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psnet.ahrq.gov/node/851655/psn-pdf
July 26, 2023 - Exploring everyday work as a dynamic non-event and
adaptations to manage safety in intraoperative
anaesthesia care: an interview study.
July 26, 2023
Olin K, Klinga C, Ekstedt M, et al. Exploring everyday work as a dynamic non-event and adaptations to
manage safety in intraoperative anaesthesia care: an interview …
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psnet.ahrq.gov/node/47877/psn-pdf
June 15, 2019 - End-to-end lung cancer screening with three-dimensional
deep learning on low-dose chest computed tomography.
June 15, 2019
Ardila D, Kiraly AP, Bharadwaj S, et al. End-to-end lung cancer screening with three-dimensional deep
learning on low-dose chest computed tomography. Nat Med. 2019;25(6):954-961. doi:10.1038/s4…
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psnet.ahrq.gov/node/43764/psn-pdf
July 03, 2016 - Redesigning rounds: towards a more purposeful
approach to inpatient teaching and learning.
July 3, 2016
Reilly JB, Bennett N, Fosnocht K, et al. Redesigning rounds: towards a more purposeful approach to
inpatient teaching and learning. Acad Med. 2015;90(4):450-3. doi:10.1097/ACM.0000000000000579.
https://psnet.ahr…
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psnet.ahrq.gov/node/845301/psn-pdf
March 01, 2023 - Evaluation of effectiveness and safety of pharmacist
independent prescribers in care homes: cluster
randomised controlled trial.
March 1, 2023
Holland R, Bond CM, Alldred DP, et al. Evaluation of effectiveness and safety of pharmacist independent
prescribers in care homes: cluster randomised controlled trial. BMJ.…
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psnet.ahrq.gov/node/43651/psn-pdf
November 18, 2016 - Ebola US Patient Zero: lessons on misdiagnosis and
effective use of electronic health records.
November 18, 2016
Upadhyay DK, Sittig DF, Singh H. Ebola US Patient Zero: lessons on misdiagnosis and effective use of
electronic health records. Diagnosis (Berl). 2014;1(4):283-287. doi:10.1515/dx-2014-0064.
https://psn…
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psnet.ahrq.gov/node/861764/psn-pdf
January 31, 2024 - Low rate of completion of recommended tests and
referrals in an academic primary care practice with
resident trainees.
January 31, 2024
Amat MJ, Anderson TS, Shafiq U, et al. Low rate of completion of recommended tests and referrals in an
academic primary care practice with resident trainees. Jt Comm J Qual Patien…
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psnet.ahrq.gov/node/47118/psn-pdf
August 08, 2018 - Wrong-site nerve blocks: a systematic literature review to
guide principles for prevention.
August 8, 2018
Deutsch ES, Yonash RA, Martin DE, et al. Wrong-site nerve blocks: A systematic literature review to guide
principles for prevention. J Clin Anesth. 2018;46:101-111. doi:10.1016/j.jclinane.2017.12.008.
https:/…
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psnet.ahrq.gov/node/60571/psn-pdf
June 10, 2020 - Going to the COVID-19 Gemba: using observation and
high reliability strategies to achieve safety in a time of
crisis.
June 10, 2020
Thull-Freedman J, Mondoux S, Stang A, et al. Going to the COVID-19 Gemba: Using observation and high
reliability strategies to achieve safety in a time of crisis. CJEM. 2020;22(6):738…
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psnet.ahrq.gov/node/837804/psn-pdf
August 10, 2022 - Nurses' harm prevention practices during admission of an
older person to the hospital: a multi-method qualitative
study.
August 10, 2022
Redley B, Douglas T, Hoon L, et al. Nurses' harm prevention practices during admission of an older person
to the hospital: a multi?method qualitative study. J Adv Nurs. 2022;78(1…
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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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/staff-safety-asst.docx
January 01, 2017 - Tool: SSA
What Is the Purpose of This Tool?
