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psnet.ahrq.gov/node/44857/psn-pdf
March 23, 2016 - Health IT Safe Practices. Toolkit for the Safe Use of Copy
and Paste.
March 23, 2016
Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; February 2016.
https://psnet.ahrq.gov/issue/health-it-safe-practices-toolkit-safe-use-copy-and-paste
Electronic health records have potential to improve health …
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psnet.ahrq.gov/node/854825/psn-pdf
October 25, 2023 - Exploring the "Black Box" of recommendation generation
in local health care incident investigations: a scoping
review.
October 25, 2023
Lea W, Lawton R, Vincent CA, et al. Exploring the "Black Box" of recommendation generation in local
health care incident investigations: a scoping review. J Patient Saf. 2023;19(8…
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psnet.ahrq.gov/node/60030/psn-pdf
March 11, 2020 - Soft factors, smooth transport? The role of safety climate
and team processes in reducing adverse events during
intrahospital transport in intensive care.
March 11, 2020
Latzke M, Schiffinger M, Zellhofer D, et al. Soft Factors, Smooth Transport? The role of safety climate and
team processes in reducing adverse ev…
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psnet.ahrq.gov/node/34849/psn-pdf
May 14, 2012 - The end of the beginning: patient safety five years after
'To Err Is Human.'
May 14, 2012
Wachter RM. The End Of The Beginning: Patient Safety Five Years After ‘To Err Is Human’. Health Aff.
2004;23(Suppl1). doi:10.1377/hlthaff.w4.534.
https://psnet.ahrq.gov/issue/end-beginning-patient-safety-five-years-after-err-…
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psnet.ahrq.gov/node/45479/psn-pdf
October 08, 2016 - Physician understanding and ability to communicate
harms and benefits of common medical treatments.
October 8, 2016
Krouss M, Croft LD, Morgan DJ. Physician Understanding and Ability to Communicate Harms and Benefits
of Common Medical Treatments. JAMA Intern Med. 2016;176(10):1565-1567.
doi:10.1001/jamainternmed.2…
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psnet.ahrq.gov/node/46738/psn-pdf
February 28, 2018 - Safe care for pediatric patients: a scoping review across
multiple health care settings.
February 28, 2018
Stang A, Thomson D, Hartling L, et al. Safe Care for Pediatric Patients: A Scoping Review Across Multiple
Health Care Settings. Clin Pediatr (Phila). 2018;57(1):62-75. doi:10.1177/0009922817691820.
https://ps…
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psnet.ahrq.gov/node/45746/psn-pdf
December 14, 2016 - Moving toward improved teamwork in cancer care: the
role of psychological safety in team communication.
December 14, 2016
Jain AK, Fennell ML, Chagpar AB, et al. Moving Toward Improved Teamwork in Cancer Care: The Role of
Psychological Safety in Team Communication. J Oncol Pract. 2016;12(11):1000-1011.
https://psn…
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psnet.ahrq.gov/node/39709/psn-pdf
September 20, 2011 - A systems approach to morbidity and mortality
conference.
September 20, 2011
Szostek JH, Wieland ML, Loertscher LL, et al. A systems approach to morbidity and mortality conference.
Am J Med. 2010;123(7):663-668. doi:10.1016/j.amjmed.2010.03.010.
https://psnet.ahrq.gov/issue/systems-approach-morbidity-and-mortality…
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psnet.ahrq.gov/node/837434/psn-pdf
June 15, 2022 - ASHP Guidelines on the Safe Use of Automated
Compounding Devices for the Preparation of Parenteral
Nutrition Admixtures.
June 15, 2022
Iredell B, Mourad H, Nickman NA, et al. ASHP Guidelines on the Safe Use of Automated Compounding
Devices for the Preparation of Parenteral Nutrition Admixtures. Am J Health Syst Ph…
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psnet.ahrq.gov/node/35032/psn-pdf
February 03, 2011 - Five years after 'To Err is Human': what have we learned?
February 3, 2011
Leape L, Berwick DM. Five years after To Err Is Human: what have we learned? JAMA.
