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psnet.ahrq.gov/node/72472/psn-pdf
November 18, 2020 - Lost in translation--silent reporting and electronic patient
records in nursing handovers: an ethnographic study.
November 18, 2020
Ihlebæk HM. Lost in translation--silent reporting and electronic patient records in nursing handovers: an
ethnographic study. Int J Nurs Stud. 2020;109:103636. doi:10.1016/j.ijnurstu.2…
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psnet.ahrq.gov/node/852284/psn-pdf
August 09, 2023 - ‘Medical errors are the third leading cause of death’ and
other statistics you should question.
August 9, 2023
Jaklevic MC. HealthJournalism.org. July 27, 2023.
https://psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should-
question
Published rates of medical errors con…
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psnet.ahrq.gov/node/867534/psn-pdf
March 10, 2025 - Pulse oximeters for medical purposes - non-clinical and
clinical performance testing, labeling, and premarket
submission recommendations.
January 15, 2025
Pulse oximeters for medical purposes - non-clinical and clinical performance testing, labeling, and
premarket submission recommendations. Food and Drug Administ…
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psnet.ahrq.gov/node/49543/psn-pdf
September 01, 2007 - reconciliation processes.(14,15) The Joint Commission's recent mandate for all health care organizations to
"accurately
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psnet.ahrq.gov/node/39956/psn-pdf
June 20, 2011 - Validity of selected patient safety indicators:
opportunities and concerns.
June 20, 2011
Kaafarani HMA, Borzecki AM, Itani KMF, et al. Validity of Selected Patient Safety Indicators: Opportunities
and Concerns. J Am Coll Surg. 2010;212(6):924-934. doi:10.1016/j.jamcollsurg.2010.07.007.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/73612/psn-pdf
August 18, 2021 - Evaluating the impact of radio frequency identification
retained surgical instruments tracking on patient safety:
literature review.
August 18, 2021
Schnock KO, Biggs B, Fladger A, et al. Evaluating the impact of radio frequency identification retained
surgical instruments tracking on patient safety: literature re…
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psnet.ahrq.gov/node/73222/psn-pdf
May 05, 2021 - Fatal mistakes: why do ten-fold medication errors in
children keep happening?
May 5, 2021
Parry C. The Pharmaceutical Journal. April 22 2021.
https://psnet.ahrq.gov/issue/fatal-mistakes-why-do-ten-fold-medication-errors-children-keep-happening
Weight-based prescribing in children harbors challenges to accura…
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psnet.ahrq.gov/node/47800/psn-pdf
June 26, 2019 - Error and Uncertainty in Diagnostic Radiology.
June 26, 2019
Bruno MA. New York, NY: Oxford University Press; 2019. ISBN: 9780190665395.
https://psnet.ahrq.gov/issue/error-and-uncertainty-diagnostic-radiology
Despite enhancements in medical imaging technology, diagnostic radiologists are still susceptible to
uncer…
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psnet.ahrq.gov/node/48035/psn-pdf
May 29, 2019 - Is the future of medical diagnosis in computer
algorithms?
May 29, 2019
Gruber K. Is the future of medical diagnosis in computer algorithms? Lancet Digit Health. 2019;1(1):e15-
e16. doi:10.1016/s2589-7500(19)30011-1.
https://psnet.ahrq.gov/issue/future-medical-diagnosis-computer-algorithms
Artificial intelligence…
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psnet.ahrq.gov/node/60735/psn-pdf
July 29, 2020 - Accuracy of emergency department clinical findings for
diagnosis of coronavirus disease 2019.
July 29, 2020
Peyrony O, Marbeuf-Gueye C, Truong V, et al. Accuracy of emergency department clinical findings for
diagnosis of coronavirus disease 2019. Ann Emerg Med. 2020;76(4):405-412.
doi:10.1016/j.annemergmed.2020.05…
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psnet.ahrq.gov/node/866899/psn-pdf
October 09, 2024 - Diagnostic discordance, uncertainty, and treatment
ambiguity in community-acquired pneumonia: a national
cohort study of 115 U.S. Veterans Affairs hospitals.
