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psnet.ahrq.gov/node/43556/psn-pdf
December 19, 2014 - Establishing a safe container for learning in simulation:
the role of the presimulation briefing.
December 19, 2014
Rudolph JW, Raemer D, Simon R. Establishing a safe container for learning in simulation: the role of the
presimulation briefing. Simul Healthc. 2014;9(6):339-49. doi:10.1097/SIH.0000000000000047.
htt…
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psnet.ahrq.gov/node/72582/psn-pdf
December 16, 2020 - Deficiencies in the Veterans Crisis Line Response to a
Veteran Caller Who Died.
December 16, 2020
Washington, DC: Department of Veterans Affairs, Office of Inspector General; November 17, 2020. Report
No 19-08542-11.
https://psnet.ahrq.gov/issue/deficiencies-veterans-crisis-line-response-veteran-caller-who-died
I…
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psnet.ahrq.gov/node/43365/psn-pdf
November 19, 2016 - Identifying facilitators and barriers for patient safety in a
medicine label design system using patient simulation
and interviews.
November 19, 2016
Dieckmann P, Clemmensen MH, Sørensen TK, et al. Identifying Facilitators and Barriers for Patient Safety
in a Medicine Label Design System Using Patient Simulation a…
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psnet.ahrq.gov/node/837904/psn-pdf
August 24, 2022 - A state-of-the-art review of speaking up in healthcare.
August 24, 2022
Violato E. A state-of-the-art review of speaking up in healthcare. Adv Health Sci Educ Theory Pract.
2022;27(4):1177-1194. doi:10.1007/s10459-022-10124-8.
https://psnet.ahrq.gov/issue/state-art-review-speaking-healthcare
Speaking up behaviors …
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psnet.ahrq.gov/node/44386/psn-pdf
August 12, 2015 - Using simulation to improve systems.
August 12, 2015
Lundberg PW, Korndorffer JR. Using Simulation to Improve Systems. Surg Clin North Am. 2015;95(4):885-
92. doi:10.1016/j.suc.2015.04.007.
https://psnet.ahrq.gov/issue/using-simulation-improve-systems
Safety approaches from aviation that can be applied to health c…
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psnet.ahrq.gov/node/38735/psn-pdf
June 24, 2009 - Reflection and analysis of how pharmacy students learn
to communicate about medication errors.
June 24, 2009
Noland CM, Rickles NM. Reflection and analysis of how pharmacy students learn to communicate about
medication errors. Health Commun. 2009;24(4):351-60. doi:10.1080/10410230902889399.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/44318/psn-pdf
December 04, 2016 - At the Precipice of Quality Health Care: The Role of the
Toxicologist in Enhancing Patient and Medication Safety.
December 4, 2016
J Med Toxicol. 2015;11(2):165-166, 252-273.
https://psnet.ahrq.gov/issue/precipice-quality-health-care-role-toxicologist-enhancing-patient-and-
medication-safety
This special issue hi…
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psnet.ahrq.gov/node/35356/psn-pdf
May 27, 2011 - Computerized physician order entry, a factor in
medication errors: descriptive analysis of events in the
intensive care unit safety reporting system.
May 27, 2011
Thompson DA; Duling L; Holzmueller CG; et al. JCOM. 2(8):407-412
https://psnet.ahrq.gov/issue/computerized-physician-order-entry-factor-medication-error…
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psnet.ahrq.gov/node/73392/psn-pdf
June 16, 2021 - AI for radiographic COVID-19 detection selects shortcuts
over signal.
June 16, 2021
DeGrave AJ, Janizek JD, Lee S-I. AI for radiographic COVID-19 detection selects shortcuts over signal.
Nat Mach Intell. 2021;3:610–619. doi:10.1038/s42256-021-00338-7.
https://psnet.ahrq.gov/issue/ai-radiographic-covid-19-detection…
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psnet.ahrq.gov/node/43030/psn-pdf
March 26, 2014 - Recommendations for practitioners and manufacturers to
address system-based causes of vaccine errors.
March 26, 2014
ISMP Medication Safety Alert! Acute care edition. March 13, 2014;19:1-2,4-5.
https://psnet.ahrq.gov/issue/recommendations-practitioners-and-manufacturers-address-system-based-
causes-vaccine-…
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psnet.ahrq.gov/node/74722/psn-pdf
February 02, 2022 - Preventing and mitigating radiology system failures: a
guide to disaster planning.
