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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/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/46644/psn-pdf
June 20, 2018 - The Science of Teamwork.
June 20, 2018
McDaniel SH, Salas E, eds. Am Psychol. 2018;73:305-600.
https://psnet.ahrq.gov/issue/science-teamwork
Effective teams are core to safe practice in a wide range of work environments. This special issue explores
team psychology with an emphasis on high-risk industries such as s…
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psnet.ahrq.gov/node/35442/psn-pdf
September 18, 2009 - Management of adverse surgical events: a structured
education module for residents.
September 18, 2009
Brewster LP, Risucci DA, Joehl RJ, et al. Management of adverse surgical events: a structured education
module for residents. Am J Surg. 2005;190(5):687-90.
https://psnet.ahrq.gov/issue/management-adverse-surgica…
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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/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/cms-nursing-home-resource-center.html
August 01, 2022 - Centers for Medicare and Medicaid Services (CMS) Nursing Home Resource Center
Resource: Centers for Medicare and Medicaid Services (CMS) Nursing Home Resource Center
This website provides acces to updated guidance for nursing homes to safely expand visitation options during the COVID-19 pandemic and also inc…
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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/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/42340/psn-pdf
June 05, 2013 - Medical errors are hard for doctors to admit, but it's wise
to apologize to patients.
June 5, 2013
Jain M.
https://psnet.ahrq.gov/issue/medical-errors-are-hard-doctors-admit-its-wise-apologize-patients
This newspaper article reports on disclosure and apology for medical errors, recounts a physician's
personal exp…
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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/865466/psn-pdf
March 27, 2024 - suggested
that the future utility of AI is complex, but at minimum, as regulation develops, AI should be trained
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/establish-operational-systems-support-integration
January 01, 2022 - What is Practice Facilitation At its core, practice facilitation involves a trained individual, the practice
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psnet.ahrq.gov/node/867656/psn-pdf
February 26, 2025 - A well-trained analyst will know the right place
to go to get the right data for the questions you are
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight13.html
June 01, 2015 - that facilitators who worked with numerous practices were spread too thin and were not sufficiently trained
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
May 05, 2008 - A clinically trained research assistant directly observed 29 pre-
intervention and 142 post-intervention
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psnet.ahrq.gov/node/37064/psn-pdf
October 03, 2011 - Crisis resource management: evaluating outcomes of a
multidisciplinary team.
October 3, 2011
Jankouskas T, Bush MC, Murray B, et al. Crisis resource management: evaluating outcomes of a
multidisciplinary team. Simul Healthc. 2007;2(2):96-101. doi:10.1097/SIH.0b013e31805d8b0d.
https://psnet.ahrq.gov/issue/crisis-re…
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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/41850/psn-pdf
November 21, 2012 - TeamSTEPPS: the patient safety tool that needs to be
implemented.
November 21, 2012
Clapper TC, Kong M. TeamSTEPPS®: The Patient Safety Tool That Needs to Be Implemented. Clin Simul
Nurs. 2011;8(8). doi:10.1016/j.ecns.2011.03.002.
https://psnet.ahrq.gov/issue/teamstepps-patient-safety-tool-needs-be-implemented
De…
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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…