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  1. An assessment of basic patient safety skills in residents entering the first year of clinical training. | PSNet

    psnet.ahrq.gov/issue/assessment-basic-patient-safety-skills-residents-entering-first-year-clinical-training
    February 21, 2018 - Study An assessment of basic patient safety skills in residents entering the first year of clinical training. Citation Text: Comunale ME, Sandoval M, Broussard LT. An Assessment of Basic Patient Safety Skills in Residents Entering the First Year of Clinical Training. J Patient Saf. 2018;…

  2. Breast cancer missed at screening; hindsight or mistakes? | PSNet

    psnet.ahrq.gov/issue/breast-cancer-missed-screening-hindsight-or-mistakes
    November 15, 2023 - Study Breast cancer missed at screening; hindsight or mistakes? Citation Text: Hovda T, Larsen M, Romundstad L, et al. Breast cancer missed at screening; hindsight or mistakes? Eur J Radiol. 2023;165:110913. doi:10.1016/j.ejrad.2023.110913. Copy Citation Format: DOI Google …

  3. Occupational stress and cognitive failure of nurses and associations with on self-reported adverse events: a national cross-sectional survey. | PSNet

    psnet.ahrq.gov/issue/occupational-stress-and-cognitive-failure-nurses-and-associations-self-reported-adverse
    June 09, 2021 - Study Emerging Classic Occupational stress and cognitive failure of nurses and associations with on self-reported adverse events: a national cross-sectional survey. Citation Text: Kakemam E, Kalhor R, Khakdel Z, et al. Occupational stress and cognitive failure o…

  4. Making patients safer: nurses' responses to patient safety alerts. | PSNet

    psnet.ahrq.gov/issue/making-patients-safer-nurses-responses-patient-safety-alerts
    April 13, 2011 - Study Making patients safer: nurses' responses to patient safety alerts. Citation Text: Lankshear A, Lowson K, Harden J, et al. Making patients safer: nurses’ responses to patient safety alerts. J Adv Nurs. 2008;63(6). doi:10.1111/j.1365-2648.2008.04741.x. Copy Citation Format: …

  5. Comparing the utility of a standard pediatric resuscitation cart with a pediatric resuscitation cart based on the Broselow tape: a randomized, controlled, crossover trial involving simulated resuscitation scenarios. | PSNet

    psnet.ahrq.gov/issue/comparing-utility-standard-pediatric-resuscitation-cart-pediatric-resuscitation-cart-based
    December 15, 2011 - Study Comparing the utility of a standard pediatric resuscitation cart with a pediatric resuscitation cart based on the Broselow tape: a randomized, controlled, crossover trial involving simulated resuscitation scenarios. Citation Text: Agarwal S, Swanson S, Murphy A, et al. Comparing …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33810/psn-pdf
    June 01, 2016 - Becoming a Certified Professional in Patient Safety—A Registered Nurse's Perspective June 1, 2016 Frank K. Becoming a Certified Professional in Patient Safety—A Registered Nurse's Perspective. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-registered-nurse…

  7. Anesthesia Risk Alert program: a proactive safety initiative. | PSNet

    psnet.ahrq.gov/issue/anesthesia-risk-alert-program-proactive-safety-initiative
    September 02, 2015 - Study Anesthesia Risk Alert program: a proactive safety initiative. Citation Text: Lee B, Marhalik-Helms J, Penzi L. Anesthesia Risk Alert program: a proactive safety initiative. Jt Comm J Qual Patient Saf. 2023;49(9):441-449. doi:10.1016/j.jcjq.2023.06.005. Copy Citation Format: …

  8. Imperfect practice makes perfect: error management training improves transfer of learning. | PSNet

    psnet.ahrq.gov/issue/imperfect-practice-makes-perfect-error-management-training-improves-transfer-learning
    May 19, 2019 - Study Imperfect practice makes perfect: error management training improves transfer of learning. Citation Text: Dyre L, Tabor A, Ringsted C, et al. Imperfect practice makes perfect: error management training improves transfer of learning. Med Educ. 2017;51(2):196-206. doi:10.1111/medu.13…

  9. A method for measuring system safety and latent errors associated with pediatric procedural sedation. | PSNet

    psnet.ahrq.gov/issue/method-measuring-system-safety-and-latent-errors-associated-pediatric-procedural-sedation
    April 11, 2011 - Study A method for measuring system safety and latent errors associated with pediatric procedural sedation. Citation Text: Blike G, Christoffersen K, Cravero JP, et al. A method for measuring system safety and latent errors associated with pediatric procedural sedation. Anesth Analg. 2…

