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psnet.ahrq.gov/node/861294/psn-pdf
January 24, 2024 - Shining a glaring light on surgery: technology that
records every move aims to improve safety.
January 24, 2024
Freyer FJ. Boston Globe. January 13, 2024.
https://psnet.ahrq.gov/issue/shining-glaring-light-surgery-technology-records-every-move-aims-improve-
safety
The surgical black box uses cameras and microphon…
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psnet.ahrq.gov/node/43143/psn-pdf
April 25, 2016 - Surgical programs in the Veterans Health Administration
maintain briefing and debriefing following medical team
training.
April 25, 2016
West P, Neily J, Warner L, et al. Surgical programs in the Veterans Health Administration maintain briefing
and debriefing following medical team training. Jt Comm J Qual Patient…
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psnet.ahrq.gov/node/47786/psn-pdf
June 26, 2019 - Creating a Safe Space: Psychological Health and Safety
of Healthcare Workers.
June 26, 2019
Canadian Patient Safety Institute: 2019.
https://psnet.ahrq.gov/issue/creating-safe-space-psychological-health-and-safety-healthcare-workers
Structured approaches to managing negative psychological consequences of medical e…
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psnet.ahrq.gov/node/47217/psn-pdf
June 27, 2018 - Drug shortages roundtable: minimizing the impact on
patient care.
June 27, 2018
Drug shortages roundtable: Minimizing the impact on patient care. Am J Health Syst Pharm.
2018;75(11):816-820. doi:10.2146/ajhp180048.
https://psnet.ahrq.gov/issue/drug-shortages-roundtable-minimizing-impact-patient-care
This commenta…
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psnet.ahrq.gov/node/47503/psn-pdf
October 24, 2018 - I-PASS checklist: a powerful tool for patient handoffs.
October 24, 2018
Peeples L. Pharmacy Practice News. October 10, 2018.
https://psnet.ahrq.gov/issue/i-pass-checklist-powerful-tool-patient-handoffs
Structured handoffs can reduce communication problems that contribute to medical error. This magazine
article re…
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psnet.ahrq.gov/node/46938/psn-pdf
April 25, 2018 - Diagnostic reasoning and cognitive biases of nurse
practitioners.
April 25, 2018
Lawson TN. Diagnostic Reasoning and Cognitive Biases of Nurse Practitioners. J Nurs Educ.
2018;57(4):203-208. doi:10.3928/01484834-20180322-03.
https://psnet.ahrq.gov/issue/diagnostic-reasoning-and-cognitive-biases-nurse-practitioners…
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psnet.ahrq.gov/node/42086/psn-pdf
March 13, 2013 - Patient safety strategies targeted at diagnostic errors: a
systematic review.
March 13, 2013
McDonald KM, Matesic B, Contopoulos-Ioannidis DG, et al. Patient safety strategies targeted at diagnostic
errors: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):381-389. doi:10.7326/0003-4819-158-5-
201303051-00004.…
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psnet.ahrq.gov/node/74843/psn-pdf
February 16, 2022 - Association of adverse events in opioid addiction
treatment with quality measure for continuity of
pharmacotherapy.
February 16, 2022
Liu Y, Becker A, Mattke S. Association of adverse events in opioid addiction treatment with quality measure
for continuity of pharmacotherapy. J Healthc Qual. 2022;44(3):e38-e43.
d…
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psnet.ahrq.gov/node/46773/psn-pdf
January 24, 2018 - Patient safety in complementary medicine through the
application of clinical risk management in the public
health system.
January 24, 2018
Rossi EG, Bellandi T, Picchi M, et al. Patient Safety in Complementary Medicine through the Application of
Clinical Risk Management in the Public Health System. Medicines (Base…
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psnet.ahrq.gov/node/851885/psn-pdf
January 01, 2024 - When to err is inhuman: an examination of the influence
of artificial intelligence-driven nursing care on patient
safety.
August 2, 2023
Johnson EA, Dudding KM, Carrington JM. When to err is inhuman: an examination of the influence of
artificial intelligence?driven nursing care on patient safety. Nurs Inq. 2024;31…
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psnet.ahrq.gov/node/854982/psn-pdf
November 01, 2023 - Adverse drug event prevention and detection in older
emergency department patients.
