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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-…
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psnet.ahrq.gov/node/45836/psn-pdf
July 02, 2017 - Improving patient safety: avoiding unread imaging exams
in the National VA enterprise electronic health record.
July 2, 2017
Bastawrous S, Carney B. Improving Patient Safety: Avoiding Unread Imaging Exams in the National VA
Enterprise Electronic Health Record. J Digit Imaging. 2017;30(3):309-313. doi:10.1007/s10278…
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psnet.ahrq.gov/node/41045/psn-pdf
July 02, 2014 - Relating faults in diagnostic reasoning with diagnostic
errors and patient harm.
July 2, 2014
Zwaan L, Thijs A, Wagner C, et al. Relating faults in diagnostic reasoning with diagnostic errors and patient
harm. Acad Med. 2012;87(2):149-156. doi:10.1097/ACM.0b013e31823f71e6.
https://psnet.ahrq.gov/issue/relating-fau…
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psnet.ahrq.gov/node/46960/psn-pdf
July 18, 2018 - What every graduating resident needs to know about
quality improvement and patient safety: a content
analysis of 26 sets of ACGME milestones.
July 18, 2018
Lane-Fall MB, Davis JJ, Clapp JT, et al. What Every Graduating Resident Needs to Know About Quality
Improvement and Patient Safety: A Content Analysis of 26 Se…
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psnet.ahrq.gov/node/45594/psn-pdf
December 19, 2017 - Teaching quality improvement and patient safety in
residency education: strategies for meaningful resident
quality and safety initiatives.
December 19, 2017
Morrison RJ, Bowe SN, Brenner MJ. Teaching Quality Improvement and Patient Safety in Residency
Education: Strategies for Meaningful Resident Quality and Safet…
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psnet.ahrq.gov/node/45115/psn-pdf
September 07, 2016 - Despite federal legislation, shortages of drugs used in
acute care settings remain persistent and prolonged.
September 7, 2016
Chen SI, Fox ER, Hall K, et al. Despite Federal Legislation, Shortages Of Drugs Used In Acute Care
Settings Remain Persistent And Prolonged. Health Aff (Millwood). 2016;35(5):798-804.
doi:…
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psnet.ahrq.gov/node/48089/psn-pdf
June 19, 2019 - Physician impairment and rehabilitation: reintegration
into medical practice while ensuring patient safety: a
position paper from the American College of Physicians.
June 19, 2019
Candilis PJ, Kim DT, Sulmasy LS, et al. Physician Impairment and Rehabilitation: Reintegration Into
Medical Practice While Ensuring Pat…
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psnet.ahrq.gov/node/35328/psn-pdf
May 19, 2015 - Applicability of Healthcare Failure Mode and Effects
Analysis to healthcare epidemiology: evaluation of the
sterilization and use of surgical instruments.
May 19, 2015
Weinstein RA, Linkin DR, Sausman C, et al. Applicability of Healthcare Failure Mode and Effects Analysis
to Healthcare Epidemiology: Evaluation of …
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psnet.ahrq.gov/node/73914/psn-pdf
October 06, 2021 - Is there a mismatch between the perspectives of patients
and regulators on healthcare quality? A survey study.
October 6, 2021
Bouwman R, Bomhoff M, Robben PB, et al. Is there a mismatch between the perspectives of patients and
regulators on healthcare quality? A survey study. J Patient Saf. 2021;17(7):473-482.
do…
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psnet.ahrq.gov/node/852276/psn-pdf
August 09, 2023 - Parent experiences with the process of sharing inpatient
safety concerns for children with medical complexity: a
qualitative analysis.
August 9, 2023
Kieren MQ, Kelly MM, Garcia MA, et al. Parent experiences with the process of sharing inpatient safety
concerns for children with medical complexity: a qualitative a…
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psnet.ahrq.gov/node/60271/psn-pdf
April 29, 2020 - Pain management best practices from multispecialty
organizations during the COVID-19 pandemic and public
health crises.
