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psnet.ahrq.gov/node/36552/psn-pdf
January 12, 2011 - Toward learning from patient safety reporting systems.
January 12, 2011
Pronovost P, Thompson DA, Holzmueller CG, et al. Toward learning from patient safety reporting systems.
J Crit Care. 2006;21(4):305-15.
https://psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems
This study reports the initia…
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psnet.ahrq.gov/node/856631/psn-pdf
November 29, 2023 - Experiences and perceptions of healthcare stakeholders
in disclosing errors and adverse events to historically
marginalized patients.
November 29, 2023
Olazo K, Gallagher TH, Sarkar U. Experiences and perceptions of healthcare stakeholders in disclosing
errors and adverse events to historically marginalized patien…
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psnet.ahrq.gov/node/44726/psn-pdf
January 07, 2016 - The impact of resident duty hour and supervision
changes: a review.
January 7, 2016
Greenberg WE, Borus JF. The Impact of Resident Duty Hour and Supervision Changes: A Review. Harv
Rev Psychiatry. 2016;24(1):69-76. doi:10.1097/HRP.0000000000000061.
https://psnet.ahrq.gov/issue/impact-resident-duty-hour-and-supervi…
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psnet.ahrq.gov/node/60732/psn-pdf
July 29, 2020 - Restructuring of a general surgery residency program in
an epicenter of the coronavirus disease 2019 pandemic:
lessons from New York City.
July 29, 2020
Juprasert JM, Gray KD, Moore MD, et al. Restructuring of a general surgery residency program in an
epicenter of the coronavirus disease 2019 pandemic: lessons fro…
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psnet.ahrq.gov/node/43147/psn-pdf
July 19, 2017 - ACOG Committee Opinion #590: preparing for clinical
emergencies in obstetrics and gynecology.
July 19, 2017
Improvement AC of O and GC on PS and Q. Committee opinion no. 590: preparing for clinical emergencies
in obstetrics and gynecology. Obstet Gynecol. 2014;123(3):722-5.
doi:10.1097/01.AOG.0000444442.04111.c6.
…
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psnet.ahrq.gov/node/43426/psn-pdf
July 03, 2016 - Discussing the undiscussable with the powerful: why and
how faculty must learn to counteract organizational
silence.
July 3, 2016
Dankoski ME, Bickel J, Gusic ME. Discussing the undiscussable with the powerful: why and how faculty
must learn to counteract organizational silence. Acad Med. 2014;89(12):1610-3.
doi:…
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psnet.ahrq.gov/node/72821/psn-pdf
March 10, 2019 - I-PASS Mentored Implementation Handoff Curriculum:
implementation guide and resources.
March 10, 2019
O'Toole JK, Starmer AJ, Calaman S, et al. I-PASS Mentored Implementation Handoff Curriculum:
implementation guide and resources. MedEdPORTAL. 2018;14(1):10736. doi:10.15766/mep_2374-
8265.10736.
https://psnet.ahr…
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psnet.ahrq.gov/node/45859/psn-pdf
August 03, 2017 - Root cause analysis and actions for the prevention of
medical errors: quality improvement and resident
education.
August 3, 2017
Charles R, Hood B, DeRosier JM, et al. Root Cause Analysis and Actions for the Prevention of Medical
Errors: Quality Improvement and Resident Education. Orthopedics. 2017;40(4):e628-e635…
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psnet.ahrq.gov/node/37411/psn-pdf
March 28, 2012 - Professionalism in medicine: results of a national survey
of physicians.
March 28, 2012
Campbell EG, Regan S, Gruen RL, et al. Professionalism in medicine: results of a national survey of
physicians. Ann Intern Med. 2007;147(11):795-802.
https://psnet.ahrq.gov/issue/professionalism-medicine-results-national-survey…
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psnet.ahrq.gov/node/61101/psn-pdf
November 04, 2020 - Investigation into Management of Venous
Thromboembolism Risk in Patients Following
Thrombolysis for an Acute Stroke.
November 4, 2020
Farnborough, UK; Healthcare Safety Investigation Branch. October 2020
https://psnet.ahrq.gov/issue/investigation-management-venous-thromboembolism-risk-patients-following-
thrombol…
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psnet.ahrq.gov/node/35089/psn-pdf
August 05, 2009 - Teaching medical students about medical errors and
patient safety: evaluation of a required curriculum.
