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psnet.ahrq.gov/node/41947/psn-pdf
January 30, 2013 - Self-reported patient safety competence among new
graduates in medicine, nursing and pharmacy.
January 30, 2013
Ginsburg LR, Tregunno D, Norton PG. Self-reported patient safety competence among new graduates in
medicine, nursing and pharmacy. BMJ Qual Saf. 2013;22(2):147-54. doi:10.1136/bmjqs-2012-001308.
https://…
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psnet.ahrq.gov/node/50932/psn-pdf
February 26, 2020 - Clinician-directed performance improvement: moving
beyond externally mandated metrics.
February 26, 2020
Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics.
Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505.
https://psnet.ahrq.gov/issue/clinician-direct…
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psnet.ahrq.gov/node/40563/psn-pdf
September 09, 2011 - Shedding light on the dark side of doctor–patient
interactions: verbal and nonverbal messages physicians
communicate during error disclosures.
September 9, 2011
Hannawa AF. Shedding light on the dark side of doctor-patient interactions: verbal and nonverbal
messages physicians communicate during error disclosures.…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ.html
July 01, 2023 - In Situ Simulation
Toolkit for Improving Perinatal Safety
This pillar explains how to use in situ simulation to practice perinatal safety skills and why it is an important part of improving perinatal safety.
Establishing a Program of In Situ Simulations: Slide Presentation ( PowerPoint , 982 KB; Text V…
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psnet.ahrq.gov/node/44045/psn-pdf
December 04, 2015 - Residents' reluctance to challenge negative hierarchy in
the operating room: a qualitative study.
December 4, 2015
Bould D, Sutherland S, Sydor DT, et al. Residents' reluctance to challenge negative hierarchy in the
operating room: a qualitative study. Can J Anaesth. 2015;62(6):576-86. doi:10.1007/s12630-015-0364-5…
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psnet.ahrq.gov/node/44780/psn-pdf
May 09, 2017 - Improving anesthesiologists' ability to speak up in the
operating room: a randomized controlled experiment of a
simulation-based intervention and a qualitative analysis
of hurdles and enablers.
May 9, 2017
Raemer DB, Kolbe M, Minehart RD, et al. Improving Anesthesiologists’ Ability to Speak Up in the Operating
Ro…
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psnet.ahrq.gov/node/45670/psn-pdf
November 16, 2016 - Not thinking clearly? Play a game, seriously!
November 16, 2016
Mohan D, Schell J, Angus DC. Not Thinking Clearly? Play a Game, Seriously!. JAMA. 2016;316(18):1867-
1868. doi:10.1001/jama.2016.14174.
https://psnet.ahrq.gov/issue/not-thinking-clearly-play-game-seriously
Heuristics enable experts to build off their …
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www.ahrq.gov/hai/quality/tools/cauti-ltc/engage.html
March 01, 2017 - Engage Residents and Families
Resident and Family Engagement brochure for residents ( PDF , 132 KB)
Describes what resident and family engagement is and how to engage with long-term care facility staff as partners in infection-prevention care.
Resident and Family Engagement: What Is My Role as a Leader? …
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psnet.ahrq.gov/node/45499/psn-pdf
May 03, 2017 - Patient safety and interprofessional education: a report of
key issues from two interprofessional workshops.
May 3, 2017
Anderson ES, Gray R, Price K. Patient safety and interprofessional education: A report of key issues from
two interprofessional workshops. J Interprof Care. 2017;31(2):154-163.
doi:10.1080/13561…
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psnet.ahrq.gov/node/44705/psn-pdf
January 01, 2017 - Team dynamics, clinical work satisfaction, and patient
care coordination between primary care providers: a
mixed methods study.
December 7, 2016
Song H, Ryan M, Tendulkar S, et al. Team dynamics, clinical work satisfaction, and patient care
coordination between primary care providers: A mixed methods study. Health…
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psnet.ahrq.gov/node/866951/psn-pdf
October 16, 2024 - Toward a responsible future: recommendations for AI-
enabled clinical decision support.
