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psnet.ahrq.gov/node/41815/psn-pdf
July 02, 2014 - Examining the diagnostic justification abilities of fourth-
year medical students.
July 2, 2014
Williams RG, Klamen DL. Examining the diagnostic justification abilities of fourth-year medical students.
Acad Med. 2012;87(8):1008-14. doi:10.1097/ACM.0b013e31825cfcff.
https://psnet.ahrq.gov/issue/examining-diagnostic…
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psnet.ahrq.gov/node/40017/psn-pdf
December 14, 2016 - Image Gently, Step Lightly: promoting radiation safety in
pediatric interventional radiology.
December 14, 2016
Sidhu M, Goske MJ, Connolly B, et al. Image Gently, Step Lightly: promoting radiation safety in pediatric
interventional radiology. AJR Am J Roentgenol. 2010;195(4):W299-301. doi:10.2214/AJR.09.3938.
htt…
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psnet.ahrq.gov/node/39989/psn-pdf
December 21, 2014 - The incidence and cost of unexpected hospital use after
scheduled outpatient endoscopy.
December 21, 2014
Leffler DA, Kheraj R, Garud S, et al. The incidence and cost of unexpected hospital use after scheduled
outpatient endoscopy. Arch Intern Med. 2010;170(19):1752-7. doi:10.1001/archinternmed.2010.373.
https://p…
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psnet.ahrq.gov/node/37881/psn-pdf
July 02, 2008 - Simulated laparoscopic operating room crisis: an
approach to enhance the surgical team performance.
July 2, 2008
Powers KA, Rehrig ST, Irias N, et al. Simulated laparoscopic operating room crisis: An approach to
enhance the surgical team performance. Surg Endosc. 2008;22(4):885-900.
https://psnet.ahrq.gov/issue/si…
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psnet.ahrq.gov/node/764408/psn-pdf
March 02, 2022 - Ensuring critical instruments and devices are appropriate
for reuse.
March 2, 2022
Quick Safety. February 14, 2022;(64):1-3.
https://psnet.ahrq.gov/issue/ensuring-critical-instruments-and-devices-are-appropriate-reuse
Complete, appropriate reprocessing and sterilization of reusable medical instruments and devices …
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psnet.ahrq.gov/node/43457/psn-pdf
August 02, 2015 - A human factors subsystems approach to trauma care.
August 2, 2015
Catchpole K, Ley EJ, Wiegmann D, et al. A human factors subsystems approach to trauma care. JAMA
Surg. 2014;149(9):962-8.
https://psnet.ahrq.gov/issue/human-factors-subsystems-approach-trauma-care
Human factors analysis led to five system changes i…
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psnet.ahrq.gov/node/73098/psn-pdf
September 07, 2021 - Achieving Excellence in the Diagnosis of Acute
Cardiovascular Events: Proceedings of a Workshop–in
Brief.
September 7, 2021
National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies
Press; 2021.
https://psnet.ahrq.gov/issue/achieving-excellence-diagnosis-acute-cardiovascula…
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psnet.ahrq.gov/node/44472/psn-pdf
January 22, 2016 - Understanding medical errors and adverse events in ICU
patients.
January 22, 2016
Garrouste-Orgeas M, Flaatten H, Moreno R. Understanding medical errors and adverse events in ICU
patients. Intensive Care Med. 2016;42(1):107-9. doi:10.1007/s00134-015-3968-x.
https://psnet.ahrq.gov/issue/understanding-medical-errors…
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psnet.ahrq.gov/node/45229/psn-pdf
July 13, 2016 - The WakeWings journey: creating a patient safety
program.
July 13, 2016
Mills E. The WakeWings Journey: Creating a Patient Safety Program. AORN J. 2016;103(6):636-9.
doi:10.1016/j.aorn.2016.04.004.
https://psnet.ahrq.gov/issue/wakewings-journey-creating-patient-safety-program
Successful and sustainable implementa…
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psnet.ahrq.gov/node/40542/psn-pdf
August 25, 2011 - Optimising surgical training: use of feedback to reduce
errors during a simulated surgical procedure.
August 25, 2011
Boyle E, Al-Akash M, Gallagher AG, et al. Optimising surgical training: use of feedback to reduce errors
during a simulated surgical procedure. Postgrad Med J. 2011;87(1030):524-8.
doi:10.1136/pgmj…
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psnet.ahrq.gov/node/42190/psn-pdf
July 01, 2013 - Staff perceptions of quality of care: an observational
study of the NHS Staff Survey in hospitals in England.