  10. One-stop diagnostic breast clinics: how often are breast cancers missed? | PSNet

    psnet.ahrq.gov/issue/one-stop-diagnostic-breast-clinics-how-often-are-breast-cancers-missed
    August 04, 2021 - Study One-stop diagnostic breast clinics: how often are breast cancers missed? Citation Text: Britton P, Duffy SW, Sinnatamby R, et al. One-stop diagnostic breast clinics: how often are breast cancers missed? Br J Cancer. 2009;100(12). doi:10.1038/sj.bjc.6605082. Copy Citation Fo…

  11. Implementing IBH Plan: Ambulatory Care Setting | The Academy

    integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan-integrating-behavioral-health-your-ambulatory-care-setting
    June 01, 2022 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

  12. Radiology errors: are we learning from our mistakes? | PSNet

    psnet.ahrq.gov/issue/radiology-errors-are-we-learning-our-mistakes
    May 26, 2011 - Study Radiology errors: are we learning from our mistakes? Citation Text: Mankad K, Hoey ETD, Jones JB, et al. Radiology errors: are we learning from our mistakes? Clin Radiol. 2009;64(10):988-93. doi:10.1016/j.crad.2009.06.002. Copy Citation Format: DOI Google Scholar Pu…

  13. An educational intervention to enhance nurse leaders' perceptions of patient safety culture. | PSNet

    psnet.ahrq.gov/issue/educational-intervention-enhance-nurse-leaders-perceptions-patient-safety-culture
    February 14, 2015 - Study An educational intervention to enhance nurse leaders' perceptions of patient safety culture. Citation Text: Ginsburg LR, Norton PG, Casebeer A, et al. An educational intervention to enhance nurse leaders' perceptions of patient safety culture. Health Serv Res. 2005;40(4):997-1020…

  14. Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? A case control study. | PSNet

    psnet.ahrq.gov/issue/can-medical-students-identify-potentially-serious-acetaminophen-dosing-error-simulated
    March 30, 2011 - Study Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? A case control study. Citation Text: Dudas RA, Barone MA. Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? a case control…

  15. Components of hospital perioperative infrastructure can overcome the weekend effect in urgent general surgery procedures. | PSNet

    psnet.ahrq.gov/issue/components-hospital-perioperative-infrastructure-can-overcome-weekend-effect-urgent-general
    July 05, 2017 - Study Components of hospital perioperative infrastructure can overcome the weekend effect in urgent general surgery procedures. Citation Text: Kothari A, Zapf MAC, Blackwell RH, et al. Components of Hospital Perioperative Infrastructure Can Overcome the Weekend Effect in Urgent General S…

  16. A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. | PSNet

    psnet.ahrq.gov/issue/vignette-study-examine-health-care-professionals-attitudes-towards-patient-involvement-error
    March 11, 2013 - Study A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. Citation Text: Schwappach DLB, Frank O, Davis R. A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. J…

  17. The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. | PSNet

    psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-incident-reporting-tool-increases-psychiatrist
    March 10, 2021 - Study The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. Citation Text: Kroll DS, Shellman AD, Gitlin DF. The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in R…

  18. Medical misadventures as errors and mistakes and motor vehicular accidents in the disproportionate burden of childhood mortality among Blacks/African Americans in the United States: CDC Dataset, 1968-2015. | PSNet

    psnet.ahrq.gov/issue/medical-misadventures-errors-and-mistakes-and-motor-vehicular-accidents-disproportionate
    March 05, 2025 - Study Medical misadventures as errors and mistakes and motor vehicular accidents in the disproportionate burden of childhood mortality among Blacks/African Americans in the United States: CDC Dataset, 1968-2015. Citation Text: Holmes L, Enwere M, Mason R, et al. Medical misadventures as …

  19. A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand hygiene. | PSNet

    psnet.ahrq.gov/issue/qualitative-study-senior-hospital-managers-views-current-and-innovative-strategies-improve
    March 08, 2023 - Study A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand hygiene. Citation Text: McInnes E, Phillips R, Middleton S, et al. A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand…

  20. Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A systematic review. | PSNet

    psnet.ahrq.gov/issue/there-role-patients-and-their-relatives-escalating-clinical-deterioration-hospital-systematic
    March 08, 2023 - Review Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A systematic review. Citation Text: Albutt AK, O'Hara JK, Conner MT, et al. Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A syste…
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