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psnet.ahrq.gov/node/47988/psn-pdf
June 12, 2019 - Impact of the World Health Organization surgical safety
checklist on patient safety.
June 12, 2019
Haugen AS, Sevdalis N, Søfteland E. Impact of the World Health Organization Surgical Safety Checklist on
Patient Safety. Anesthesiology. 2019;131(2):420-425. doi:10.1097/ALN.0000000000002674.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/72482/psn-pdf
November 18, 2020 - Real-time debriefing after critical events: exploring the
gap between principle and reality.
November 18, 2020
Arriaga AF, Szyld D, Pian-Smith MCM. Real-time debriefing after critical events: exploring the gap between
principle and reality. Anesthesiol Clin. 2020;38(4):801-820. doi:10.1016/j.anclin.2020.08.003.
ht…
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psnet.ahrq.gov/node/44220/psn-pdf
June 10, 2015 - Building a Culture of Patient Safety Through Simulation:
An Interprofessional Learning Model.
June 10, 2015
Gallo K, Smith LG, eds. New York, NY: Springer Publishing Company; 2015. ISBN: 9780826169068.
https://psnet.ahrq.gov/issue/building-culture-patient-safety-through-simulation-interprofessional-learning-
model…
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psnet.ahrq.gov/node/44397/psn-pdf
September 30, 2015 - Incidence- versus prevalence-based measures of
inappropriate prescribing in the Veterans Health
Administration.
September 30, 2015
Lund BC, Carrel M, Gellad WF, et al. Incidence- Versus Prevalence-Based Measures of Inappropriate
Prescribing in the Veterans Health Administration. J Am Geriatr Soc. 2015;63(8):1601-7…
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psnet.ahrq.gov/node/43909/psn-pdf
March 11, 2015 - Summary and frequency of barriers to adoption of CPOE
in the US.
March 11, 2015
Kruse CS, Goetz K. Summary and frequency of barriers to adoption of CPOE in the U.S. J Med Syst.
2015;39(2):15. doi:10.1007/s10916-015-0198-2.
https://psnet.ahrq.gov/issue/summary-and-frequency-barriers-adoption-cpoe-us
Although compu…
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psnet.ahrq.gov/issue/diagnostic-error-medicine-14th-international-conference
March 07, 2022 - United States Meeting/Conference
Diagnostic Error in Medicine 14th International Conference.
Citation Text:
Society to Improve Diagnosis in Medicine. October 25-27, 2021.
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psnet.ahrq.gov/node/43281/psn-pdf
May 28, 2015 - A method for prioritizing interventions following root
cause analysis (RCA): lessons from philosophy.
May 28, 2015
Boyd M. A method for prioritizing interventions following root cause analysis (RCA): lessons from
philosophy. J Eval Clin Pract. 2015;21(3):461-9. doi:10.1111/jep.12272.
https://psnet.ahrq.gov/issue/m…
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psnet.ahrq.gov/node/44165/psn-pdf
May 27, 2015 - Unplanned return to theater: a quality of care and risk
management index?
May 27, 2015
Pujol N, Merrer J, Lemaire B, et al. Unplanned return to theater: A quality of care and risk management
index? Orthop Traumatol Surg Res. 2015;101(4):399-403. doi:10.1016/j.otsr.2015.03.013.
https://psnet.ahrq.gov/issue/unplanne…
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psnet.ahrq.gov/node/37617/psn-pdf
February 03, 2011 - Universal screening for methicillin-resistant
Staphylococcus aureus at hospital admission and
nosocomial infection in surgical patients.
February 3, 2011
Harbarth S, Fankhauser C, Schrenzel J, et al. Universal screening for methicillin-resistant Staphylococcus
aureus at hospital admission and nosocomial infection …
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psnet.ahrq.gov/node/865677/psn-pdf
April 24, 2024 - The impact of adding a 2-way video monitoring system on
falls and costs for high-risk inpatients.
April 24, 2024
Sosa MA, Soares M, Patel S, et al. The impact of adding a 2-way video monitoring system on falls and
costs for high-risk inpatients. J Patient Saf. 2024;20(3):186-191. doi:10.1097/pts.0000000000001197.
