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psnet.ahrq.gov/issue/high-cost-low-morale-clinical-laboratory-how-workplace-environment-impacts-patient-safety
March 06, 2005 - Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage
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psnet.ahrq.gov/issue/patient-safety-dialysis-facility
May 27, 2015 - May 27, 2015
AHRQ Safety Program for End-Stage Renal Disease Facilities—Toolkit.
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psnet.ahrq.gov/issue/check-safety-culture-my-patient-care-area
December 22, 2010 - September 28, 2010
A morning briefing: setting the stage for a clinically and operationally
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psnet.ahrq.gov/issue/rise-patient-safety-organizations
September 29, 2017 - September 29, 2017
High Quality Care for All: NHS Next Stage Review Final Report.
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psnet.ahrq.gov/issue/advances-patient-safety-new-directions-and-alternative-approaches
August 01, 2012 - September 29, 2017
High Quality Care for All: NHS Next Stage Review Final Report.
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psnet.ahrq.gov/primer/debriefing-clinical-learning
September 07, 2019 - All forms of debriefing have a shared structure that involves setting the stage followed by three phases … including description or reactions, analysis, and application. 2 Setting the stage: To be effective … 14 To build psychological safety, the expectations for participation should be discussed during this stage … During the debrief, JA sets the stage and provides the participants a chance to share their reactions
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psnet.ahrq.gov/node/865817/psn-pdf
May 08, 2024 - Using Healthcare Failure Mode and Effect Analysis in
prospective medication safety risk management in
secondary care inpatient wards.
May 8, 2024
Sova PM, Holmström A-R, Airaksinen M, et al. Using Healthcare Failure Mode and Effect Analysis in
prospective medication safety risk management in secondary care inpatie…
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psnet.ahrq.gov/node/859342/psn-pdf
December 20, 2023 - Influence of comorbid depression and diagnostic workup
on diagnosis of physical illness: a randomized
experiment.
December 20, 2023
Isbell LM, Graber ML, Rovenpor DR, et al. Influence of comorbid depression and diagnostic workup on
diagnosis of physical illness: a randomized experiment. Diagnosis. 2023;10(3):257-2…
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psnet.ahrq.gov/node/73562/psn-pdf
August 04, 2021 - Medication safety in mental health hospitals: a mixed-
methods analysis of incidents reported to the National
Reporting and Learning System.
August 4, 2021
Alshehri GH, Keers RN, Carson-Stevens A, et al. Medication safety in mental health hospitals: a mixed-
methods analysis of incidents reported to the National R…
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psnet.ahrq.gov/node/47691/psn-pdf
June 02, 2019 - Transfusion safety: the nature and outcomes of errors in
patient registration.
June 2, 2019
Cohen R, Ning S, Yan MTS, et al. Transfusion Safety: The Nature and Outcomes of Errors in Patient
Registration. Transfus Med Rev. 2019;33(2):78-83. doi:10.1016/j.tmrv.2018.11.004.
https://psnet.ahrq.gov/issue/transfusion-sa…
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psnet.ahrq.gov/node/60052/psn-pdf
March 18, 2020 - Analysis of pharmacist-identified medication-related
problems at two United Kingdom hospitals: a prospective
observational study.
March 18, 2020
Geeson C, Wei L, Franklin BD. Analysis of pharmacist-identified medication-related problems at two United
Kingdom hospitals: a prospective observational study. Int J Phar…
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psnet.ahrq.gov/node/838245/psn-pdf
January 01, 2023 - A novel study of situational awareness among out-of-
hospital providers during an online clinical simulation.
October 5, 2022
Hunter J, Porter M, Williams B. A novel study of situational awareness among out-of-hospital providers
during an online clinical simulation. Australas Emerg Care. 2023;26(1):96-103.
doi:10.…
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psnet.ahrq.gov/issue/healthcare-staff-wellbeing-burnout-and-patient-safety-systematic-review
November 13, 2024 - July 1, 2016
Guidance for health care leaders during the recovery stage of the COVID-
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psnet.ahrq.gov/issue/impact-transition-digital-hospital-medication-errors-time-study
March 27, 2024 - WebM&M Cases
Overdose of Gabapentin and Oxycodone in a Patient with End-Stage
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psnet.ahrq.gov/node/46278/psn-pdf
July 19, 2017 - The opioid epidemic: what can surgeons do about it?
July 19, 2017
Saluja S, Selzer D, Meara JG, et al. Bull Am Coll Surg. 2017;102(7):13-18.
https://psnet.ahrq.gov/issue/opioid-epidemic-what-can-surgeons-do-about-it
Surgeons often prescribe opioids for patients after procedures, so they are in a key position to ass…
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psnet.ahrq.gov/node/33736/psn-pdf
September 01, 2012 - The second stage is: "my patients are sicker and you haven't taken that into account." … Then
you get to the third stage, which is: "I'm practicing as well as I know how to already, there's
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psnet.ahrq.gov/node/47355/psn-pdf
September 05, 2018 - Preventing medication errors in the information age.
September 5, 2018
Godshall M, Riehl M. Preventing medication errors in the information age. Nursing (Brux). 2018;48(9):56-
58. doi:10.1097/01.NURSE.0000544230.51598.38.
https://psnet.ahrq.gov/issue/preventing-medication-errors-information-age
Failure to consider…
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psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
January 29, 2020 - The Case
A 69-year-old man with End-Stage Kidney Disease (ESKD) secondary to diabetes mellitus and
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psnet.ahrq.gov/node/33646/psn-pdf
February 01, 2007 - Simply
because the first stage in any diagnosis process is taking a good history. … It's that second stage, when we
say? … It's that
stage where I think systems like ours can alleviate the burden of memory, if you like.
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psnet.ahrq.gov/issue/use-medical-abbreviations-and-acronyms-knowledge-among-medical-students-and-postgraduates
August 23, 2023 - January 5, 2012
Guidance for health care leaders during the recovery stage of the COVID