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psnet.ahrq.gov/node/45381/psn-pdf
July 01, 2017 - Incorporating quality and safety values into a CLABSI
simulation experience.
July 1, 2017
Liebrecht CM, Lieb MC. Incorporating Quality and Safety Values into a CLABSI Simulation Experience.
Nurs Forum. 2017;52(2):118-123. doi:10.1111/nuf.12175.
https://psnet.ahrq.gov/issue/incorporating-quality-and-safety-values-c…
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psnet.ahrq.gov/node/42109/psn-pdf
March 13, 2013 - Nursing crew resource management: a follow-up report
from the Veterans Health Administration.
March 13, 2013
Sculli GL, Fore AM, West P, et al. Nursing crew resource management: a follow-up report from the
Veterans Health Administration. J Nurs Adm. 2013;43(3):122-6. doi:10.1097/NNA.0b013e318283dafa.
https://psnet…
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psnet.ahrq.gov/node/50374/psn-pdf
September 25, 2019 - Explainable artificial intelligence for safe intraoperative
decision support.
September 25, 2019
Gordon L, Grantcharov T, Rudzicz F. Explainable Artificial Intelligence for Safe Intraoperative Decision
Support. JAMA Surg. 2019. doi:10.1001/jamasurg.2019.2821.
https://psnet.ahrq.gov/issue/explainable-artificial-int…
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psnet.ahrq.gov/node/40670/psn-pdf
August 03, 2011 - ED revamp: team approach to care reduces errors, boosts
patient and clinician satisfaction.
August 3, 2011
ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction. ED
management : the monthly update on emergency department management. 2011;23(7):78-80.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/73692/psn-pdf
September 08, 2021 - Quality and safety in surgery: challenges and
opportunities.
September 8, 2021
Nasca BJ, Bilimoria KY, Yang AD. Quality and safety in surgery: challenges and opportunities. Jt Comm J
Qual Patient Saf. 2021;47(9):604-607. doi:10.1016/j.jcjq.2021.05.003.
https://psnet.ahrq.gov/issue/quality-and-safety-surgery-challe…
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psnet.ahrq.gov/node/39910/psn-pdf
July 03, 2014 - An educational intervention for contextualizing patient
care and medical students' abilities to probe for
contextual issues in simulated patients.
July 3, 2014
Schwartz A, Weiner SJ, Harris IB, et al. An educational intervention for contextualizing patient care and
medical students' abilities to probe for contextu…
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psnet.ahrq.gov/node/836971/psn-pdf
April 20, 2022 - Patients should know who's operating, surgeons say.
April 20, 2022
Laber-Warren E. MedPage Today. April 5, 2022.
https://psnet.ahrq.gov/issue/patients-should-know-whos-operating-surgeons-say
Resident autonomy is an essential component to medical training, but it is not without patient safety risks.
This news artic…
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psnet.ahrq.gov/node/43529/psn-pdf
October 01, 2014 - National pediatric anesthesia safety quality improvement
program in the United States.
October 1, 2014
Kurth D, Tyler D, Heitmiller ES, et al. National pediatric anesthesia safety quality improvement program in
the United States. Anesth Analg. 2014;119(1):112-21. doi:10.1213/ANE.0000000000000040.
https://psnet.ahr…
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psnet.ahrq.gov/node/37847/psn-pdf
June 18, 2008 - Effect of the 80-hour work week on resident case
coverage.
June 18, 2008
Shin S, Britt R, Britt LD. Effect of the 80-hour work week on resident case coverage. J Am Coll Surg.
2008;206(5):798-800; discussion 801-3. doi:10.1016/j.jamcollsurg.2007.12.028.
https://psnet.ahrq.gov/issue/effect-80-hour-work-week-resident…
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psnet.ahrq.gov/node/44270/psn-pdf
July 01, 2015 - Improving Patient Safety Culture Through Teamwork and
Communication: TeamSTEPPS.
July 1, 2015
Chicago, IL: Health Research & Educational Trust; June 2015.
https://psnet.ahrq.gov/issue/improving-patient-safety-culture-through-teamwork-and-communication-
teamstepps
This guide draws from the experience of organizati…
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psnet.ahrq.gov/node/72787/psn-pdf
May 01, 2018 - The Caregiver Advise, Record, Enable (CARE) act.