…
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psnet.ahrq.gov/node/45542/psn-pdf
October 05, 2016 - Bipartisan Consensus: The Public Wants Well-Rested
Medical Residents to Help Ensure Safe Patient Care.
October 5, 2016
Almashat S, Carome M, Wolfe S, Landrigan CP, Czeisler C. Washington, DC: Public Citizen; September
13, 2016.
https://psnet.ahrq.gov/issue/bipartisan-consensus-public-wants-well-rested-medical-resi…
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psnet.ahrq.gov/node/72656/psn-pdf
January 20, 2021 - Potential harm caused by physicians' a-priori beliefs in
the clinical effectiveness of hydroxychloroquine and its
impact on clinical and economic outcome--a simulation
approach.
January 20, 2021
Ebm C, Carfagna F, Edwards S, et al. Potential harm caused by physicians' a-priori beliefs in the clinical
effectivenes…
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psnet.ahrq.gov/node/44089/psn-pdf
April 22, 2015 - Learning from mistakes and near mistakes: using root
cause analysis as a risk management tool.
April 22, 2015
Cerniglia-Lowensen J. Learning From Mistakes and Near Mistakes: Using Root Cause Analysis as a Risk
Management Tool. J Radiol Nurs. 2015;34(1). doi:10.1016/j.jradnu.2014.11.004.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/45107/psn-pdf
May 09, 2017 - Missing clinical and behavioral health data in a large
electronic health record (EHR) system.
May 9, 2017
Madden JM, Lakoma MD, Rusinak D, et al. Missing clinical and behavioral health data in a large electronic
health record (EHR) system. J Am Med Info Asso. 2016;23(6):1143-1149. doi:10.1093/jamia/ocw021.
https:/…
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psnet.ahrq.gov/node/50418/psn-pdf
January 01, 2020 - Experiential learning through local implementation of a
national chief resident in quality and patient safety
curriculum.
September 1, 2019
Ronan MV, Menon A, Swamy L, et al. Experiential Learning Through Local Implementation of a National
Chief Resident in Quality and Patient Safety Curriculum. American Journal o…
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psnet.ahrq.gov/node/45529/psn-pdf
October 11, 2017 - Increasing compliance with the World Health Organization
surgical safety checklist—a regional health system's
experience.
October 11, 2017
Gitelis ME, Kaczynski A, Shear T, et al. Increasing compliance with the World Health Organization Surgical
Safety Checklist-A regional health system's experience. Am J Surg. 20…
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psnet.ahrq.gov/node/43499/psn-pdf
September 03, 2014 - Older folks in hospitals: the contributing factors and
recommendations for incident prevention.
September 3, 2014
Mansah M, Griffiths R, Fernandez R, et al. Older folks in hospitals: the contributing factors and
recommendations for incident prevention. J Patient Saf. 2014;10(3):146-53.
doi:10.1097/PTS.0b013e318299…
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psnet.ahrq.gov/node/43040/psn-pdf
March 05, 2014 - Framework for analysing risk and safety in clinical
medicine.
March 5, 2014
Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine.
BMJ. 1998;316(7138):1154-1157.
https://psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine-0
This commentary outli…
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psnet.ahrq.gov/node/45152/psn-pdf
November 18, 2016 - Department of Veterans Affairs Chief Resident in Quality
and Patient Safety Program: a model to spread change.
November 18, 2016
Watts B, Paull DE, Williams LC, et al. Department of Veterans Affairs Chief Resident in Quality and Patient
Safety Program: A Model to Spread Change. Am J Med Qual. 2016;31(6):598-600.
h…
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psnet.ahrq.gov/node/46606/psn-pdf
July 10, 2019 - Implementation of a mock root cause analysis to provide
simulated patient safety training.
July 10, 2019
Murphy M, Duff J, Whitney J, et al. Implementation of a mock root cause analysis to provide simulated
patient safety training. BMJ Open Qual. 2017;6(2). doi:10.1136/bmjoq-2017-000096.
https://psnet.ahrq.gov/iss…