November 1, 2023
Koehl JL. Adverse drug event prevention and detection in older emergency department patients. Clin
Geriatr Med. 2023;39(4):635-645. doi:10.1016/j.cger.2023.04.008.
https://psnet.ahrq.gov/issue/adverse-drug-event-pr…
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psnet.ahrq.gov/node/45309/psn-pdf
July 13, 2016 - Development of an emergency department trigger tool
using a systematic search and modified Delphi process.
July 13, 2016
Griffey RT, Schneider RM, Adler L, et al. Development of an Emergency Department Trigger Tool Using a
Systematic Search and Modified Delphi Process. J Patient Saf. 2016;16(1):e11-e17.
doi:10.109…
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psnet.ahrq.gov/node/35044/psn-pdf
September 27, 2017 - Decisions about critical events in device-related
scenarios as a function of expertise.
September 27, 2017
Laxmisan A, Malhotra S, Keselman A, et al. Decisions about critical events in device-related scenarios as a
function of expertise. J Biomed Inform. 2005;38(3):200-12.
https://psnet.ahrq.gov/issue/decisions-ab…
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psnet.ahrq.gov/node/48118/psn-pdf
August 21, 2019 - Evaluation of interventions to improve inpatient hospital
documentation within electronic health records: a
systematic review.
August 21, 2019
Wiebe N, Varela LO, Niven DJ, et al. Evaluation of interventions to improve inpatient hospital
documentation within electronic health records: a systematic review. J Am Med…
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psnet.ahrq.gov/node/43636/psn-pdf
November 26, 2014 - Application of the WHO surgical safety checklist outside
the operating theatre: medicine can learn from surgery.
November 26, 2014
Braham DL, Richardson AL, Malik IS. Application of the WHO surgical safety checklist outside the
operating theatre: medicine can learn from surgery. Clin Med. 2014;14(5):468-474.
doi:1…
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psnet.ahrq.gov/node/38873/psn-pdf
August 19, 2009 - What are covering doctors told about their patients?
Analysis of sign-out among internal medicine house staff.
August 19, 2009
Horwitz LI, Moin T, Krumholz HM, et al. What are covering doctors told about their patients? Analysis of
sign-out among internal medicine house staff. Qual Saf Health Care. 2009;18(4):248-5…
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psnet.ahrq.gov/node/43053/psn-pdf
May 26, 2014 - Evidence-based organization and patient safety strategies
in European hospitals.
May 26, 2014
Suñol R, Wagner C, Arah OA, et al. Evidence-based organization and patient safety strategies in European
hospitals. Int J Qual Health Care. 2014;26 Suppl 1:47-55. doi:10.1093/intqhc/mzu016.
https://psnet.ahrq.gov/issue/ev…
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psnet.ahrq.gov/node/36046/psn-pdf
June 21, 2006 - The Future of Emergency Care in the United States Health
System.
June 21, 2006
Institute of Medicine. Washington DC; National Academies Press: 2007.
https://psnet.ahrq.gov/issue/future-emergency-care-united-states-health-system
In September 2003, an Institute of Medicine (IOM) committee began a detailed examinatio…
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psnet.ahrq.gov/node/46097/psn-pdf
August 09, 2017 - Administering and monitoring high-alert medications in
acute care.
August 9, 2017
Cajanding JMR. Administering and monitoring high-alert medications in acute care. Nurs Stand.
2017;31(47):42-52. doi:10.7748/ns.2017.e10849.
https://psnet.ahrq.gov/issue/administering-and-monitoring-high-alert-medications-acute-care
…
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psnet.ahrq.gov/node/866522/psn-pdf
August 14, 2024 - Artificial intelligence in anesthetic care: a survey of
physician anesthesiologists.
August 14, 2024
Estrada Alamo CE, Diatta F, Monsell SE, et al. Artificial intelligence in anesthetic care: a survey of
physician anesthesiologists. Anesth Analg. 2024;138(5):938-950. doi:10.1213/ane.0000000000006752.
https://psnet…