May 1, 2018
Anthony M. The Caregiver Advise, Record, Enable (CARE) Act. Home Healthc Now. 2018;36(2):69-70.
doi:10.1097/nhh.0000000000000655.
https://psnet.ahrq.gov/issue/caregiver-advise-record-enable-care-act
Home healthcare is an increasingly viable option for pa…
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psnet.ahrq.gov/node/845080/psn-pdf
February 22, 2023 - A high-reliability organization mindset.
February 22, 2023
Merchant NB, O’Neal J, Dealino-Perez C, et al. A high-reliability organization mindset. Am J Med Qual.
2022;37(6):504-510. doi:10.1097/jmq.0000000000000086.
https://psnet.ahrq.gov/issue/high-reliability-organization-mindset
The goal for health care organiz…
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psnet.ahrq.gov/node/42552/psn-pdf
January 14, 2014 - Interprofessional care in intensive care settings and the
factors that impact it: results from a scoping review of
ethnographic studies.
January 14, 2014
Paradis E, Leslie M, Gropper MA, et al. Interprofessional care in intensive care settings and the factors that
impact it: results from a scoping review of ethnog…
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psnet.ahrq.gov/node/47518/psn-pdf
January 23, 2019 - Evaluation of a measurement system to assess ICU team
performance.
January 23, 2019
Dietz AS, Salas E, Pronovost P, et al. Evaluation of a Measurement System to Assess ICU Team
Performance. Crit Care Med. 2018;46(12):1898-1905. doi:10.1097/CCM.0000000000003431.
https://psnet.ahrq.gov/issue/evaluation-measurement-s…
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psnet.ahrq.gov/node/842778/psn-pdf
January 18, 2023 - During in-flight emergencies, sometimes airlines’ medical
kits fall short.
January 18, 2023
Ramachandran V. Kaiser Health News. January 6, 2023.
https://psnet.ahrq.gov/issue/during-flight-emergencies-sometimes-airlines-medical-kits-fall-short
Inadequate equipment and personnel training degrade the reliability of i…
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psnet.ahrq.gov/node/46730/psn-pdf
May 03, 2018 - Physician gender and apologies in clinical interactions.
May 3, 2018
Hill KM, Blanch-Hartigan D. Physician gender and apologies in clinical interactions. Patient Educ Couns.
2018;101(5):836-842. doi:10.1016/j.pec.2017.12.005.
https://psnet.ahrq.gov/issue/physician-gender-and-apologies-clinical-interactions
This si…
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psnet.ahrq.gov/node/44144/psn-pdf
May 27, 2015 - Maintaining safety in the dialysis facility.
May 27, 2015
Kliger AS. Maintaining safety in the dialysis facility. Clin J Am Soc Nephrol. 2015;10(4):688-95.
doi:10.2215/CJN.08960914.
https://psnet.ahrq.gov/issue/maintaining-safety-dialysis-facility
Failure to consider human factors and poor communication can contri…
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psnet.ahrq.gov/node/74188/psn-pdf
December 15, 2021 - Semantically ambiguous language in the teaching
operating room.
December 15, 2021
Liu C, McKenzie A, Sutkin G. Semantically ambiguous language in the teaching operating room. J Surg
Edu. 2021;78(6):1938-1947. doi:10.1016/j.jsurg.2021.03.020.
https://psnet.ahrq.gov/issue/semantically-ambiguous-language-teaching-ope…
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psnet.ahrq.gov/node/43033/psn-pdf
March 12, 2014 - Current challenges and future perspectives for patient
safety in surgery.
March 12, 2014
Stahel PF, Mauffrey C, Butler N. Current challenges and future perspectives for patient safety in surgery.
Patient Saf Surg. 2014;8(1):9. doi:10.1186/1754-9493-8-9.
https://psnet.ahrq.gov/issue/current-challenges-and-future-pe…
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psnet.ahrq.gov/node/865883/psn-pdf
May 15, 2024 - Addressing electronic health record contributions to
diagnostic error.
May 15, 2024
Ratwani RM, Bates DW, Gold J. Health Affairs Forefront. April 25, 2024.
https://psnet.ahrq.gov/issue/addressing-electronic-health-record-contributions-diagnostic-error
Design and user issues are persistent detractors from the relia…