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psnet.ahrq.gov/node/34997/psn-pdf
June 22, 2009 - Evaluating the effectiveness of health care teams.
June 22, 2009
Mickan SM. Evaluating the effectiveness of health care teams. Aust Health Rev. 2005;29(2):211-7.
https://psnet.ahrq.gov/issue/evaluating-effectiveness-health-care-teams
In this review, the author summarizes the benefits of effective teamwork in health…
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psnet.ahrq.gov/node/35406/psn-pdf
September 10, 2009 - Maintain accountability in patient safety efforts.
September 10, 2009
Spath P. Maintain accountability in patient safety efforts. Hospital peer review. 2005;30(9):129-32.
https://psnet.ahrq.gov/issue/maintain-accountability-patient-safety-efforts
To develop an accountability initiative, the author recommends settin…
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psnet.ahrq.gov/node/40481/psn-pdf
June 20, 2011 - Medication errors—new approaches to prevention.
June 20, 2011
Merry A, Anderson BJ. Medication errors--new approaches to prevention. Paediatr Anaesth.
2011;21(7):743-53. doi:10.1111/j.1460-9592.2011.03589.x.
https://psnet.ahrq.gov/issue/medication-errors-new-approaches-prevention
This review discusses evidence-bas…
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psnet.ahrq.gov/node/41108/psn-pdf
August 02, 2012 - Effective discharge communication in the emergency
department.
August 2, 2012
Samuels-Kalow ME, Stack AM, Porter SC. Effective discharge communication in the emergency
department. Ann Emerg Med. 2012;60(2):152-9. doi:10.1016/j.annemergmed.2011.10.023.
https://psnet.ahrq.gov/issue/effective-discharge-communication-…
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psnet.ahrq.gov/node/39704/psn-pdf
July 21, 2010 - Identifying medication errors in surgical prescription
charts.
July 21, 2010
Simons J. Identifying medication errors in surgical prescription charts. Paediatr Nurs. 2010;22(5):20-4.
https://psnet.ahrq.gov/issue/identifying-medication-errors-surgical-prescription-charts
This study used manual chart review to estima…
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psnet.ahrq.gov/node/38018/psn-pdf
August 27, 2008 - Teamwork during resuscitation.
August 27, 2008
Weinstock P, Halamek LP. Teamwork during resuscitation. Pediatr Clin North Am. 2008;55(4):1011-24, xi-
xii. doi:10.1016/j.pcl.2008.04.001.
https://psnet.ahrq.gov/issue/teamwork-during-resuscitation
Beginning with two brief case histories, this review describes how to …
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psnet.ahrq.gov/node/36395/psn-pdf
May 04, 2015 - An Introduction to the Improved FDA Prescription Drug
Labeling.
May 4, 2015
Silver Spring MD; US Food and Drug Administration: 2006.
https://psnet.ahrq.gov/issue/introduction-improved-fda-prescription-drug-labeling
This teleconference discussed the 2006 FDA medication package insert design program and reviewed
pr…
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psnet.ahrq.gov/node/40340/psn-pdf
September 01, 2011 - Physician accused of reusing devices has license
suspended.
September 1, 2011
Harasim P. Las Vegas Review-Journal. March 15, 2011:1A.
https://psnet.ahrq.gov/issue/physician-accused-reusing-devices-has-license-suspended
This newspaper article reports how a physician reused single-use equipment and put patients at r…
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psnet.ahrq.gov/node/41473/psn-pdf
June 20, 2012 - Current assessment of patient safety education.
June 20, 2012
Mansour M. Current assessment of patient safety education. Br J Nurs. 2012;21(9):536-43.
https://psnet.ahrq.gov/issue/current-assessment-patient-safety-education
This review discusses the evidence for integrating patient safety concepts into undergraduat…
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psnet.ahrq.gov/node/38438/psn-pdf
February 25, 2009 - Minimising medication errors in children.
February 25, 2009
Wong ICK, Wong LYL, Cranswick NE. Minimising medication errors in children. Arch Dis Child.
2009;94(2):161-4. doi:10.1136/adc.2007.116442.
https://psnet.ahrq.gov/issue/minimising-medication-errors-children
This review identifies factors that contribute to…
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psnet.ahrq.gov/node/42809/psn-pdf
January 01, 2015 - Patient Safety Measures.
