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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/35182/psn-pdf
April 11, 2011 - Standard drug concentrations and smart-pump
technology reduce continuous-medication-infusion errors
in pediatric patients.
April 11, 2011
Larsen G, Parker HB, Cash J, et al. Standard drug concentrations and smart-pump technology reduce
continuous-medication-infusion errors in pediatric patients. Pediatrics. 2005;1…
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psnet.ahrq.gov/node/38143/psn-pdf
February 18, 2011 - A multidisciplinary teamwork training program: The Triad
for Optimal Patient Safety (TOPS) experience.
February 18, 2011
Sehgal NL, Fox M, Vidyarthi A, et al. A multidisciplinary teamwork training program: the Triad for Optimal
Patient Safety (TOPS) experience. J Gen Intern Med. 2008;23(12):2053-7. doi:10.1007/s116…
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psnet.ahrq.gov/node/60626/psn-pdf
June 24, 2020 - A nursing home’s 64-day Covid siege: ‘They’re all going
to die’.
June 24, 2020
Barker K. A nursing home’s 64-day Covid siege: ‘They’re all going to die’. New York Times. 2020;June 10.
https://psnet.ahrq.gov/issue/nursing-homes-64-day-covid-siege-theyre-all-going-die
This feature story describes the COVID-19 experi…
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psnet.ahrq.gov/node/40697/psn-pdf
October 31, 2011 - Real-time automated paging and decision support for
critical laboratory abnormalities.
October 31, 2011
Etchells E, Adhikari NKJ, Wu RC, et al. Real-time automated paging and decision support for critical
laboratory abnormalities. BMJ Qual Saf. 2011;20(11):924-30. doi:10.1136/bmjqs.2010.051110.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/46248/psn-pdf
October 23, 2018 - Medical errors, malpractice, and defensive medicine: an
ill-fated triad.
October 23, 2018
Berlin L. Medical errors, malpractice, and defensive medicine: an ill-fated triad. Diagnosis (Berl).
2017;4(3):133-139. doi:10.1515/dx-2017-0007.
https://psnet.ahrq.gov/issue/medical-errors-malpractice-and-defensive-medicine-…
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psnet.ahrq.gov/node/42308/psn-pdf
June 10, 2013 - Little shop of errors: an innovative simulation patient
safety workshop for community health care
professionals.
June 10, 2013
Tupper JB, Pearson KB, Meinersmann KM, et al. Little shop of errors: an innovative simulation patient
safety workshop for community health care professionals. J Contin Educ Nurs. 2013;44(6…
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psnet.ahrq.gov/node/48006/psn-pdf
May 15, 2019 - Limits on opioid prescribing leave patients with chronic
pain vulnerable.
May 15, 2019
Rubin R. Limits on Opioid Prescribing Leave Patients With Chronic Pain Vulnerable. JAMA.
2019;321(21):2059-2062. doi:10.1001/jama.2019.5188.
https://psnet.ahrq.gov/issue/limits-opioid-prescribing-leave-patients-chronic-pain-vuln…
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psnet.ahrq.gov/node/43034/psn-pdf
March 12, 2014 - Implementation of a pediatric rapid response team:
experience of the Hospital for Sick Children in Toronto.
March 12, 2014
Kukreti V, Gaiteiro R, Mohseni-Bod H. Implementation of a pediatric rapid response team: experience of
the Hospital for Sick Children in Toronto. Indian Pediatr. 2014;51(1):11-5.
https://psnet…
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psnet.ahrq.gov/node/34730/psn-pdf
October 29, 2013 - Medication Errors. 2nd ed.
October 29, 2013
Cohen MR, ed. Washington DC: American Pharmacists Association; 2007.
https://psnet.ahrq.gov/issue/medication-errors-2nd-ed
Cohen, executive director of the Institute for Safe Medication Practices (ISMP), combined 25 years of
experience as a leader in medication safety wi…
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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/43045/psn-pdf
August 02, 2015 - A multistep approach to improving biopsy site
identification in dermatology: physician, staff, and patient
roles based on a Delphi consensus.
August 2, 2015
Alam M, Lee A, Ibrahimi OA, et al. A multistep approach to improving biopsy site identification in
dermatology: physician, staff, and patient roles based on a…
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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/46350/psn-pdf
September 24, 2017 - Time for transparent standards in quality reporting by
health care organizations.
September 24, 2017
Pronovost P, Wu AW, Austin M. Time for Transparent Standards in Quality Reporting by Health Care
Organizations. JAMA. 2017;318(8):701-702. doi:10.1001/jama.2017.10124.
https://psnet.ahrq.gov/issue/time-transparent-…
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psnet.ahrq.gov/node/37794/psn-pdf
February 15, 2011 - Using staff perceptions on patient safety as a tool for
improving safety culture in a pediatric hospital system.
February 15, 2011
Edwards PJ, Scott T, Richardson P, et al. Using Staff Perceptions on Patient Safety as a Tool for Improving
Safety Culture in a Pediatric Hospital System. J Patient Saf. 2009;4(2). doi:…
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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/36769/psn-pdf
June 15, 2011 - Using incident reporting to improve patient safety: a
conceptual model.
June 15, 2011
Pronovost PJ, Holzmueller CG, Young J, et al. Using Incident Reporting to Improve Patient Safety. J
Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030ca05.
https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-s…
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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/46950/psn-pdf
May 16, 2018 - Registered nurses' perceptions of safe care in
overcrowded emergency departments.
May 16, 2018
Eriksson J, Gellerstedt L, Hillerås P, et al. Registered nurses' perceptions of safe care in overcrowded
emergency departments. J Clin Nurs. 2018;27(5-6):e1061-e1067. doi:10.1111/jocn.14143.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/42928/psn-pdf
September 19, 2016 - Supporting second victims of patient safety events:
shouldn't these communications be covered by legal
privilege?
September 19, 2016
de Wit ME, Marks CM, Natterman JP, et al. Supporting second victims of patient safety events: shouldn't
these communications be covered by legal privilege? J Law Med Ethics. 2013;41(…