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psnet.ahrq.gov/node/46631/psn-pdf
March 20, 2018 - Simulation-based education to ensure provider
competency within the healthcare system.
March 20, 2018
Griswold S, Fralliccardi A, Boulet J, et al. Simulation-based Education to Ensure Provider Competency
Within the Health Care System. Acad Emerg Med. 2018;25(2):168-176. doi:10.1111/acem.13322.
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psnet.ahrq.gov/node/44953/psn-pdf
March 09, 2016 - Patient safety room of horrors: a novel method to assess
medical students and entering residents' ability to identify
hazards of hospitalisation.
March 9, 2016
Farnan JM, Gaffney S, Poston JT, et al. Patient safety room of horrors: a novel method to assess medical
students and entering residents' ability to identi…
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psnet.ahrq.gov/node/60528/psn-pdf
May 27, 2020 - The prevalence and impact of potentially inappropriate
prescribing among older persons in primary care
settings: multilevel meta-analysis.
May 27, 2020
Liew TM, Lee CS, Goh SKL, et al. The prevalence and impact of potentially inappropriate prescribing
among older persons in primary care settings: multilevel meta-a…
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psnet.ahrq.gov/node/45463/psn-pdf
April 12, 2017 - Implementation of the trigger review method in Scottish
general practices: patient safety outcomes and potential
for quality improvement.
April 12, 2017
de Wet C, Black C, Luty S, et al. Implementation of the trigger review method in Scottish general practices:
patient safety outcomes and potential for quality imp…
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psnet.ahrq.gov/node/38436/psn-pdf
February 25, 2009 - The effectiveness of inking needle core prostate biopsies
for preventing patient specimen identification errors: a
technique to address Joint Commission patient safety
goals in specialty laboratories.
February 25, 2009
Raff LJ, Engel G, Beck KR, et al. The effectiveness of inking needle core prostate biopsies for …
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psnet.ahrq.gov/node/47440/psn-pdf
April 07, 2019 - Improving inpatient mental health medication safety
through the process of obtaining HIMSS Stage 7: a case
report.
April 7, 2019
Sulkers H, Tajirian T, Paterson J, et al. JAMIA Open. 2019;2:35–39.
https://psnet.ahrq.gov/issue/improving-inpatient-mental-health-medication-safety-through-process-
obtaining-himss-sta…
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June 22, 2022 - Toward safer opioid prescribing in HIV care (TOWER): a
mixed-methods, cluster-randomized trial.
June 22, 2022
Cedillo G, George MC, Deshpande R, et al. Toward safer opioid prescribing in HIV care (TOWER): a
mixed-methods, cluster-randomized trial. Addict Sci Clin Pract. 2022;17(1):28. doi:10.1186/s13722-022-
00311…
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January 01, 2023 - How do hospital inpatients conceptualise patient safety?
A qualitative interview study using constructivist
grounded theory.
October 19, 2022
Barrow E, Lear RA, Morbi A, et al. How do hospital inpatients conceptualise patient safety? A qualitative
interview study using constructivist grounded theory. BMJ Qual Saf.…
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psnet.ahrq.gov/node/60318/psn-pdf
January 01, 2022 - Social determinants of health and patient safety: an
analysis of patient safety event reports related to limited
English-proficient patients.
May 13, 2020
Benda NC, Wesley DB, Nare M, et al. Social determinants of health and patient safety: an analysis of
patient safety event reports related to limited English-pro…
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psnet.ahrq.gov/node/851362/psn-pdf
July 12, 2023 - Health system resilience, accreditation, high-quality care,
and continuous quality improvement: what is the
destination and how do we get there?
July 12, 2023
Nicklin W, Greenfield D. Health system resilience, accreditation, high-quality care, and continuous quality
improvement: what is the destination and how do …
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psnet.ahrq.gov/node/72532/psn-pdf
December 02, 2020 - Association of display of patient photographs in the
electronic health record with wrong-patient order entry
errors.