2005;293(19):2384-90.
https://psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned
Two of the leaders in the patient safety movement, Lucian …
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psnet.ahrq.gov/node/44680/psn-pdf
February 24, 2018 - Measurement is essential for improving diagnosis and
reducing diagnostic error: a report from the Institute of
Medicine.
February 24, 2018
McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing
Diagnostic Error: A Report From the Institute of Medicine. JAMA. 2015;314(23):2…
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psnet.ahrq.gov/node/853959/psn-pdf
September 27, 2023 - Scaling up a diagnostic pause at the ICU-to-ward
transition: an exploration of barriers and facilitators to
implementation of the ICU-PAUSE handoff tool.
September 27, 2023
Cornell EG, Harris E, McCune E, et al. Scaling up a diagnostic pause at the ICU-to-ward transition: an
exploration of barriers and facilitator…
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psnet.ahrq.gov/node/851647/psn-pdf
July 26, 2023 - Statewide perinatal quality improvement, teamwork, and
communication activities in Oklahoma and Texas.
July 26, 2023
Stierman EK, O'Brien BT, Stagg J, et al. Statewide perinatal quality improvement, teamwork, and
communication activities in Oklahoma and Texas. Qual Manag Health Care. 2023;32(3):177-188.
doi:10.109…
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psnet.ahrq.gov/node/45350/psn-pdf
October 21, 2016 - A National Trauma Care System: Integrating Military and
Civilian Trauma Systems to Achieve Zero Preventable
Deaths After Injury.
October 21, 2016
National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press;
2016.
https://psnet.ahrq.gov/issue/national-trauma-care-system-inte…
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psnet.ahrq.gov/node/43764/psn-pdf
July 03, 2016 - Redesigning rounds: towards a more purposeful
approach to inpatient teaching and learning.
July 3, 2016
Reilly JB, Bennett N, Fosnocht K, et al. Redesigning rounds: towards a more purposeful approach to
inpatient teaching and learning. Acad Med. 2015;90(4):450-3. doi:10.1097/ACM.0000000000000579.
https://psnet.ahr…
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psnet.ahrq.gov/node/44515/psn-pdf
February 23, 2018 - The Expert Panel Report to Texas Health Resources
Leadership on the 2014 Ebola Events.
February 23, 2018
Cortese D, Abbott P, Chassin M, Lyon GM III, Riley WJ. Dallas, TX: Texas Health Resources Leadership;
2015.
https://psnet.ahrq.gov/issue/expert-panel-report-texas-health-resources-leadership-2014-ebola-events
…
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psnet.ahrq.gov/node/837302/psn-pdf
June 01, 2022 - An objective framework for evaluating unrecognized bias
in medical AI models predicting COVID-19 outcomes.
June 1, 2022
Estiri H, Strasser ZH, Rashidian S, et al. An objective framework for evaluating unrecognized bias in
medical AI models predicting COVID-19 outcomes. J Am Med Inform Assoc. 2022;29(8):1334–1341.
…
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psnet.ahrq.gov/node/45644/psn-pdf
March 15, 2017 - Gender-based differences in surgical residents'
perceptions of patient safety, continuity of care, and well-
being: an analysis from the Flexibility in Duty Hour
Requirements for Surgical Trainees (FIRST) trial.
March 15, 2017
Ban KA, Chung JW, Matulewicz RS, et al. Gender-Based Differences in Surgical Residents' …
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psnet.ahrq.gov/node/44501/psn-pdf
January 22, 2016 - Patient safety perceptions in pediatric out-of-hospital
emergency care: Children's Safety Initiative.
January 22, 2016
Guise J-M, Meckler G, O'Brien K, et al. Patient Safety Perceptions in Pediatric Out-of-Hospital Emergency
Care: Children's Safety Initiative. J Pediatr. 2015;167(5):1143-8.e1. doi:10.1016/j.jpeds.2…
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psnet.ahrq.gov/node/45002/psn-pdf
June 07, 2016 - The impact of the 2011 Accreditation Council for Graduate
Medical Education duty hour reform on quality and safety
in trauma care.
June 7, 2016
Marwaha JS, Drolet BC, Maddox SS, et al. The Impact of the 2011 Accreditation Council for Graduate
Medical Education Duty Hour Reform on Quality and Safety in Trauma Care.…