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psnet.ahrq.gov/node/46681/psn-pdf
April 16, 2018 - Trainee autonomy and patient safety.
April 16, 2018
George BC, Dunnington GL, DaRosa DA. Trainee autonomy and patient safety. Ann Surg.
2018;267(5):820-822. doi:10.1097/SLA.0000000000002599.
https://psnet.ahrq.gov/issue/trainee-autonomy-and-patient-safety
Reduced resident work hours and insufficient senior surgeon…
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psnet.ahrq.gov/node/42199/psn-pdf
June 12, 2013 - Contextual information influences diagnosis accuracy
and decision making in simulated emergency medicine
emergencies.
June 12, 2013
McRobert AP, Causer J, Vassiliadis J, et al. Contextual information influences diagnosis accuracy and
decision making in simulated emergency medicine emergencies. BMJ Qual Saf. 2013;2…
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psnet.ahrq.gov/node/38867/psn-pdf
March 01, 2011 - Management of anesthesia equipment failure: a
simulation-based resident skill assessment.
March 1, 2011
Waldrop WB, Murray DJ, Boulet JR, et al. Management of Anesthesia Equipment Failure: A Simulation-
Based Resident Skill Assessment. Anesthesia & Analgesia. 2009;109(2).
doi:10.1213/ane.0b013e3181aa3079.
https:/…
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psnet.ahrq.gov/node/43733/psn-pdf
March 14, 2016 - The effect of an electronic checklist on critical care
provider workload, errors, and performance.
March 14, 2016
Thongprayoon C, Harrison AM, O'Horo JC, et al. The Effect of an Electronic Checklist on Critical Care
Provider Workload, Errors, and Performance. J Intensive Care Med. 2016;31(3):205-12.
doi:10.1177/08…
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psnet.ahrq.gov/node/74014/psn-pdf
October 27, 2021 - Adopting system models for multiple incident analysis:
utility and usability.
October 27, 2021
Wheway JL, Jun GT. Adopting systems models for multiple incident analysis: utility and usability. Int J Qual
Health Care. 2021;33(4):mzab135. doi:10.1093/intqhc/mzab135.
https://psnet.ahrq.gov/issue/adopting-system-model…
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psnet.ahrq.gov/node/44408/psn-pdf
April 12, 2017 - Enhancing Surgical Performance: A Primer in Non-
technical Skills.
April 12, 2017
Flin R, Youngson GG, Yule S. Boca Raton, FL: CRC Press; 2015. ISBN: 9781482246322.
https://psnet.ahrq.gov/issue/enhancing-surgical-performance-primer-non-technical-skills
Non-technical skill development is gaining attention as a way …
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psnet.ahrq.gov/node/39428/psn-pdf
April 07, 2010 - Critical incidents related to cardiac arrests reported to the
Danish Patient Safety Database.
April 7, 2010
Andersen PO, Maaløe R, Andersen HB. Critical incidents related to cardiac arrests reported to the Danish
Patient Safety Database. Resuscitation. 2010;81(3):312-316. doi:10.1016/j.resuscitation.2009.10.018.
h…
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psnet.ahrq.gov/node/42324/psn-pdf
July 16, 2013 - Reducing risk in maternity by optimising teamwork and
leadership: an evidence-based approach to save mothers
and babies.
July 16, 2013
Cornthwaite K, Edwards S, Siassakos D. Reducing risk in maternity by optimising teamwork and
leadership: an evidence-based approach to save mothers and babies. Best Pract Res Clin …
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psnet.ahrq.gov/node/61054/psn-pdf
October 21, 2020 - The optimal use of telehealth to deliver safe patient care.
October 21, 2020
Quick Safety. October 6, 2020;55:1-4.
https://psnet.ahrq.gov/issue/optimal-use-telehealth-deliver-safe-patient-care
Telehealth benefits, barriers, and challenges have become more apparent due to its increased use due to
COVID-19 phys…
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psnet.ahrq.gov/node/45986/psn-pdf
March 29, 2017 - Pediatric prehospital medication dosing errors: a national
survey of paramedics.
