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psnet.ahrq.gov/node/867534/psn-pdf
March 10, 2025 - Pulse oximeters for medical purposes - non-clinical and
clinical performance testing, labeling, and premarket
submission recommendations.
January 15, 2025
Pulse oximeters for medical purposes - non-clinical and clinical performance testing, labeling, and
premarket submission recommendations. Food and Drug Administ…
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psnet.ahrq.gov/node/867447/psn-pdf
January 08, 2025 - The influence of hospital physician integration on culture
of patient safety.
January 8, 2025
Upadhyay S, Chien L-C. The influence of hospital physician integration on culture of patient safety. J
Patient Saf. 2024;20(8):542-548. doi:10.1097/pts.0000000000001280.
https://psnet.ahrq.gov/issue/influence-hospital-phy…
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psnet.ahrq.gov/node/841486/psn-pdf
January 26, 2018 - Do words matter? Stigmatizing language and the
transmission of bias in the medical record.
January 26, 2018
P. Goddu A, O’Conor KJ, Lanzkron S, et al. Do words matter? Stigmatizing language and the transmission
of bias in the medical record. J Gen Intern Med. 2018;33(5):685-691. doi:10.1007/s11606-017-4289-2.
http…
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psnet.ahrq.gov/node/61019/psn-pdf
October 14, 2020 - Clinical deterioration and hospital?acquired
complications in adult patients with isolation precautions
for infection control: a systematic review.
October 14, 2020
Berry D, Wakefield E, Street M, et al. Clinical deterioration and hospital?acquired complications in adult
patients with isolation precautions for inf…
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psnet.ahrq.gov/node/837307/psn-pdf
June 01, 2022 - Adverse event reviews in healthcare: what matters to
patients and their family? A qualitative study exploring
the perspective of patients and family.
June 1, 2022
McQueen JM, Gibson KR, Manson M, et al. Adverse event reviews in healthcare: what matters to patients
and their family? A qualitative study exploring th…
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psnet.ahrq.gov/node/44022/psn-pdf
May 28, 2015 - Initiatives to identify and mitigate medication errors in
England.
May 28, 2015
Cousins D, Gerrett D, Richards N, et al. Initiatives to identify and mitigate medication errors in England.
Drug Saf. 2015;38(4):349-357. doi:10.1007/s40264-015-0270-3.
https://psnet.ahrq.gov/issue/initiatives-identify-and-mitigate-med…
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psnet.ahrq.gov/node/48087/psn-pdf
July 10, 2019 - The rise of human factors: optimising performance of
individuals and teams to improve patients' outcomes.
July 10, 2019
Casali G, Cullen W, Lock G. The rise of human factors: optimising performance of individuals and teams to
improve patients' outcomes. J Thorac Dis. 2019;11(Suppl 7):S998-S1008. doi:10.21037/jtd.20…
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psnet.ahrq.gov/node/73135/psn-pdf
April 14, 2021 - Debrief it all: a tool for inclusion of Safety-II.
April 14, 2021
Bentley SK, McNamara S, Meguerdichian MJ, et al. Debrief it all: a tool for inclusion of Safety-II. Adv Simul
(Lond). 2021;6(1):9. doi:10.1186/s41077-021-00163-3.
https://psnet.ahrq.gov/issue/debrief-it-all-tool-inclusion-safety-ii
Debriefing is a c…
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psnet.ahrq.gov/node/837596/psn-pdf
June 29, 2022 - Association of patient and family reports of hospital
safety climate with language proficiency in the US.
June 29, 2022
Khan A, Parente V, Baird JD, et al. Association of patient and family reports of hospital safety climate with
language proficiency in the US. JAMA Pediatr. 2022;176(8):776-786.
doi:10.1001/jamape…
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psnet.ahrq.gov/node/844994/psn-pdf
February 22, 2023 - Impact of the COVID-19 pandemic on the experiences of
hospitalized patients: a scoping review.
February 22, 2023
Engel FD, da Fonseca GGP, Cechinel-Peiter C, et al. Impact of the COVID-19 pandemic on the
experiences of hospitalized patients: a scoping review. J Patient Saf. 2023;19(1):e46-e52.
doi:10.1097/pts.0000…
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psnet.ahrq.gov/node/839823/psn-pdf
November 09, 2022 - Prescribing decision making by medical residents on
night shifts: a qualitative study.
