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psnet.ahrq.gov/node/43135/psn-pdf
April 23, 2014 - Standardise, Educate, Harmonise: Commissioning the
Conditions for Safer Surgery.
April 23, 2014
NHS England Never Events Taskforce. London, UK: NHS England; February 27, 2014.
https://psnet.ahrq.gov/issue/standardise-educate-harmonise-commissioning-conditions-safer-surgery
Examining risks in surgical care such as …
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psnet.ahrq.gov/node/42394/psn-pdf
July 10, 2013 - In situ simulation: identification of systems issues.
July 10, 2013
Guise J-M, Mladenovic J. In situ simulation: Identification of systems issues. Semin Perinatol. 2013;37(3).
doi:10.1053/j.semperi.2013.02.007.
https://psnet.ahrq.gov/issue/situ-simulation-identification-systems-issues
This review describes how in …
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psnet.ahrq.gov/node/43534/psn-pdf
January 22, 2016 - Creating a fellowship curriculum in patient safety and
quality.
January 22, 2016
Abookire SA, Gandhi TK, Kachalia A, et al. Creating a Fellowship Curriculum in Patient Safety and Quality.
Am J Med Qual. 2016;31(1):27-30. doi:10.1177/1062860614549012.
https://psnet.ahrq.gov/issue/creating-fellowship-curriculum-pati…
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psnet.ahrq.gov/node/47053/psn-pdf
May 23, 2018 - TeamSTEPPS Canada.
May 23, 2018
Canadian Patient Safety Institute.
https://psnet.ahrq.gov/issue/teamstepps-canada
The TeamSTEPPS program was developed to support effective communication and teamwork skills in
various health care settings. This site supports the Canadian TeamSTEPPS initiative. The program will
pre…
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psnet.ahrq.gov/node/43094/psn-pdf
May 28, 2015 - Implementing human factors in clinical practice.
May 28, 2015
Timmons S, Baxendale B, Buttery A, et al. Implementing human factors in clinical practice. Emerg Med J.
2015;32(5):368-72. doi:10.1136/emermed-2013-203203.
https://psnet.ahrq.gov/issue/implementing-human-factors-clinical-practice
Human factors approache…
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psnet.ahrq.gov/node/37806/psn-pdf
July 14, 2010 - Impact of patient safety mandates on medical education
in the United States.
July 14, 2010
Kane JM, Brannen ML, Kern E. Impact of Patient Safety Mandates on Medical Education in the United
States. J Patient Saf. 2008;4(2):93-97. doi:10.1097/pts.0b013e318173f7b5.
https://psnet.ahrq.gov/issue/impact-patient-safety-m…
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psnet.ahrq.gov/node/36961/psn-pdf
September 13, 2011 - Teaching teamwork during the Neonatal Resuscitation
Program: a randomized trial.
September 13, 2011
Thomas EJ, Taggart B, Crandell S, et al. Teaching teamwork during the Neonatal Resuscitation Program: a
randomized trial. Journal of Perinatology. 2007;27(7). doi:10.1038/sj.jp.7211771.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/37044/psn-pdf
September 05, 2007 - Make no mistake about it: chain pharmacies are finding
innovative ways to combat medication errors.
September 5, 2007
Levy S. Drug Topics. July 9, 2007
https://psnet.ahrq.gov/issue/make-no-mistake-about-it-chain-pharmacies-are-finding-innovative-ways-
combat-medication
This article reports on ways in which chain …
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psnet.ahrq.gov/node/41442/psn-pdf
May 30, 2012 - Radiation Therapy Safety: The Critical Role of the
Radiation Therapist.
May 30, 2012
Odle TG, Rosier N. Albuquerque, NM: American Society of Radiologic Technologists Education and
Research Foundation; 2012.
https://psnet.ahrq.gov/issue/radiation-therapy-safety-critical-role-radiation-therapist
Summarizing the rol…
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psnet.ahrq.gov/node/40860/psn-pdf
March 02, 2012 - Patient safety issues in advanced practice nursing
students' care settings.
