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psnet.ahrq.gov/node/44954/psn-pdf
January 07, 2019 - Snowball in a Blizzard: A Physician's Notes on
Uncertainty in Medicine.
January 7, 2019
Hatch S. New York, NY: Basic Books; 2016. ISBN: 9780465050642.
https://psnet.ahrq.gov/issue/snowball-blizzard-physicians-notes-uncertainty-medicine
Uncertainty is often present in various areas of medical practice. This book pr…
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psnet.ahrq.gov/node/37120/psn-pdf
March 24, 2011 - Patient safety culture in primary care: developing a
theoretical framework for practical use.
March 24, 2011
Kirk S, Parker D, Claridge T, et al. Patient safety culture in primary care: developing a theoretical
framework for practical use. Qual Saf Health Care. 2007;16(4):313-20.
https://psnet.ahrq.gov/issue/patie…
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psnet.ahrq.gov/node/45316/psn-pdf
August 31, 2016 - The thinking doctor: clinical decision making in
contemporary medicine.
August 31, 2016
Trimble M, Hamilton P. The thinking doctor: clinical decision making in contemporary medicine. Clin Med
(Lond). 2016;16(4):343-346. doi:10.7861/clinmedicine.16-4-343.
https://psnet.ahrq.gov/issue/thinking-doctor-clinical-decisi…
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psnet.ahrq.gov/node/47611/psn-pdf
January 23, 2019 - Drug and opioid-involved overdose deaths- United States,
2013-2017.
January 23, 2019
Scholl L, Seth P, Kariisa M, et al. Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017.
MMWR Morb Mortal Wkly Rep. 2018;67(5152):1419-1427. doi:10.15585/mmwr.mm675152e1.
https://psnet.ahrq.gov/issue/drug-and-opioi…
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psnet.ahrq.gov/node/48005/psn-pdf
May 08, 2019 - Why your doctor's white coat can be a threat to your
health.
May 8, 2019
Haun N, Hooper-Lane C, Safdar N. Healthcare Personnel Attire and Devices as Fomites: A Systematic
Review. Infect Control Hosp Epidemiol. 2016;37(11):1367-1373.
https://psnet.ahrq.gov/issue/why-your-doctors-white-coat-can-be-threat-your-health…
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psnet.ahrq.gov/node/866411/psn-pdf
July 31, 2024 - Simulation to Improve Patient Safety: Getting Started.
July 31, 2024
Deutsch ES, Bajaj K. Simulation To Improve Patient Safety: Getting Started. Rockville, MD: Agency for
Healthcare Research and Quality; July 2024. Publication No. 24-0055.
https://psnet.ahrq.gov/issue/simulation-improve-patient-safety-getting-start…
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psnet.ahrq.gov/node/43284/psn-pdf
November 28, 2016 - Parental involvement in the preoperative surgical safety
checklist is welcomed by both parents and staff.
November 28, 2016
Corbally MT, Tierney E. Parental involvement in the preoperative surgical safety checklist is welcomed by
both parents and staff. Int J Pediatr. 2014;2014:791490. doi:10.1155/2014/791490.
htt…
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psnet.ahrq.gov/node/44295/psn-pdf
August 26, 2015 - Early diagnostic suggestions improve accuracy of family
physicians: a randomized controlled trial in Greece.
August 26, 2015
Kostopoulou O, Lionis C, Angelaki A, et al. Early diagnostic suggestions improve accuracy of family
physicians: a randomized controlled trial in Greece. Fam Pract. 2015;32(3):323-8.
doi:10.1…
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psnet.ahrq.gov/node/859347/psn-pdf
December 20, 2023 - Making surgery as safe as it should be: a qualitative
study.
December 20, 2023
Robinson DJ, Beaumont G. Making surgery as safe as it should be: a qualitative study. Am J Med Qual.
2023;38(5):238-244. doi:10.1097/jmq.0000000000000139.
https://psnet.ahrq.gov/issue/making-surgery-safe-it-should-be-qualitative-study
…
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psnet.ahrq.gov/node/35553/psn-pdf
July 03, 2013 - Maximizing the Use of State Adverse Event Data to
Improve Patient Safety.