August 5, 2009
Halbach JL, Sullivan LL. Teaching medical students about medical errors and patient safety: evaluation of
a required curriculum. Acad Med. 2005;80(6):600-6.
https://psnet.ahrq.gov/issue/teaching-m…
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psnet.ahrq.gov/node/46040/psn-pdf
April 12, 2017 - How does audit and feedback influence intentions of
health professionals to improve practice? A laboratory
experiment and field study in cardiac rehabilitation.
April 12, 2017
Gude WT, van Engen-Verheul MM, van der Veer SN, et al. How does audit and feedback influence
intentions of health professionals to improve …
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psnet.ahrq.gov/node/860732/psn-pdf
April 16, 2024 - Retained Swabs Following Invasive Procedures: Themes
Identified from a Review of NHS Serious Incident Reports.
April 16, 2024
Dorset, UK: Health Services Safety Investigations Body; April 2024.
https://psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-
serious-incident
…
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psnet.ahrq.gov/node/43909/psn-pdf
March 11, 2015 - Summary and frequency of barriers to adoption of CPOE
in the US.
March 11, 2015
Kruse CS, Goetz K. Summary and frequency of barriers to adoption of CPOE in the U.S. J Med Syst.
2015;39(2):15. doi:10.1007/s10916-015-0198-2.
https://psnet.ahrq.gov/issue/summary-and-frequency-barriers-adoption-cpoe-us
Although compu…
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psnet.ahrq.gov/node/45396/psn-pdf
August 10, 2016 - Examining the July Effect: a national survey of academic
leaders in medicine.
August 10, 2016
Levy K, Voit J, Gupta A, et al. Examining the July Effect: A National Survey of Academic Leaders in
Medicine. Am J Med. 2016;129(7):754.e1-5. doi:10.1016/j.amjmed.2016.05.001.
https://psnet.ahrq.gov/issue/examining-july-e…
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psnet.ahrq.gov/node/46580/psn-pdf
June 25, 2018 - Out-of-hospital pediatric patient safety events: results of
the CSI chart review.
June 25, 2018
Meckler G, Hansen M, Lambert W, et al. Out-of-Hospital Pediatric Patient Safety Events: Results of the CSI
Chart Review. Prehosp Emerg Care. 2018;22(3):290-299. doi:10.1080/10903127.2017.1371261.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/35511/psn-pdf
May 31, 2011 - An objective methodology for task analysis and workload
assessment in anesthesia providers.
May 31, 2011
Weinger M B, Herndon O W, Zornow M H, et al. An Objective Methodology for Task Analysis and Workload
Assessment in Anesthesia Providers. Anesthesiology. 2006;80(1):77-92. doi:10.1097/00000542-
199401000-00015.
…
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psnet.ahrq.gov/node/50834/psn-pdf
January 29, 2020 - Medication reconciliation improvement utilizing process
redesign and clinical decision support.
January 29, 2020
Rungvivatjarus T, Kuelbs CL, Miller L, et al. Medication Reconciliation Improvement Utilizing Process
Redesign and Clinical Decision Support. Jt Comm J Qual Patient Saf. 2020;46(1):27-36.
doi:10.1016/j.…
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psnet.ahrq.gov/node/74078/psn-pdf
November 17, 2021 - Safety learning among young newly employed workers in
three sectors: a challenge to the assumed order of things.
November 17, 2021
Grytnes R, Nielsen ML, Jørgensen A, et al. Safety learning among young newly employed workers in three
sectors: a challenge to the assumed order of things. Safety Sci. 2021;143:105417.
…
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psnet.ahrq.gov/node/847723/psn-pdf
April 19, 2023 - Efforts to improve the safety culture of the elderly in
nursing homes: a qualitative study.
April 19, 2023
Indarwati R, Efendi F, Fauziningtyas R, et al. Efforts to improve the safety culture of the elderly in nursing
homes: a qualitative study. Risk Manag Healthc Policy. 2023;16:393-400. doi:10.2147/rmhp.s399826.
…