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psnet.ahrq.gov/node/866643/psn-pdf
September 04, 2024 - Three scans are better than two for follow-up: an
automatic method for finding missed and misidentified
lesions in cross-sectional follow-up of oncology patients.
September 4, 2024
Joskowicz L, Di Veroli B, Lederman R, et al. Three scans are better than two for follow-up: an automatic
method for finding missed and…
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psnet.ahrq.gov/node/73214/psn-pdf
May 05, 2021 - Patient and physician perspectives of deprescribing
potentially inappropriate medications in older adults with
a history of falls: a qualitative study.
May 5, 2021
Hahn EE, Munoz-Plaza CE, Lee EA, et al. Patient and physician perspectives of deprescribing potentially
inappropriate medications in older adults with …
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psnet.ahrq.gov/node/42232/psn-pdf
May 08, 2013 - The Measurement and Monitoring of Safety.
May 8, 2013
Vincent C, Burnett S, Carthey J. London, UK: Health Foundation; April 2013. ISBN: 9781906461447.
https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety
Despite great effort, health care organizations are still learning how to identify safety problems, es…
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psnet.ahrq.gov/node/36089/psn-pdf
March 03, 2011 - The impact of the 80-hour resident workweek on surgical
residents and attending surgeons.
March 3, 2011
Hutter MM, Kellogg KC, Ferguson CM, et al. The impact of the 80-hour resident workweek on surgical
residents and attending surgeons. Ann Surg. 2006;243(6):864-71; discussion 871-5.
https://psnet.ahrq.gov/issue/i…
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psnet.ahrq.gov/node/61098/psn-pdf
November 04, 2020 - Nursing home staff turnover and perceived patient safety
culture: results from a national survey.
November 4, 2020
Temkin-Greener H, Cen X, Li Y. Nursing home staff turnover and perceived patient safety culture: results
from a national survey. Gerontologist. 2020;60(7):1303-1311. doi:10.1093/geront/gnaa015.
https:…
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psnet.ahrq.gov/node/61018/psn-pdf
October 14, 2020 - Association of current opioid use with serious adverse
events among older adult survivors of breast cancer.
October 14, 2020
Winn AN, Check DK, Farkas A, et al. Association of current opioid use with serious adverse events among
older adult survivors of breast cancer. JAMA Netw Open. 2020;3(9):e2016858.
doi:10.100…
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psnet.ahrq.gov/node/867082/psn-pdf
November 06, 2024 - Learning in radiation oncology: 12-month experience with
a new incident learning system.
November 6, 2024
Crouch K, Adamson L, Beldham?Collins R, et al. Learning in radiation oncology: 12?month experience with
a new incident learning system. J Med Radiat Sci. 2024;Epub Sep 15. doi:10.1002/jmrs.823.
https://psnet.a…
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February 14, 2024 - Review: application of the Safety Attitudes Questionnaire
(SAQ) in primary care - a systematic synthesis on validity,
descriptive and comparative results, and variance across
organisational units.
February 14, 2024
Olesen AE, Juhl MH, Deilkås ET, et al. Review: application of the Safety Attitudes Questionnaire (SA…
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psnet.ahrq.gov/node/39985/psn-pdf
November 10, 2010 - Establishing a global learning community for incident-
reporting systems.
November 10, 2010
Pham JC, Gianci S, Battles J, et al. Establishing a global learning community for incident-reporting
systems. Qual Saf Health Care. 2010;19(5):446-51. doi:10.1136/qshc.2009.037739.
https://psnet.ahrq.gov/issue/establishing-…
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psnet.ahrq.gov/node/853428/psn-pdf
September 13, 2023 - Intensive care unit critical incident analysis as an
objective tool to select content for a simulation
curriculum.
