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psnet.ahrq.gov/node/45813/psn-pdf
January 18, 2017 - Considering chance in quality and safety performance
measures: an analysis of performance reports by boards
in English NHS trusts.
January 18, 2017
Anhøj J, Hellesøe A-MB. The problem with red, amber, green: the need to avoid distraction by random
variation in organisational performance measures. BMJ Qual Saf. 201…
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psnet.ahrq.gov/node/866952/psn-pdf
October 16, 2024 - Introduction of a novel patient safety advisory: evaluation
of perceived information with a modified QPP
questionnaire-a case-control study.
October 16, 2024
Tubic B, Bånnsgård M, Gustavsson S, et al. Introduction of a novel patient safety advisory: evaluation of
perceived information with a modified QPP questionn…
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psnet.ahrq.gov/node/860385/psn-pdf
January 10, 2024 - Factors affecting medical residents' decisions to work
after call.
January 10, 2024
Carr MM, Foreman AM, Friedel JE, et al. Factors affecting medical residents' decisions to work after call. J
Patient Saf. 2024;20(1):16-21. doi:10.1097/pts.0000000000001175.
https://psnet.ahrq.gov/issue/factors-affecting-medical-re…
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psnet.ahrq.gov/node/60297/psn-pdf
January 01, 2021 - A call for the application of patient safety culture in
medical humanitarian action: a literature review.
May 6, 2020
Biquet J-M, Schopper D, Sprumont D, et al. A call for the application of patient safety culture in medical
humanitarian action: a literature review. J Patient Saf. 2021;17(8):e1732-e1737.
doi:10.10…
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psnet.ahrq.gov/node/851363/psn-pdf
July 12, 2023 - Health literacy and systemic racism—using clear
communication to reduce health care inequities.
July 12, 2023
Coleman C, Birk S, DeVoe J. Health literacy and systemic racism—using clear communication to reduce
health care inequities. JAMA Intern Med. 2023;183(8):753-754. doi:10.1001/jamainternmed.2023.2558.
https:…
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psnet.ahrq.gov/node/60052/psn-pdf
March 18, 2020 - Analysis of pharmacist-identified medication-related
problems at two United Kingdom hospitals: a prospective
observational study.
March 18, 2020
Geeson C, Wei L, Franklin BD. Analysis of pharmacist-identified medication-related problems at two United
Kingdom hospitals: a prospective observational study. Int J Phar…
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psnet.ahrq.gov/node/867222/psn-pdf
December 04, 2024 - How many is too many? Using cognitive load theory to
determine the maximum safe number of inpatient
consultations for trainees.
December 4, 2024
Brondfield S, Blum AM, Mason JM, et al. How many is too many? Using cognitive load theory to determine
the maximum safe number of inpatient consultations for trainees. Ac…
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psnet.ahrq.gov/node/852268/psn-pdf
August 09, 2023 - Accuracy of infection reporting in US nursing home
ratings.
August 9, 2023
Chen Z, Gleason LJ, Konetzka RT, et al. Accuracy of infection reporting in US nursing home ratings. Health
Serv Res. 2023;58(5):1109-1118. doi:10.1111/1475-6773.14195.
https://psnet.ahrq.gov/issue/accuracy-infection-reporting-us-nursing-hom…
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psnet.ahrq.gov/node/46657/psn-pdf
December 16, 2017 - Diagnostic accuracy of pediatric teledermatology using
parent-submitted photographs: a randomized clinical trial.
December 16, 2017
O'Connor DM, Jew OS, Perman MJ, et al. Diagnostic Accuracy of Pediatric Teledermatology Using Parent-
Submitted Photographs: A Randomized Clinical Trial. JAMA Dermatol. 2017;153(12):12…
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psnet.ahrq.gov/node/847736/psn-pdf
April 19, 2023 - Deficiencies in Emergent and Outpatient Care of a Patient
with Alcohol Use Disorder at the Richard L. Roudebush
VA Medical Center in Indianapolis, Indiana.
