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psnet.ahrq.gov/node/43610/psn-pdf
October 15, 2014 - Preventing medication errors in neonatology: is it a
dream?
October 15, 2014
Antonucci R, Porcella A. Preventing medication errors in neonatology: Is it a dream? World J Clin Pediatr.
2014;3(3):37-44. doi:10.5409/wjcp.v3.i3.37.
https://psnet.ahrq.gov/issue/preventing-medication-errors-neonatology-it-dream
Discuss…
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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/43350/psn-pdf
August 02, 2015 - Clinical questions raised by clinicians at the point of care:
a systematic review.
August 2, 2015
Del Fiol G, Workman E, Gorman PN. Clinical questions raised by clinicians at the point of care: a
systematic review. JAMA Intern Med. 2014;174(5):710-8. doi:10.1001/jamainternmed.2014.368.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/46963/psn-pdf
April 18, 2018 - A Just Culture Guide.
April 18, 2018
NHS Improvement. London, UK: National Health Service; March 15, 2018.
https://psnet.ahrq.gov/issue/just-culture-guide
Although focusing on system failure has been highlighted as key to improving patient safety, individual
behaviors must also be recognized as contributors to ris…
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psnet.ahrq.gov/node/42872/psn-pdf
December 30, 2014 - Errors in after-hours phone consultations: a simulation
study.
December 30, 2014
Joffe E, Turley JP, Hwang KO, et al. Errors in after-hours phone consultations: a simulation study. BMJ
Qual Saf. 2014;23(5):398-405. doi:10.1136/bmjqs-2013-002243.
https://psnet.ahrq.gov/issue/errors-after-hours-phone-consultations-s…
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psnet.ahrq.gov/node/43291/psn-pdf
June 25, 2014 - The interpretability of doctor identification badges in UK
hospitals: a survey of nurses and patients.
June 25, 2014
Hickerton BC, Fitzgerald DJ, Perry E, et al. The interpretability of doctor identification badges in UK
hospitals: a survey of nurses and patients. BMJ Qual Saf. 2014;23(7):543-7. doi:10.1136/bmjqs-2…
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psnet.ahrq.gov/node/73539/psn-pdf
July 28, 2021 - Developing critical thinking skills for delivering optimal
care
July 28, 2021
Scott IA, Hubbard RE, Crock C, et al. Developing critical thinking skills for delivering optimal care. Intern
Med J. 2021;51(4):488-493. doi:10.1111/imj.15272.
https://psnet.ahrq.gov/issue/developing-critical-thinking-skills-delivering-o…
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psnet.ahrq.gov/node/43740/psn-pdf
December 10, 2014 - Participation in EHR based simulation improves
recognition of patient safety issues.
December 10, 2014
Stephenson LS, Gorsuch A, Hersh WR, et al. Participation in EHR based simulation improves recognition
of patient safety issues. BMC Med Educ. 2014;14:224. doi:10.1186/1472-6920-14-224.
https://psnet.ahrq.gov/issu…
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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/39042/psn-pdf
July 13, 2010 - Global oximetry: an international anaesthesia quality
improvement project.
July 13, 2010
Walker IA, Merry AF, Wilson IH, et al. Global oximetry: an international anaesthesia quality improvement
project. Anaesthesia. 2009;64(10):1051-60. doi:10.1111/j.1365-2044.2009.06067.x.
https://psnet.ahrq.gov/issue/global-oxim…
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psnet.ahrq.gov/node/44107/psn-pdf
August 15, 2016 - Patient safety and end-of-life care: common issues,
perspectives, and strategies for improving care.
August 15, 2016
Dy SM. Patient Safety and End-of-Life Care: Common Issues, Perspectives, and Strategies for Improving
Care. Am J Hosp Palliat Care. 2016;33(8):791-6. doi:10.1177/1049909115581847.
https://psnet.ahrq…
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psnet.ahrq.gov/node/47871/psn-pdf
March 27, 2019 - Closing the disclosure gap: medical errors in pediatrics.
March 27, 2019
Lin M, Famiglietti H. Closing the Disclosure Gap: Medical Errors in Pediatrics. Pediatrics. 2019;143(4).
doi:10.1542/peds.2019-0221.
https://psnet.ahrq.gov/issue/closing-disclosure-gap-medical-errors-pediatrics
Disclosure of errors and advers…
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psnet.ahrq.gov/node/73496/psn-pdf
July 14, 2021 - Racism in pain medicine: we can and should do more.
July 14, 2021
Strand NH, Mariano ER, Goree JH, et al. Racism in pain medicine: we can and should do more. Mayo Clin
Proc. 2021;96(6):1394-1400. doi:10.1016/j.mayocp.2021.02.030.
https://psnet.ahrq.gov/issue/racism-pain-medicine-we-can-and-should-do-more
Systemic …
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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/45987/psn-pdf
April 26, 2017 - Using simulation to prepare nursing staff for the move to
a new building.
April 26, 2017
Knippa S, Senecal P-A. Using Simulation to Prepare Nursing Staff for the Move to a New Building. J
Nurses Prof Dev. 2017;33(2):E1-E5. doi:10.1097/NND.0000000000000329.
https://psnet.ahrq.gov/issue/using-simulation-prepare-nurs…
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psnet.ahrq.gov/node/41802/psn-pdf
October 31, 2012 - Relationship between high-fidelity simulation and patient
safety in prelicensure nursing education: a
comprehensive review.
October 31, 2012
Blum CA, Parcells DA. Relationship between high-fidelity simulation and patient safety in prelicensure
nursing education: a comprehensive review. J Nurs Educ. 2012;51(8):429-…
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psnet.ahrq.gov/node/40349/psn-pdf
May 11, 2011 - Use of briefings and debriefings as a tool in improving
team work, efficiency, and communication in the
operating theatre.
May 11, 2011
Bethune R, Sasirekha G, Sahu A, et al. Use of briefings and debriefings as a tool in improving team work,
efficiency, and communication in the operating theatre. Postgrad Med J. 2…
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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/43515/psn-pdf
July 03, 2016 - Targeting improvements in patient safety at a large
academic center: an institutional handoff curriculum for
graduate medical education.
July 3, 2016
Allen S, Caton C, Cluver J, et al. Targeting improvements in patient safety at a large academic center: an
institutional handoff curriculum for graduate medical educ…
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psnet.ahrq.gov/node/42860/psn-pdf
March 20, 2014 - Eight critical factors in creating and implementing a
successful simulation program.
March 20, 2014
Lazzara EH, Benishek LE, Dietz AS, et al. Eight critical factors in creating and implementing a successful
simulation program. Jt Comm J Qual Patient Saf. 2014;40(1):21-29.
https://psnet.ahrq.gov/issue/eight-critica…