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psnet.ahrq.gov/node/73567/psn-pdf
August 04, 2021 - Pharmacist-led educational interventions provided to
healthcare providers to reduce medication errors: a
systematic review and meta-analysis.
August 4, 2021
Jaam M, Naseralallah LM, Hussain TA, et al. Pharmacist-led educational interventions provided to
healthcare providers to reduce medication errors: a systemati…
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psnet.ahrq.gov/node/47042/psn-pdf
June 13, 2018 - Addressing dual patient and staff safety through a team-
based standardized patient simulation for agitation
management in the emergency department.
June 13, 2018
Wong AH, Auerbach MA, Ruppel H, et al. Addressing Dual Patient and Staff Safety Through A Team-
Based Standardized Patient Simulation for Agitation Mana…
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psnet.ahrq.gov/node/865665/psn-pdf
April 24, 2024 - Unveiling the hidden struggle of healthcare students as
second victims through a systematic review.
April 24, 2024
Mira JJ, Matarredona V, Tella S, et al. Unveiling the hidden struggle of healthcare students as second
victims through a systematic review. BMC Med Educ. 2024;24(1):378. doi:10.1186/s12909-024-05336-y.…
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www.ahrq.gov/evidencenow/tools/workflow-mapping.html
February 01, 2025 - How to Map Workflows in Health Care Settings
Resource: Mapping and Redesigning Workflow (PDF, 8.8 MB, 69 (Including 54 pages of slides in appendices) pages) Part of an AHRQ curriculum used to train practice facilitators, this resource explains the purpose and process of workflow mapping in a primary care se…
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psnet.ahrq.gov/node/60522/psn-pdf
May 27, 2020 - Nursing turbulence in critical care: relationships with
nursing workload and patient safety.
May 27, 2020
Browne J, Braden CJ. Nursing turbulence in critical care: relationships with nursing workload and patient
safety. Am J Crit Care. 2020;29(3):182-191. doi:10.4037/ajcc2020180.
https://psnet.ahrq.gov/issue/nursi…
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psnet.ahrq.gov/node/47187/psn-pdf
September 05, 2018 - Supporting clinicians after adverse events: development
of a clinician peer support program.
September 5, 2018
Lane MA, Newman BM, Taylor MZ, et al. Supporting Clinicians After Adverse Events: Development of a
Clinician Peer Support Program. J Patient Saf. 2018;14(3):e56-e60. doi:10.1097/PTS.0000000000000508.
http…
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psnet.ahrq.gov/node/61095/psn-pdf
November 04, 2020 - Assessing adverse events after chiropractic care at a
chiropractic teaching clinic: an active-surveillance pilot
study.
November 4, 2020
Pohlman KA, Funabashi M, Ndetan H, et al. Assessing adverse events after chiropractic care at a
chiropractic teaching clinic: an active-surveillance pilot study. J Manipulative P…
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psnet.ahrq.gov/node/43644/psn-pdf
April 22, 2015 - SIMMEON-Prep study: SIMulation of Medication Errors in
ONcology: prevention of antineoplastic preparation
errors.
April 22, 2015
Sarfati L, Ranchon F, Vantard N, et al. SIMMEON-Prep study: SIMulation of Medication Errors in
ONcology: prevention of antineoplastic preparation errors. J Clin Pharm Ther. 2015;40(1):55…
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psnet.ahrq.gov/node/60254/psn-pdf
January 01, 2022 - Do patients and relatives have different dispositions when
challenging healthcare professionals about patient
safety? Results before and after an educational program.
April 22, 2020
Rodrigo-Rincon I, Irigoyen-Aristorena I, Tirapu-Leon B, et al. Do patients and relatives have different
dispositions when challenging…
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psnet.ahrq.gov/node/60054/psn-pdf
March 18, 2020 - Ensuring successful implementation of communication-
and-resolution programmes.
