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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/838915/psn-pdf
October 26, 2022 - Predictors of response rates of safety culture
questionnaires in healthcare: a systematic review and
analysis.
October 26, 2022
Ellis LA, Pomare C, Churruca K, et al. Predictors of response rates of safety culture questionnaires in
healthcare: a systematic review and analysis. BMJ Open. 2022;12(9):e065320. doi:10.…
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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…
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psnet.ahrq.gov/node/852447/psn-pdf
August 16, 2023 - Patient safety in palliative care at the end of life from the
perspective of complex thinking.
August 16, 2023
Bittencourt NCC de M, Duarte S da CM, Marcon SS, et al. Patient safety in palliative care at the end of life
from the perspective of complex thinking. Healthcare (Basel). 2023;11(14):2030.
doi:10.3390/hea…
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psnet.ahrq.gov/node/74695/psn-pdf
January 26, 2022 - Impact of teamwork and communication training
interventions on safety culture and patient safety in
emergency departments: a systematic review.
January 26, 2022
Alsabri M, Boudi Z, Lauque D, et al. Impact of teamwork and communication training interventions on
safety culture and patient safety in emergency departm…
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psnet.ahrq.gov/node/40543/psn-pdf
March 23, 2012 - Can we rely on patients' reports of adverse events?
March 23, 2012
Zhu J, Stuver SO, Epstein AM, et al. Can we rely on patients' reports of adverse events? Med Care.
2011;49(10):948-55. doi:10.1097/MLR.0b013e31822047a8.
https://psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events
Traditional methods of…
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psnet.ahrq.gov/node/837631/psn-pdf
July 06, 2022 - The impact of an electronic alert to reduce the risk of co-
prescription of low molecular weight heparins and direct
oral anticoagulants.
July 6, 2022
Brown A, Cavell G, Dogra N, et al. The impact of an electronic alert to reduce the risk of co-prescription of
low molecular weight heparins and direct oral anticoag…
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psnet.ahrq.gov/node/764405/psn-pdf
March 02, 2022 - Evaluation of communication and safety behaviors during
hospital-wide code response simulation.
March 2, 2022
Ren DM, Abrams A, Banigan M, et al. Evaluation of communication and safety behaviors during hospital-
wide code response simulation. Simul Healthc. 2022;17(1):e45-e50. doi:10.1097/sih.0000000000000575.
htt…
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psnet.ahrq.gov/node/73116/psn-pdf
April 07, 2021 - Communication on safe caregiving between community
nurse case managers and family caregivers.
April 7, 2021
Macías-Colorado ME, Rodríguez-Pérez M, Rojas-Ocaña MJ, et al. Communication on safe caregiving
between community nurse case managers and family caregivers. Healthcare (Basel). 2021;9(2):205.
doi:10.3390/heal…
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psnet.ahrq.gov/node/60598/psn-pdf
June 17, 2020 - Associations of workflow disruptions in the operating
room with surgical outcomes: a systematic review and
narrative synthesis.
June 17, 2020
Koch A, Burns J, Catchpole K, et al. Associations of workflow disruptions in the operating room with
surgical outcomes: a systematic review and narrative synthesis. BMJ Qual…
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psnet.ahrq.gov/node/46288/psn-pdf
August 23, 2017 - Supporting nursing, midwifery and allied health
professional students to raise concerns with the quality
of care: a review of the research literature.
August 23, 2017
Milligan F, Wareing M, Preston-Shoot M, et al. "Supporting nursing, midwifery and allied health professional
students to raise concerns with the qua…
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psnet.ahrq.gov/node/73413/psn-pdf
June 23, 2021 - Interventions to reduce pediatric prescribing errors in
professional healthcare settings: a systematic review of
the last decade.
June 23, 2021
Koeck JA, Young NJ, Kontny U, et al. Interventions to Reduce Pediatric Prescribing Errors in Professional
Healthcare Settings: A Systematic Review of the Last Decade. Pedi…
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psnet.ahrq.gov/node/848818/psn-pdf
May 10, 2023 - Potential costs and consequences associated with
medication error at hospital discharge: an expert
judgement study.
May 10, 2023
Kirwan G, O’Leary A, Walsh C, et al. Potential costs and consequences associated with medication error at
hospital discharge: an expert judgement study. Eur J Hosp Pharm. 2023;30(2):86-9…
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psnet.ahrq.gov/node/837977/psn-pdf
August 31, 2022 - The diagnostic and triage accuracy of digital and online
symptom checker tools: a systematic review.
August 31, 2022
Wallace W, Chan C, Chidambaram S, et al. The diagnostic and triage accuracy of digital and online
symptom checker tools: a systematic review. NPJ Digit Med. 2022;5(1). doi:10.1038/s41746-022-00667-w.…
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psnet.ahrq.gov/node/61026/psn-pdf
October 14, 2020 - A blinded, prospective study of error detection during
physician chart rounds in radiation oncology.
October 14, 2020
Talcott WJ, Lincoln H, Kelly JR, et al. A blinded, prospective study of error detection during physician chart
rounds in radiation oncology. Pract Radiat Oncol. 2020;10(5):312-320. doi:10.1016/j.prr…
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psnet.ahrq.gov/node/73220/psn-pdf
May 05, 2021 - Identifying barriers to and opportunities for telehealth
implementation amidst the COVID-19 pandemic by using
a human factors approach: a leap into the future of health
care delivery?
May 5, 2021
Zhang T, Mosier J, Subbian V. Identifying barriers to and opportunities for telehealth implementation amidst
the COVID…
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psnet.ahrq.gov/node/74086/psn-pdf
November 17, 2021 - Review of reported adverse events occurring among the
homeless veteran population in the Veterans Health
Administration.
November 17, 2021
Soncrant C, Mills PD, Pendley Louis RP, et al. Review of reported adverse events occurring among the
homeless veteran population in the Veterans Health Administration. J Patien…
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psnet.ahrq.gov/node/865920/psn-pdf
May 22, 2024 - Role of knowledge and reasoning processes as
predictors of resident physicians' susceptibility to
anchoring bias in diagnostic reasoning: a randomised
controlled experiment.
May 22, 2024
Mamede S, Zandbergen A, de Carvalho-Filho MA, et al. Role of knowledge and reasoning processes as
predictors of resident physic…