December 2, 2020
Salmasian H, Blanchfield BB, Joyce K, et al. Association of display of patient photographs in the electronic
health record with wrong-patient order entry errors. JAMA Netw Open. 202…
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psnet.ahrq.gov/node/867687/psn-pdf
March 05, 2025 - Simulation-debriefing enhanced needs assessment to
address quality markers in health care: an innovation for
prospective hazard analysis.
March 5, 2025
Barker LT, Bond WF, Willemsen-Dunlap AM, et al. Simulation-debriefing enhanced needs assessment to
address quality markers in health care: an innovation for prospe…
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psnet.ahrq.gov/node/45973/psn-pdf
March 29, 2017 - Clinical perspective: creating an effective practice peer
review process—a primer.
March 29, 2017
Gandhi M, Louis FS, Wilson SH, et al. Clinical perspective: creating an effective practice peer review
process-a primer. Am J Obstet Gynecol. 2017;216(3):244-249. doi:10.1016/j.ajog.2016.11.1035.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/74723/psn-pdf
February 02, 2022 - The MedSafer study-electronic decision support for
deprescribing in hospitalized older adults: a cluster
randomized clinical trial.
February 2, 2022
McDonald EG, Wu PE, Rashidi B, et al. The MedSafer study-electronic decision support for deprescribing
in hospitalized older adults: a cluster randomized clinical tri…
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psnet.ahrq.gov/node/34769/psn-pdf
March 28, 2005 - The Challenger Launch Decision: Risky Technology,
Culture, and Deviance at NASA.
March 28, 2005
Vaughan D. Chicago, IL: University of Chicago Press; 1996. ISBN 9780226851754.
https://psnet.ahrq.gov/issue/challenger-launch-decision-risky-technology-culture-and-deviance-nasa
A model of root cause analysis on a syste…
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psnet.ahrq.gov/node/46653/psn-pdf
July 02, 2019 - Evaluating a mobile application for improving clinical
laboratory test ordering and diagnosis.
July 2, 2019
Meyer AND, Thompson PJ, Khanna A, et al. Evaluating a mobile application for improving clinical
laboratory test ordering and diagnosis. J Am Med Inform Assoc. 2018;25(7):841-847.
doi:10.1093/jamia/ocy026.
h…
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psnet.ahrq.gov/node/73567/psn-pdf
August 04, 2021 - Pharmacist-led educational interventions provided to
healthcare providers to reduce medication errors: a
systematic review and meta-analysis.
August 4, 2021
Jaam M, Naseralallah LM, Hussain TA, et al. Pharmacist-led educational interventions provided to
healthcare providers to reduce medication errors: a systemati…
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psnet.ahrq.gov/node/47391/psn-pdf
September 12, 2018 - Improving diagnosis by improving education: a policy
brief on education in healthcare professions.
September 12, 2018
Graber ML, Rencic J, Rusz D, et al. Improving diagnosis by improving education: a policy brief on
education in healthcare professions. Diagnosis (Berl). 2018;5(3):107-118. doi:10.1515/dx-2018-0033.
…
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psnet.ahrq.gov/node/73139/psn-pdf
April 14, 2021 - Effect of barcode technology on medication preparation
safety: a quasi-experimental study.
April 14, 2021
Küng K, Aeschbacher K, Rütsche A, et al. Effect of barcode technology on medication preparation safety: a
quasi-experimental study. Int J Qual Health Care. 2021;33(1). doi:10.1093/intqhc/mzab043.
https://psnet…
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psnet.ahrq.gov/node/74141/psn-pdf
December 01, 2021 - Incident reporting systems: what will it take to make them
less frustrating and achieve anything useful?
December 1, 2021
Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve
anything useful? Jt Comm J Qual Patient Saf. 2021;47(12):755-758. doi:10.1016/j.jcjq.2021.10.…