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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/764405/psn-pdf
March 02, 2022 - Evaluation of communication and safety behaviors during
hospital-wide code response simulation.
March 2, 2022
Ren DM, Abrams A, Banigan M, et al. Evaluation of communication and safety behaviors during hospital-
wide code response simulation. Simul Healthc. 2022;17(1):e45-e50. doi:10.1097/sih.0000000000000575.
htt…
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psnet.ahrq.gov/node/46818/psn-pdf
April 18, 2018 - Barriers and facilitators to hospital pharmacists'
engagement in medication safety activities: a qualitative
study using the theoretical domains framework.
April 18, 2018
Mekonnen AB, McLachlan AJ, Brien J-AE, et al. Barriers and facilitators to hospital pharmacists'
engagement in medication safety activities: a q…
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psnet.ahrq.gov/node/36644/psn-pdf
July 10, 2008 - Reporting and disclosing medical errors: pediatricians'
attitudes and behaviors.
July 10, 2008
Garbutt J, Brownstein DR, Klein EJ, et al. Reporting and disclosing medical errors: pediatricians' attitudes
and behaviors. Arch Pediatr Adolesc Med. 2007;161(2):179-85.
https://psnet.ahrq.gov/issue/reporting-and-disclos…
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psnet.ahrq.gov/node/47323/psn-pdf
September 26, 2018 - About politeness, face, and feedback: exploring resident
and faculty perceptions of how institutional feedback
culture influences feedback practices.
September 26, 2018
Ramani S, Könings KD, Mann K, et al. About Politeness, Face, and Feedback: Exploring Resident and
Faculty Perceptions of How Institutional Feedbac…
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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/837148/psn-pdf
May 18, 2022 - Assessing quality of older persons' emergency
transitions between long-term and acute care settings: a
proof-of-concept study.
May 18, 2022
Tate K, McLane P, Reid C, et al. Assessing quality of older persons’ emergency transitions between long-
term and acute care settings: a proof-of-concept study. BMJ Open Qual.…
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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/837741/psn-pdf
July 27, 2022 - The impact of a 22-month multistep implementation
program on speaking-up behavior in an academic
anesthesia department.
July 27, 2022
Walther F, Schick C, Schwappach DLB, et al. The impact of a 22-month multistep implementation program
on speaking-up behavior in an academic anesthesia department. J Patient Saf. 20…
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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/48110/psn-pdf
August 14, 2019 - The courage to speak out: a study describing nurses'
attitudes to report unsafe practices in patient care.
August 14, 2019
Cole DA, Bersick E, Skarbek A, et al. The courage to speak out: A study describing nurses' attitudes to
report unsafe practices in patient care. J Nurs Manag. 2019;27(6):1176-1181. doi:10.1111/…
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psnet.ahrq.gov/node/36442/psn-pdf
July 23, 2023 - TeamSTEPPS: Strategies and Tools to Enhance
Performance and Patient Safety.
July 23, 2023
Department of Health and Human Services, Agency for Healthcare Research and Quality, Department of
Defense.
https://psnet.ahrq.gov/issue/teamstepps-strategies-and-tools-enhance-performance-and-patient-safety
Effective teamwo…
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psnet.ahrq.gov/node/34802/psn-pdf
January 01, 2016 - The Veterans Affairs root cause analysis system in action.
September 3, 2015
Bagian JP, Gosbee JW, Lee CZ, et al. The Veterans Affairs Root Cause Analysis System in Action. Jt
Comm J Qual Improv. 2016;28(10):531-545. doi:10.1016/s1070-3241(02)28057-8.
https://psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysi…
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psnet.ahrq.gov/node/43957/psn-pdf
June 21, 2015 - Enhancing the effectiveness of team debriefings in
medical simulation: more best practices.
June 21, 2015
Lyons R, Lazzara EH, Benishek LE, et al. Enhancing the effectiveness of team debriefings in medical
simulation: more best practices. Jt Comm J Qual Patient Saf. 2015;41(3):115-125.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/838019/psn-pdf
September 07, 2022 - Strength of safety measures introduced by medical
practices to prevent a recurrence of patient safety
incidents: an observational study.
September 7, 2022
Müller BS, Lüttel D, Schütze D, et al. Strength of safety measures introduced by medical practices to
prevent a recurrence of patient safety incidents: an obser…
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psnet.ahrq.gov/node/46121/psn-pdf
January 01, 2021 - Quality of handoffs in community pharmacies.
May 10, 2017
Abebe E, Stone JA, Lester CA, et al. Quality of Handoffs in Community Pharmacies. J Patient Saf.
2021;17(6):405-411. doi:10.1097/PTS.0000000000000382.
https://psnet.ahrq.gov/issue/quality-handoffs-community-pharmacies
Handoffs present a significant patient …
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psnet.ahrq.gov/node/46101/psn-pdf
January 01, 2018 - Factors associated with barcode medication
administration technology that contribute to patient
safety: an integrative review.
December 19, 2017
Strudwick G, Reisdorfer E, Warnock C, et al. Factors Associated With Barcode Medication Administration
Technology That Contribute to Patient Safety: An Integrative Review…
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psnet.ahrq.gov/node/851057/psn-pdf
June 28, 2023 - The burden of peri-operative work at night as perceived
by anaesthesiologists: an international survey.
June 28, 2023
Cortegiani A, Ippolito M, Lakbar I, et al. The burden of peri-operative work at night as perceived by
anaesthesiologists: an international survey. Eur J Anaesthesiol. 2023;40(5):326-333.
doi:10.109…
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psnet.ahrq.gov/node/838131/psn-pdf
January 01, 2023 - What I wish I’d known: how experienced physician
managers diagnose, treat and prevent disruptive
behaviour.
September 21, 2022
Goodwin C, Haas S, Berry WR. What I wish I’d known: how experienced physician managers diagnose,
treat and prevent disruptive behaviour. BMJ Lead. 2023;7(2):128-132. doi:10.1136/leader-202…
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psnet.ahrq.gov/node/862155/psn-pdf
February 07, 2024 - Society of Critical Care Medicine Guidelines on
Recognizing and Responding to Clinical Deterioration
Outside the ICU: 2023.
February 7, 2024
Honarmand K, Wax RS, Penoyer D, et al. Society of Critical Care Medicine Guidelines on Recognizing and
Responding to Clinical Deterioration Outside the ICU: 2023. Crit Care M…