November 9, 2022
Lauffenburger JC, Coll MD, Kim E, et al. Prescribing decision making by medical residents on night shifts: a
qualitative study. Med Educ. 2022;56(10):1032-1041. doi:10.1111/medu.14845.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/73122/psn-pdf
April 07, 2021 - My life was upended for 35 years by a cancer diagnosis. A
doctor just told me I was misdiagnosed.
April 7, 2021
Henigson J. Washington Post. March 26, 2021.
https://psnet.ahrq.gov/issue/my-life-was-upended-35-years-cancer-diagnosis-doctor-just-told-me-i-was-
misdiagnosed
Misdiagnoses can persist due to heuri…
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psnet.ahrq.gov/node/40381/psn-pdf
May 25, 2011 - Medication errors in the homes of children with chronic
conditions.
May 25, 2011
Walsh KE, Mazor KM, Stille CJ, et al. Medication errors in the homes of children with chronic conditions.
Arch Dis Child. 2011;96(6):581-6. doi:10.1136/adc.2010.204479.
https://psnet.ahrq.gov/issue/medication-errors-homes-children-chr…
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psnet.ahrq.gov/node/47746/psn-pdf
July 19, 2019 - Characterising ICU–ward handoffs at three academic
medical centres: process and perceptions.
July 19, 2019
Santhosh L, Lyons PG, Rojas JC, et al. Characterising ICU-ward handoffs at three academic medical
centres: process and perceptions. BMJ Qual Saf. 2019;28(8):627-634. doi:10.1136/bmjqs-2018-008328.
https://psn…
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psnet.ahrq.gov/node/46485/psn-pdf
October 18, 2017 - Medical team training improves team performance: AOA
critical issues.
October 18, 2017
Carpenter JE, Bagian JP, Snider RG, et al. Medical Team Training Improves Team Performance: AOA
Critical Issues. J Bone Joint Surg Am. 2017;99(18):1604-1610. doi:10.2106/JBJS.16.01290.
https://psnet.ahrq.gov/issue/medical-team-t…
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psnet.ahrq.gov/node/73857/psn-pdf
September 22, 2021 - A theoretical model of flow disruptions for the anesthesia
team during cardiovascular surgery.
September 22, 2021
Boquet A, Cohen T, Diljohn F, et al. A theoretical model of flow disruptions for the anesthesia team during
cardiovascular surgery. J Patient Saf. 2021;17(6):e534-e539. doi:10.1097/pts.0000000000000406.…
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psnet.ahrq.gov/node/60303/psn-pdf
May 06, 2020 - Using safety culture results to guide the merger of four
general practices in the UK.
May 6, 2020
Lockwood AM, Proulx J, Hill M, et al. Using safety culture results to guide the merger of four general
practices in the UK. BMJ Open Qual. 2020;9(1):e000860. doi:10.1136/bmjoq-2019-000860.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/47759/psn-pdf
February 06, 2019 - California doctors alarmed as state links their opioid
prescriptions to deaths.
February 6, 2019
Dembosky A. All Things Considered and KQED. January 23, 2019.
https://psnet.ahrq.gov/issue/california-doctors-alarmed-state-links-their-opioid-prescriptions-deaths
Policy, practice, and communication strategies have be…
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psnet.ahrq.gov/node/42722/psn-pdf
November 13, 2013 - Patient safety perspectives of providers and nurses: the
experience of a rural ambulatory care practice using an
EHR with e-prescribing.
November 13, 2013
Bramble JD, Abbott AA, Fuji KT, et al. Patient safety perspectives of providers and nurses: the experience
of a rural ambulatory care practice using an EHR with…
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psnet.ahrq.gov/node/60198/psn-pdf
April 08, 2020 - Hierarchy and medical error: speaking up when
witnessing an error.
April 8, 2020
Peadon R (R), Hurley J, Hutchinson M. Hierarchy and medical error: speaking up when witnessing an
error. Safety Sci. 2020;125:104648. doi:10.1016/j.ssci.2020.104648.
https://psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-wh…