July 3, 2013
Rosenthal J, Booth M. National Academy for State Health Policy; 2005.
https://psnet.ahrq.gov/issue/maximizing-use-state-adverse-event-data-improve-patient-safety
This report, generated by the National Academy for State Health Po…
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psnet.ahrq.gov/node/46298/psn-pdf
October 18, 2017 - CVS taps a design legend to reinvent the prescription
label. Next stop: the pharmacy.
October 18, 2017
Kuang C. Fast Company. October 4, 2017.
https://psnet.ahrq.gov/issue/cvs-taps-design-legend-reinvent-prescription-label-next-stop-pharmacy
Complicated systems often require more than one change to improve their s…
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psnet.ahrq.gov/node/37255/psn-pdf
December 19, 2011 - Communicating in the "gray zone": perceptions about
emergency physician-hospitalist handoffs and patient
safety.
December 19, 2011
Apker J, Mallak LA, Gibson SC. Communicating in the "gray zone": perceptions about emergency physician
hospitalist handoffs and patient safety. Acad Emerg Med. 2007;14(10):884-94.
htt…
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psnet.ahrq.gov/node/849126/psn-pdf
May 17, 2023 - The family's contribution to patient safety.
May 17, 2023
Correia T, Martins MM, Barroso F, et al. The family's contribution to patient safety. Nurs Rep.
2023;13(2):634-643. doi:10.3390/nursrep13020056.
https://psnet.ahrq.gov/issue/familys-contribution-patient-safety
Family involvement in care can have mixed resul…
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psnet.ahrq.gov/node/44479/psn-pdf
September 09, 2015 - Health literacy in primary care practice.
September 9, 2015
Hersh L, Salzman B, Snyderman D. Health Literacy in Primary Care Practice. Am Fam Physician.
2015;92(2):118-124.
https://psnet.ahrq.gov/issue/health-literacy-primary-care-practice
Limited health literacy can lead to patients misunderstanding care instruct…
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psnet.ahrq.gov/node/46909/psn-pdf
August 01, 2018 - Guidance on Safe Medical Staffing: Report of a Working
Party.
August 1, 2018
London, UK: Royal College of Physicians; 2018. ISBN: 9781860167270.
https://psnet.ahrq.gov/issue/guidance-safe-medical-staffing-report-working-party
Lack of appropriate staffing can diminish the safety and effectiveness of medical service…
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psnet.ahrq.gov/node/44326/psn-pdf
October 21, 2015 - Safety first! Using a checklist for intrafacility transport of
adult intensive care patients.
October 21, 2015
Comeau OY, Armendariz-Batiste J, Woodby SA. Safety First! Using a Checklist for Intrafacility Transport of
Adult Intensive Care Patients. Crit Care Nurse. 2015;35(5):16-25. doi:10.4037/ccn2015991.
https:/…
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psnet.ahrq.gov/node/40976/psn-pdf
February 20, 2012 - Patient safety in patients who occupy beds on clinically
inappropriate wards: a qualitative interview study with
NHS staff.
February 20, 2012
Goulding L, Adamson J, Watt I, et al. Patient safety in patients who occupy beds on clinically inappropriate
wards: a qualitative interview study with NHS staff. BMJ Qual Sa…
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psnet.ahrq.gov/node/46699/psn-pdf
March 20, 2018 - Disclosure of harmful medical error to patients: a review
with recommendations for pathologists.
March 20, 2018
Heher YK, Dintzis SM. Disclosure of Harmful Medical Error to Patients: A Review With Recommendations
for Pathologists. Adv Anat Pathol. 2018;25(2):124-130. doi:10.1097/PAP.0000000000000181.
https://psnet…
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psnet.ahrq.gov/node/36086/psn-pdf
June 14, 2011 - Sensemaking of patient safety risks and hazards.
June 14, 2011
Battles J, Dixon NM, Borotkanics RJ, et al. Sensemaking of patient safety risks and hazards. Health Serv
Res. 2006;41(4 Pt 2):1555-1575.
https://psnet.ahrq.gov/issue/sensemaking-patient-safety-risks-and-hazards
This commentary discusses the concept of …
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psnet.ahrq.gov/node/855093/psn-pdf
November 08, 2023 - Viewpoint: Patient safety in primary care - patients are not
just a beneficiary but a critical component in its
achievement.
November 8, 2023
Kavanagh KT, Cormier LE. Viewpoint: Patient safety in primary care – patients are not just a beneficiary
but a critical component in its achievement. Medicine (Baltimore). 2…