July 1, 2013
Pinder RJ, Greaves FE, Aylin PP, et al. Staff perceptions of quality of care: an observational study of the
NHS Staff Survey in hospitals in England. BMJ Qual Saf. 2013;22(7):563-70. doi:10.113…
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psnet.ahrq.gov/node/837774/psn-pdf
August 03, 2022 - Preventing retained surgical items.
August 3, 2022
Weston M, Chiodo C. Preventing retained surgical items. AORN J. 2022;115(6):569-575.
doi:10.1002/aorn.13697.
https://psnet.ahrq.gov/issue/preventing-retained-surgical-items
Unintentionally retained foreign objects can be exacerbated by fatigue, distractions, and c…
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psnet.ahrq.gov/node/48136/psn-pdf
August 07, 2019 - Safe Practices for Drug Allergies—Using CDS and Health
IT.
August 7, 2019
Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2019.
https://psnet.ahrq.gov/issue/safe-practices-drug-allergies-using-cds-and-health-it
Inconsistent checking for and consideration of drug allergy alerts can d…
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psnet.ahrq.gov/node/44100/psn-pdf
June 10, 2015 - Residency training in handoffs: a survey of program
directors in psychiatry.
June 10, 2015
Arbuckle MR, Reardon CL, Young JQ. Residency training in handoffs: a survey of program directors in
psychiatry. Acad Psychiatry. 2015;39(2):132-8. doi:10.1007/s40596-014-0167-y.
https://psnet.ahrq.gov/issue/residency-trainin…
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psnet.ahrq.gov/node/42481/psn-pdf
August 14, 2013 - Drug administration errors in hospital inpatients: a
systematic review.
August 14, 2013
Berdot S, Gillaizeau F, Caruba T, et al. Drug administration errors in hospital inpatients: a systematic
review. PLoS One. 2013;8(6):e68856. doi:10.1371/journal.pone.0068856.
https://psnet.ahrq.gov/issue/drug-administration-err…
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psnet.ahrq.gov/node/43477/psn-pdf
May 19, 2015 - Adverse events in healthcare: learning from mistakes.
May 19, 2015
Rafter N, Hickey A, Condell S, et al. Adverse events in healthcare: learning from mistakes. QJM.
2015;108(4):273-7. doi:10.1093/qjmed/hcu145.
https://psnet.ahrq.gov/issue/adverse-events-healthcare-learning-mistakes
This review discusses chart revie…
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psnet.ahrq.gov/node/856641/psn-pdf
January 01, 2009 - WebAIRS Anesthesia Incident Reporting System.
January 1, 2009
Australian and New Zealand Tripartite Anaesthetic Data Committee.
https://psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system
Reporting errors in anesthesiology practice can motivate and inform safety improvement work. This website
serves …
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psnet.ahrq.gov/node/38592/psn-pdf
April 29, 2009 - The teaching of a structured tool improves the clarity and
content of interprofessional clinical communication.
April 29, 2009
Marshall S, Harrison J, Flanagan B. The teaching of a structured tool improves the clarity and content of
interprofessional clinical communication. Qual Saf Health Care. 2009;18(2):137-40.
…
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psnet.ahrq.gov/node/43020/psn-pdf
May 29, 2014 - Handoff practices in undergraduate medical education.
May 29, 2014
Liston BW, Tartaglia KM, Evans D, et al. Handoff practices in undergraduate medical education. J Gen
Intern Med. 2014;29(5):765-9. doi:10.1007/s11606-014-2806-0.
https://psnet.ahrq.gov/issue/handoff-practices-undergraduate-medical-education
This su…
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psnet.ahrq.gov/node/38630/psn-pdf
May 13, 2009 - Seasoned surgeons assessed in a laparoscopic surgical
crisis.
May 13, 2009
Powers K, Rehrig ST, Schwaitzberg SD, et al. Seasoned surgeons assessed in a laparoscopic surgical
crisis. J Gastrointest Surg. 2009;13(5):994-1003. doi:10.1007/s11605-009-0802-1.
https://psnet.ahrq.gov/issue/seasoned-surgeons-assessed-lapa…