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psnet.ahrq.gov/perspective/are-we-safer-today
February 26, 2025 - We should be reinforcing the use of safety tools with electronic health records, making specific suggestions
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psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
February 26, 2025 - We should be reinforcing the use of safety tools with electronic health records, making specific suggestions
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psnet.ahrq.gov/issue/patient-safety-incident-reporting-and-learning-guidelines-implemented-health-care
January 08, 2025 - Review
Patient safety incident reporting and learning guidelines implemented by health care professionals in specialized care units: scoping review.
Citation Text:
Gqaleni TM, Mkhize SW, Chironda G. Patient safety incident reporting and learning guidelines implemented by health care prof…
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psnet.ahrq.gov/node/49496/psn-pdf
December 01, 2005 - Improving health care experiences of persons who are blind or low
vision: suggestions from focus groups
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psnet.ahrq.gov/node/44266/psn-pdf
May 19, 2019 - Exploring health care professionals' perceptions of
incidents and incident reporting in rehabilitation settings.
May 19, 2019
Espin S, Carter C, Janes N, et al. Exploring Health Care Professionals' Perceptions of Incidents and
Incident Reporting in Rehabilitation Settings. J Patient Saf. 2019;15(2):154-160.
doi:10…
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psnet.ahrq.gov/issue/does-learning-mistakes-have-be-painful-analysis-5-years-experience-leeds-radiology
April 05, 2013 - Study
Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons.
…
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psnet.ahrq.gov/node/49519/psn-pdf
September 01, 2006 - Communication failures in patient sign-out
and suggestions for improvement: a critical incident analysis … Residents' suggestions for reducing errors in teaching hospitals. N Engl J Med.
2003;348:851-855.
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psnet.ahrq.gov/web-mm/triple-handoff
March 01, 2004 - Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis … Residents' suggestions for reducing errors in teaching hospitals. N Engl J Med. 2003;348:851-855.
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psnet.ahrq.gov/node/45795/psn-pdf
May 24, 2017 - Patient Hand-Off iNitiation and Evaluation (PHONE) study:
a randomized trial of patient handoff methods.
May 24, 2017
Clanton J, Gardner A, Subichin M, et al. Patient Hand-Off iNitiation and Evaluation (PHONE) study: A
randomized trial of patient handoff methods. Am J Surg. 2017;213(2):299-306.
doi:10.1016/j.amjsu…
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psnet.ahrq.gov/node/866846/psn-pdf
September 24, 2024 - Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement
September 24, 2024
Stockmeier CA, Thomas E, Mossburg S, et al. Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/zero…
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psnet.ahrq.gov/node/44122/psn-pdf
January 01, 2016 - Best practices: an electronic drug alert program to
improve safety in an accountable care environment.
November 16, 2015
Griesbach S, Lustig A, Malsin L, et al. Best Practices: An Electronic Drug Alert Program to Improve Safety
in an Accountable Care Environment. J Manag Care Spec Pharm. 2016;21(4):330-336.
doi:10…
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psnet.ahrq.gov/node/47027/psn-pdf
June 19, 2018 - Overdiagnosis and overtreatment as a quality problem:
insights from healthcare improvement research.
June 19, 2018
Armstrong N. Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement
research. BMJ Qual Saf. 2018;27(7):571-575. doi:10.1136/bmjqs-2017-007571.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/34709/psn-pdf
February 18, 2011 - Views of practicing physicians and the public on medical
errors.
February 18, 2011
Blendon RJ, DesRoches CM, Brodie M, et al. Views of practicing physicians and the public on medical
errors. N Engl J Med. 2002;347(24):1933-40.
https://psnet.ahrq.gov/issue/views-practicing-physicians-and-public-medical-errors
In r…
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psnet.ahrq.gov/node/35476/psn-pdf
February 22, 2010 - Taking the pulse of health care systems: experiences of
patients with health problems in six countries.
February 22, 2010
Schoen C, Osborn R, Huynh PT, et al. Taking The Pulse Of Health Care Systems: Experiences Of Patients
With Health Problems In Six Countries. doi:10.1377/hlthaff.w5.509.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/34063/psn-pdf
September 18, 2011 - Risk factors for retained instruments and sponges after
surgery.
September 18, 2011
Gawande AA, Studdert DM, Orav J, et al. Risk factors for retained instruments and sponges after surgery.
N Engl J Med. 2003;348(3):229-35.
https://psnet.ahrq.gov/issue/risk-factors-retained-instruments-and-sponges-after-surgery
Th…
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psnet.ahrq.gov/node/45002/psn-pdf
June 07, 2016 - The impact of the 2011 Accreditation Council for Graduate
Medical Education duty hour reform on quality and safety
in trauma care.
June 7, 2016
Marwaha JS, Drolet BC, Maddox SS, et al. The Impact of the 2011 Accreditation Council for Graduate
Medical Education Duty Hour Reform on Quality and Safety in Trauma Care.…
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psnet.ahrq.gov/node/34087/psn-pdf
June 16, 2011 - Evaluation of the culture of safety: survey of clinicians
and managers in an academic medical center.
June 16, 2011
Pronovost PJ, Weast B, Holzmueller CG, et al. Evaluation of the culture of safety: survey of clinicians and
managers in an academic medical center. Qual Saf Health Care. 2003;12(6):405-10.
https://ps…
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psnet.ahrq.gov/node/34792/psn-pdf
January 01, 2011 - Physician knowledge, attitudes, and behavior related to
reporting adverse drug events.
July 10, 2008
Rogers AS, Israel E, Smith CR, et al. Physician Knowledge, Attitudes, and Behavior Related to Reporting
Adverse Drug Events. Arch Intern Med. 2011;148(7):1596-1600.
doi:10.1001/archinte.1988.00380070090021.
https:…
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psnet.ahrq.gov/node/33928/psn-pdf
June 23, 2015 - Anesthesia safety: model or myth? A review of the
published literature and analysis of current original data.
June 23, 2015
Lagasse RS. Anesthesia safety: model or myth? A review of the published literature and analysis of current
original data. Anesthesiology. 2002;97(6):1609-17.
https://psnet.ahrq.gov/issue/anes…
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psnet.ahrq.gov/node/33620/psn-pdf
September 01, 2005 - In response to “Getting to the Root of the Matter” (June
2005)
September 1, 2005
Grondin L, Saint S, Flanders S, et al. In response to “Getting to the Root of the Matter” (June 2005). PSNet
[internet]. 2005.
https://psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
In response to "Getting to the R…