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psnet.ahrq.gov/node/60152/psn-pdf
March 25, 2020 - Errors during resuscitation: the impact of perceived
authority on delivery of care.
March 25, 2020
Delaloye NJ, Tobler K, O?Neill T, et al. Errors during resuscitation: the impact of perceived authority on
delivery of care. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000000000359.
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February 17, 2011 - Making patient safety the centerpiece of medical liability
reform.
February 17, 2011
Clinton HR, Obama B. Making Patient Safety the Centerpiece of Medical Liability Reform. New England
Journal of Medicine. 2006;354(21). doi:10.1056/nejmp068100.
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October 13, 2021 - Institution of just culture physician peer review in an
academic medical center.
October 13, 2021
Volkar JK, Phrampus P, English D, et al. Institution of just culture physician peer review in an academic
medical center. J Patient Saf. 2021;17(7):e689-e693. doi:10.1097/pts.0000000000000449.
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January 23, 2019 - What causes medication administration errors in a mental
health hospital? A qualitative study with nursing staff.
January 23, 2019
Keers RN, Plácido M, Bennett K, et al. What causes medication administration errors in a mental health
hospital? A qualitative study with nursing staff. PLoS One. 2018;13(10):e0206233.
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March 04, 2019 - The path to diagnostic excellence includes feedback to
calibrate how clinicians think.
March 4, 2019
Meyer AND, Singh H. The Path to Diagnostic Excellence Includes Feedback to Calibrate How Clinicians
Think. JAMA. 2019;321(8):737-738. doi:10.1001/jama.2019.0113.
https://psnet.ahrq.gov/issue/path-diagnostic-excelle…
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psnet.ahrq.gov/node/44621/psn-pdf
February 10, 2016 - Young surgeons on speaking up: when and how surgical
trainees voice concerns about supervisors' clinical
decisions.
February 10, 2016
Sur MD, Schindler N, Singh P, et al. Young surgeons on speaking up: when and how surgical trainees
voice concerns about supervisors' clinical decisions. Am J Surg. 2016;211(2):437-4…
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February 06, 2019 - Improving patient safety in developing countries—moving
towards an integrated approach.
February 6, 2019
Elmontsri M, Banarsee R, Majeed A. Improving patient safety in developing countries - moving towards an
integrated approach. JRSM Open. 2018;9(11):2054270418786112. doi:10.1177/2054270418786112.
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May 10, 2023 - Factors contributing to preventing operating room "never
events": a machine learning analysis.
May 10, 2023
Arad D, Rosenfeld A, Magnezi R. Factors contributing to preventing operating room “never events”: a
machine learning analysis. Patient Saf Surg. 2023;17(1):6. doi:10.1186/s13037-023-00356-x.
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July 02, 2014 - Shifting indirect patient care duties to after hours in the
era of work hours restrictions.
July 2, 2014
Mourad M, Vidyarthi A, Hollander H, et al. Shifting indirect patient care duties to after hours in the era of
work hours restrictions. Acad Med. 2011;86(5):586-90. doi:10.1097/ACM.0b013e318212e1cb.
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February 06, 2024 - Patient Experience, Patient Safety, and Provider Well-
Being: Associations and Paths for Quality Improvement.
February 6, 2024
Rockville, MD: Agency for Healthcare Research and Quality; January 2024. AHRQ Publication no.
24-0030.
https://psnet.ahrq.gov/issue/patient-experience-patient-safety-and-provider-well…
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October 21, 2015 - Electronic health record challenges, workarounds, and
solutions observed in practices integrating behavioral
health and primary care.
October 21, 2015
Cifuentes M, Davis M, Fernald D, et al. Electronic Health Record Challenges, Workarounds, and Solutions
Observed in Practices Integrating Behavioral Health and Prim…
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March 25, 2020 - Analysis of patient-physician concordance in the
understanding of chemotherapy treatment plans among
patients with cancer.
March 25, 2020
Almalki H, Absi A, Alghamdi A, et al. Analysis of patient-physician concordance in the understanding of
chemotherapy treatment plans among patients with cancer. JAMA Netw Open. …
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December 04, 2015 - Residents' reluctance to challenge negative hierarchy in
the operating room: a qualitative study.
December 4, 2015
Bould D, Sutherland S, Sydor DT, et al. Residents' reluctance to challenge negative hierarchy in the
operating room: a qualitative study. Can J Anaesth. 2015;62(6):576-86. doi:10.1007/s12630-015-0364-5…
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July 01, 2016 - Supporting Consumers in Using Information on Health Care Quality
The ultimate goal for comparative quality reports is for consumers and patients to use them. All of the recommendations in this Web site are intended to help you plan, design, and disseminate your report in a way that maximizes the likelihood th…
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psnet.ahrq.gov/node/72759/psn-pdf
February 17, 2021 - Health Information Technology for Engaging Patients in
Diagnostic Decision Making in Emergency Departments.
February 17, 2021
Mangus CW, Singh H, Mahajan P. Rockville, MD: Agency for Healthcare Research and Quality; February
2021. AHRQ Publication No. 20(21)-0040-4-EF.
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January 01, 2020 - Developing health care organizations that pursue learning
and exploration of diagnostic excellence: an action plan.
December 4, 2019
Singh H, Upadhyay DK, Torretti D. Developing Health Care Organizations That Pursue Learning and
Exploration of Diagnostic Excellence: An Action Plan. Acad Med. 2020;95(8):1172-1178.
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February 17, 2016 - Patients' views of adverse events in primary and
ambulatory care: a systematic review to assess methods
and the content of what patients consider to be adverse
events.
February 17, 2016
Lang S, Garrido MV, Heintze C. Patients' views of adverse events in primary and ambulatory care: a
systematic review to assess m…
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November 23, 2016 - Patients' and families' perspectives of patient safety at the
end of life: a video-reflexive ethnography study.
November 23, 2016
Collier A, Sorensen R, Iedema R. Patients' and families' perspectives of patient safety at the end of life: a
video-reflexive ethnography study. Int J Qual Health Care. 2016;28(1):66-73.…
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May 03, 2017 - Patient safety and interprofessional education: a report of
key issues from two interprofessional workshops.
May 3, 2017
Anderson ES, Gray R, Price K. Patient safety and interprofessional education: A report of key issues from
two interprofessional workshops. J Interprof Care. 2017;31(2):154-163.
doi:10.1080/13561…
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January 02, 2017 - Medication reconciliation in acute care: ensuring an
accurate drug regimen on admission and discharge.
January 2, 2017
Rodehaver C, Fearing D. Medication reconciliation in acute care: ensuring an accurate drug regimen on
admission and discharge. Jt Comm J Qual Patient Saf. 2005;31(7):406-13.
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