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psnet.ahrq.gov/node/49393/psn-pdf
April 01, 2003 - The Commentary
This case describes an uncommon but much feared complication in laparoscopic surgery—creation
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psnet.ahrq.gov/web-mm/weighty-mistake
September 01, 2016 - In conclusion, this case describes an important and classic system error and, more importantly, provides
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psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - Beyond the Hospital: the New Frontier of Patient Safety
Margaret Plews-Ogan, MD, MS | August 22, 2014
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Citation Text:
Plews-Ogan M. Beyond the Hospital: the New Frontier of Patient Safety. PSNet …
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psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
June 01, 2014 - Patient Advocacy in Patient Safety: Have Things Changed?
Helen Haskell, MA | June 1, 2014
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Citation Text:
Haskell H. Patient Advocacy in Patient Safety: Have Things Changed?. PSNet [internet]. Ro…
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psnet.ahrq.gov/node/865586/psn-pdf
April 17, 2024 - Unmasking bias in artificial intelligence: a systematic
review of bias detection and mitigation strategies in
electronic health record-based models.
April 17, 2024
Chen F, Wang L, Hong J, et al. Unmasking bias in artificial intelligence: a systematic review of bias
detection and mitigation strategies in electronic…
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psnet.ahrq.gov/node/44513/psn-pdf
September 23, 2015 - Improving Diagnosis in Health Care.
September 23, 2015
Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine.
Washington, DC: National Academies Press; 2015. ISBN: 9780309377690.
https://psnet.ahrq.gov/issue/improving-diagnosis-health-care
The National Academy of Me…
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psnet.ahrq.gov/node/854636/psn-pdf
October 18, 2023 - Primary care teams' reported actions to improve
medication safety: a qualitative study with insights in
high reliability organising.
October 18, 2023
Young RA, Gurses AP, Fulda KG, et al. Primary care teams’ reported actions to improve medication safety:
a qualitative study with insights in high reliability organi…
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psnet.ahrq.gov/node/857454/psn-pdf
January 01, 2024 - Identifying and mapping measures of medication safety
during transfer of care in a digital era: a scoping literature
review.
December 6, 2023
Leon C, Hogan H, Jani YH. Identifying and mapping measures of medication safety during transfer of care
in a digital era: a scoping literature review. BMJ Qual Saf. 2024;33(…
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psnet.ahrq.gov/node/60578/psn-pdf
June 10, 2020 - Patient safety threats in information management using
health information technology in ambulatory cancer care:
an exploratory, prospective study.
June 10, 2020
Pfeiffer Y, Zimmermann C, Schwappach DLB. Patient safety threats in information management using
health information technology in ambulatory cancer care: …
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psnet.ahrq.gov/node/46541/psn-pdf
January 31, 2018 - The 2017 ACGME common work hour standards:
promoting physician learning and professional
development in a safe, humane environment.
January 31, 2018
Burchiel KJ, Zetterman RK, Ludmerer KM, et al. The 2017 ACGME Common Work Hour Standards:
Promoting Physician Learning and Professional Development in a Safe, Humane …
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psnet.ahrq.gov/node/40254/psn-pdf
September 19, 2016 - Medical error: the second victim.
September 19, 2016
Wu AW. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ.
2000;320(7237):726-727.
https://psnet.ahrq.gov/issue/medical-error-second-victim
This editorial coined the term "second victim" to describe clinicians who commit error…
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psnet.ahrq.gov/node/72544/psn-pdf
December 09, 2020 - Design and implementation of an analgesia, sedation, and
paralysis order set to enhance compliance of pro re nata
medication orders with Joint Commission medication
management standards in a pediatric ICU.
December 9, 2020
Procaccini D, Rapaport R, Petty BG, et al. Design and Implementation of an analgesia, sedati…
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psnet.ahrq.gov/node/46488/psn-pdf
November 15, 2017 - A World Health Organization field trial assessing a
proposed ICD-11 framework for classifying patient safety
events.
November 15, 2017
Forster AJ, Bernard B, Drösler SE, et al. A World Health Organization field trial assessing a proposed ICD-
11 framework for classifying patient safety events. Int J Qual Health Ca…
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psnet.ahrq.gov/node/61112/psn-pdf
November 11, 2020 - Repurposing clinical decision support system data to
measure dosing errors and clinician-level quality of care.
November 11, 2020
Chin DL, Wilson MH, Trask AS, et al. Repurposing clinical decision support system data to measure dosing
errors and clinician-level quality of care. J Med Syst. 2020;44(10):185. doi:10.1…
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psnet.ahrq.gov/node/41371/psn-pdf
May 29, 2012 - Patients' willingness and ability to participate actively in
the reduction of clinical errors: a systematic literature
review.
May 29, 2012
DOHERTY CAROLE, STAVROPOULOU CHARITINI. Patients' willingness and ability to participate actively
in the reduction of clinical errors: a systematic literature review. Soc Sci …
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psnet.ahrq.gov/node/838318/psn-pdf
October 12, 2022 - Exposure to incivility does not hinder speaking up: a
randomised controlled high-fidelity simulation-based
study.
October 12, 2022
Vauk S, Seelandt JC, Huber K, et al. Exposure to incivility does not hinder speaking up: a randomised
controlled high-fidelity simulation-based study. Br J Anaesth. 2022;129(5):776-787…
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psnet.ahrq.gov/node/866588/psn-pdf
August 28, 2024 - The impact of hindsight bias on the diagnosis of
perioperative events by anesthesia providers: a
multicenter randomized crossover study.
August 28, 2024
Millan PD, Kleiman AM, Friedman JF, et al. The impact of hindsight bias on the diagnosis of perioperative
events by anesthesia providers: a multicenter randomized…
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psnet.ahrq.gov/node/865813/psn-pdf
May 08, 2024 - Quality framework for remote antenatal care: qualitative
study with women, healthcare professionals and system-
level stakeholders.
May 8, 2024
Hinton L, Dakin FH, Kuberska K, et al. Quality framework for remote antenatal care: qualitative study with
women, healthcare professionals and system-level stakeholders. B…
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psnet.ahrq.gov/node/48051/psn-pdf
June 05, 2019 - Estimating the attributable cost of physician burnout in
the United States.
June 5, 2019
Han S, Shanafelt TD, Sinsky CA, et al. Estimating the Attributable Cost of Physician Burnout in the United
States. Ann Intern Med. 2019;170(11):784-790. doi:10.7326/M18-1422.
https://psnet.ahrq.gov/issue/estimating-attributabl…
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psnet.ahrq.gov/node/47334/psn-pdf
November 14, 2018 - Safety work and risk management as burdens of
treatment in primary care: insights from a focused
ethnographic study of patients with multimorbidity.
November 14, 2018
Daker-White G, Hays R, Blakeman T, et al. Safety work and risk management as burdens of treatment in
primary care: insights from a focused ethnograp…