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psnet.ahrq.gov/node/40990/psn-pdf
December 07, 2011 - A novel approach to implementation of quality and safety
programmes in anaesthesiology.
December 7, 2011
Schwengel DA, Winters BD, Berkow LC, et al. A novel approach to implementation of quality and safety
programmes in anaesthesiology. Best Pract Res Clin Anaesthesiol. 2011;25(4):557-567.
doi:10.1016/j.bpa.2011.0…
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psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
August 01, 2010 - To free residents' time, we bring on a resident to help cover the service while they engage in patient … A systematic review of teamwork training interventions in medical student and resident education.
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psnet.ahrq.gov/node/36410/psn-pdf
June 29, 2011 - Voluntary incident reporting by anaesthetic trainees in an
Australian hospital.
June 29, 2011
Freestone L, Bolsin S, Colson M, et al. Voluntary incident reporting by anaesthetic trainees in an Australian
hospital. Int J Qual Health Care. 2006;18(6):452-7.
https://psnet.ahrq.gov/issue/voluntary-incident-reporting-a…
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psnet.ahrq.gov/node/41910/psn-pdf
December 12, 2012 - Professionalism in the era of duty hours: time for a shift
change?
December 12, 2012
Arora V, Farnan JM, Humphrey HJ. Professionalism in the era of duty hours: time for a shift change?
JAMA. 2012;308(21):2195-6. doi:10.1001/jama.2012.14584.
https://psnet.ahrq.gov/issue/professionalism-era-duty-hours-time-shift-cha…
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psnet.ahrq.gov/node/37220/psn-pdf
October 14, 2011 - Making the Patient Safety and Quality Improvement Act of
2005 work.
October 14, 2011
Vemula R, Assaf R, Al-Assaf AF. Making the Patient Safety and Quality Improvement Act of 2005 work. J
Healthc Qual. 2007;29(4):6-10.
https://psnet.ahrq.gov/issue/making-patient-safety-and-quality-improvement-act-2005-work
The aut…
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psnet.ahrq.gov/node/840166/psn-pdf
November 16, 2022 - Polypharmacy.
November 16, 2022
Schneider E, Koretz BK, eds. Clin Geriatr Med. 2022;38(4):621-732.
https://psnet.ahrq.gov/issue/polypharmacy-0
Polypharmacy is a known contributor to medication complexity and error. This special issue examines the
impact unnecessary medications have in a variety of care environment…
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psnet.ahrq.gov/node/41578/psn-pdf
October 09, 2013 - Improving Patient Safety in Long-Term Care Facilities:
Training Modules.
October 9, 2013
Taylor SL, Saliba D. Rockville, MD: Agency for Healthcare Research and Quality; July 2012. AHRQ
Publication No. 12-0001.
https://psnet.ahrq.gov/issue/improving-patient-safety-long-term-care-facilities-training-modules
This se…
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psnet.ahrq.gov/node/50668/psn-pdf
November 13, 2019 - Case Study Webinar Series on Clinician Burnout: The
Ohio State University
November 13, 2019
NAM Action Collaborative on Clinician Well-Being and Resilience. Case Study Webinar Series on Clinician
Burnout: The Ohio State University. National Academies of Medicine.
https://psnet.ahrq.gov/issue/case-study-webinar-ser…
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psnet.ahrq.gov/node/38669/psn-pdf
November 25, 2009 - A patient safety objective structured clinical examination.
November 25, 2009
Singh R, Singh A, Fish R, et al. A patient safety objective structured clinical examination. J Patient Saf.
2009;5(2):55-60. doi:10.1097/PTS.0b013e31819d65c2.
https://psnet.ahrq.gov/issue/patient-safety-objective-structured-clinical-exami…
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psnet.ahrq.gov/issue/patient-safety-climate-strength-concept-requires-more-attention
March 04, 2011 - Study
Patient safety climate strength: a concept that requires more attention.