The purpose of this tool is to tap into frontline knowledge to find risks on your unit that impact patient safety.
Who Should Use This Tool?
All health care providers and administrative staff on the unit should use this tool.
When Should This Tool Be Used?
Assessing saf…
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psnet.ahrq.gov/node/837416/psn-pdf
June 15, 2022 - From principles to practice: embedding clinical reasoning
as a longitudinal curriculum theme in a medical school
programme.
June 15, 2022
Singh M, Collins L, Farrington R, et al. From principles to practice: embedding clinical reasoning as a
longitudinal curriculum theme in a medical school programme. Diagnosis (B…
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www.ahrq.gov/talkingquality/translate/labels/index.html
March 01, 2016 - Describing Health Care Quality Measures in User-Friendly Ways
Most people are not familiar with even quite common health care quality measures. The typical “name” of most clinical measures is in medical language that many people do not understand or may actually misunderstand. At this stage in the development…
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psnet.ahrq.gov/node/72682/psn-pdf
January 27, 2021 - Healthcare failure mode and effect analysis (HFMEA) as
an effective mechanism in preventing infection caused by
accompanying caregivers during COVID-19-experience of
a city medical center in Taiwan.
January 27, 2021
Tiao C-H, Tsai L-C, Chen L-C, et al. Healthcare Failure Mode and Effect Analysis (HFMEA) as an Effe…
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psnet.ahrq.gov/node/38572/psn-pdf
April 22, 2009 - Development and validation of the SURgical PAtient
Safety System (SURPASS) checklist.
April 22, 2009
de Vries EN, Hollmann MW, Smorenburg SM, et al. Development and validation of the SURgical PAtient
Safety System (SURPASS) checklist. Qual Saf Health Care. 2009;18(2):121-6.
doi:10.1136/qshc.2008.027524.
https://p…
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psnet.ahrq.gov/node/866076/psn-pdf
June 05, 2024 - Locum doctor working and quality and safety: a
qualitative study in English primary and secondary care.
June 5, 2024
Ferguson J, Stringer G, Walshe K, et al. Locum doctor working and quality and safety: a qualitative study in
English primary and secondary care. BMJ Qual Saf. 2024;33(6):354-362. doi:10.1136/bmjqs-20…
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psnet.ahrq.gov/node/866909/psn-pdf
October 09, 2024 - General practitioners' risk literacy and real-world
prescribing of potentially hazardous drugs: a cross-
sectional study.
October 9, 2024
Wegwarth O, Hoffmann TC, Goldacre B, et al. General practitioners’ risk literacy and real-world prescribing
of potentially hazardous drugs: a cross-sectional study. BMJ Qual Saf…
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psnet.ahrq.gov/node/72579/psn-pdf
January 01, 2021 - Registration errors among patients receiving blood
transfusions: a national analysis from 2008 to 2017.
December 16, 2020
Vijenthira S, Armali C, Downie H, et al. Registration errors among patients receiving blood transfusions: a
national analysis from 2008 to 2017. Vox Sang. 2021;116(2):225-233. doi:10.1111/vox.13…
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psnet.ahrq.gov/node/50883/psn-pdf
February 12, 2020 - Time series evaluation of improvement interventions to
reduce alarm notifications in a paediatric hospital.
February 12, 2020
Pater CM, Sosa TK, Boyer J, et al. Time series evaluation of improvement interventions to reduce alarm
notifications in a paediatric hospital. BMJ Qual Saf. 2020;29(9):717-726. doi:10.1136/b…
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psnet.ahrq.gov/node/73286/psn-pdf
May 19, 2021 - Engineering care transitions: clinician perceptions of
barriers to safe medication management during
transitions of patient care.
May 19, 2021
Hannum SM, Abebe E, Xiao Y, et al. Engineering care transitions: clinician perceptions of barriers to safe
medication management during transitions of patient care. Appl Er…