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psnet.ahrq.gov/node/73185/psn-pdf
April 28, 2021 - Balancing patient safety, clinical efficacy, and
cybersecurity with clinician partners.
April 28, 2021
Schneider J, Wirth A. Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners.
Biomed Instrum Technol. 2021;55(1):21-28. doi:10.2345/0899-8205-55.1.21.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/852284/psn-pdf
August 09, 2023 - ‘Medical errors are the third leading cause of death’ and
other statistics you should question.
August 9, 2023
Jaklevic MC. HealthJournalism.org. July 27, 2023.
https://psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should-
question
Published rates of medical errors con…
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psnet.ahrq.gov/node/862124/psn-pdf
February 07, 2024 - The TeamSTEPPS for Improving Diagnosis Team
Assessment Tool: scale development and psychometric
evaluation.
February 7, 2024
Ali KJ, Goeschel CA, Eckroade MM, et al. The TeamSTEPPS for Improving Diagnosis Team Assessment
Tool: scale development and psychometric evaluation. Jt Comm J Qual Patient Saf. 2024;50(2):95…
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psnet.ahrq.gov/issue/factors-associated-hospital-admission-after-outpatient-surgery-veterans-health-administration
August 17, 2018 - Study
Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration.
Citation Text:
Mull HJ, Rosen AK, O'Brien WJ, et al. Factors Associated with Hospital Admission after Outpatient Surgery in the Veterans Health Administration. Health Serv Res…
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psnet.ahrq.gov/node/33591/psn-pdf
March 15, 2025 - Triggers and Trigger Tools
March 15, 2025
Triggers and Trigger Tools. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/triggers-and-trigger-tools
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safet…
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psnet.ahrq.gov/print/pdf/node/867659
July 10, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Rapid Response Systems
Curated Library
Primers
Rapid Response Systems
UC Davis PSNet Editorial Team | September, 15 2024
Rapid response teams represent an intuitively simple concept: when a patient demonstrates signs of
imminent clinical de…
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psnet.ahrq.gov/primer/measurement-patient-safety
September 15, 2024 - Measurement of Patient Safety
Citation Text:
Measurement of Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
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psnet.ahrq.gov/primer/health-care-associated-infections
December 15, 2024 - Healthcare-associated Infections
Citation Text:
Healthcare - Associated Infections. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/node/854251/psn-pdf
October 04, 2023 - A scoping review exploring the confidence of healthcare
professionals in assessing all skin tones.
October 4, 2023
Harrison J. A scoping review exploring the confidence of healthcare professionals in assessing all skin
tones. Br Paramed J. 2023;8(2):18-28. doi:10.29045/14784726.2023.9.8.2.18.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/841481/psn-pdf
January 01, 2023 - Trainees' perceptions of being allowed to fail in clinical
training: a sense-making model.
December 14, 2022
Klasen JM, Teunissen PW, Driessen E, et al. Trainees' perceptions of being allowed to fail in clinical
training: a sense?making model. Med Educ. 2023;57(5):430-439. doi:10.1111/medu.14966.
https://psnet.ahr…
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psnet.ahrq.gov/node/853062/psn-pdf
August 30, 2023 - Quality and safety practices among academic obstetrics
and gynecology departments.
August 30, 2023
Christopher D, Leininger WM, Beaty L, et al. Quality and safety practices among academic obstetrics and
gynecology departments. Am J Med Qual. 2023;38(4):165-173. doi:10.1097/jmq.0000000000000129.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/47956/psn-pdf
June 26, 2019 - Family involvement in managing medications of older
patients across transitions of care: a systematic review.
June 26, 2019
Manias E, Bucknall T, Hughes C, et al. Family involvement in managing medications of older patients
across transitions of care: a systematic review. BMC Geriatr. 2019;19(1):95. doi:10.1186/s12…
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psnet.ahrq.gov/node/46397/psn-pdf
August 30, 2017 - Making Dialysis Safer for Patients Coalition.
August 30, 2017
Centers for Disease Control and Prevention.
https://psnet.ahrq.gov/issue/making-dialysis-safer-patients-coalition
Dialysis is a common procedure that carries risks if not performed correctly. This initiative represents a
collective effort that aims to d…
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psnet.ahrq.gov/node/867133/psn-pdf
November 13, 2024 - Designing an intervention to improve medication safety
for nursing home residents based on experiential
knowledge related to patient safety culture at the nursing
home front line: cocreative process study.
November 13, 2024
Juhl MH, Soerensen AL, Vardinghus-Nielsen H, et al. Designing an intervention to improve me…
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psnet.ahrq.gov/node/866692/psn-pdf
September 11, 2024 - Relationships between medications used in a mental
health hospital and types of medication errors: a cross-
sectional study over an 8-year period.
September 11, 2024
Lebas R, Calvet B, Schadler L, et al. Relationships between medications used in a mental health hospital
and types of medication errors: a cross-sect…
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psnet.ahrq.gov/node/49758/psn-pdf
April 01, 2016 - practices and address issues in a collaborative and timely manner.(9) This committee should include
representatives
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psnet.ahrq.gov/node/49774/psn-pdf
November 01, 2016 - team that includes key obstetricians, nurses,
anesthesiologists, pharmacists, administrators, and representatives
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psnet.ahrq.gov/node/34622/psn-pdf
March 17, 2011 - National Confidential Enquiry into Patient Outcome and
Death.
March 17, 2011
National Confidential Enquiry into Patient Outcome and Death; NCEPOD
https://psnet.ahrq.gov/issue/national-confidential-enquiry-patient-outcome-and-death
Launched under the title National Confidential Enquiry into Perioperative Deaths (NC…
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psnet.ahrq.gov/node/33892/psn-pdf
May 03, 2016 - Critical Incident Technique Bibliography—2001.
May 3, 2016
Fivars G; Fitzpatrick R
https://psnet.ahrq.gov/issue/critical-incident-technique-bibliography-2001
A research tool to identify critical requirements for performance in applied areas of psychology and
behavioral science. This technique, used in anesthesia t…
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psnet.ahrq.gov/node/45583/psn-pdf
January 18, 2017 - ASHP IV Adult Continuous Infusions.
January 18, 2017
Bethesda, MD: American Society of Health-System Pharmacists; 2016.
https://psnet.ahrq.gov/issue/ashp-iv-adult-continuous-infusions
Miscalculations of intravenous infusion concentrations can result in patient harm. Representing the first
phase of a standards deve…