March 18, 2020
Mello MM, Roche S, Greenberg Y, et al. Ensuring successful implementation of communication-and-
resolution programmes. BMJ Qual Saf. 2020;29(11):895-904. doi:10.1136/bmjqs-2019-010296.
https://psnet.ahrq.gov/issue/ensuri…
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psnet.ahrq.gov/node/45919/psn-pdf
July 05, 2017 - Managing the patient identification crisis in healthcare
and laboratory medicine.
July 5, 2017
Lippi G, Mattiuzzi C, Bovo C, et al. Managing the patient identification crisis in healthcare and laboratory
medicine. Clin Biochem. 2017;50(10-11):562-567. doi:10.1016/j.clinbiochem.2017.02.004.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/46087/psn-pdf
September 24, 2017 - Who is responsible for the safe introduction of new
surgical technology? An important legal precedent from
the da Vinci Surgical System Trials.
September 24, 2017
Pradarelli J, Thornton JP, Dimick JB. Who Is Responsible for the Safe Introduction of New Surgical
Technology?: An Important Legal Precedent From the da…
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psnet.ahrq.gov/node/853619/psn-pdf
September 20, 2023 - Defining speaking up in the healthcare system: a
systematic review.
September 20, 2023
Kane J, Munn L, Kane SF, et al. Defining speaking up in the healthcare system: a systematic review. J Gen
Intern Med. 2023;38(15):3406-3413. doi:10.1007/s11606-023-08322-0.
https://psnet.ahrq.gov/issue/defining-speaking-healthca…
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psnet.ahrq.gov/node/50596/psn-pdf
October 30, 2019 - Encouraging resident adverse event reporting: a
qualitative study of suggestions from the front lines.
October 30, 2019
Szymusiak J, Walk TJ, Benson M, et al. Encouraging Resident Adverse Event Reporting: A Qualitative
Study of Suggestions from the Front Lines. Ped Qual Saf. 2019;4(3):e167.
doi:10.1097/pq9.0000000…
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psnet.ahrq.gov/node/44228/psn-pdf
September 04, 2016 - Bridging the gap: a framework and strategies for
integrating the quality and safety mission of teaching
hospitals and graduate medical education.
September 4, 2016
Tess A, Vidyarthi A, Yang J, et al. Bridging the Gap: A Framework and Strategies for Integrating the Quality
and Safety Mission of Teaching Hospitals a…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-14.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2.14. Major Factors that Facilitated Lean Success at Central
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Hea…
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psnet.ahrq.gov/node/864857/psn-pdf
March 20, 2024 - Safety on the ground: using critical incident technique to
explore the factors influencing medical registrars'
provision of safe care.
March 20, 2024
Ralston K, Smith SE, Kerins J, et al. Safety on the ground: using critical incident technique to explore the
factors influencing medical registrars’ provision of saf…
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psnet.ahrq.gov/node/47567/psn-pdf
June 26, 2019 - A new approach of assessing patient safety aspects in
routine practice using the example of "doctors
handwritten prescriptions."
June 26, 2019
Sendlhofer G, Pregartner G, Gombotz V, et al. A new approach of assessing patient safety aspects in
routine practice using the example of "doctors handwritten prescriptions…
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psnet.ahrq.gov/node/856588/psn-pdf
November 29, 2023 - It depends who you ask: divergences in staff and external
stakeholder narratives about the causes of a healthcare
failure.
November 29, 2023
Hald EJ, Gillespie A, Reader TW. It depends who you ask: divergences in staff and external stakeholder
narratives about the causes of a healthcare failure. J Contingencies Cr…
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psnet.ahrq.gov/node/853964/psn-pdf
September 27, 2023 - Surgeon's narcissism, hostility, stress, bullying, meaning
in life and work environment: a two-centered analysis.
September 27, 2023
El Boghdady M, Ewalds-Kvist BM. Surgeon’s narcissism, hostility, stress, bullying, meaning in life and work
environment: a two-centered analysis. Langenbecks Arch Surg. 2023;408(1):34…