February 2, 2022
Gibney BT, Roberts JM, D'Ortenzio RM, et al. Preventing and mitigating radiology system failures: a guide
to disaster planning. RadioGraphics. 2021;41(7):2111-2126. doi:10.1148/rg.2021210083.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/850927/psn-pdf
June 21, 2023 - Room of horrors simulation in healthcare education: a
systematic review.
June 21, 2023
Lee SE, Repsha C, Seo WJ, et al. Room of horrors simulation in healthcare education: a systematic
review. Nurse Educ Today. 2023;126:105824. doi:10.1016/j.nedt.2023.105824.
https://psnet.ahrq.gov/issue/room-horrors-simulation-he…
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psnet.ahrq.gov/node/866411/psn-pdf
July 31, 2024 - Simulation to Improve Patient Safety: Getting Started.
July 31, 2024
Deutsch ES, Bajaj K. Simulation To Improve Patient Safety: Getting Started. Rockville, MD: Agency for
Healthcare Research and Quality; July 2024. Publication No. 24-0055.
https://psnet.ahrq.gov/issue/simulation-improve-patient-safety-getting-start…
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psnet.ahrq.gov/node/46457/psn-pdf
December 20, 2017 - Simulation and the diagnostic process: a pilot study of
trauma and rapid response teams.
December 20, 2017
Juriga LL, Murray DJ, Boulet JR, et al. Simulation and the diagnostic process: a pilot study of trauma and
rapid response teams. Diagnosis (Berl). 2017;4(4):241-249. doi:10.1515/dx-2017-0010.
https://psnet.ah…
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psnet.ahrq.gov/node/47641/psn-pdf
March 20, 2019 - Guided reflection interventions show no effect on
diagnostic accuracy in medical students.
March 20, 2019
Lambe KA, Hevey D, Kelly BD. Guided Reflection Interventions Show No Effect on Diagnostic Accuracy in
Medical Students. Front Psychol. 2018;9:2297. doi:10.3389/fpsyg.2018.02297.
https://psnet.ahrq.gov/issue/gu…
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psnet.ahrq.gov/node/60669/psn-pdf
July 08, 2020 - Participation in a system-thinking simulation experience
changes adverse event reporting.
July 8, 2020
Sanko JS, Mckay M. Participation in a system-thinking simulation experience changes adverse event
reporting. Simul Healthc. 2020;15(3):167-171. doi:10.1097/sih.0000000000000473.
https://psnet.ahrq.gov/issue/parti…
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psnet.ahrq.gov/node/45181/psn-pdf
June 22, 2016 - Strengthening leadership as a catalyst for enhanced
patient safety culture: a repeated cross-sectional
experimental study.
June 22, 2016
Kristensen S, Christensen KB, Jaquet A, et al. Strengthening leadership as a catalyst for enhanced patient
safety culture: a repeated cross-sectional experimental study. BMJ Open…
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psnet.ahrq.gov/node/46352/psn-pdf
October 15, 2018 - Optimal Resources for Surgical Quality and Safety.
October 15, 2018
Hoyt DB, Ko CY, eds. Chicago, IL: American College of Surgeons; 2017. ISBN: 9780996826242.
https://psnet.ahrq.gov/issue/optimal-resources-surgical-quality-and-safety
Surgery is complex and involves a wide range of possibilities for error that can r…
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psnet.ahrq.gov/node/39109/psn-pdf
November 18, 2009 - Action research, simulation, team communication, and
bringing the tacit into voice. Society for Simulation in
Healthcare.
November 18, 2009
Forsythe L. Action research, simulation, team communication, and bringing the tacit into voice society for
simulation in healthcare. Simul Healthc. 2009;4(3):143-148. doi:10.1…
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psnet.ahrq.gov/node/47656/psn-pdf
March 13, 2019 - Sleep and alertness in a duty-hour flexibility trial in
internal medicine.
March 13, 2019
Basner M, Asch DA, Shea JA, et al; iCOMPARE Research Group. N Engl J Med. 2019;380:915-923.
https://psnet.ahrq.gov/issue/sleep-and-alertness-duty-hour-flexibility-trial-internal-medicine
This cluster-randomized trial compared…