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psnet.ahrq.gov/node/46654/psn-pdf
December 13, 2017 - Organisational paradoxes in speaking up for safety:
implications for the interprofessional field.
December 13, 2017
Rowland P. Organisational paradoxes in speaking up for safety: Implications for the interprofessional field.
J Interprof Care. 2017;31(5):553-556. doi:10.1080/13561820.2017.1321305.
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psnet.ahrq.gov/node/72647/psn-pdf
January 20, 2021 - Association of unexpected newborn deaths with changes
in obstetric and neonatal process of care.
January 20, 2021
Han D, Khadka A, McConnell M, et al. Association of Unexpected Newborn Deaths With Changes in
Obstetric and Neonatal Process of Care. JAMA Netw Open. 2020;3(12):e2024589.
doi:10.1001/jamanetworkopen.20…
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psnet.ahrq.gov/node/41042/psn-pdf
September 29, 2017 - Research in Ambulatory Patient Safety 2000-2010: A 10-
Year Review.
September 29, 2017
Lorincz CY, Drazen E, Sokol PE, et al. Chicago, IL: American Medical Association; 2011.
https://psnet.ahrq.gov/issue/research-ambulatory-patient-safety-2000-2010-10-year-review
Although traditionally the majority of patient safe…
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psnet.ahrq.gov/node/865877/psn-pdf
May 15, 2024 - Refining a framework to enhance communication in the
emergency department during the diagnostic process: an
eDelphi approach.
May 15, 2024
Manojlovich M, Bettencourt AP, Mangus CW, et al. Refining a framework to enhance communication in the
emergency department during the diagnostic process: an eDelphi approach. J…
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psnet.ahrq.gov/node/44292/psn-pdf
September 01, 2016 - Recommendations to improve the usability of drug–drug
interaction clinical decision support alerts.
September 1, 2016
Payne TH, Hines LE, Chan RC, et al. Recommendations to improve the usability of drug-drug interaction
clinical decision support alerts. J Am Med Inform Assoc. 2015;22(6):1243-50. doi:10.1093/jamia/o…
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psnet.ahrq.gov/node/73714/psn-pdf
September 15, 2021 - Evaluation of Quality, Safety, and Value in Veterans
Health Administration Facilities, FY 2020.
September 15, 2021
Washington, DC: Veterans Affairs Office of Inspector General; August 26, 2021. Report No. 21-01502-240.
https://psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-f…
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psnet.ahrq.gov/node/43426/psn-pdf
July 03, 2016 - Discussing the undiscussable with the powerful: why and
how faculty must learn to counteract organizational
silence.
July 3, 2016
Dankoski ME, Bickel J, Gusic ME. Discussing the undiscussable with the powerful: why and how faculty
must learn to counteract organizational silence. Acad Med. 2014;89(12):1610-3.
doi:…
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psnet.ahrq.gov/node/47783/psn-pdf
April 10, 2019 - An IDEA: safety training to improve critical thinking by
individuals and teams.
April 10, 2019
Browne AM, Deutsch ES, Corwin K, et al. An IDEA: Safety Training to Improve Critical Thinking by
Individuals and Teams. Am J Med Qual. 2019;34(6):569-576. doi:10.1177/1062860618820687.
https://psnet.ahrq.gov/issue/idea-s…
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psnet.ahrq.gov/node/45098/psn-pdf
May 04, 2016 - Reducing Risk and Promoting Patient Safety for NIH
Intramural Clinical Research—Final Report.
May 4, 2016
The Clinical Center Working Group Report to the Advisory Committee to the Director, National Institutes of
Health. Bethesda, MD; National Institutes of Health; April 2016.
https://psnet.ahrq.gov/issue/reducing…
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psnet.ahrq.gov/node/73082/psn-pdf
March 31, 2021 - The potential of artificial intelligence to improve patient
safety: a scoping review.
March 31, 2021
Bates DW, Levine DM, Syrowatka A, et al. The potential of artificial intelligence to improve patient safety: a
scoping review. NPJ Digit Med. 2021;4(1):54. doi:10.1038/s41746-021-00423-6.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/840495/psn-pdf
November 30, 2022 - Made whole: the efficacy of legal redress for black women
who have suffered injuries from medical bias.