December 11, 2013
Washington, DC: National Quality Forum.
https://psnet.ahrq.gov/issue/patient-safety-measures
This Web site tracks the progress of the development and review of measures to enhance reporting and
accountability of health care organizations in addressing risks to patient sa…
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psnet.ahrq.gov/node/35820/psn-pdf
December 31, 2018 - Simulation in Healthcare.
December 31, 2018
Scerbo M, ed. Washington DC; Society for Simulation in Healthcare, Lippincott, Williams and Wilkins.
ISSN: 1559-2332
https://psnet.ahrq.gov/issue/simulation-healthcare
This bi-monthly peer-reviewed journal presents multidisciplinary content on how simulation is being use…
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psnet.ahrq.gov/node/36899/psn-pdf
April 12, 2011 - The role of communication in paediatric drug safety.
April 12, 2011
Stebbing C, Wong ICK, Kaushal R, et al. The role of communication in paediatric drug safety. Arch Dis
Child. 2007;92(5):440-5.
https://psnet.ahrq.gov/issue/role-communication-paediatric-drug-safety
The authors review the literature on how communic…
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psnet.ahrq.gov/node/37235/psn-pdf
March 04, 2015 - Radiologic errors and malpractice: a blurry distinction.
March 4, 2015
Berlin L. Radiologic errors and malpractice: a blurry distinction. AJR Am J Roentgenol. 2007;189(3):517-22.
https://psnet.ahrq.gov/issue/radiologic-errors-and-malpractice-blurry-distinction
Reviewing legal and clinical literature, the author dis…
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psnet.ahrq.gov/node/74275/psn-pdf
December 06, 2023 - Spotlight Series
December 6, 2023
Healthcare Excellence Canada. 2020-2024.
https://psnet.ahrq.gov/issue/all-one-and-one-all-how-patient-safety-starts-healthcare-workers
This quarterly webinar series focuses on a variety of topics that support patient safety and quality
improvement such as learning from event revie…
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psnet.ahrq.gov/node/40190/psn-pdf
May 21, 2011 - Perinatal high reliability.
May 21, 2011
Knox E, Simpson KR. Perinatal high reliability. Am J Obstet Gynecol. 2011;204(5):373-377.
doi:10.1016/j.ajog.2010.10.900.
https://psnet.ahrq.gov/issue/perinatal-high-reliability
This review provides background on high-reliability organizations and discusses how these concep…
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psnet.ahrq.gov/node/37371/psn-pdf
March 28, 2012 - The architecture of safety: hospital design.
March 28, 2012
Joseph A, Rashid M. The architecture of safety: hospital design. Curr Opin Crit Care. 2007;13(6):714-9.
https://psnet.ahrq.gov/issue/architecture-safety-hospital-design
This review analyzes the literature linking patient safety to hospital design elements,…
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psnet.ahrq.gov/node/36353/psn-pdf
October 27, 2010 - Ways to avert potential patient care disasters.
October 27, 2010
Spath P. Ways to avert potential patient care disasters. Hospital peer review. 2006;31(9):128-30.
https://psnet.ahrq.gov/issue/ways-avert-potential-patient-care-disasters
This article discusses clinician failure to recognize patient deterioration and …
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psnet.ahrq.gov/node/35035/psn-pdf
March 17, 2011 - Scottish Audit of Surgical Mortality.
March 17, 2011
Scottish Audit of Surgical Mortality and Royal College of Physicians and Surgeons of Glasgow.
https://psnet.ahrq.gov/issue/scottish-audit-surgical-mortality
The Scottish Audit of Surgical Mortality (SASM) facilitates the peer review of all surgical deaths in Scot…
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psnet.ahrq.gov/node/34631/psn-pdf
December 23, 2016 - Sentinel Event Alert.
December 23, 2016
Oakbrook Terrace, IL: The Joint Commission.
https://psnet.ahrq.gov/issue/sentinel-event-alert
This newsletter provides guidance to health care organizations for responding to commonly reported
incidents. The Joint Commission issues these sentinel event alerts to review selec…