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psnet.ahrq.gov/node/47034/psn-pdf
May 16, 2018 - Disruptive physician behavior: the importance of
recognition and intervention and its impact on patient
safety.
May 16, 2018
John PR, Heitt MC. Disruptive Physician Behavior: The Importance of Recognition and Intervention and Its
Impact on Patient Safety. J Hosp Med. 2018;13(3):210-212. doi:10.12788/jhm.2945.
htt…
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psnet.ahrq.gov/node/45159/psn-pdf
June 15, 2016 - Opioid abuse in chronic pain—misconceptions and
mitigation strategies.
June 15, 2016
Volkow ND, McLellan T. Opioid Abuse in Chronic Pain--Misconceptions and Mitigation Strategies. New
Engl J Med. 2016;374(13):1253-1263. doi:10.1056/NEJMra1507771.
https://psnet.ahrq.gov/issue/opioid-abuse-chronic-pain-misconception…
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psnet.ahrq.gov/node/73217/psn-pdf
May 05, 2021 - Assessing patients 2019 experiences with medical injury
reconciliation processes: item generation for a novel
survey questionnaire.
May 5, 2021
Schulz-Moore JS, Bismark M, Jenkinson C, et al. Assessing patients 2019 experiences with medical injury
reconciliation processes: item generation for a novel survey questi…
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psnet.ahrq.gov/node/45613/psn-pdf
September 01, 2018 - Patients as partners in learning from unexpected events.
September 1, 2018
Etchegaray J, Ottosen M, Aigbe A, et al. Patients as Partners in Learning from Unexpected Events. Health
Serv Res. 2016;51 Suppl 3:2600-2614. doi:10.1111/1475-6773.12593.
https://psnet.ahrq.gov/issue/patients-partners-learning-unexpected-eve…
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psnet.ahrq.gov/node/46365/psn-pdf
September 06, 2017 - Learning to overcome hierarchical pressures to achieve
safer patient care: an interprofessional simulation for
nursing, medical, and physician assistant students.
September 6, 2017
Reeves SA, Denault D, Huntington JT, et al. Learning to Overcome Hierarchical Pressures to Achieve
Safer Patient Care: An Interprofess…
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psnet.ahrq.gov/node/45074/psn-pdf
June 01, 2016 - Post-event debriefings during neonatal care: why are we
not doing them, and how can we start?
June 1, 2016
Sawyer T, Loren D, Halamek LP. Post-event debriefings during neonatal care: why are we not doing them,
and how can we start? J Perinatol. 2016;36(6):415-9. doi:10.1038/jp.2016.42.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/47027/psn-pdf
June 19, 2018 - Overdiagnosis and overtreatment as a quality problem:
insights from healthcare improvement research.
June 19, 2018
Armstrong N. Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement
research. BMJ Qual Saf. 2018;27(7):571-575. doi:10.1136/bmjqs-2017-007571.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/43543/psn-pdf
November 05, 2014 - A patient safety approach to setting pass/fail standards
for basic procedural skills checklists.
November 5, 2014
Yudkowsky R, Tumuluru S, Casey P, et al. A patient safety approach to setting pass/fail standards for basic
procedural skills checklists. Simul Healthc. 2014;9(5):277-82. doi:10.1097/SIH.000000000000004…
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psnet.ahrq.gov/node/866119/psn-pdf
June 12, 2024 - Artificial intelligence in the provision of health care: an
American College of Physicians policy position paper.
June 12, 2024
Daneshvar N, Pandita D, Erickson S, et al. Artificial Intelligence in the Provision of Health Care: An
American College of Physicians Policy Position Paper. Ann Intern Med. 2024;177(7):964…
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psnet.ahrq.gov/node/855092/psn-pdf
November 08, 2023 - Using in situ simulation to identify latent safety threats in
emergency medicine: a systematic review.
November 8, 2023
Grace MA, O'Malley R. Using in situ simulation to identify latent safety threats in emergency medicine: a
systematic review. Simul Healthc. 2023;19(4):243-253. doi:10.1097/sih.0000000000000748.
h…
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psnet.ahrq.gov/node/47194/psn-pdf
August 22, 2018 - Labeling morphine milligram equivalents on opioid
packaging: a potential patient safety intervention.