April 19, 2023
Washington, DC: VA Office of the Inspector General; March 29, 2023. Report no. 21-03680-80.
https://psnet.ahrq.gov/issue/deficiencies-emergent-a…
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psnet.ahrq.gov/node/40605/psn-pdf
July 22, 2011 - Work-related critical incidents in hospital-based health
care providers and the risk of post-traumatic stress
symptoms, anxiety, and depression: a meta-analysis.
July 22, 2011
de Boer J, Lok A, Verlaat EV't, et al. Work-related critical incidents in hospital-based health care providers
and the risk of post-traumat…
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psnet.ahrq.gov/node/44165/psn-pdf
May 27, 2015 - Unplanned return to theater: a quality of care and risk
management index?
May 27, 2015
Pujol N, Merrer J, Lemaire B, et al. Unplanned return to theater: A quality of care and risk management
index? Orthop Traumatol Surg Res. 2015;101(4):399-403. doi:10.1016/j.otsr.2015.03.013.
https://psnet.ahrq.gov/issue/unplanne…
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psnet.ahrq.gov/node/74010/psn-pdf
October 27, 2021 - Purchase of prescription medicines via social media: a
survey-based study of prevalence, risk perceptions, and
motivations.
October 27, 2021
Moureaud C, Hertig JB, Dong Y, et al. Purchase of prescription medicines via social media: a survey-based
study of prevalence, risk perceptions, and motivations. Health Polic…
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psnet.ahrq.gov/node/35696/psn-pdf
July 13, 2010 - Readiness to report medical treatment errors: the effects
of safety procedures, safety information, and priority of
safety.
July 13, 2010
Naveh E, Katz-Navon T, Stern Z. Readiness to report medical treatment errors: the effects of safety
procedures, safety information, and priority of safety. Med Care. 2006;44(2):…
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psnet.ahrq.gov/node/851645/psn-pdf
July 26, 2023 - Anticoagulation-associated adverse drug events in
hospitalized patients across two time periods.
July 26, 2023
Fanikos J, Tawfik Y, Almheiri D, et al. Anticoagulation-associated adverse drug events in hospitalized
patients across two time periods. Am J Med. 2023;136(9):927-936. doi:10.1016/j.amjmed.2023.05.013.
ht…
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psnet.ahrq.gov/node/47554/psn-pdf
November 07, 2018 - Diagnostic Excellence Initiative.
November 7, 2018
Gordon and Betty Moore Foundation.
https://psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care
Missed or delayed diagnoses lead to delays in care and significant preventable harm for patients. Despite
an increasing focus on di…
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psnet.ahrq.gov/node/863749/psn-pdf
March 06, 2024 - Improving situation awareness to advance patient
outcomes: a systematic literature review.
March 6, 2024
Alqarrain Y, Roudsari A, Courtney KL, et al. Improving situation awareness to advance patient outcomes: a
systematic literature review. Comput Inform Nurs. 2024;42(4):277-288.
doi:10.1097/cin.0000000000001112.
…
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psnet.ahrq.gov/node/45699/psn-pdf
December 21, 2016 - Towards a new paradigm in laboratory medicine: the five
rights.
December 21, 2016
Plebani M. Towards a new paradigm in laboratory medicine: the five rights. Clin Chem Lab Med.
2016;54(12):1881-1891. doi:10.1515/cclm-2016-0848.
https://psnet.ahrq.gov/issue/towards-new-paradigm-laboratory-medicine-five-rights
Error…
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psnet.ahrq.gov/node/46290/psn-pdf
January 01, 2021 - Using prospective risk analysis tools to improve safety in
pharmacy settings: a systematic review and critical
appraisal.
August 2, 2017
Stojkovic T, Marinkovic V, Manser T. Using Prospective Risk Analysis Tools to Improve Safety in Pharmacy
Settings: A Systematic Review and Critical Appraisal. J Patient Saf. 2021…
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psnet.ahrq.gov/node/836919/psn-pdf
April 13, 2022 - Psychological intervention to improve communication
and patient safety in obstetrics: examination of the health
action process approach.
April 13, 2022
Derksen C, Kötting L, Keller FM, et al. Psychological intervention to improve communication and patient
safety in obstetrics: examination of the health action proc…