Saf. 2018;27(11). doi:10.1136/bmjqs-2017-
0…
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psnet.ahrq.gov/node/50458/psn-pdf
October 09, 2019 - Success of a resident-led safety council: a model for
satisfying CLER Pathways to Excellence patient safety
goals.
October 9, 2019
Cohen SP, Pelletier JH, Ladd JM, et al. Success of a resident-led safety council: a model for satisfying
CLER Pathways to Excellence patient safety goals. J Gen Intern Med. 2019;11(2):…
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psnet.ahrq.gov/node/42816/psn-pdf
October 31, 2014 - Rates of medical errors and preventable adverse events
among hospitalized children following implementation of
a resident handoff bundle.
October 31, 2014
Starmer AJ, Sectish TC, Simon DW, et al. Rates of medical errors and preventable adverse events among
hospitalized children following implementation of a reside…
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psnet.ahrq.gov/node/45488/psn-pdf
April 24, 2018 - National trends in safety performance of electronic health
record systems in children's hospitals.
April 24, 2018
Chaparro JD, Classen D, Danforth M, et al. National trends in safety performance of electronic health
record systems in children's hospitals. J Am Med Inform Assoc. 2017;24(2):268-274.
doi:10.1093/jami…
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psnet.ahrq.gov/node/39056/psn-pdf
April 04, 2011 - Rate of undesirable events at beginning of academic year:
retrospective cohort study.
April 4, 2011
Haller G, Myles PS, Taffé P, et al. Rate of undesirable events at beginning of academic year: retrospective
cohort study. BMJ. 2009;339:b3974. doi:10.1136/bmj.b3974.
https://psnet.ahrq.gov/issue/rate-undesirable-eve…
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psnet.ahrq.gov/node/40450/psn-pdf
December 21, 2014 - Unit-based care teams and the frequency and quality of
physician–nurse communications.
December 21, 2014
Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician-
nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.1001/archpediatrics.2011.54.
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psnet.ahrq.gov/node/41884/psn-pdf
December 21, 2014 - Supratherapeutic dosing of acetaminophen among
hospitalized patients.
December 21, 2014
Zhou L, Maviglia SM, Mahoney LM, et al. Supratherapeutic dosing of acetaminophen among hospitalized
patients. Arch Intern Med. 2012;172(22):1721-8.
https://psnet.ahrq.gov/issue/supratherapeutic-dosing-acetaminophen-among-hospit…
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psnet.ahrq.gov/node/46679/psn-pdf
December 22, 2018 - Are parents who feel the need to watch over their
children's care better patient safety partners?
December 22, 2018
Cox E, Hansen K, Rajamanickam VP, et al. Are Parents Who Feel the Need to Watch Over Their
Children's Care Better Patient Safety Partners? Hosp Pediatr. 2017;7(12):716-722.
doi:10.1542/hpeds.2017-003…
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psnet.ahrq.gov/node/36836/psn-pdf
January 29, 2015 - Learning from Bristol: The Report of the Public Inquiry
into Children's Heart Surgery at the Bristol Royal
Infirmary 1984--1995.
January 29, 2015
Bristol Royal Infirmary Inquiry; The Stationery Office. London, England: Crown Copyright; 2002.
https://psnet.ahrq.gov/issue/learning-bristol-report-public-inquiry-child…
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psnet.ahrq.gov/node/867335/psn-pdf
December 11, 2024 - Comparing safety, performance and user perceptions of a
patient-specific indication-based prescribing tool with
current practice: a mixed methods randomised user
testing study.
December 11, 2024
Feather C, Clarke J, Appelbaum N, et al. Comparing safety, performance and user perceptions of a patient-
specific indi…
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psnet.ahrq.gov/node/863747/psn-pdf
March 06, 2024 - "Good care is slow enough to be able to pay attention":
primary care time scarcity and patient safety.
March 6, 2024
Satterwhite S, Nguyen M-LT, Honcharov V, et al. "Good care is slow enough to be able to pay attention":
primary care time scarcity and patient safety. J Gen Intern Med. 2024;39(9):1575-1582.
doi:10.…
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psnet.ahrq.gov/node/44694/psn-pdf
November 10, 2016 - America's Hospitals: Improving Quality and Safety—The
Joint Commission's Annual Report 2015.
November 10, 2016
Oakbrook Terrace, IL: The Joint Commission; November 2015.
https://psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-
report-2015
The annual report from The Jo…
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psnet.ahrq.gov/node/60212/psn-pdf
January 29, 2021 - Patient Safety Recommendations for COVID-19 Epidemic
Outbreak: 3.0
January 29, 2021
La Regina M, Tanzini M, Venneri F, et al for the Italian Network for Health Safety. Dublin, Ireland:
International Society for Quality in Health Care; 2021.
https://psnet.ahrq.gov/issue/patient-safety-recommendations-covid-19-epide…
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psnet.ahrq.gov/node/45870/psn-pdf
March 25, 2017 - Improving communication with primary care physicians at
the time of hospital discharge.
March 25, 2017
Destino LA, Dixit A, Pantaleoni JL, et al. Improving Communication with Primary Care Physicians at the
Time of Hospital Discharge. Jt Comm J Qual Patient Saf. 2017;43(2):80-88. doi:10.1016/j.jcjq.2016.11.005.
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