March 29, 2017
Hoyle JD, Crowe RP, Bentley MA, et al. Pediatric prehospital medication dosing errors: a national survey of
paramedics. Prehosp Emerg Care. 2017;21(2):185-191. doi:10.1080/10903127.2016.1227001.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/44473/psn-pdf
September 27, 2016 - Medication errors in hospitals: a literature review of
disruptions to nursing practice during medication
administration.
September 27, 2016
Hayes C, Jackson D, Davidson PM, et al. Medication errors in hospitals: a literature review of disruptions to
nursing practice during medication administration. J Clin Nurs. 2…
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psnet.ahrq.gov/node/46628/psn-pdf
December 18, 2017 - Residency evaluations—where is the patient voice?
December 18, 2017
Tummalapalli SL. Residency Evaluations-Where Is the Patient Voice? JAMA Intern Med.
2017;177(12):1722-1723. doi:10.1001/jamainternmed.2017.6029.
https://psnet.ahrq.gov/issue/residency-evaluations-where-patient-voice
Residents rarely receive feedba…
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psnet.ahrq.gov/node/60555/psn-pdf
January 01, 2021 - Putting the patient in patient safety investigations:
barriers and strategies for involvement.
June 3, 2020
Busch IM, Saxena A, Wu AW. Putting the patient in patient safety investigations: barriers and strategies for
involvement. J Patient Saf. 2021;17(5):358-362. doi:10.1097/pts.0000000000000699.
https://psnet.ah…
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psnet.ahrq.gov/node/837605/psn-pdf
June 29, 2022 - Under the Skin. The Hidden Toll of Racism on American
Lives and on the Health of our Nation.
June 29, 2022
Villarosa L. New York, NT: Doubleday: 2022. ISBN 9780385544887.
https://psnet.ahrq.gov/issue/under-skin-hidden-toll-racism-american-lives-and-health-our-nation
Health inequities are receiving increased …
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psnet.ahrq.gov/node/45007/psn-pdf
March 30, 2016 - Medication errors involving healthcare students.
March 30, 2016
Hess L, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. March 2016;13:18-23.
https://psnet.ahrq.gov/issue/medication-errors-involving-healthcare-students
Using reports of medication errors submitted to the Pennsylvania Patient Safety Authority that …
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psnet.ahrq.gov/node/74238/psn-pdf
January 12, 2022 - Program access, depressive symptoms, and medical
errors among resident physicians with disability.
January 12, 2022
Meeks LM, Pereira-Lima K, Frank E, et al. Program access, depressive symptoms, and medical errors
among resident physicians with disability. JAMA Netw Open. 2021;4(12):e2141511.
doi:10.1001/jamanetwo…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-1.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 1: Medication Reconciliation Upon Admission: High Level Process Map Before Redesign
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Med…
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psnet.ahrq.gov/node/43781/psn-pdf
March 14, 2016 - Nurses' perspectives regarding the disclosure of errors to
patients: a qualitative study.
March 14, 2016
McLennan SR, Diebold M, Rich LE, et al. Nurses' perspectives regarding the disclosure of errors to
patients: A qualitative study. Int J Nurs Stud. 2016;54:16-22. doi:10.1016/j.ijnurstu.2014.10.001.
https://psne…
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psnet.ahrq.gov/node/860397/psn-pdf
January 10, 2024 - MRI safety: prepare for new guidance.
January 10, 2024
Gilk T. Appl Radiol. 2023;52(6):24-26.
https://psnet.ahrq.gov/issue/mri-safety-prepare-new-guidance
Magnetic resonance imaging (MRI) services carry with them unique safety considerations in both hospital
and ambulatory scanning environments. This article …
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psnet.ahrq.gov/node/47684/psn-pdf
March 20, 2019 - The impact of mobile technology on teamwork and
communication in hospitals: a systematic review.
March 20, 2019
Martin G, Khajuria A, Arora S, et al. The impact of mobile technology on teamwork and communication in
hospitals: a systematic review. J Am Med Inform Assoc. 2019;26(4):339-355. doi:10.1093/jamia/ocy175.
…