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psnet.ahrq.gov/node/60344/psn-pdf
May 20, 2020 - American Geriatrics Society (AGS) Policy Brief: COVID-19
and nursing homes.
May 20, 2020
American Geriatrics Society (AGS) Policy Brief: COVID-19 and nursing homes. Am Geriatr Soc.
2020;68(5):908-911. doi:10.1111/jgs.16477.
https://psnet.ahrq.gov/issue/american-geriatrics-society-ags-policy-brief-covid-19-and-nurs…
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psnet.ahrq.gov/node/837070/psn-pdf
May 11, 2022 - Patient falls in the operating room setting: an analysis of
reported safety events.
May 11, 2022
Tan J, Krishnan S, Vacanti JC, et al. Patient falls in the operating room setting: an analysis of reported
safety events. J Healthc Risk Manag. 2022;42(1):9-14. doi:10.1002/jhrm.21503.
https://psnet.ahrq.gov/issue/pati…
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psnet.ahrq.gov/node/60823/psn-pdf
August 19, 2020 - Disaster ergonomics: human factors in COVID-19
pandemic emergency management.
August 19, 2020
Sasangohar F, Moats J, Mehta R, et al. Disaster ergonomics: human factors in COVID-19 pandemic
emergency management. Hum Factors. 2020;62(7):1061-1068. doi:10.1177/0018720820939428.
https://psnet.ahrq.gov/issue/disaster-e…
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psnet.ahrq.gov/node/37929/psn-pdf
February 18, 2011 - Impact of duty hour regulations on medical students'
education: views of key clinical faculty.
February 18, 2011
Reed DA, Levine RB, Miller RG, et al. Impact of duty hour regulations on medical students' education:
views of key clinical faculty. J Gen Intern Med. 2008;23(7):1084-9. doi:10.1007/s11606-008-0532-1.
h…
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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/47256/psn-pdf
October 03, 2018 - Does the perception of severity of medical error differ
between varying levels of clinical seniority?
October 3, 2018
Khan I, Arsanious M. Does the perception of severity of medical error differ between varying levels of
clinical seniority? Adv Med Educ Pract. 2018;9:443-452. doi:10.2147/AMEP.S146474.
https://psne…
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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…
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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/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/44036/psn-pdf
April 15, 2015 - Can medical students identify a potentially serious
acetaminophen dosing error in a simulated encounter? A
case control study.
April 15, 2015
Dudas RA, Barone MA. Can medical students identify a potentially serious acetaminophen dosing error in a
simulated encounter? a case control study. BMC Med Educ. 2015;15(1).…
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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/42922/psn-pdf
April 12, 2014 - Successful implementation of standardized
multidisciplinary bedside rounds, including daily goals, in
a pediatric ICU.
April 12, 2014
Seigel J, Whalen L, Burgess E, et al. Successful implementation of standardized multidisciplinary bedside
rounds, including daily goals, in a pediatric ICU. Jt Comm J Qual Patient S…
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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/43336/psn-pdf
July 09, 2014 - Pharmacists in pharmacovigilance: can increased
diagnostic opportunity in community settings translate to
better vigilance?
July 9, 2014
Rutter P, Brown D, Howard J, et al. Pharmacists in pharmacovigilance: can increased diagnostic
opportunity in community settings translate to better vigilance? Drug Saf. 2014;37(…
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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/43580/psn-pdf
October 01, 2014 - Reducing medication errors in critical care: a multimodal
approach.
October 1, 2014
Kruer RM, Jarrell AS, Latif A. Reducing medication errors in critical care: a multimodal approach. Clin
Pharmacol. 2014;6:117-26. doi:10.2147/CPAA.S48530.
https://psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-multim…
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psnet.ahrq.gov/node/837204/psn-pdf
May 25, 2022 - Resident physicians' advice seeking and error making: a
social networks approach.
May 25, 2022
Katz-Navon T, Naveh E. Resident physicians' advice seeking and error making: a social networks
approach. Health Care Manage Rev. 2022;47(3):e41-e49. doi:10.1097/hmr.0000000000000333.
https://psnet.ahrq.gov/issue/resident…
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psnet.ahrq.gov/node/43783/psn-pdf
January 14, 2015 - Improving the quality and safety of care on the medical
ward: a review and synthesis of the evidence base.
January 14, 2015
Pannick S, Beveridge I, Wachter R, et al. Improving the quality and safety of care on the medical ward: A
review and synthesis of the evidence base. Eur J Intern Med. 2014;25(10):874-87.
doi:…
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psnet.ahrq.gov/node/46643/psn-pdf
January 10, 2018 - The role of checklists and human factors for improved
patient safety in plastic surgery.
January 10, 2018
Oppikofer C, Schwappach DLB. The Role of Checklists and Human Factors for Improved Patient Safety in
Plastic Surgery. Plast Reconstr Surg. 2017;140(6):812e-817e. doi:10.1097/PRS.0000000000003892.
https://psnet…
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psnet.ahrq.gov/node/45092/psn-pdf
May 11, 2016 - The experiences of risk managers in providing emotional
support for health care workers after adverse events.
May 11, 2016
Edrees HH, Brock DM, Wu AW, et al. The experiences of risk managers in providing emotional support for
health care workers after adverse events. J Healthc Risk Manag. 2016;35(4):14-21.
doi:10.…