September 13, 2023
Yartsev A, Yang F. Intensive care unit critical incident analysis as an objective tool to select content for a
simulation curriculum. Simul Healthc. 2023;18(4):279-282. doi:10.1097/…
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psnet.ahrq.gov/node/42568/psn-pdf
December 29, 2014 - Hospital readmission and parent perceptions of their
child's hospital discharge.
December 29, 2014
Berry JG, Ziniel SI, Freeman L, et al. Hospital readmission and parent perceptions of their child's hospital
discharge. Int J Qual Health Care. 2013;25(5):573-81. doi:10.1093/intqhc/mzt051.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/837136/psn-pdf
May 18, 2022 - What can we learn from in-depth analysis of human errors
resulting in diagnostic errors in the emergency
department: an analysis of serious adverse event reports.
May 18, 2022
Baartmans MC, Hooftman J, Zwaan L, et al. What can we learn from in-depth analysis of human errors
resulting in diagnostic errors in the em…
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psnet.ahrq.gov/node/72670/psn-pdf
January 27, 2021 - System issues leading to "found-on-floor" incidents: a
multi-incident analysis.
January 27, 2021
Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi-
Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294.
https://psnet.ahrq.gov/issue/sys…
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psnet.ahrq.gov/node/60579/psn-pdf
June 10, 2020 - Outbreak investigation of COVID-19 among residents and
staff of an independent and assisted living community for
older adults in Seattle, Washington.
June 10, 2020
Roxby AC, Greninger AL, Hatfield KM, et al. Outbreak investigation of COVID-19 among residents and staff
of an independent and assisted living communit…
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psnet.ahrq.gov/node/60642/psn-pdf
July 01, 2020 - Opioid prescribing after childbirth and risk for serious
opioid-related events: a cohort study.
July 1, 2020
Osmundson SS, Min JY, Wiese AD, et al. Opioid Prescribing After Childbirth and Risk for Serious Opioid-
Related Events: A Cohort Study. Ann Intern Med. 2020;173(5):412-414. doi:10.7326/m19-3805.
https://psn…
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psnet.ahrq.gov/node/42759/psn-pdf
April 24, 2017 - A longitudinal study of clinical peer review's impact on
quality and safety in US hospitals.
April 24, 2017
Edwards MT. A longitudinal study of clinical peer review's impact on quality and safety in U.S. hospitals. J
Healthc Manag. 2013;58(5):369-85.
https://psnet.ahrq.gov/issue/longitudinal-study-clinical-peer-re…
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psnet.ahrq.gov/node/73083/psn-pdf
March 31, 2021 - Suicide as an incident of severe patient harm: a
retrospective cohort study of investigations after suicide
in Swedish healthcare in a 13-year perspective.
March 31, 2021
Fröding E, Gäre BA, Westrin Å, et al. Suicide as an incident of severe patient harm: a retrospective cohort
study of investigations after suicid…
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psnet.ahrq.gov/node/61113/psn-pdf
January 01, 2021 - Do falls and other safety issues occur more often during
handovers when nurses are away from patients? Findings
from a retrospective study design.
November 11, 2020
Demaria J, Valent F, Danielis M, et al. Do falls and other safety issues occur more often during handovers
when nurses are away from patients? Finding…
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psnet.ahrq.gov/node/45328/psn-pdf
July 27, 2018 - Vital signs are still vital: instability on discharge and the
risk of post-discharge adverse outcomes.
July 27, 2018
Nguyen OK, Makam AN, Clark C, et al. Vital Signs Are Still Vital: Instability on Discharge and the Risk of
Post-Discharge Adverse Outcomes. J Gen Intern Med. 2017;32(1):42-48. doi:10.1007/s11606-016-…
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psnet.ahrq.gov/node/848039/psn-pdf
April 26, 2023 - Use of the revised second victim experience and support
tool to examine second victim experiences of respiratory
therapists.
April 26, 2023
Allender EA, Bottema SM, Bosley CL, et al. Use of the revised second victim experience and support tool
to examine second victim experiences of respiratory therapists. Respir …