October 16, 2024
Labkoff S, Oladimeji B, Kannry J, et al. Toward a responsible future: recommendations for AI-enabled
clinical decision support. J Am Med Inform Assoc. 2024;31(11):2730-2739. doi:10.1093/jamia/ocae209.
https://p…
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psnet.ahrq.gov/node/866648/psn-pdf
September 04, 2024 - ACOG Committee Statement No. 10: Racial and Ethnic
Inequities in Obstetrics and Gynecology.
September 4, 2024
ACOG Committee Statement No. 10: Racial and Ethnic Inequities in Obstetrics and Gynecology. Obstet
Gynecol. 2024;144(3):e62-e74. doi:10.1097/aog.0000000000005678.
https://psnet.ahrq.gov/issue/acog-committe…
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psnet.ahrq.gov/node/73487/psn-pdf
July 14, 2021 - The July Effect in podiatric medicine and surgery
residency.
July 14, 2021
Casciato DJ, Thompson J, Law R, et al. The July Effect in podiatric medicine and surgery residency. J Foot
Ankle Surg. 2021;60(6):1152-1157. doi:10.1053/j.jfas.2021.04.020.
https://psnet.ahrq.gov/issue/july-effect-podiatric-medicine-and-sur…
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psnet.ahrq.gov/node/44210/psn-pdf
September 09, 2015 - The future of graduate medical education: a systems-
based approach to ensure patient safety.
September 9, 2015
Bagian JP. The Future of Graduate Medical Education: A Systems-Based Approach to Ensure Patient
Safety. Acad Med. 2015;90(9):1199-202. doi:10.1097/ACM.0000000000000824.
https://psnet.ahrq.gov/issue/futur…
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psnet.ahrq.gov/node/861292/psn-pdf
January 24, 2024 - Deficiencies in the Community Care Network
Credentialing Process of a Former VA Surgeon and
Veterans Health Administration Oversight Failures.
January 24, 2024
Washington DC: VA Office of the Inspector General; January 4, 2024; Report no. 22-02294-42.
https://psnet.ahrq.gov/issue/deficiencies-community-care-n…
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psnet.ahrq.gov/node/46637/psn-pdf
December 06, 2017 - Instituting vincristine minibag administration: an
innovative strategy using simulation to enhance
chemotherapy safety.
December 6, 2017
Corbitt N, Malick L, Nishioka J, et al. Instituting Vincristine Minibag Administration: An Innovative Strategy
Using Simulation to Enhance Chemotherapy Safety. J Infus Nurs. 2017…
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psnet.ahrq.gov/node/47219/psn-pdf
July 25, 2018 - Preparing clinicians for transitioning patients across care
settings and into the home through simulation.
July 25, 2018
Molloy MA, Cary MP, Brennan-Cook J, et al. Preparing Clinicians for Transitioning Patients Across Care
Settings and Into the Home Through Simulation. Home Healthc Now. 2018;36(4):225-231.
doi:10…
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psnet.ahrq.gov/node/44347/psn-pdf
November 20, 2015 - An experimental study of medical error explanations: do
apology, empathy, corrective action, and compensation
alter intentions and attitudes?
November 20, 2015
Nazione S, Pace K. An Experimental Study of Medical Error Explanations: Do Apology, Empathy,
Corrective Action, and Compensation Alter Intentions and Attit…
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psnet.ahrq.gov/node/849135/psn-pdf
May 17, 2023 - Quality and Safety Considerations in Intensity Modulated
Radiation Therapy: An ASTRO Safety White Paper
Update.
May 17, 2023
Moran JM, Bazan JG, Dawes SL, et al. Quality and Safety Considerations in Intensity Modulated Radiation
Therapy: An ASTRO Safety White Paper Update. Pract Radiat Oncol. 2023;13(3):203-216.
…
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psnet.ahrq.gov/node/45984/psn-pdf
June 21, 2017 - We are going to name names and call you out! Improving
the team in the academic operating room environment.
June 21, 2017
Bodor R, Nguyen BJ, Broder K. We Are Going to Name Names and Call You Out! Improving the Team in
the Academic Operating Room Environment. Ann Plast Surg. 2017;78.
doi:10.1097/sap.00000000000010…