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psnet.ahrq.gov/node/45183/psn-pdf
July 20, 2016 - A previous PSNet interview described the role of health information technology in patient safety.
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psnet.ahrq.gov/node/37387/psn-pdf
January 10, 2017 - While similar benefits of teamwork training
are described in other clinical settings, this study’s findings
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psnet.ahrq.gov/node/43570/psn-pdf
March 26, 2015 - Nurses who worked overtime, even if shift length was less
than 10 hours, described similar concerns.
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psnet.ahrq.gov/issue/patient-safety-toolkit-family-practices
August 22, 2018 - In this study, investigators described the use of a patient safety toolkit across 46 outpatient family
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psnet.ahrq.gov/issue/understanding-whistleblowing-qualitative-insights-nurse-whistleblowers
April 24, 2018 - Most nurses who were interviewed described their decision as fulfilling their role as an advocate for
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psnet.ahrq.gov/issue/intensive-care-unit-safety-incidents-medical-versus-surgical-patients-prospective-multicenter
June 29, 2009 - This AHRQ-funded multicenter prospective study used data from a previously described voluntary reporting
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psnet.ahrq.gov/issue/advances-patient-safety-and-medical-liability
May 01, 2017 - A past PSNet perspective described how evidence-based improvements to the medical liability system
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psnet.ahrq.gov/issue/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
June 21, 2016 - A WebM&M commentary described how patients with lung nodules are at risk for both overtreatment and
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psnet.ahrq.gov/issue/operating-room-teamwork-among-physicians-and-nurses-teamwork-eye-beholder
September 28, 2010 - The same authors recently described using the SAQ as a tool to evaluate safety culture in surgical
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psnet.ahrq.gov/issue/implementing-error-disclosure-coaching-model-multicenter-case-study
May 11, 2016 - This study described a demonstration project to enhance error disclosure .
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psnet.ahrq.gov/issue/improved-incident-reporting-following-implementation-standardized-emergency-department-peer
September 10, 2014 - Physicians described the process to be valuable, educational, and effective.
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psnet.ahrq.gov/issue/digitizing-diagnosis-review-mobile-applications-diagnostic-process
October 10, 2018 - Although the authors described some of the potential benefits of these apps, they note that their research
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psnet.ahrq.gov/issue/assessment-programs-aimed-decrease-or-prevent-mistreatment-medical-trainees
November 15, 2018 - This review described formal programs to reduce mistreatment of physician learners .
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psnet.ahrq.gov/issue/guideline-order-set-patient-harm
October 10, 2017 - The editorial is based on a case described in the related article.
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psnet.ahrq.gov/issue/identifying-patient-safety-risks-reporting-patient-complaints-grounded-theory-study-patients
December 20, 2017 - In this study, recently hospitalized patients described the various ways they tried to improve their
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psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review
November 11, 2015 - This study described the implementation of an institution-wide mortality review process, which identified
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psnet.ahrq.gov/issue/adverse-events-detected-clinical-surveillance-obstetric-service
September 11, 2009 - Investigators identified more than 100 triggers, and while very few serious adverse events were described
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psnet.ahrq.gov/issue/association-between-night-or-weekend-admission-and-hospitalization-relevant-patient-outcomes
November 26, 2014 - Nights and weekends have been described as times when the quality of care is at risk for poor outcomes
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psnet.ahrq.gov/issue/exploring-role-salient-distracting-clinical-features-emergence-diagnostic-errors-and
July 03, 2014 - This study described the role of reflection in preventing physicians from being overly influenced by
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psnet.ahrq.gov/issue/identifying-quality-markers-safe-surgical-ward-interview-study-patients-clinical-staff-and
June 17, 2015 - A PSNet perspective described how surgical safety has evolved as a field.