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psnet.ahrq.gov/node/48178/psn-pdf
January 01, 2020 - ACR guidance document on MR safe practices: updates
and critical information 2019.
August 14, 2019
ACR Committee on MR Safety, Greenberg TD, Hoff MN, Gilk TB, et al. J Magn Reson Imaging.
2020;51(2):331-338.
https://psnet.ahrq.gov/issue/acr-guidance-document-mr-safe-practices-updates-and-critical-inform…
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psnet.ahrq.gov/node/46980/psn-pdf
June 19, 2018 - Can first-year medical students acquire quality
improvement knowledge prior to substantial clinical
exposure? A mixed-methods evaluation of a pre-clerkship
curriculum that uses education as the context for
learning.
June 19, 2018
Brown A, Nidumolu A, Stanhope A, et al. Can first-year medical students acquire qual…
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psnet.ahrq.gov/node/43765/psn-pdf
February 04, 2015 - Differences in medication knowledge and risk of errors
between graduating nursing students and working
registered nurses: comparative study.
February 4, 2015
Simonsen BO, Daehlin GK, Johansson I, et al. Differences in medication knowledge and risk of errors
between graduating nursing students and working registere…
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psnet.ahrq.gov/node/42964/psn-pdf
May 10, 2014 - What is learning? A review of the safety literature to
define learning from incidents, accidents and disasters.
May 10, 2014
Drupsteen L, Guldenmund FW. What Is Learning? A Review of the Safety Literature to Define Learning
from Incidents, Accidents and Disasters. J Contingencies Crisis Manage. 2014;22(2):81-96.
d…
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psnet.ahrq.gov/node/47374/psn-pdf
April 07, 2019 - Developing a conceptual framework for patient safety
culture in emergency department: a review of the
literature.
April 7, 2019
Alshyyab MA, FitzGerald G, Dingle K, et al. Developing a conceptual framework for patient safety culture in
emergency department: A review of the literature. Int J Health Plann Manage. 20…
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psnet.ahrq.gov/node/60232/psn-pdf
April 15, 2020 - Sustaining innovations in complex health care
environments: a multiple-case study of rapid response
teams.
April 15, 2020
Stolldorf DP, Havens DS, Jones CB. Sustaining innovations in complex health care environments: a
multiple-case study of rapid response teams. J Patient Saf. 2020;16(1).
doi:10.1097/pts.0000000…
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psnet.ahrq.gov/node/61115/psn-pdf
November 11, 2020 - Education initiatives in cognitive debiasing to improve
diagnostic accuracy in student providers: a scoping
review.
November 11, 2020
Griffith PB, Doherty C, Smeltzer SC, et al. Education initiatives in cognitive debiasing to improve diagnostic
accuracy in student providers: a scoping review. J Am Assoc Nurse Prac…
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psnet.ahrq.gov/node/44616/psn-pdf
November 04, 2015 - Development of "SWARM" as a model for high reliability,
rapid problem solving, and institutional learning.
November 4, 2015
Williams EA, Nikolai DA, Ladwig L, et al. Development of "SWARM" as a Model for High Reliability, Rapid
Problem Solving, and Institutional Learning. Jt Comm J Qual Patient Saf. 2015;41(11):508…
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psnet.ahrq.gov/node/44477/psn-pdf
October 14, 2015 - Field test of the World Health Organization Multi-
professional Patient Safety Curriculum Guide.
October 14, 2015
Farley DO, Zheng H, Rousi E, et al. Field Test of the World Health Organization Multi-Professional Patient
Safety Curriculum Guide. PLoS One. 2015;10(9):e0138510. doi:10.1371/journal.pone.0138510.
http…
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psnet.ahrq.gov/node/867390/psn-pdf
December 18, 2024 - Quality of care and quality of life: balancing patient safety
and physician burnout.
December 18, 2024
Minkoff H, O'Brien J, Berkowitz R. Quality of care and quality of life: balancing patient safety and physician
burnout. Obstet Gynecol. 2024;144(3):e50-e55. doi:10.1097/aog.0000000000005681.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/34067/psn-pdf
January 04, 2017 - Does full disclosure of medical errors affect malpractice
liability? The jury is still out.
