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psnet.ahrq.gov/training-catalog/asc-infection-prevention-online-course
ASC Infection Prevention Online Course
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Organization:
Organization
Association of periOperative Registered Nurses (AORN)
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psnet.ahrq.gov/training-catalog/21st-annual-northwest-patient-safety-conference
21st Annual Northwest Patient Safety Conference
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Organization:
Organization
Washington Patient Safety Coalition (WPSC)
Eve…
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psnet.ahrq.gov/node/47540/psn-pdf
April 03, 2019 - Medication handling: towards a practical, human-centred
approach.
April 3, 2019
Marshall SD, Chrimes N. Medication handling: towards a practical, human-centred approach. Anaesthesia.
2019;74(3):280-284. doi:10.1111/anae.14482.
https://psnet.ahrq.gov/issue/medication-handling-towards-practical-human-centred-approac…
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psnet.ahrq.gov/node/42019/psn-pdf
December 29, 2014 - Can incident reporting improve safety? Healthcare
practitioners' views of the effectiveness of incident
reporting.
December 29, 2014
Anderson JE, Kodate N, Walters R, et al. Can incident reporting improve safety? Healthcare practitioners'
views of the effectiveness of incident reporting. Int J Qual Health Care. 20…
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psnet.ahrq.gov/node/43994/psn-pdf
August 02, 2015 - Using simulation to improve patient safety: dawn of a new
era.
August 2, 2015
Cheng A, Grant V, Auerbach M. Using simulation to improve patient safety: dawn of a new era. JAMA
Pediatr. 2015;169(5):419-20. doi:10.1001/jamapediatrics.2014.3817.
https://psnet.ahrq.gov/issue/using-simulation-improve-patient-safety-daw…
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psnet.ahrq.gov/node/44389/psn-pdf
August 19, 2015 - A method of addressing proprietary name similarity for
US prescription drugs.
August 19, 2015
Stockbridge MD, Taylor K. A Method of Addressing Proprietary Name Similarity for US Prescription Drugs.
Ther Innov Regul Sci. 2015;49(4). doi:10.1177/2168479015570331.
https://psnet.ahrq.gov/issue/method-addressing-propri…
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psnet.ahrq.gov/node/41644/psn-pdf
September 12, 2012 - The cost of harm and savings through safety: using
simulated patients for leadership decision support.
September 12, 2012
Denham CR, Guilloteau FR. The cost of harm and savings through safety: using simulated patients for
leadership decision support. J Patient Saf. 2012;8(3):89-96. doi:10.1097/PTS.0b013e318258cb25.…
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psnet.ahrq.gov/node/37347/psn-pdf
March 28, 2012 - Recognition and management of potential drug-drug
interactions in patients on internal medicine wards.
March 28, 2012
Vonbach P, Dubied A, Beer JH, et al. Recognition and management of potential drug-drug interactions in
patients on internal medicine wards. Eur J Clin Pharmacol. 2007;63(11):1075-83.
https://psnet.…
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psnet.ahrq.gov/node/45881/psn-pdf
March 15, 2017 - CE: nursing's evolving role in patient safety.
March 15, 2017
Kowalski SL, Anthony M. CE: Nursing's Evolving Role in Patient Safety. Am J Nurs. 2017;117(2):34-48.
doi:10.1097/01.NAJ.0000512274.79629.3c.
https://psnet.ahrq.gov/issue/ce-nursings-evolving-role-patient-safety
Nursing is a key component of patient car…
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psnet.ahrq.gov/node/44132/psn-pdf
May 13, 2015 - Adverse outcomes: why bad things happen to good
people.
May 13, 2015
Sonnenberg A. Adverse outcomes: why bad things happen to good people. Clin Gastroenterol Hepatol.
2015;13(5):820-3.e1. doi:10.1016/j.cgh.2014.07.064.
https://psnet.ahrq.gov/issue/adverse-outcomes-why-bad-things-happen-good-people
This commentary…
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psnet.ahrq.gov/node/45906/psn-pdf
June 22, 2017 - A piece of my mind. After the medical error.
