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psnet.ahrq.gov/node/866960/psn-pdf
October 16, 2024 - The consequences of misdiagnosing race-based trauma
response in Black men: a critical examination.
October 16, 2024
Sanders AA, Roberts JD, McDowell MC, et al. The consequences of misdiagnosing race-based trauma
response in Black men: a critical examination. Soc Work Public Health. 2024;39(7):721-733.
doi:10.1080/…
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psnet.ahrq.gov/node/44216/psn-pdf
April 25, 2016 - Improving medication safety during hospital-based
transitions of care.
April 25, 2016
Sponsler KC, Neal EB, Kripalani S. Improving medication safety during hospital-based transitions of care.
Cleve Clin J Med. 2015;82(6):351-360. doi:10.3949/ccjm.82a.14025.
https://psnet.ahrq.gov/issue/improving-medication-safety-…
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psnet.ahrq.gov/node/35877/psn-pdf
July 23, 2010 - National Quality Forum 30 safe practices: priority and
progress in Iowa hospitals.
July 23, 2010
Ward MM, Evans TC, Spies AJ, et al. National Quality Forum 30 safe practices: priority and progress in
Iowa hospitals. Am J Med Qual. 2006;21(2):101-8.
https://psnet.ahrq.gov/issue/national-quality-forum-30-safe-practi…
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psnet.ahrq.gov/node/61072/psn-pdf
October 28, 2020 - Reducing nosocomial transmission of COVID-19:
implementation of a COVID-19 triage system.
October 28, 2020
Wake RM, Morgan M, Choi J, et al. Reducing nosocomial transmission of COVID-19: implementation of a
COVID-19 triage system. Clin Med (Lond). 2020;20(5):e141-e145. doi:10.7861/clinmed.2020-0411.
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psnet.ahrq.gov/node/837693/psn-pdf
January 01, 2023 - Medication-related medical emergency team activations: a
case review study of frequency and preventability.
July 20, 2022
Levkovich BJ, Orosz J, Bingham G, et al. Medication-related Medical Emergency Team activations: a case
review study of frequency and preventability. BMJ Qual Saf. 2023;32(4):214-224. doi:10.1136…
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psnet.ahrq.gov/node/74205/psn-pdf
January 01, 2022 - Communicating certainty in pathology reports:
interpretation differences among staff pathologists,
clinicians, and residents in a multicenter study.
December 22, 2021
Gibson BA, McKinnon E, Bentley RC, et al. Communicating certainty in pathology reports: interpretation
differences among staff pathologists, clinici…
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psnet.ahrq.gov/node/50651/psn-pdf
November 13, 2019 - How effective is teamwork really? The relationship
between teamwork and performance in healthcare teams:
a systematic review and meta-analysis.
November 13, 2019
Schmutz JB, Meier LL, Manser T. How effective is teamwork really? The relationship between teamwork
and performance in healthcare teams: a systematic rev…
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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/865513/psn-pdf
April 10, 2024 - Crowdsourcing a diagnosis? Exploring the accuracy of
the size and type of group diagnosis: an experimental
study.
April 10, 2024
Sherbino J, Sibbald M, Norman GR, et al. Crowdsourcing a diagnosis? Exploring the accuracy of the size
and type of group diagnosis: an experimental study. BMJ Qual Saf. 2024;33(12):790-7…
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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/50816/psn-pdf
January 29, 2020 - Identifying potential patient safety issues from the
Federal Electronic Health Record Surveillance Program
January 29, 2020
Pacheco TB, Hettinger AZ, Ratwani RM. Identifying Potential Patient Safety Issues From the Federal
Electronic Health Record Surveillance Program. JAMA. 2019;322(23):2339-2340.
doi:10.1001/jam…
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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/837642/psn-pdf
July 06, 2022 - Supplemental Item Set for Nursing Home SOPS: Call for
Pilot Participants.
July 6, 2022
Rockville, MD: Agency for Health Quality and Research; June 2022.
https://psnet.ahrq.gov/issue/supplemental-item-set-nursing-home-sops-call-pilot-participants
The potential for workplace violence degrades patient and staff safet…
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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…