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psnet.ahrq.gov/node/73705/psn-pdf
September 15, 2021 - Do patient engagement interventions work for all
patients? A systematic review and realist synthesis of
interventions to enhance patient safety.
September 15, 2021
Newman B, Joseph K, Chauhan A, et al. Do patient engagement interventions work for all patients? A
systematic review and realist synthesis of intervent…
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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/837899/psn-pdf
August 24, 2022 - Feelings of trust and of safety are related facets of the
patient's experience in surgery: a descriptive qualitative
study in 80 patients.
August 24, 2022
Occelli P, Mougeot F, Robelet M, et al. Feelings of trust and of safety are related facets of the patient's
experience in surgery: a descriptive qualitative stu…
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psnet.ahrq.gov/node/73506/psn-pdf
July 21, 2021 - Patient-safety incidents during COVID-19 health crisis in
France: An exploratory sequential multi-method study in
primary care.
July 21, 2021
Fournier JP, Amélineau JB, Hild S, et al. Eur J Gen Pract. 2021;27(1):142-151.
https://psnet.ahrq.gov/issue/patient-safety-incidents-during-covid-19-health-crisis-france-exp…
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psnet.ahrq.gov/node/836956/psn-pdf
April 20, 2022 - Effectiveness and safety of pulse oximetry in remote
patient monitoring of patients with COVID-19: a
systematic review.
April 20, 2022
Alboksmaty A, Beaney T, Elkin S, et al. Effectiveness and safety of pulse oximetry in remote patient
monitoring of patients with COVID-19: a systematic review. Lancet Digit Health.…
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psnet.ahrq.gov/node/46440/psn-pdf
September 20, 2017 - Why do people stop taking their meds? Cost is just one
reason.
September 20, 2017
Hobson K. Health Shots. National Public Radio. September 8, 2017.
https://psnet.ahrq.gov/issue/why-do-people-stop-taking-their-meds-cost-just-one-reason
Medication regimen nonadherence can result in patient harm. This news article re…
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psnet.ahrq.gov/node/41434/psn-pdf
June 06, 2012 - ASHP national survey of pharmacy practice in hospital
settings: prescribing and transcribing—2010.
June 6, 2012
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital
settings: prescribing and transcribing--2010. Am J Health Syst Pharm. 2011;68(8):669-88.
doi:10.2146/ajhp…
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psnet.ahrq.gov/node/46501/psn-pdf
March 20, 2018 - Blind obedience and an unnecessary workup for
hypoglycemia: a teachable moment.
March 20, 2018
Wang EY, Patrick L, Connor DM. Blind Obedience and an Unnecessary Workup for Hypoglycemia: A
Teachable Moment. JAMA Intern Med. 2018;178(2):279-280. doi:10.1001/jamainternmed.2017.7104.
https://psnet.ahrq.gov/issue/blind…
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psnet.ahrq.gov/node/850450/psn-pdf
June 14, 2023 - The One That Got Away—Elopement of a Suicidal Patient
in the Emergency Department.
June 14, 2023
Bourgeois JA, Xiong G, Barnes DK, et al. The One That Got Away—Elopement of a Suicidal Patient in the
Emergency Department. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-…
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psnet.ahrq.gov/node/45050/psn-pdf
May 03, 2016 - Digital health and patient safety.
May 3, 2016
Agboola SO, Bates DW, Kvedar JC. Digital Health and Patient Safety. JAMA. 2016;315(16):1697-1698.
doi:10.1001/jama.2016.2402.
https://psnet.ahrq.gov/issue/digital-health-and-patient-safety
Patients, clinicians, and health care systems are increasingly adopting digital…
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psnet.ahrq.gov/node/43310/psn-pdf
July 09, 2014 - Antimicrobial stewardship: another focus for patient
safety?
