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psnet.ahrq.gov/node/38480/psn-pdf
July 15, 2013 - Creative education for rapid response team
implementation.
July 15, 2013
Johnson AL. Creative education for rapid response team implementation. J Contin Educ Nurs.
2009;40(1):38-42.
https://psnet.ahrq.gov/issue/creative-education-rapid-response-team-implementation
This article describes how one community hospital…
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psnet.ahrq.gov/node/33599/psn-pdf
August 30, 2023 - Simplifying information with plain language and visual cues, such as models, pictures, or videos.
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psnet.ahrq.gov/node/49491/psn-pdf
September 01, 2005 - references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#videos
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psnet.ahrq.gov/node/844792/psn-pdf
January 01, 2020 - Surgical data recording technology: a solution to address
medical errors?
September 18, 2019
Shah NA, Jue J, Mackey T. Surgical Data Recording Technology. Ann Surg. 2020;271(3):431-433.
doi:10.1097/sla.0000000000003510.
https://psnet.ahrq.gov/issue/surgical-data-recording-technology-solution-address-medical-errors…
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psnet.ahrq.gov/node/851455/psn-pdf
July 19, 2023 - Student mistakes and teacher reactions in bedside
teaching.
July 19, 2023
Rubisch HPK, Blaschke A-L, Berberat PO, et al. Student mistakes and teacher reactions in bedside
teaching. Adv Health Sci Educ Theory Pract. 2023;28(5):1523-1556. doi:10.1007/s10459-023-10233-y.
https://psnet.ahrq.gov/issue/student-mistakes-…
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psnet.ahrq.gov/node/50374/psn-pdf
September 25, 2019 - Explainable artificial intelligence for safe intraoperative
decision support.
September 25, 2019
Gordon L, Grantcharov T, Rudzicz F. Explainable Artificial Intelligence for Safe Intraoperative Decision
Support. JAMA Surg. 2019. doi:10.1001/jamasurg.2019.2821.
https://psnet.ahrq.gov/issue/explainable-artificial-int…
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psnet.ahrq.gov/node/41469/psn-pdf
October 19, 2012 - Deconstructing intraoperative communication failures.
October 19, 2012
Hu Y-Y, Arriaga AF, Peyre S, et al. Deconstructing intraoperative communication failures. J Surg Res.
2012;177(1):37-42. doi:10.1016/j.jss.2012.04.029.
https://psnet.ahrq.gov/issue/deconstructing-intraoperative-communication-failures
Video reco…
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psnet.ahrq.gov/node/867748/psn-pdf
March 12, 2025 - Adverse events involving telehealth in the Veterans
Health Administration.
March 12, 2025
Mills PD, Tomolo A, Yackel EE. Adverse events involving telehealth in the Veterans Health Administration.
Jt Comm J Qual Patient Saf. 2024;Epub Dec 20. doi:10.1016/j.jcjq.2024.12.002.
https://psnet.ahrq.gov/issue/adverse-even…
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psnet.ahrq.gov/node/846162/psn-pdf
July 01, 2020 - The effect of virtual nursing and missed nursing care.
July 1, 2020
Schuelke S, Aurit S, Connot N, et al. The effect of virtual nursing and missed nursing care. Nurs Adm Q.
2020;44(3):280-287. doi:10.1097/naq.0000000000000419.
https://psnet.ahrq.gov/issue/effect-virtual-nursing-and-missed-nursing-care
The COVID-19…
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psnet.ahrq.gov/node/43739/psn-pdf
December 03, 2014 - Joshua’s Story.
December 3, 2014
Anderson-Wallace M, Denning R. Leeds, UK: Patient Stories; October 18, 2014.
https://psnet.ahrq.gov/issue/joshuas-story
Patient stories are a growing component of understanding the impact of medical errors on patients and
uncovering underlying causes. This video features an in-dept…
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psnet.ahrq.gov/node/42005/psn-pdf
January 30, 2013 - Infusing fun into quality and safety initiatives.
January 30, 2013
Foulk KC, Tocydlowski P, Snow TM, et al. Infusing fun into quality and safety initiatives. Nursing (Brux).
