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psnet.ahrq.gov/node/60691/psn-pdf
July 15, 2020 - A mixed-methods systematic review of interventions to
address incivility in nursing.
July 15, 2020
Olsen JM, Aschenbrenner A, Merkel R, et al. A mixed-methods systematic review of interventions to
address incivility in nursing. J Nurs Educ. 2020;59(6):319-326. doi:10.3928/01484834-20200520-04.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/44912/psn-pdf
November 18, 2016 - Patient safety in genomic medicine: an exploratory study.
November 18, 2016
Korngiebel DM, Fullerton SM, Burke W. Patient safety in genomic medicine: an exploratory study. Genet
Med. 2016;18(11):1136-1142. doi:10.1038/gim.2016.16.
https://psnet.ahrq.gov/issue/patient-safety-genomic-medicine-exploratory-study
This …
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psnet.ahrq.gov/node/73124/psn-pdf
April 07, 2021 - Safety and Quality in Perioperative Anesthesia Care.
April 7, 2021
Preckel B, ed. Best Pract Res Clin Anaesthesiol. 2021;35(1):1-154.
https://psnet.ahrq.gov/issue/safety-and-quality-perioperative-anesthesia-care
The field of anesthesiology has realized impressive improvements in safety, yet challenges still ex…
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psnet.ahrq.gov/node/43225/psn-pdf
June 04, 2014 - Addressing the taboo of medical error through IGBOs: I
got burnt once!
June 4, 2014
Dumitrescu A, Ryan A. Addressing the taboo of medical error through IGBOs: I got burnt once!. Eur J
Pediatr. 2014;173(4):503-8. doi:10.1007/s00431-013-2168-3.
https://psnet.ahrq.gov/issue/addressing-taboo-medical-error-through-igbo…
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psnet.ahrq.gov/node/867699/psn-pdf
June 01, 2023 - Toolkit for Improving Surgical Care and Recovery.
June 1, 2023
Agency for Healthcare Research and Quality. Toolkit for Improving Surgical Care and Recovery. June
2023.
https://psnet.ahrq.gov/issue/toolkit-improving-surgical-care-and-recovery
Improving patient experience fosters better communication, trust, and col…
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psnet.ahrq.gov/node/847545/psn-pdf
April 12, 2023 - Normalization of deviance is contrary to the principles of
high reliability.
April 12, 2023
Wright I. Normalization of deviance Is contrary to the principles of high reliability. AORN J.
2023;117(4):231-238. doi:10.1002/aorn.13894.
https://psnet.ahrq.gov/issue/normalization-deviance-contrary-principles-high-reliab…
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psnet.ahrq.gov/node/41602/psn-pdf
August 15, 2012 - How Can Health Care Organizations Become More Health
Literate?: Workshop Summary.
August 15, 2012
Hernandez LM; Roundtable on Health Literacy; Board on Population Health and Public Health Practice;
Institute of Medicine. Washington, DC: The National Academies Press; 2012. ISBN: 9780309256810.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/36341/psn-pdf
March 09, 2009 - The reporting of patient safety incidents—first
experiences with the chiropractic reporting and learning
system (CRLS): a pilot study.
March 9, 2009
Thiel H, Bolton J. The reporting of patient safety incidents—first experiences with the chiropractic reporting
and learning system (CRLS): A pilot study. Clin Chiropr…
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psnet.ahrq.gov/node/45478/psn-pdf
October 26, 2016 - Core principles of quality improvement and patient safety.
October 26, 2016
Bartman T, McClead RE. Core Principles of Quality Improvement and Patient Safety. Pediatr Rev.
2016;37(10):407-417.
https://psnet.ahrq.gov/issue/core-principles-quality-improvement-and-patient-safety
This review discusses key patient safet…
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psnet.ahrq.gov/node/37119/psn-pdf
March 24, 2011 - Patient safety: helping medical students understand error
in healthcare.
March 24, 2011
Patey R, Flin R, Cuthbertson BH, et al. Patient safety: helping medical students understand error in
healthcare. Qual Saf Health Care. 2007;16(4):256-9.
https://psnet.ahrq.gov/issue/patient-safety-helping-medical-students-under…
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psnet.ahrq.gov/node/39683/psn-pdf
June 08, 2011 - Surgical team training: promoting high reliability with
nontechnical skills.
