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psnet.ahrq.gov/node/60792/psn-pdf
August 12, 2020 - Nurse workarounds in the electronic health record: an
integrative review.
August 12, 2020
Fraczkowski D, Matson J, Lopez KD. Nurse workarounds in the electronic health record: an integrative
review. J Am Med Inform Assoc. 2020;27(7):1149-1165. doi:10.1093/jamia/ocaa050.
https://psnet.ahrq.gov/issue/nurse-workaroun…
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psnet.ahrq.gov/node/73291/psn-pdf
May 19, 2021 - How can never event data be used to reflect or improve
hospital safety performance?
May 19, 2021
Olivarius?McAllister J, Pandit M, Sykes A, et al. How can never event data be used to reflect or improve
hospital safety performance? Anaesthesia. 2021;76(12):1616-1624. doi:10.1111/anae.15476.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/838627/psn-pdf
October 19, 2022 - Trainee perceptions of resident duty hour restrictions: a
qualitative study of online discussion forums.
October 19, 2022
Dehmoobad Sharifabadi A, Clarkin C, Doja A. Trainee perceptions of resident duty hour restrictions: a
qualitative study of online discussion forums. BMJ Open. 2022;12(9):e063104. doi:10.1136/bmj…
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psnet.ahrq.gov/node/45542/psn-pdf
October 05, 2016 - Bipartisan Consensus: The Public Wants Well-Rested
Medical Residents to Help Ensure Safe Patient Care.
October 5, 2016
Almashat S, Carome M, Wolfe S, Landrigan CP, Czeisler C. Washington, DC: Public Citizen; September
13, 2016.
https://psnet.ahrq.gov/issue/bipartisan-consensus-public-wants-well-rested-medical-resi…
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psnet.ahrq.gov/node/45106/psn-pdf
August 16, 2017 - The 'go-between' study: a simulation study comparing the
'Traffic Lights' and 'SBAR' tools as a means of
communication between anaesthetic staff.
August 16, 2017
MacDougall-Davis SR, Kettley L, Cook TM. The 'go-between' study: a simulation study comparing the
'Traffic Lights' and 'SBAR' tools as a means of communi…
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psnet.ahrq.gov/node/46886/psn-pdf
August 01, 2018 - Support strategies for health care professionals who are
second victims.
August 1, 2018
Hauk L. Support strategies for health care professionals who are second victims. AORN J. 2018;107(6):P7-
P9. doi:10.1002/aorn.12291.
https://psnet.ahrq.gov/issue/support-strategies-health-care-professionals-who-are-second-victi…
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psnet.ahrq.gov/node/50576/psn-pdf
October 23, 2019 - Breakdowns in the initial patient-provider encounter are a
frequent source of diagnostic error among ischemic
stroke cases included in a large medical malpractice
claims database.
October 23, 2019
Liberman AL, Skillings J, Greenberg P, et al. Breakdowns in the initial patient-provider encounter are a
frequent sou…
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psnet.ahrq.gov/node/44038/psn-pdf
May 06, 2015 - Engineering Patient Safety in Radiation Oncology:
University of North Carolina's Pursuit for High Reliability
and Value Creation.
May 6, 2015
Marks L, Mazur L, Chera B, Adams R. Boca Raton, FL: Productivity Press; 2015. ISBN: 9781482233643.
https://psnet.ahrq.gov/issue/engineering-patient-safety-radiation-oncology…
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psnet.ahrq.gov/node/46917/psn-pdf
April 18, 2018 - Consumer mobile apps for potential drug–drug
interaction check: systematic review and content analysis
using the Mobile App Rating Scale (MARS).
April 18, 2018
Kim BY, Sharafoddini A, Tran N, et al. Consumer Mobile Apps for Potential Drug-Drug Interaction Check:
Systematic Review and Content Analysis Using the Mob…
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psnet.ahrq.gov/node/72483/psn-pdf
November 18, 2020 - ACGME Summary Report: The Pursuing Excellence
Pathway Leaders Patient Safety Collaborative.