January 4, 2017
Kachalia A, Shojania KG, Hofer TP, et al. Does full disclosure of medical errors affect malpractice liability?
The jury is still out. Jt Comm J Qual Saf. 2003;29(10):503-11.
https://psnet.ahrq.gov/issue/does…
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psnet.ahrq.gov/node/836760/psn-pdf
March 16, 2022 - Comprehensive Healthcare Inspection Summary Report:
Evaluation of Mental Health in Veterans Health
Administration Facilities, Fiscal Year 2020.
March 16, 2022
Washington, DC: VA Office of the Inspector General; February 17, 2022. Report No. 21-01506-76.
https://psnet.ahrq.gov/issue/comprehensive-healthcare-i…
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psnet.ahrq.gov/node/46849/psn-pdf
May 23, 2018 - 1,300 days and counting: a risk model approach to
preventing retained foreign objects (RFOs).
May 23, 2018
Duggan EG, Fernandez J, Saulan MM, et al. 1,300 Days and Counting: A Risk Model Approach to
Preventing Retained Foreign Objects (RFOs). Jt Comm J Qual Patient Saf. 2018;44(5):260-269.
doi:10.1016/j.jcjq.2017.…
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psnet.ahrq.gov/node/47755/psn-pdf
July 24, 2019 - Animated stories of medical error as a means of teaching
undergraduates patient safety: an evaluation study.
July 24, 2019
Cooper K, Hatfield E, Yeomans J. Animated stories of medical error as a means of teaching
undergraduates patient safety: an evaluation study. Perspect Med Edu. 2019;8(2):118-122.
doi:10.1007/s…
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psnet.ahrq.gov/node/839310/psn-pdf
December 01, 2019 - The patient perspective on errors in cancer care: results
of a cross-sectional survey.
December 1, 2019
Carey M, Boyes AW, Bryant J, et al. The patient perspective on errors in cancer care: results of a cross-
sectional survey. J Patient Saf. 2019;15(4):322-327. doi:10.1097/pts.0000000000000368.
https://psnet.ahrq…
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psnet.ahrq.gov/node/42400/psn-pdf
July 10, 2013 - Development and reliability of the explicit professional
oral communication observation tool to quantify the use
of non-technical skills in healthcare.
July 10, 2013
Kemper PF, van Noord I, de Bruijne M, et al. Development and reliability of the explicit professional oral
communication observation tool to quantify…
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psnet.ahrq.gov/node/44864/psn-pdf
March 23, 2016 - Caught in the middle: a resident perspective on
influences from the learning environment that perpetuate
mistreatment.
March 23, 2016
Bynum WE, Lindeman B. Caught in the Middle: A Resident Perspective on Influences From the Learning
Environment That Perpetuate Mistreatment. Acad Med. 2016;91(3):301-4.
doi:10.1097…
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psnet.ahrq.gov/node/844047/psn-pdf
February 08, 2023 - Using trainee failures to enhance learning: a qualitative
study of pediatric hospitalists on allowing failure.
February 8, 2023
Klasen JM, Beck J, Randall CL, et al. Using trainee failures to enhance learning: a qualitative study of
pediatric hospitalists on allowing failure. Acad Pediatr. 2023;23(2):489-496.
doi:…
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psnet.ahrq.gov/node/45696/psn-pdf
January 23, 2017 - Understanding patient safety performance and
educational needs using the 'Safety-II' approach for
complex systems.
January 23, 2017
McNab D, Bowie P, Morrison J, et al. Understanding patient safety performance and educational needs
using the 'Safety-II' approach for complex systems. Educ Prim Care. 2016;27(6):443-…
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psnet.ahrq.gov/node/46550/psn-pdf
November 15, 2017 - "It's the difference between life and death": the views of
professional medical interpreters on their role in the
delivery of safe care to patients with limited English
proficiency.
November 15, 2017
Wu MS, Rawal S. "It's the difference between life and death": The views of professional medical
interpreters on th…