July 9, 2014
Tamma PD, Holmes A, Ashley ED. Antimicrobial stewardship: another focus for patient safety? Curr Opin
Infect Dis. 2014;27(4):348-55. doi:10.1097/QCO.0000000000000077.
https://psnet.ahrq.gov/issue/antimicrobial-stewardship-another-focus-patie…
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psnet.ahrq.gov/node/39331/psn-pdf
March 03, 2010 - Meta-analysis: effect of interactive communication
between collaborating primary care physicians and
specialists.
March 3, 2010
Foy R, Hempel S, Rubenstein L, et al. Meta-analysis: effect of interactive communication between
collaborating primary care physicians and specialists. Ann Intern Med. 2010;152(4):247-58.…
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psnet.ahrq.gov/node/45034/psn-pdf
February 25, 2019 - Future directions for diagnostic decision support.
February 25, 2019
Carr S. ImproveDx. April 2016;3:1-3.
https://psnet.ahrq.gov/issue/future-directions-diagnostic-decision-support
Clinical decision support systems are tools being used to augment clinical reasoning and diagnostic
accuracy. This newsletter article …
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psnet.ahrq.gov/node/46964/psn-pdf
April 11, 2018 - The gaps in specialists' diagnoses.
April 11, 2018
Scott IA, Campbell DA. The gaps in specialists' diagnoses. Med J Aust. 2018;208(5):196-197.
https://psnet.ahrq.gov/issue/gaps-specialists-diagnoses
Leaders in the effort to improve diagnosis have heralded diagnosis as a team activity. This commentary
suggests that…
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psnet.ahrq.gov/node/867640/psn-pdf
February 26, 2025 - Patient safety of virtual primary care: a qualitative study
examining risks and mitigation strategies.
February 26, 2025
Lounsbury O, Li E, Lunova T, et al. Patient safety of virtual primary care: a qualitative study examining risks
and mitigation strategies. Health Policy Tech. 2025;14(1):100966. doi:10.1016/j.hlp…
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psnet.ahrq.gov/node/73188/psn-pdf
April 28, 2021 - Enhancing patient safety by integrating ethical
dimensions to critical incident reporting systems.
April 28, 2021
Wehkamp K, Kuhn E, Petzina R, et al. Enhancing patient safety by integrating ethical dimensions to Critical
Incident Reporting Systems. BMC Med Ethics. 2021;22(1):26. doi:10.1186/s12910-021-00593-8.
ht…
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psnet.ahrq.gov/node/72700/psn-pdf
January 01, 2022 - Missed acute coronary syndrome during telephone triage
at out-of-hours primary care: lessons from a case-control
study.
February 3, 2021
Erkelens DC, Rutten FH, Wouters LT, et al. Missed Acute Coronary Syndrome During Telephone Triage at
Out-of-Hours Primary Care. J Patient Saf. 2022;18(1):40-45. doi:10.1097/pts.0…
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psnet.ahrq.gov/node/846155/psn-pdf
March 15, 2023 - Reduction in omission events after implementing a rapid
response system: a mortality review in a department of
gastrointestinal surgery.
March 15, 2023
Olsen SL, Nedrebø BS, Strand K, et al. Reduction in omission events after implementing a Rapid
Response System: a mortality review in a department of gastrointesti…
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psnet.ahrq.gov/node/73435/psn-pdf
June 30, 2021 - Incidence, origins and avoidable harm of missed
opportunities in diagnosis: longitudinal patient record
review in 21 English general practices.
June 30, 2021
Cheraghi-Sohi S, Holland F, Singh H, et al. Incidence, origins and avoidable harm of missed opportunities
in diagnosis: longitudinal patient record review in…
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psnet.ahrq.gov/node/73115/psn-pdf
April 07, 2021 - Can decision support combat incompleteness and bias in
routine primary care data?
April 7, 2021
Kostopoulou O, Tracey C, Delaney BC. Can decision support combat incompleteness and bias in routine
primary care data? J Am Med Inform Assoc. 2021;28(7):1461-1467. doi:10.1093/jamia/ocab025.
https://psnet.ahrq.gov/issue…