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psnet.ahrq.gov/node/44941/psn-pdf
October 05, 2016 - An embedded checklist in the Anesthesia Information
Management System improves pre-anaesthetic induction
setup: a randomised controlled trial in a simulation
setting.
October 5, 2016
Wetmore D, Goldberg A, Gandhi N, et al. An embedded checklist in the Anesthesia Information
Management System improves pre-anaesthe…
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psnet.ahrq.gov/node/37610/psn-pdf
June 16, 2011 - Is yours a learning organization?
June 16, 2011
Garvin DA, Edmondson A, Gino F. Is yours a learning organization? Harv Bus Rev. 2008;86(3):109-16,
134.
https://psnet.ahrq.gov/issue/yours-learning-organization
Key tenets of improving patient safety at the organizational level include taking a systems approach to
s…
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psnet.ahrq.gov/node/73426/psn-pdf
June 23, 2021 - The perfect storm: exam of a medical error and factors
contributing to its possible escalation.
June 23, 2021
Walters GK. The perfect storm: exam of a medical error and factors contributing to its possible escalation. J
Patient Saf. 2021;17(4):e264-e267. doi:10.1097/pts.0000000000000846.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/34058/psn-pdf
September 29, 2017 - Research designs for studies evaluating the effectiveness
of change and improvement strategies.
September 29, 2017
Eccles M, Grimshaw J, Campbell M, et al. Research designs for studies evaluating the effectiveness of
change and improvement strategies. Qual Saf Health Care. 2003;12(1):47-52.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/47574/psn-pdf
November 21, 2018 - The architecture of safety: an emerging priority for
improving patient safety.
November 21, 2018
Joseph A, Henriksen K, Malone E. The Architecture Of Safety: An Emerging Priority For Improving Patient
Safety. Health Aff (Millwood). 2018;37(11):1884-1891. doi:10.1377/hlthaff.2018.0643.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/866648/psn-pdf
September 04, 2024 - ACOG Committee Statement No. 10: Racial and Ethnic
Inequities in Obstetrics and Gynecology.
September 4, 2024
ACOG Committee Statement No. 10: Racial and Ethnic Inequities in Obstetrics and Gynecology. Obstet
Gynecol. 2024;144(3):e62-e74. doi:10.1097/aog.0000000000005678.
https://psnet.ahrq.gov/issue/acog-committe…
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psnet.ahrq.gov/node/857461/psn-pdf
December 06, 2023 - 'Nobody cared': Women who have reported mistreatment
while giving birth say CDC report validates their trauma.
Advocates call for systemic change in treatment of
pregnant people.
December 6, 2023
Dwyer D, See P. ABC News. November 28, 2023.
https://psnet.ahrq.gov/issue/nobody-cared-women-who-have-reported-mistrea…
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psnet.ahrq.gov/node/45142/psn-pdf
November 18, 2016 - Explanation and elaboration of the SQUIRE (Standards for
Quality Improvement Reporting Excellence) Guidelines,
V.2.0: examples of SQUIRE elements in the healthcare
improvement literature.
November 18, 2016
Goodman D, Ogrinc G, Davies L, et al. Explanation and elaboration of the SQUIRE (Standards for Quality
Impro…
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psnet.ahrq.gov/node/47549/psn-pdf
March 04, 2019 - Interventions against bullying of prelicensure students
and nursing professionals: an integrative review.
March 4, 2019
Rutherford DE, Gillespie GL, Smith CR. Interventions against bullying of prelicensure students and nursing
professionals: An integrative review. Nurs Forum. 2019;54(1):84-90. doi:10.1111/nuf.12301…
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psnet.ahrq.gov/node/46426/psn-pdf
September 28, 2017 - Toward more proactive approaches to safety in the
electronic health record era.
September 28, 2017
Sittig DF, Singh H. Toward More Proactive Approaches to Safety in the Electronic Health Record Era. Jt
Comm J Qual Patient Saf. 2017;43(10):540-547. doi:10.1016/j.jcjq.2017.06.005.
https://psnet.ahrq.gov/issue/toward…
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psnet.ahrq.gov/node/861292/psn-pdf
January 24, 2024 - Deficiencies in the Community Care Network
Credentialing Process of a Former VA Surgeon and
Veterans Health Administration Oversight Failures.
January 24, 2024
Washington DC: VA Office of the Inspector General; January 4, 2024; Report no. 22-02294-42.
https://psnet.ahrq.gov/issue/deficiencies-community-care-n…
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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/44841/psn-pdf
February 03, 2016 - Preventable Tragedies: Superbugs and How Ineffective
Monitoring of Medical Device Safety Fails Patients.
February 3, 2016
Murray P. Washington, DC; Senate Health, Education, Labor, and Pensions Committee; 2016.
https://psnet.ahrq.gov/issue/preventable-tragedies-superbugs-and-how-ineffective-monitoring-medical-
dev…
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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/60577/psn-pdf
June 10, 2020 - Assuring safe patient care in a level III NICU in
anticipation of hospital closure.
June 10, 2020
Fleishman R, Anday E, Bhandari V. Assuring safe patient care in a level III NICU in anticipation of hospital
closure. J Perinatol. 2020. doi:10.1038/s41372-020-0648-7.
https://psnet.ahrq.gov/issue/assuring-safe-patien…
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psnet.ahrq.gov/node/60060/psn-pdf
March 18, 2020 - The benefits and burdens of working with patient safety
organizations under the Patient Safety and Quality
Improvement Act of 2005.
March 18, 2020
Dwyer PE, Watts CD. The benefits and burdens of working with patient safety organizations under the
Patient Safety and Quality Improvement Act of 2005. J Health Life Sc…
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psnet.ahrq.gov/node/44798/psn-pdf
November 02, 2016 - From the closest observers of patient care: a thematic
analysis of online narrative reviews of hospitals.
November 2, 2016
Bardach N, Lyndon A, Asteria-Peñaloza R, et al. From the closest observers of patient care: a thematic
analysis of online narrative reviews of hospitals. BMJ Qual Saf. 2016;25(11):889-897. doi:…
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psnet.ahrq.gov/node/45351/psn-pdf
July 20, 2016 - Building a Patient Safety Toolkit for use in general
practice.
July 20, 2016
Bell BG, Spencer R, Marsden K, et al. Building a Patient Safety Toolkit for use in general practice.
InnovAiT. 2016;9(9):557-562. doi:10.1177/1755738016650468.
https://psnet.ahrq.gov/issue/patient-safety-toolkit-general-practice
Although…
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psnet.ahrq.gov/node/72830/psn-pdf
March 10, 2021 - Families are struggling to use medicines at home — we
must truly involve them in their own safety.
March 10, 2021
Morris S, O’Hara J. Pharmacuetical Journal. February 26, 2021.
https://psnet.ahrq.gov/issue/families-are-struggling-use-medicines-home-we-must-truly-involve-them-their-
own-safety
It is a ch…
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psnet.ahrq.gov/node/73164/psn-pdf
April 21, 2021 - Effectiveness of communication interventions in
obstetrics--a systematic review.
April 21, 2021
Lippke S, Derksen C, Keller FM, et al. Effectiveness of communication interventions in obstetrics--a
systematic review. Int J Environ Res Public Health. 2021;18(5):2616. doi:10.3390/ijerph18052616.
https://psnet.ahrq.go…