August 22, 2018
Stone AB, Urman RD, Kaye AD, et al. Labeling Morphine Milligram Equivalents on Opioid Packaging: a
Potential Patient Safety Intervention. Curr Pain Headache Rep. 2018;22(7):46. doi:10.1007/s11916-01…
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psnet.ahrq.gov/node/851197/psn-pdf
July 05, 2023 - Finnish emergency medical services managers' and
medical directors' perceptions of collaborating with
patients concerning patient safety issues: a qualitative
study.
July 5, 2023
Venesoja A, Tella S, Castrén M, et al. Finnish emergency medical services managers’ and medical
directors’ perceptions of collaborating…
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psnet.ahrq.gov/node/843085/psn-pdf
January 25, 2023 - Assessment of the use of patient vital sign data for
preventing misidentification and medical errors.
January 25, 2023
Maul J, Straub J. Assessment of the use of patient vital sign data for preventing misidentification and
medical errors. Healthcare (Basel). 2022;10(12):2440. doi:10.3390/healthcare10122440.
https:…
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psnet.ahrq.gov/node/43999/psn-pdf
May 19, 2018 - Label design affects medication safety in an operating
room crisis: a controlled simulation study.
May 19, 2018
Estock JL, Murray AW, Mizah MT, et al. Label Design Affects Medication Safety in an Operating Room
Crisis: A Controlled Simulation Study. J Patient Saf. 2018;14(2):101-106.
doi:10.1097/PTS.00000000000001…
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psnet.ahrq.gov/node/36348/psn-pdf
March 09, 2009 - Reducing medical error in the Military Health System: how
can team training help?
March 9, 2009
Alonso A, Baker DP, Holtzman A, et al. Reducing medical error in the Military Health System: How can
team training help? Human Resource Management Review. 2006;16(3). doi:10.1016/j.hrmr.2006.05.006.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/853622/psn-pdf
January 01, 2024 - Enhancing patient safety: a national standard for cyber
resiliency in healthcare.
September 20, 2023
Samuelson-Kiraly C, Mitchell JI, Kingston D, et al. Enhancing patient safety: A national standard for cyber
resiliency in healthcare. Healthc Manage Forum. 2024;37(1):9-12. doi:10.1177/08404704231196138.
https://ps…
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psnet.ahrq.gov/node/60244/psn-pdf
April 22, 2020 - Perioperative COVID-19 defense: an evidence-based
approach for optimization of infection control and
operating room management.
April 22, 2020
Dexter F, Parra MC, Brown JR, et al. Perioperative COVID-19 defense: an evidence-based approach for
optimization of infection control and operating room management. Anesth …
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psnet.ahrq.gov/node/74144/psn-pdf
December 01, 2021 - Her husband died by suicide. She sued his pain
doctors—a rare challenge over an opioid dose reduction.
December 1, 2021
Joseph A. STAT. November 22, 2021
https://psnet.ahrq.gov/issue/her-husband-died-suicide-she-sued-his-pain-doctors-rare-challenge-over-
opioid-dose-reduction
The opioid epidemic has put regulator…
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psnet.ahrq.gov/node/46255/psn-pdf
September 06, 2017 - Patient Safety in the Home: Assessment of Issues,
Challenges, and Opportunities.
September 6, 2017
Carpenter D, Famolaro T, Hassell S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017.
https://psnet.ahrq.gov/issue/patient-safety-home-assessment-issues-challenges-and-opportunities
The ambulatory env…
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psnet.ahrq.gov/node/47725/psn-pdf
March 06, 2019 - Overcoming human barriers to safety event reporting in
radiology.
March 6, 2019
Siewert B, Brook OR, Swedeen S, et al. Overcoming Human Barriers to Safety Event Reporting in
Radiology. Radiographics. 2019;39(1):251-263. doi:10.1148/rg.2019180135.
https://psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-…