October 9, 2024
Jones BE, Chapman AB, Ying J, et al. Diagnostic discordance, uncertainty, and treatment ambiguity in
community-acquired pneumonia: a national…
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psnet.ahrq.gov/node/867591/psn-pdf
January 22, 2025 - Biased language in simulated handoffs and clinician
recall and attitudes.
January 22, 2025
Wesevich A, Langan E, Fridman I, et al. Biased language in simulated handoffs and clinician recall and
attitudes. JAMA Netw Open. 2024;7(12):e2450172. doi:10.1001/jamanetworkopen.2024.50172.
https://psnet.ahrq.gov/issue/bias…
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psnet.ahrq.gov/node/865815/psn-pdf
May 08, 2024 - Frontline providers' and patients' perspectives on
improving diagnostic safety in the emergency
department: a qualitative study.
May 8, 2024
Mangus CW, James TG, Parker SJ, et al. Frontline providers' and patients' perspectives on improving
diagnostic safety in the emergency department: a qualitative study. Jt Com…
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psnet.ahrq.gov/node/866852/psn-pdf
October 02, 2024 - Accuracy of a chatbot in answering questions that
patients should ask before taking a new medication.
October 2, 2024
Cornelison BR, Erstad BL, Edwards C. Accuracy of a chatbot in answering questions that patients should
ask before taking a new medication. J Am Pharm Assoc (2003). 2024;64(4):102110.
doi:10.1016/j.…
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psnet.ahrq.gov/node/42998/psn-pdf
March 05, 2014 - Exploring information chaos in community pharmacy
handoffs.
March 5, 2014
Chui MA, Stone JA. Exploring information chaos in community pharmacy handoffs. Res Social Adm Pharm.
2014;10(1):195-203. doi:10.1016/j.sapharm.2013.04.009.
https://psnet.ahrq.gov/issue/exploring-information-chaos-community-pharmacy-handoffs
…
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psnet.ahrq.gov/node/41589/psn-pdf
July 02, 2014 - The relationship between response time and diagnostic
accuracy.
July 2, 2014
Sherbino J, Dore KL, Wood TJ, et al. The relationship between response time and diagnostic accuracy.
Acad Med. 2012;87(6):785-791. doi:10.1097/ACM.0b013e318253acbd.
https://psnet.ahrq.gov/issue/relationship-between-response-time-and-diagn…
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psnet.ahrq.gov/node/37780/psn-pdf
March 10, 2011 - Evaluation of an inpatient computerized medication
reconciliation system.
March 10, 2011
Turchin A, Hamann C, Schnipper JL, et al. Evaluation of an inpatient computerized medication
reconciliation system. J Am Med Inform Assoc. 2008;15(4):449-52. doi:10.1197/jamia.M2561.
https://psnet.ahrq.gov/issue/evaluation-inp…
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psnet.ahrq.gov/node/42563/psn-pdf
October 09, 2013 - Quick Response codes for surgical safety: a prospective
pilot study.
October 9, 2013
Dixon JL, Smythe WR, Momsen LS, et al. Quick Response codes for surgical safety: a prospective pilot
study. Journal of Surgical Research. 2013;184(1). doi:10.1016/j.jss.2013.06.036.
https://psnet.ahrq.gov/issue/quick-response-code…
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psnet.ahrq.gov/node/40999/psn-pdf
January 01, 2012 - Improving patient safety via automated laboratory-based
adverse event grading.
December 15, 2011
Niland JC, Stiller T, Neat J, et al. Improving patient safety via automated laboratory-based adverse event
grading. J Am Med Inform Assoc. 2012;19(1):111-5. doi:10.1136/amiajnl-2011-000513.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/
March 25, 2025 - This website is up to date as of March 24, 2025. You will not be able to register for an account and will no longer be able to obtain Continuing Medical Education (CME), Maintenance of Certification (MOC), or Continuing Pharmacy Education (CPE) credits. We are not taking submissions for WebM&M cases, Innovations, Train…