November 30, 2022
Baker MB. Harv Civ Rights-Civil Lib Law Rev. 2022: 57(Summer):321-360.
https://psnet.ahrq.gov/issue/made-whole-efficacy-legal-redress-black-women-who-have-suffered-injuries-
medical-bias
Women…
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psnet.ahrq.gov/node/42761/psn-pdf
November 27, 2013 - Assessing adverse events among home care clients in
three Canadian provinces using chart review.
November 27, 2013
Blais R, Sears NA, Doran D, et al. Assessing adverse events among home care clients in three Canadian
provinces using chart review. BMJ Qual Saf. 2013;22(12):989-997. doi:10.1136/bmjqs-2013-002039.
ht…
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psnet.ahrq.gov/node/47418/psn-pdf
September 19, 2018 - How communications issues between doctors and nurses
can affect your health.
September 19, 2018
Howley EK. US News & World Report. September 5, 2018.
https://psnet.ahrq.gov/issue/how-communications-issues-between-doctors-and-nurses-can-affect-your-
health
Communication failures in health care routinely challenge …
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psnet.ahrq.gov/node/47729/psn-pdf
April 10, 2019 - Reclaiming the systems approach to paediatric safety.
April 10, 2019
Cheung R, Roland D, Lachman P. Reclaiming the systems approach to paediatric safety. Arch Dis Child.
2019;104(12):1130-1133. doi:10.1136/archdischild-2018-316401.
https://psnet.ahrq.gov/issue/reclaiming-systems-approach-paediatric-safety
Children…
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psnet.ahrq.gov/node/73675/psn-pdf
September 08, 2021 - A system-wide hospital child maltreatment patient safety
program.
September 8, 2021
Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program.
Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555.
https://psnet.ahrq.gov/issue/system-wide-hospital-child-ma…
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psnet.ahrq.gov/node/50687/psn-pdf
November 20, 2019 - Discrimination, abuse, harassment, and burnout in
surgical residency training.
November 20, 2019
Hu Y-Y, Ellis RJ, Hewitt B, et al. Discrimination, Abuse, Harassment, and Burnout in Surgical Residency
Training. New Engl J Med. 2019;381(18):1741-1752. doi:10.1056/NEJMsa1903759.
https://psnet.ahrq.gov/issue/discrimi…
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psnet.ahrq.gov/node/866447/psn-pdf
August 07, 2024 - Older adults are often misdiagnosed. Specialized ERs and
trained clinicians can help.
August 7, 2024
Milne-Tyte A. Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. Health
Shots. National Public Radio. July 30, 2024;
https://psnet.ahrq.gov/issue/older-adults-are-often-misdiagnos…
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psnet.ahrq.gov/node/44742/psn-pdf
January 06, 2016 - A piece of my mind. From shame to guilt to love.
January 6, 2016
Pronovost P, Bienvenu J. A piece of my mind. From shame to guilt to love. JAMA. 2015;314(23):2507-
2508. doi:10.1001/jama.2015.11521.
https://psnet.ahrq.gov/issue/piece-my-mind-shame-guilt-love
While numerous studies have examined the psychological i…
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psnet.ahrq.gov/node/46575/psn-pdf
December 13, 2017 - Economic evaluation of pharmacist-led medication
reviews in residential aged care facilities.
December 13, 2017
Hasan SS, Thiruchelvam K, Kow CS, et al. Economic evaluation of pharmacist-led medication reviews in
residential aged care facilities. Expert Rev Pharmacoecon Outcomes Res. 2017;17(5):431-439.
doi:10.108…
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psnet.ahrq.gov/node/852451/psn-pdf
August 16, 2023 - The impact of transition to a digital hospital on
medication errors (TIME study).
August 16, 2023
Engstrom T, McCourt E, Canning M, et al. The impact of transition to a digital hospital on medication errors
(TIME study). NPJ Digit Med. 2023;6(1):133. doi:10.1038/s41746-023-00877-w.
https://psnet.ahrq.gov/issue/imp…