-
psnet.ahrq.gov/node/44309/psn-pdf
June 14, 2019 - Provider and patient perceptions of an external
medication history function.
June 14, 2019
Wolver SE, Stultz JS, Aggarwal A, et al. Provider and Patient Perceptions of an External Medication History
Function. J Patient Saf. 2018;14(4):234-240. doi:10.1097/PTS.0000000000000197.
https://psnet.ahrq.gov/issue/provider…
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psnet.ahrq.gov/node/850915/psn-pdf
June 21, 2023 - The influence of personality on psychological safety, the
presence of stress and chosen professional roles in the
healthcare environment.
June 21, 2023
Grailey K, Lound A, Murray E, et al. The influence of personality on psychological safety, the presence of
stress and chosen professional roles in the healthcare e…
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psnet.ahrq.gov/node/73911/psn-pdf
October 06, 2021 - Misdiagnosis of acute myocardial infarction: a systematic
review of the literature.
October 6, 2021
Kwok CS, Bennett S, Azam Z, et al. Misdiagnosis of acute myocardial infarction: a systematic review of the
literature. Crit Pathw Cardiol. 2021;20(3):155-162. doi:10.1097/hpc.0000000000000256.
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/42783/psn-pdf
January 15, 2014 - Sign-out snapshot: cross-sectional evaluation of written
sign-outs among specialties.
January 15, 2014
Schoenfeld AR, Al-Damluji MS, Horwitz LI. Sign-out snapshot: cross-sectional evaluation of written sign-
outs among specialties. BMJ Qual Saf. 2014;23(1):66-72. doi:10.1136/bmjqs-2013-002164.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/850929/psn-pdf
June 21, 2023 - Requirements for implementing a 'just culture' within
healthcare organisations: an integrative review.
June 21, 2023
Murray JS, Lee J, Larson S, et al. Requirements for implementing a ‘just culture’ within healthcare
organisations: an integrative review. BMJ Open Qual. 2023;12(2):e002237. doi:10.1136/bmjoq-2022-
0…
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psnet.ahrq.gov/node/45043/psn-pdf
July 01, 2016 - Exclusion of residents from surgery-intensive care team
communication: a qualitative study.
July 1, 2016
Conn LG, Haas B, Rubenfeld GD, et al. Exclusion of Residents From Surgery-Intensive Care Team
Communication: A Qualitative Study. J Surg Educ. 2016;73(4):639-47. doi:10.1016/j.jsurg.2016.02.002.
https://psnet.a…
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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/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/43842/psn-pdf
January 28, 2015 - Should health care providers be forced to apologise after
things go wrong?
January 28, 2015
McLennan S, Walker S, Rich LE. Should health care providers be forced to apologise after things go
wrong? J Bioeth Inq. 2014;11(4):431-5. doi:10.1007/s11673-014-9571-y.
https://psnet.ahrq.gov/issue/should-health-care-provid…
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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/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/38874/psn-pdf
April 30, 2014 - Use of simulation-based education to reduce catheter-
related bloodstream infections.
April 30, 2014
Barsuk JH, Cohen ER, Feinglass J, et al. Use of simulation-based education to reduce catheter-related
bloodstream infections. Arch Intern Med. 2009;169(15):1420-3. doi:10.1001/archinternmed.2009.215.
https://psnet.…
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psnet.ahrq.gov/node/43138/psn-pdf
April 23, 2014 - The quest for safe surgical care: are we missing the
obvious?
April 23, 2014
Shuhaiber J. The quest for safe surgical care: are we missing the obvious? Bull Am Coll Surg.
2014;99(2):42-5.
https://psnet.ahrq.gov/issue/quest-safe-surgical-care-are-we-missing-obvious
Many studies have examined how checklists impact …
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psnet.ahrq.gov/node/43048/psn-pdf
April 02, 2014 - Building a Culture of Candour: a Review of the Threshold
for the Duty of Candour and of the Incentives for Care
Organisations to Be Candid.
April 2, 2014
Dalton D, Williams N. London, UK: The Royal College of Surgeons of England; March 2014.
https://psnet.ahrq.gov/issue/building-culture-candour-review-thresh…
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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/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/43938/psn-pdf
March 18, 2015 - Fixing a broken EHR: HIM working in the spotlight to
solve common EHR issues.
March 18, 2015
Butler M. J AHIMA. March 2015;86:18-23.
https://psnet.ahrq.gov/issue/fixing-broken-ehr-him-working-spotlight-solve-common-ehr-issues
Although health information technology presents opportunities to improve patient safety, …
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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/39614/psn-pdf
June 18, 2021 - Preventing violence in the health care setting.
June 18, 2021
Preventing violence in the health care setting. Sentinel Event Alert. 2010;(45):1-3.
https://psnet.ahrq.gov/issue/preventing-violence-health-care-setting
Revised June 2021. The Joint Commission issues sentinel event alerts to highlight areas of high risk…