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psnet.ahrq.gov/node/41334/psn-pdf
April 25, 2012 - Understanding the role of non-technical skills in patient
safety.
April 25, 2012
White N. Understanding the role of non-technical skills in patient safety. Nurs Stand. 2012;26(26):43-8.
https://psnet.ahrq.gov/issue/understanding-role-non-technical-skills-patient-safety
Examining a case study in which a patient die…
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psnet.ahrq.gov/node/39134/psn-pdf
December 07, 2009 - Admission handoff communications: clinician's shared
understanding of patient severity of illness and problems.
December 7, 2009
Brannen M, Cameron KA, Adler MD, et al. Admission Handoff Communications. J Patient Saf. 2009;5(4).
doi:10.1097/pts.0b013e3181c029e5.
https://psnet.ahrq.gov/issue/admission-handoff-commu…
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psnet.ahrq.gov/node/39486/psn-pdf
May 05, 2010 - Understanding handling of drug safety alerts: a
simulation study.
May 5, 2010
van der Sijs H, van Gelder T, Vulto A, et al. Understanding handling of drug safety alerts: a simulation
study. Int J Med Inform. 2010;79(5). doi:10.1016/j.ijmedinf.2010.01.008.
https://psnet.ahrq.gov/issue/understanding-handling-drug-sa…
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psnet.ahrq.gov/node/44472/psn-pdf
January 22, 2016 - Understanding medical errors and adverse events in ICU
patients.
January 22, 2016
Garrouste-Orgeas M, Flaatten H, Moreno R. Understanding medical errors and adverse events in ICU
patients. Intensive Care Med. 2016;42(1):107-9. doi:10.1007/s00134-015-3968-x.
https://psnet.ahrq.gov/issue/understanding-medical-errors…
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psnet.ahrq.gov/node/37920/psn-pdf
May 24, 2015 - Functional health literacy and understanding of
medications at discharge.
May 24, 2015
Maniaci MJ, Heckman MG, Dawson NL. Functional health literacy and understanding of medications at
discharge. Mayo Clin Proc. 2008;83(5):554-8. doi:10.4065/83.5.554.
https://psnet.ahrq.gov/issue/functional-health-literacy-and-und…
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psnet.ahrq.gov/node/44312/psn-pdf
November 06, 2015 - Beyond the team: understanding interprofessional work
in two North American ICUs.
November 6, 2015
Alexanian JA, Kitto S, Rak KJ, et al. Beyond the Team: Understanding Interprofessional Work in Two North
American ICUs. Crit Care Med. 2015;43(9):1880-6. doi:10.1097/CCM.0000000000001136.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/39440/psn-pdf
September 19, 2016 - Toward understanding errors in inpatient psychiatry: a
qualitative inquiry.
September 19, 2016
Cullen SW, Nath SB, Marcus SC. Toward understanding errors in inpatient psychiatry: a qualitative inquiry.
Psychiatr Q. 2010;81(3):197-205. doi:10.1007/s11126-010-9129-z.
https://psnet.ahrq.gov/issue/toward-understanding…
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psnet.ahrq.gov/node/46558/psn-pdf
November 01, 2017 - Using fault trees to advance understanding of diagnostic
errors.
November 1, 2017
Rogith D, Iyengar S, Singh H. Using Fault Trees to Advance Understanding of Diagnostic Errors. Jt Comm
J Qual Patient Saf. 2017;43(11):598-605. doi:10.1016/j.jcjq.2017.06.007.
https://psnet.ahrq.gov/issue/using-fault-trees-advance-un…
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psnet.ahrq.gov/node/74830/psn-pdf
June 01, 2022 - The Michigan Hospital Medicine Safety Consortium (HMS)
Finds Infectious Diseases (ID) Physician Approval for
Placement of Peripherally Inserted Central Catheters
(PICCs) Prevents Unnecessary PICC Use and Reduces
Complications
February 23, 2022
https://psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-co…
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psnet.ahrq.gov/web-mm/multiple-missed-opportunities-suicide-risk-assessment-emergency-and-primary-care-settings
May 26, 2021 - Multiple Missed Opportunities for Suicide Risk Assessment in Emergency and Primary Care Settings
Citation Text:
Erb JL, Shah SB, Schiff G. Multiple Missed Opportunities for Suicide Risk Assessment in Emergency and Primary Care Settings. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…
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psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
February 26, 2020 - Delayed Evaluation of Abdominal Pain in an Elderly Patient.
