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psnet.ahrq.gov/node/862615/psn-pdf
August 12, 2019 - Information and power: women of color's experiences
interacting with health care providers in pregnancy and
birth.
August 12, 2019
Altman MR, Oseguera T, McLemore MR, et al. Information and power: women of color's experiences
interacting with health care providers in pregnancy and birth. Soc Sci Med. 2019;238:1124…
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psnet.ahrq.gov/node/852796/psn-pdf
August 23, 2023 - Women with large vessel occlusion acute ischemic stroke
are less likely to be routed to comprehensive stroke
centers.
August 23, 2023
Tariq MB, Ali I, Salazar?Marioni S, et al. Women with large vessel occlusion acute ischemic stroke are less
likely to be routed to comprehensive stroke centers. J Am Heart Assoc. 20…
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psnet.ahrq.gov/node/851648/psn-pdf
July 26, 2023 - Perspectives about racism and patient-clinician
communication among black adults with serious illness.
July 26, 2023
Brown CE, Marshall AR, Snyder CR, et al. Perspectives about racism and patient-clinician communication
among black adults with serious illness. JAMA Netw Open. 2023;6(7):e2321746.
doi:10.1001/jamane…
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psnet.ahrq.gov/node/74191/psn-pdf
December 15, 2021 - Race differences in reported "near miss" patient safety
events in health care system high reliability
organizations.
December 15, 2021
Thomas AD, Pandit C, Krevat S. Race differences in reported "near miss" patient safety events in health
care system high reliability organizations. J Patient Saf. 2021;17(8):e1605-…
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psnet.ahrq.gov/node/837854/psn-pdf
August 17, 2022 - Association between language use and ICU transfer and
serious adverse events in hospitalized pediatric patients
who experience rapid response activation.
August 17, 2022
McDade JE, Olszewski AE, Qu P, et al. Association between language use and ICU transfer and serious
adverse events in hospitalized pediatric pati…
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psnet.ahrq.gov/node/854381/psn-pdf
October 11, 2023 - Addressing bias in acute postoperative pain
management.
October 11, 2023
Harbell MW, Maloney J, Anderson MA, et al. Addressing bias in acute postoperative pain management.
Curr Pain Headache Rep. 2023;27(9):407-415. doi:10.1007/s11916-023-01135-0.
https://psnet.ahrq.gov/issue/addressing-bias-acute-postoperative-pa…
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psnet.ahrq.gov/node/73094/psn-pdf
March 31, 2021 - Health care providers’ negative implicit attitudes and
stereotypes of American Indians.
March 31, 2021
Zestcott CA, Spece L, McDermott D, et al. Health care providers’ negative implicit attitudes and stereotypes
of American Indians. J Racial Ethn Health Disparities. 2021;8(1):230-236. doi:10.1007/s40615-020-00776-
…
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psnet.ahrq.gov/issue/missed-diagnoses-acute-myocardial-infarction-emergency-department-variation-patient-and
April 08, 2018 - Study
Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and facility characteristics.
Citation Text:
Moy E, Barrett M, Coffey R, et al. Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and fa…
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psnet.ahrq.gov/node/866578/psn-pdf
August 28, 2024 - Don’t Wait to Collect an Accurate Weight: A Case of
Subtherapeutic Insulin Therapy
August 28, 2024
Newton B, Seitz R. Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy.
PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insul…
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psnet.ahrq.gov/issue/improving-patient-safety-through-simulation-research
January 09, 2024 - Government Resource
Improving Patient Safety Through Simulation Research.
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February 10, 2015
This announcement describes the 19 pro…
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psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety
January 09, 2024 - Multi-use Website
Childrens' Hospitals' Solutions for Patient Safety.
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July 30, 2015
This Web site provides resources related to a …
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psnet.ahrq.gov/node/837302/psn-pdf
June 01, 2022 - An objective framework for evaluating unrecognized bias
in medical AI models predicting COVID-19 outcomes.
June 1, 2022
Estiri H, Strasser ZH, Rashidian S, et al. An objective framework for evaluating unrecognized bias in
medical AI models predicting COVID-19 outcomes. J Am Med Inform Assoc. 2022;29(8):1334–1341.
…
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psnet.ahrq.gov/node/847055/psn-pdf
January 04, 2021 - Racial and ethnic differences in emergency department
diagnostic imaging at US Children's Hospitals, 2016-2019.
January 4, 2021
Marin JR, Rodean J, Hall M, et al. Racial and ethnic differences in emergency department diagnostic
imaging at US Children's Hospitals, 2016-2019. JAMA Netw Open. 2021;4(1):e2033710.
doi:…
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psnet.ahrq.gov/node/843055/psn-pdf
January 25, 2023 - Assessing experiences of racism among Black and White
patients in the emergency department.
January 25, 2023
Agarwal AK, Sagan C, Gonzales R, et al. Assessing experiences of racism among Black and White
patients in the emergency department. J Am Coll Emerg Physicians Open. 2022;3(6):e12870.
doi:10.1002/emp2.12870.…
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psnet.ahrq.gov/node/72629/psn-pdf
January 13, 2021 - Advancing health equity in patient safety: a reckoning,
challenge and opportunity.
January 13, 2021
Chin MH. Advancing health equity in patient safety: a reckoning, challenge and opportunity. BMJ Qual Saf.
2021;30(5):356-361. doi:10.1136/bmjqs-2020-012599.
https://psnet.ahrq.gov/issue/advancing-health-equity-patie…
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psnet.ahrq.gov/node/73190/psn-pdf
April 28, 2021 - Gender biases in estimation of others' pain.
April 28, 2021
Zhang L, Losin EAR, Ashar YK, et al. Gender biases in estimation of others' pain. J Pain. 2021;22(9):1048-
1059. doi:10.1016/j.jpain.2021.03.001.
https://psnet.ahrq.gov/issue/gender-biases-estimation-others-pain
Unconscious assumptions and implicit biases…
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psnet.ahrq.gov/node/43575/psn-pdf
April 22, 2015 - Patient safety challenges in low-income and middle-
income countries.
April 22, 2015
Steffner KR, McQueen KAK, Gelb AW. Patient safety challenges in low-income and middle-income
countries. Curr Opin Anaesthesiol. 2014;27(6):623-9. doi:10.1097/ACO.0000000000000121.
https://psnet.ahrq.gov/issue/patient-safety-challe…
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psnet.ahrq.gov/node/853426/psn-pdf
January 01, 2024 - Physician perspectives on responding to clinician-
perpetuated interpersonal racism against Black patients
with serious illness.
September 13, 2023
Brown CE, Snyder CR, Marshall AR, et al. Physician perspectives on responding to clinician-perpetuated
interpersonal racism against Black patients with serious illness…
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psnet.ahrq.gov/primer/failure-rescue
September 15, 2024 - Failure to Rescue
Citation Text:
Tokareva I, Romano P. Failure to Rescue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…
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psnet.ahrq.gov/node/47577/psn-pdf
January 16, 2019 - Reversing the rise in maternal mortality.
January 16, 2019
Kozhimannil KB. Reversing The Rise In Maternal Mortality. Health Aff (Millwood). 2018;37(11):1901-1904.
doi:10.1377/hlthaff.2018.1013.
https://psnet.ahrq.gov/issue/reversing-rise-maternal-mortality
Maternal harm is a sentinel event that is gaining increase…