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psnet.ahrq.gov/node/46930/psn-pdf
June 13, 2018 - Ward round template: enhancing patient safety on ward
rounds.
June 13, 2018
Gilliland N, Catherwood N, Chen S, et al. Ward round template: enhancing patient safety on ward rounds.
BMJ Open Qual. 2018;7(2):e000170. doi:10.1136/bmjoq-2017-000170.
https://psnet.ahrq.gov/issue/ward-round-template-enhancing-patient-saf…
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psnet.ahrq.gov/node/46315/psn-pdf
December 16, 2017 - Recognition and prevention of nosocomial malnutrition: a
review and a call to action!
December 16, 2017
Kirkland LL, Shaughnessy E. Recognition and Prevention of Nosocomial Malnutrition: A Review and A Call
to Action!. Am J Med. 2017;130(12):1345-1350. doi:10.1016/j.amjmed.2017.07.034.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/44210/psn-pdf
September 09, 2015 - The future of graduate medical education: a systems-
based approach to ensure patient safety.
September 9, 2015
Bagian JP. The Future of Graduate Medical Education: A Systems-Based Approach to Ensure Patient
Safety. Acad Med. 2015;90(9):1199-202. doi:10.1097/ACM.0000000000000824.
https://psnet.ahrq.gov/issue/futur…
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psnet.ahrq.gov/node/43021/psn-pdf
November 04, 2014 - Patient safety culture transformation in a children's
hospital: an interprofessional approach.
November 4, 2014
Nagelkerk J, Peterson T, Pawl BL, et al. Patient safety culture transformation in a children's hospital: an
interprofessional approach. J Interprof Care. 2014;28(4):358-64. doi:10.3109/13561820.2014.88593…
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psnet.ahrq.gov/node/43188/psn-pdf
May 21, 2014 - Training induces cognitive bias: the case of a simulation-
based emergency airway curriculum.
May 21, 2014
Park C, Stojiljkovic L, Milicic B, et al. Training induces cognitive bias: the case of a simulation-based
emergency airway curriculum. Simul Healthc. 2014;9(2):85-93. doi:10.1097/SIH.0b013e3182a90304.
https:/…
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psnet.ahrq.gov/node/50922/psn-pdf
February 19, 2020 - An Organisation Losing its Memory? Patient Safety
Alerts: Implementation, Monitoring and Regulation in
England
February 19, 2020
Cousins D. Croydon, UK: Accidents against Medical Accidents; 2020.
https://psnet.ahrq.gov/issue/organisation-losing-its-memory-patient-safety-alerts-implementation-
monitoring-and-regul…
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psnet.ahrq.gov/node/46637/psn-pdf
December 06, 2017 - Instituting vincristine minibag administration: an
innovative strategy using simulation to enhance
chemotherapy safety.
December 6, 2017
Corbitt N, Malick L, Nishioka J, et al. Instituting Vincristine Minibag Administration: An Innovative Strategy
Using Simulation to Enhance Chemotherapy Safety. J Infus Nurs. 2017…
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psnet.ahrq.gov/node/73524/psn-pdf
July 21, 2021 - Intravenous admixture preparation considerations, Parts
9-A and 9-B: error prevention in intravenous admixture
preparation.
July 21, 2021
Allen LV, Jr. Int J Pharm Compd. 2021;25:131-139; 222-229.
https://psnet.ahrq.gov/issue/intravenous-admixture-preparation-considerations-parts-9-and-9-b-error-
prevention-…
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psnet.ahrq.gov/node/838193/psn-pdf
September 28, 2022 - Economics of Medication Safety. Improving Medication
Safety Through Collective, Real-time Learning.
September 28, 2022
de Bienassis K, Esmail L, Lopert R, Klazinga N for the Organisation for Economic Co-operation and
Development. Paris, France: OECD Publishing; 2022. OECD Health Working Papers, No. 147.
…
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psnet.ahrq.gov/node/867182/psn-pdf
November 20, 2024 - Combining multiple large language models improves
diagnostic accuracy.