Citation Text:
Klimkiv L, Utter GH, Barnes DK. Delayed Evaluation of Abdominal Pain in an Elderly Patient.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
Copy Citat…
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psnet.ahrq.gov/node/74149/psn-pdf
January 07, 2022 - Multiple Missed Opportunities for Suicide Risk
Assessment in Emergency and Primary Care Settings
January 7, 2022
Erb JL, Shah SB, Schiff G. Multiple Missed Opportunities for Suicide Risk Assessment in Emergency and
Primary Care Settings. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/multiple-missed-opportu…
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psnet.ahrq.gov/perspective/safety-and-medical-education
December 01, 2013 - Exploring physician perspectives of residency holdover handoffs: a qualitative study to understand
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psnet.ahrq.gov/node/853774/psn-pdf
September 27, 2023 - Delayed Evaluation of Abdominal Pain in an Elderly
Patient.
September 27, 2023
Klimkiv L, Utter GH, Barnes DK. Delayed Evaluation of Abdominal Pain in an Elderly Patient. PSNet
[internet]. 2023.
https://psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
The Case
An 85-year-old woman presente…
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psnet.ahrq.gov/node/34708/psn-pdf
February 18, 2011 - Understanding and responding to adverse events.
February 18, 2011
Vincent CA. Understanding and Responding to Adverse Events. New Engl J Med. 2003;348(11):1051-
1056. doi:10.1056/nejmhpr020760.
https://psnet.ahrq.gov/issue/understanding-and-responding-adverse-events
In this article, Vincent describes the investiga…
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psnet.ahrq.gov/node/42925/psn-pdf
February 05, 2014 - Understanding the Role of Facility Design in the
Acquisition and Prevention of Healthcare-Associated
Infections.
February 5, 2014
Hamilton DK, Stichler JF, eds. HERD. 2013;7(suppl):1-154.
https://psnet.ahrq.gov/issue/understanding-role-facility-design-acquisition-and-prevention-healthcare-
associated
Articles in…
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psnet.ahrq.gov/node/46174/psn-pdf
August 30, 2017 - Inpatients notes: sensemaking—fostering a shared
understanding in clinical teams.
August 30, 2017
Leykum LK, O'Leary KJ. Web Exclusives. Annals for Hospitalists Inpatient Notes - Sensemaking-Fostering
a Shared Understanding in Clinical Teams. Ann Intern Med. 2017;167(4):HO2-HO3. doi:10.7326/M17-
1829.
https://psn…
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psnet.ahrq.gov/node/43008/psn-pdf
November 21, 2014 - Understanding safety culture in long-term care: a case
study.
November 21, 2014
Halligan MH, Zecevic A, Kothari AR, et al. Understanding safety culture in long-term care: a case study. J
Patient Saf. 2014;10(4):192-201. doi:10.1097/PTS.0b013e31829d4ae7.
https://psnet.ahrq.gov/issue/understanding-safety-culture-lon…
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psnet.ahrq.gov/node/40852/psn-pdf
January 19, 2012 - Understanding how rapid response systems may improve
safety for the acutely ill patient: learning from the
frontline.
January 19, 2012
Mackintosh N, Rainey H, Sandall J. Understanding how rapid response systems may improve safety for the
acutely ill patient: learning from the frontline. BMJ Qual Saf. 2012;21(2):13…
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psnet.ahrq.gov/node/46401/psn-pdf
September 13, 2017 - Understanding middle managers' influence in
implementing patient safety culture.
September 13, 2017
Gutberg J, Berta W. Understanding middle managers' influence in implementing patient safety culture.
BMC Health Serv Res. 2017;17(1):582. doi:10.1186/s12913-017-2533-4.
https://psnet.ahrq.gov/issue/understanding-mid…