Citation Text:
Ginsburg LR, Oore DG. Patient safety climate strength: a concept that requires more attention. BMJ Qual Saf. 2016;25(9):680-7. doi:10.1136/bmjqs-2015-004150.
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Format:
…
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psnet.ahrq.gov/issue/patients-and-families-teachers-mixed-methods-assessment-collaborative-learning-model-medical
July 12, 2017 - Study
Patients and families as teachers: a mixed methods assessment of a collaborative learning model for medical error disclosure and prevention.
Citation Text:
Langer T, Martinez W, Browning DM, et al. Patients and families as teachers: a mixed methods assessment of a collaborative lea…
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psnet.ahrq.gov/perspective/health-care-worker-presenteeism-challenge-patient-safety
November 03, 2015 - Presenteeism among resident physicians. JAMA. 2010;304:1166-1168. [go to PubMed]
13.
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psnet.ahrq.gov/web-mm/dangerous-dapsone
January 10, 2011 - One wonders whether the resident in this case sensed that the oncologist had greater "authority" than
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psnet.ahrq.gov/node/41728/psn-pdf
January 18, 2013 - Who's covering our loved ones: surprising barriers in the
sign-out process.
January 18, 2013
Antonoff MB, Berdan EA, Kirchner VA, et al. Who's covering our loved ones: surprising barriers in the sign-
out process. Am J Surg. 2013;205(1):77-84. doi:10.1016/j.amjsurg.2012.05.009.
https://psnet.ahrq.gov/issue/whos-co…
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psnet.ahrq.gov/node/40840/psn-pdf
March 24, 2012 - Factors associated with disclosure of medical errors by
housestaff.
March 24, 2012
Kronman AC, Paasche-Orlow MK, Orlander JD. Factors associated with disclosure of medical errors by
housestaff. BMJ Qual Saf. 2011;21(4). doi:10.1136/bmjqs-2011-000084.
https://psnet.ahrq.gov/issue/factors-associated-disclosure-medic…
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psnet.ahrq.gov/node/38530/psn-pdf
April 01, 2009 - Assessing the impact of an educational program on
decreasing prescribing errors at a university hospital.
April 1, 2009
Peeters MJ, Pinto SL. Assessing the impact of an educational program on decreasing prescribing errors at
a university hospital. J Hosp Med. 2009;4(2):97-101. doi:10.1002/jhm.387.
https://psnet.ah…
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psnet.ahrq.gov/node/40899/psn-pdf
November 02, 2011 - Understanding the behaviour of newly qualified doctors in
acute care contexts.
November 2, 2011
Tallentire VR, Smith SE, Skinner J, et al. Understanding the behaviour of newly qualified doctors in acute
care contexts. Med Educ. 2011;45(10):995-1005. doi:10.1111/j.1365-2923.2011.04024.x.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/38763/psn-pdf
July 08, 2009 - Physician practice patterns resemble ACGME duty hours.
July 8, 2009
Anim M, Markert RJ, Wood VC, et al. Physician practice patterns resemble ACGME duty hours. Am J Med.
2009;122(6):587-93. doi:10.1016/j.amjmed.2009.02.015.
https://psnet.ahrq.gov/issue/physician-practice-patterns-resemble-acgme-duty-hours
Practicin…
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psnet.ahrq.gov/node/45338/psn-pdf
July 20, 2016 - Understanding models of error and how they apply in
clinical practice.
July 20, 2016
Garfield S, Franklin BD. Pharm J. June 14, 2016.
https://psnet.ahrq.gov/issue/understanding-models-error-and-how-they-apply-clinical-practice
Human error and fallibility are a part of health care delivery that can be exacerbated b…
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psnet.ahrq.gov/node/38936/psn-pdf
September 09, 2009 - Therapeutic errors involving adults in the community
setting: nature, causes and outcomes.
September 9, 2009
Taylor D, Robinson J, MacLeod D, et al. Therapeutic errors involving adults in the community setting:
nature, causes and outcomes. Aust N Z J Public Health. 2009;33(4):388-94. doi:10.1111/j.1753-
6405.2009.…