November 20, 2024
Barabucci G, Shia V, Chu ES, et al. Combining multiple large language models improves diagnostic
accuracy. NEJM AI. 2024;1(11):AIcs2400502. doi:10.1056/aics2400502.
https://psnet.ahrq.gov/issue/combining-multiple-large-languag…
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psnet.ahrq.gov/node/35575/psn-pdf
April 11, 2011 - Parental preferences for error disclosure, reporting, and
legal action after medical error in the care of their
children.
April 11, 2011
Hobgood C, Tamayo-Sarver JH, Elms A, et al. Parental preferences for error disclosure, reporting, and
legal action after medical error in the care of their children. Pediatrics. …
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psnet.ahrq.gov/node/849135/psn-pdf
May 17, 2023 - Quality and Safety Considerations in Intensity Modulated
Radiation Therapy: An ASTRO Safety White Paper
Update.
May 17, 2023
Moran JM, Bazan JG, Dawes SL, et al. Quality and Safety Considerations in Intensity Modulated Radiation
Therapy: An ASTRO Safety White Paper Update. Pract Radiat Oncol. 2023;13(3):203-216.
…
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psnet.ahrq.gov/node/35805/psn-pdf
January 02, 2017 - Getting the board on board: engaging hospital boards in
quality and patient safety.
January 2, 2017
Joshi MS, Hines S. Getting the board on board: Engaging hospital boards in quality and patient safety. Jt
Comm J Qual Patient Saf. 2006;32(4):179-87.
https://psnet.ahrq.gov/issue/getting-board-board-engaging-hospita…
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psnet.ahrq.gov/node/45455/psn-pdf
June 29, 2017 - JAMA professionalism: disclosure of medical error.
June 29, 2017
Levinson W, Yeung J, Ginsburg S. Disclosure of Medical Error. JAMA. 2016;316(7):764-5.
doi:10.1001/jama.2016.9136.
https://psnet.ahrq.gov/issue/jama-professionalism-disclosure-medical-error
Disclosing medical errors to patients is essential for maint…
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psnet.ahrq.gov/node/43962/psn-pdf
December 04, 2015 - Undergraduate baccalaureate nursing students' self-
reported confidence in learning about patient safety in the
classroom and clinical settings: an annual cross-
sectional study (2010–2013).
December 4, 2015
Lukewich J, Edge DS, Tranmer J, et al. Undergraduate baccalaureate nursing students' self-reported
confide…
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psnet.ahrq.gov/node/851649/psn-pdf
July 26, 2023 - Interdisciplinary and interprofessional communication
intervention: how psychological safety fosters
communication and increases patient safety.
July 26, 2023
Dietl JE, Derksen C, Keller FM, et al. Interdisciplinary and interprofessional communication intervention:
how psychological safety fosters communication an…
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psnet.ahrq.gov/node/41232/psn-pdf
December 31, 2014 - Using FDA reports to inform a classification for health
information technology safety problems.
December 31, 2014
Magrabi F, Ong M-S, Runciman WB, et al. Using FDA reports to inform a classification for health
information technology safety problems. J Am Med Inform Assoc. 2012;19(1):45-53. doi:10.1136/amiajnl-
201…
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psnet.ahrq.gov/node/72853/psn-pdf
March 17, 2021 - Evaluating the relationship between health information
technology and safer-prescribing in the long-term care
setting: a systematic review.
March 17, 2021
Kruse CS, Mileski M, Syal R, et al. Evaluating the relationship between health information technology and
safer-prescribing in the long-term care setting: a sys…
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psnet.ahrq.gov/node/846708/psn-pdf
March 29, 2023 - Anesthesiology patient handoff education interventions: a
systematic review.
March 29, 2023
Riesenberg LA, Davis R, Heng A, et al. Anesthesiology patient handoff education interventions: a
systematic review. Jt Comm J Qual Patient Saf. 2023;49(8):394-404. doi:10.1016/j.jcjq.2022.12.002.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/47041/psn-pdf
June 27, 2018 - Medicare takes aim at boomerang hospitalizations of
nursing home patients.
June 27, 2018
Rau J. Kaiser Health News. June 13, 2018.
https://psnet.ahrq.gov/issue/medicare-takes-aim-boomerang-hospitalizations-nursing-home-patients
Safety problems are common in nursing homes due to challenges such as poor safety cultu…