2012;42(11):14-16. doi:10.1097/01.NURSE.0000421386.36112.a9.
https://psnet.ahrq.gov/issue/infusing-fun-quality-and-safety-initiatives
Nursing…
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psnet.ahrq.gov/node/42403/psn-pdf
August 02, 2015 - Encouraging patients to ask questions: how to overcome
"white-coat silence."
August 2, 2015
Judson TJ, Detsky AS, Press MJ. Encouraging patients to ask questions: how to overcome "white-coat
silence". JAMA. 2013;309(22):2325-6. doi:10.1001/jama.2013.5797.
https://psnet.ahrq.gov/issue/encouraging-patients-ask-quest…
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psnet.ahrq.gov/node/849339/psn-pdf
May 24, 2023 - Just a Cup of Tea – an Introduction to the SEIPS
Framework.
May 24, 2023
Epsom and St Helier University Hospitals. Epsom, UK: National Health Service; March 21, 2023.
https://psnet.ahrq.gov/issue/just-cup-tea-introduction-seips-framework
The Systems Engineering Initiative for Patient Safety (SEIPS) framework …
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psnet.ahrq.gov/node/41277/psn-pdf
November 28, 2012 - AHRQ 2012 Annual Conference.
November 28, 2012
Agency for Healthcare Research and Quality. September 9–12, 2012; Bethesda North Marriott Hotel &
Conference Center, Bethesda, MD.
https://psnet.ahrq.gov/issue/ahrq-2012-annual-conference
The Agency for Healthcare Research and Quality's 2012 conference, "Moving Ahead:…
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psnet.ahrq.gov/node/38084/psn-pdf
September 24, 2008 - How patients perceive a doctor's caring attitude.
September 24, 2008
Quirk M, Mazor KM, Haley H-L, et al. How patients perceive a doctor's caring attitude. Patient Educ Couns.
2008;72(3):359-366. doi:10.1016/j.pec.2008.05.022.
https://psnet.ahrq.gov/issue/how-patients-perceive-doctors-caring-attitude
This study co…
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psnet.ahrq.gov/node/37858/psn-pdf
June 25, 2008 - Measuring team performance in healthcare: review of
research and implications for patient safety.
June 25, 2008
Jeffcott SA, Mackenzie CF. Measuring team performance in healthcare: review of research and
implications for patient safety. J Crit Care. 2008;23(2):188-96. doi:10.1016/j.jcrc.2007.12.005.
https://psnet.…
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psnet.ahrq.gov/node/50744/psn-pdf
December 18, 2019 - EMS crews brought patients to the hospital with
misplaced breathing tubes. None of them survived
December 18, 2019
Arditi L. Peoples Public Radio. December 3, 2019.
https://psnet.ahrq.gov/issue/ems-crews-brought-patients-hospital-misplaced-breathing-tubes-none-them-
survived
Emergency medical services are often p…
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psnet.ahrq.gov/node/50936/psn-pdf
February 26, 2020 - Sitters as a patient safety strategy to reduce hospital
falls: a systematic review.
February 26, 2020
Greeley AM, Tanner EP, Mak S, et al. Sitters as a Patient Safety Strategy to Reduce Hospital Falls. Ann
Intern Med. 2020;172(5):317-324. doi:10.7326/m19-2628.
https://psnet.ahrq.gov/issue/sitters-patient-safety-st…
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psnet.ahrq.gov/node/47237/psn-pdf
January 01, 2020 - First-year analysis of the Operating Room Black Box
study.
July 25, 2018
Jung JJ, Jüni P, Lebovic G, et al. First-year Analysis of the Operating Room Black Box Study. Ann Surg.
2020;271(1):122-127. doi:10.1097/SLA.0000000000002863.
https://psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study
An…
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psnet.ahrq.gov/node/45049/psn-pdf
April 20, 2016 - Medical errors: disclosure styles, interpersonal
forgiveness, and outcomes.
April 20, 2016
Hannawa AF, Shigemoto Y, Little TD. Medical errors: Disclosure styles, interpersonal forgiveness, and
outcomes. Social Sci Med. 2016;156:29-38. doi:10.1016/j.socscimed.2016.03.026.
https://psnet.ahrq.gov/issue/medical-errors…