June 22, 2017
Worthen M. After the Medical Error. JAMA. 2017;317(17):1763-1764. doi:10.1001/jama.2017.0004.
https://psnet.ahrq.gov/issue/piece-my-mind-after-medical-error
Patients who have been exposed to medical error could be reluctant to trust the health care system.
…
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psnet.ahrq.gov/node/47260/psn-pdf
August 08, 2018 - Building the Case for Health Literacy: Proceedings of a
Workshop.
August 8, 2018
National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press;
2018. ISBN: 9780309474290.
https://psnet.ahrq.gov/issue/building-case-health-literacy-proceedings-workshop
Health literacy affects p…
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psnet.ahrq.gov/node/46727/psn-pdf
August 21, 2021 - Alliance for Innovation on Maternal Health.
August 21, 2021
American College of Obstetricians and Gynecologists.
https://psnet.ahrq.gov/issue/alliance-innovation-maternal-health
This website provides information from a multidisciplinary collaboration whose mission was to support safe
health care for pregnant and p…
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psnet.ahrq.gov/node/43096/psn-pdf
August 22, 2016 - Rapid learning of adverse medical event disclosure and
apology.
August 22, 2016
Raemer D, Locke S, Walzer TB, et al. Rapid Learning of Adverse Medical Event Disclosure and Apology. J
Patient Saf. 2016;12(3):140-7. doi:10.1097/PTS.0000000000000080.
https://psnet.ahrq.gov/issue/rapid-learning-adverse-medical-event-d…
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psnet.ahrq.gov/node/39086/psn-pdf
May 24, 2015 - Psychiatry morbidity and mortality rounds:
implementation and impact.
May 24, 2015
Goldman S, Demaso DR, Kemler B. Psychiatry morbidity and mortality rounds: implementation and impact.
Acad Psychiatry. 2009;33(5):383-8. doi:10.1176/appi.ap.33.5.383.
https://psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-r…
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psnet.ahrq.gov/node/44955/psn-pdf
May 21, 2016 - Accuracy of the Safer Dx Instrument to identify diagnostic
errors in primary care.
May 21, 2016
Al-Mutairi A, Meyer AND, Thomas EJ, et al. Accuracy of the Safer Dx Instrument to Identify Diagnostic
Errors in Primary Care. J Gen Intern Care. 2016;31(6):602-608. doi:10.1007/s11606-016-3601-x.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/853630/psn-pdf
September 20, 2023 - California pharmacies are making millions of mistakes.
They’re fighting to keep that secret.
September 20, 2023
Peterson M. Los Angeles Times. September 5, 2023.
https://psnet.ahrq.gov/issue/california-pharmacies-are-making-millions-mistakes-theyre-fighting-keep-secret
Safe practice in community pharmacy is challe…
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psnet.ahrq.gov/node/44885/psn-pdf
April 22, 2016 - Changing the "working while sick" culture.
April 22, 2016
Tanksley AL, Wolfson RK, Arora V. Changing the "Working While Sick" Culture: Promoting Fitness for Duty
in Health Care. JAMA. 2016;315(6):603-4. doi:10.1001/jama.2016.0094.
https://psnet.ahrq.gov/issue/changing-working-while-sick-culture
Clinicians often fe…
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psnet.ahrq.gov/node/39060/psn-pdf
October 28, 2009 - Impact of duty-hour restriction on resident inpatient
teaching.
October 28, 2009
Mazotti LA, Vidyarthi AR, Wachter RM, et al. Impact of duty-hour restriction on resident inpatient teaching.
J Hosp Med. 2009;4(8). doi:10.1002/jhm.448.
https://psnet.ahrq.gov/issue/impact-duty-hour-restriction-resident-inpatient-teac…
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psnet.ahrq.gov/node/838925/psn-pdf
March 03, 2025 - Improving Quality and Safety in Healthcare.
March 3, 2025
Dixon-Woods M, Martin G, eds. Cambridge, UK: Cambridge University Press; 2022-2025.
https://psnet.ahrq.gov/issue/improving-quality-and-safety-healthcare
Improvement activities are complex initiatives that require synergistic actions by organizations to be
s…