March 2, 2012
Schnall R, Cook S, John RM, et al. Patient Safety Issues in Advanced Practice Nursing Students? Care
Settings. J Nurs Care Qual. 2011;27(2). doi:10.1097/ncq.0b013e3182310d27.
https://psnet.ahrq.gov/issue/patient-safety-issues…
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www.ahrq.gov/nursing-home/resources/nhsn-lab-id-event.html
April 01, 2022 - National Healthcare Safety Network (NHSN) Laboratory-Identified Event (LabID Event): Surveillance for C. difficile Infection (CDI) and Drug-Resistant Organisms (MDROs)
Resource: National Healthcare Safety Network (NHSN) Laboratory-identified Event (LabID Event): Surveillance for C. difficile infection (CDI) an…
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www.ahrq.gov/nursing-home/resources/tracking-infections.html
April 01, 2022 - Tracking Infections in Long-Term Care Facilities (LTCFs) Using the National Healthcare Safety Network (NHSN) Overview
Resource: Tracking Infections in Long-Term Care Facilities (LTCFs) Using the National Healthcare Safety Network (NHSN) Overview
This training presentation defines the National Healthcare Saf…
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www.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/index.html
August 01, 2020 - For Systems Decisionmakers
Integrating the efforts of clinicians, health care systems, insurers, and purchasers provides an opportunity to increase rates of delivering tobacco dependence treatments, quit attempts, and successful smoking cessation. This Systems Change material will help advance that endeavor.
…
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psnet.ahrq.gov/node/41063/psn-pdf
January 27, 2012 - Perspective: ten thousand hours to patient safety, sooner
or later.
January 27, 2012
Pellegrini VD. Perspective: ten thousand hours to patient safety, sooner or later. Acad Med.
2012;87(2):164-7. doi:10.1097/ACM.0b013e31823f7202.
https://psnet.ahrq.gov/issue/perspective-ten-thousand-hours-patient-safety-sooner-or-…
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psnet.ahrq.gov/node/42875/psn-pdf
January 22, 2014 - Communication in the operating theatre.
January 22, 2014
Weldon S-M, Korkiakangas T, Bezemer J, et al. Communication in the operating theatre. Br J Surg.
2013;100(13):1677-88. doi:10.1002/bjs.9332.
https://psnet.ahrq.gov/issue/communication-operating-theatre
This systematic review of communication in the operating…
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psnet.ahrq.gov/node/42180/psn-pdf
April 22, 2013 - Building collaborative teams in neonatal intensive care.
April 22, 2013
Brodsky D, Gupta M, Quinn M, et al. Building collaborative teams in neonatal intensive care. BMJ Qual Saf.
2013;22(5):374-82. doi:10.1136/bmjqs-2012-000909.
https://psnet.ahrq.gov/issue/building-collaborative-teams-neonatal-intensive-care
An i…
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psnet.ahrq.gov/node/36301/psn-pdf
October 26, 2010 - The culture of a trauma team in relation to human factors.
October 26, 2010
Cole E, Crichton N. The culture of a trauma team in relation to human factors. J Clin Nurs. 2006;15(10).
doi:10.1111/j.1365-2702.2006.01566.x.
https://psnet.ahrq.gov/issue/culture-trauma-team-relation-human-factors
The investigators observ…
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psnet.ahrq.gov/node/41832/psn-pdf
November 26, 2012 - Healthcare management strategies: interdisciplinary team
factors.
November 26, 2012
Andreatta P, Marzano D. Healthcare management strategies: interdisciplinary team factors. Curr Opin
Obstet Gynecol. 2012;24(6):445-52. doi:10.1097/GCO.0b013e328359f007.
https://psnet.ahrq.gov/issue/healthcare-management-strategies-…
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psnet.ahrq.gov/node/40924/psn-pdf
February 23, 2015 - Interdisciplinary teamwork in hospitals: a review and
practical recommendations for improvement.
February 23, 2015
O'Leary KJ, Sehgal NL, Terrell G, et al. Interdisciplinary teamwork in hospitals: a review and practical
recommendations for improvement. J Hosp Med. 2012;7(1):48-54. doi:10.1002/jhm.970.
https://psne…
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psnet.ahrq.gov/node/42185/psn-pdf
April 10, 2013 - Improving patient safety in medicine: is the model of
anaesthesia care enough?
April 10, 2013
Haller G. Improving patient safety in medicine: is the model of anaesthesia care enough? Swiss Med Wkly.
2013;143:w13770. doi:10.4414/smw.2013.13770.
https://psnet.ahrq.gov/issue/improving-patient-safety-medicine-model-an…