November 18, 2020
Passiment M, Wagner R, Weiss KB for the Pursuing Excellence in Clinical Learning Environments:
Pathway Leaders Patient Safety Collaborative. Chicago, IL: Accreditation Council for Graduate Medical
Educatio…
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psnet.ahrq.gov/node/836831/psn-pdf
March 30, 2022 - A qualitative analysis of the impact of electronic health
records (EHR) on healthcare quality and safety: clinicians'
lived experiences.
March 30, 2022
Upadhyay S, Hu H-fen. . A Qualitative analysis of the impact of electronic health records (EHR) on
healthcare quality and safety: clinicians' lived experiences. He…
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psnet.ahrq.gov/node/73980/psn-pdf
October 20, 2021 - Descriptive analysis of patient misidentification from
incident report system data in a large academic hospital
federation.
October 20, 2021
Abraham P, Augey L, Duclos A, et al. Descriptive analysis of patient misidentification from incident report
system data in a large academic hospital federation. J Patient Saf…
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psnet.ahrq.gov/node/73916/psn-pdf
January 01, 2022 - Use of heuristics during the clinical decision process
from family care physicians in real conditions.
October 6, 2021
Fernández?Aguilar C, Martín?Martín JJ, Minué Lorenzo S, et al. Use of heuristics during the clinical
decision process from family care physicians in real conditions. J Eval Clin Pract. 2022;28(1):1…
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psnet.ahrq.gov/node/74705/psn-pdf
January 26, 2022 - 20 years after To Err Is Human: a bibliometric analysis of
‘the IOM report’s’ impact on research on patient safety.
January 26, 2022
St.Pierre M, Grawe P, Bergström J, et al. 20 years after To Err Is Human: a bibliometric analysis of ‘the
IOM report’s’ impact on research on patient safety. Safety Sci. 2021;147:1055…
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psnet.ahrq.gov/node/867138/psn-pdf
November 13, 2024 - Could breaks reduce general practitioner burnout and
improve safety? A daily diary study.
November 13, 2024
Hall LH, Johnson J, Watt I, et al. Could breaks reduce general practitioner burnout and improve safety? A
daily diary study. PLoS ONE. 2024;19(8):e0307513. doi:10.1371/journal.pone.0307513.
https://psnet.ahr…
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psnet.ahrq.gov/node/856590/psn-pdf
November 29, 2023 - Team experiences of the root cause analysis process
after a sentinel event: a qualitative case study.
November 29, 2023
Liepelt S, Sundal H, Kirchhoff R. Team experiences of the root cause analysis process after a sentinel
event: a qualitative case study. BMC Health Serv Res. 2023;23(1):1224. doi:10.1186/s12913-023…
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psnet.ahrq.gov/node/838245/psn-pdf
January 01, 2023 - A novel study of situational awareness among out-of-
hospital providers during an online clinical simulation.
October 5, 2022
Hunter J, Porter M, Williams B. A novel study of situational awareness among out-of-hospital providers
during an online clinical simulation. Australas Emerg Care. 2023;26(1):96-103.
doi:10.…
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psnet.ahrq.gov/node/73473/psn-pdf
January 01, 2022 - Improving safety recommendations before
implementation: a simulation-based event analysis to
optimize interventions designed to prevent recurrence of
adverse events.
July 7, 2021
Langevin M, Ward N, Fitzgibbons C, et al. Improving safety recommendations before implementation: a
simulation-based event analysis to …
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psnet.ahrq.gov/node/43678/psn-pdf
April 22, 2015 - 'Connecting the dots': leveraging visual analytics to make
sense of patient safety event reports.
April 22, 2015
Ratwani RM, Fong A. 'Connecting the dots': leveraging visual analytics to make sense of patient safety
event reports. J Am Med Inform Assoc. 2015;22(2):312-7. doi:10.1136/amiajnl-2014-002963.
https://ps…
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psnet.ahrq.gov/node/47486/psn-pdf
January 27, 2019 - Direct oral anticoagulants: a review of common
medication errors.
January 27, 2019
Barr D, Epps QJ. Direct oral anticoagulants: a review of common medication errors. J Thromb
Thrombolysis. 2019;47(1):146-154. doi:10.1007/s11239-018-1752-9.
https://psnet.ahrq.gov/issue/direct-oral-anticoagulants-review-common-medic…