June 8, 2011
Paige JT. Surgical team training: promoting high reliability with nontechnical skills. Surg Clin North Am.
2010;90(3):569-81. doi:10.1016/j.suc.2010.02.007.
https://psnet.ahrq.gov/issue/surgical-team-training-promoting-high-r…
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psnet.ahrq.gov/node/42843/psn-pdf
January 22, 2014 - Patient safety in the obstetric and gynecologic office
setting.
January 22, 2014
Keats JP. Patient safety in the obstetric and gynecologic office setting. Obstet Gynecol Clin North Am.
2013;40(4):611-23. doi:10.1016/j.ogc.2013.08.004.
https://psnet.ahrq.gov/issue/patient-safety-obstetric-and-gynecologic-office-set…
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psnet.ahrq.gov/node/43748/psn-pdf
December 03, 2014 - New enteral connectors: raising awareness.
December 3, 2014
Guenter P. New Enteral Connectors. Nutrition in Clinical Practice. 2014;29(5).
doi:10.1177/0884533614543330.
https://psnet.ahrq.gov/issue/new-enteral-connectors-raising-awareness
Redesigning tubing connectors according to new ISO standards has the potenti…
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psnet.ahrq.gov/node/45990/psn-pdf
August 24, 2022 - Medication Safety Certificate Program.
August 24, 2022
American Society of Health-System Pharmacists, Institute for Safe Medication Practices.
https://psnet.ahrq.gov/issue/medication-safety-certificate-program
Leadership commitment to reduce medication errors can help address this safety problem. This certificate
…
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psnet.ahrq.gov/node/844762/psn-pdf
September 25, 2019 - 10 Medication Safety Tips for Hospitalized Patients.
September 25, 2019
Horsham, PA: Institute for Safe Medication Practices; 2019.
https://psnet.ahrq.gov/issue/10-medication-safety-tips-hospitalized-patients
Hospitalized patients are at risk for medication errors. This set of tips seeks to help hospitalized patien…
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psnet.ahrq.gov/node/41384/psn-pdf
May 16, 2012 - Protect Patients Against Preventable Harm from Improper
Use of Single-dose?Single-use Vials.
May 16, 2012
Atlanta, GA: Centers for Disease Control and Prevention; May 2, 2012.
https://psnet.ahrq.gov/issue/protect-patients-against-preventable-harm-improper-use-single-dosesingle-
use-vials
This statement describes …
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psnet.ahrq.gov/node/42979/psn-pdf
March 05, 2014 - Clinical Uncertainty in Primary Care: The Challenge of
Collaborative Engagement.
March 5, 2014
Clinical Uncertainty In Primary Care. Springer New York; 2013. doi:10.1007/978-1-4614-6812-7.
https://psnet.ahrq.gov/issue/clinical-uncertainty-primary-care-challenge-collaborative-engagement
This book introduces the rol…
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psnet.ahrq.gov/node/43060/psn-pdf
June 27, 2016 - Medication administration errors in hospitals—challenges
and recommendations for their measurement.
June 27, 2016
McLeod M, Barber N, Franklin BD. National Quality Measures Clearinghouse: Expert Commentaries;
March 10, 2014.
https://psnet.ahrq.gov/issue/medication-administration-errors-hospitals-challenges-and-rec…
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psnet.ahrq.gov/node/72562/psn-pdf
December 09, 2020 - Missed or Rationed Nursing Care.
December 9, 2020
J Nurs Manag. 2020;28(8): i-iv, 1767-2275.
https://psnet.ahrq.gov/issue/missed-or-rationed-nursing-care
Incomplete nursing care is known to affect care quality and safety. This special issue documents the global
problem of missed or rationed nursing care in a varie…
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psnet.ahrq.gov/node/47588/psn-pdf
November 21, 2018 - 2 MSO programs show value of safety position.
November 21, 2018
Wild D. Pharmacy Practice News. November 8, 2018.
https://psnet.ahrq.gov/issue/2-mso-programs-show-value-safety-position
Medication safety officers serve as organizational champions of medication management process
improvement. This news article offer…