April 29, 2020
Cohen SP, Baber ZB, Buvanendran A, et al. Pain Management Best Practices from Multispecialty
Organizations During the COVID-19 Pandemic and Public Health Crises. Pain Med. 2020;21(…
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psnet.ahrq.gov/node/46429/psn-pdf
October 04, 2017 - Clinician perspectives on the management of abnormal
subcritical tests in an urban academic safety-net health
care system.
October 4, 2017
Clarity C, Sarkar U, Lee J, et al. Clinician Perspectives on the Management of Abnormal Subcritical Tests
in an Urban Academic Safety-Net Health Care System. Jt Comm J Qual Pat…
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psnet.ahrq.gov/node/73171/psn-pdf
April 21, 2021 - Patient safety and quality improvement adaptation during
the COVID-19 pandemic.
April 21, 2021
Sterling RS, Berry SA, Herzke C, et al. Patient safety and quality improvement adaptation during the
COVID-19 pandemic. Am J Med Qual. 2021;36(1):57-59. doi:10.1097/01.jmq.0000733448.50484.a8.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/47016/psn-pdf
June 25, 2018 - U.S. Food and Drug Administration Precertification pilot
program for digital health software: weighing the benefits
and risks.
June 25, 2018
Lee TT, Kesselheim AS. U.S. Food and Drug Administration Precertification Pilot Program for Digital Health
Software: Weighing the Benefits and Risks. Ann Intern Med. 2018;168…
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psnet.ahrq.gov/node/74183/psn-pdf
December 15, 2021 - Identifying safe care processes when GPs work in or
alongside emergency departments: a realist evaluation.
December 15, 2021
Cooper A, Carson-Stevens A, Edwards M, et al. Identifying safe care processes when GPs work in or
alongside emergency departments: a realist evaluation. Br J Gen Pract. 2021;71(713):e931-e940…
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psnet.ahrq.gov/node/853619/psn-pdf
September 20, 2023 - Defining speaking up in the healthcare system: a
systematic review.
September 20, 2023
Kane J, Munn L, Kane SF, et al. Defining speaking up in the healthcare system: a systematic review. J Gen
Intern Med. 2023;38(15):3406-3413. doi:10.1007/s11606-023-08322-0.
https://psnet.ahrq.gov/issue/defining-speaking-healthca…
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psnet.ahrq.gov/node/47184/psn-pdf
August 08, 2018 - Delivering on the promise of CLER: a patient safety
rotation that aligns resident education with hospital
processes.
August 8, 2018
Patel E, Muthusamy V, Young JQ. Delivering on the Promise of CLER: A Patient Safety Rotation That
Aligns Resident Education With Hospital Processes. Acad Med. 2018;93(6):898-903.
doi…
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psnet.ahrq.gov/node/47907/psn-pdf
July 19, 2019 - Safety-I, Safety-II and burnout: how complexity science
can help clinician wellness.
July 19, 2019
Smaggus A. Safety-I, Safety-II and burnout: how complexity science can help clinician wellness. BMJ Qual
Saf. 2019;28(8):667-671. doi:10.1136/bmjqs-2018-009147.
https://psnet.ahrq.gov/issue/safety-i-safety-ii-and-bur…
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psnet.ahrq.gov/node/44228/psn-pdf
September 04, 2016 - Bridging the gap: a framework and strategies for
integrating the quality and safety mission of teaching
hospitals and graduate medical education.
September 4, 2016
Tess A, Vidyarthi A, Yang J, et al. Bridging the Gap: A Framework and Strategies for Integrating the Quality
and Safety Mission of Teaching Hospitals a…
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psnet.ahrq.gov/node/48108/psn-pdf
July 10, 2019 - Patterns of opioid administration among opioid-naive
inpatients and associations with postdischarge opioid
use: a cohort study.
July 10, 2019
Donohue JM, Kennedy JN, Seymour CW, et al. Patterns of Opioid Administration Among Opioid-Naive
Inpatients and Associations With Postdischarge Opioid Use: A Cohort Study. An…