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psnet.ahrq.gov/node/45925/psn-pdf
April 19, 2017 - All consumer medication information is not created equal:
implications for medication safety.
April 19, 2017
Monkman H, Kushniruk AW. All Consumer Medication Information Is Not Created Equal: Implications for
Medication Safety. Stud Health Technol Inform. 2017;234:233-237.
https://psnet.ahrq.gov/issue/all-consumer…
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psnet.ahrq.gov/node/46551/psn-pdf
October 25, 2017 - Inpatient notes: diagnostic excellence starts with an
incessant watch.
October 25, 2017
Dhaliwal G. Annals for Hospitalists Inpatient Notes - Diagnostic Excellence Starts With an Incessant Watch.
Ann Intern Med. 2017;167(8):HO2-HO3. doi:10.7326/m17-2447.
https://psnet.ahrq.gov/issue/inpatient-notes-diagnostic-exce…
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psnet.ahrq.gov/node/73100/psn-pdf
March 31, 2021 - Public comment period extended for strategies to
improve patient safety: Draft Report to Congress for
Public Comment and Review by the National Academy of
Medicine.
March 31, 2021
Fed Register. 2021;86(51):14752-14753.
https://psnet.ahrq.gov/issue/public-comment-period-extended-strategies-improve-patient-safety-d…
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psnet.ahrq.gov/node/45275/psn-pdf
November 01, 2017 - Electronic tools to support medication reconciliation—a
systematic review.
November 1, 2017
Marien S, Krug B, Spinewine A. Electronic tools to support medication reconciliation: a systematic review. J
Am Med Inform Assoc. 2017;24(1):227-240. doi:10.1093/jamia/ocw068.
https://psnet.ahrq.gov/issue/electronic-tools-s…
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psnet.ahrq.gov/node/38509/psn-pdf
April 01, 2009 - Restricted duty hours for surgeons and impact on
residents quality of life, education, and patient care: a
literature review.
April 1, 2009
Pape H-C, Pfeifer R. Restricted duty hours for surgeons and impact on residents quality of life, education,
and patient care: a literature review. Patient Saf Surg. 2009;3(1):…
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psnet.ahrq.gov/node/72573/psn-pdf
December 16, 2020 - Distraction in the operating room: a narrative review of
environmental and self-initiated distractions and their
effect on anesthesia providers.
December 16, 2020
Gui JL, Nemergut EC, Forkin KT. Distraction in the operating room: a narrative review of environmental and
self-initiated distractions and their effect …
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psnet.ahrq.gov/node/72662/psn-pdf
January 20, 2021 - Interventions to engage patients and families in patient
safety: a systematic review.
January 20, 2021
Lee M, Lee N-J, Seo H-J, et al. Interventions to Engage Patients and Families in Patient Safety: A
Systematic Review. West J Nurs Res. 2021;43(10):972-983. doi:10.1177/0193945920980770.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/850349/psn-pdf
June 14, 2023 - Cognitive biases in internal medicine: a scoping review.
June 14, 2023
Loncharich MF, Robbins RC, Durning SJ, et al. Cognitive biases in internal medicine: a scoping review.
Diagnosis (Berl). 2023;10(3):205-214. doi:10.1515/dx-2022-0120.
https://psnet.ahrq.gov/issue/cognitive-biases-internal-medicine-scoping-review…
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psnet.ahrq.gov/node/852278/psn-pdf
August 09, 2023 - Identifying failure modes in telemedicine: an instructional
needs assessment.
August 9, 2023
Monkman H, Kuziemsky C, Homco J, et al. Identifying failure modes in telemedicine: an instructional needs
assessment. Stud Health Technol Inform. 2023;304:39-43. doi:10.3233/shti230365.
https://psnet.ahrq.gov/issue/identif…
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psnet.ahrq.gov/node/74176/psn-pdf
December 15, 2021 - Reducing medication errors for adults in hospital
settings.
December 15, 2021
Ciapponi A, Fernandez Nievas SE, Seijo M, et al. Reducing medication errors for adults in hospital settings.
Cochrane Database Syst Rev. 2021;11(11):CD009985. doi:10.1002/14651858.cd009985.pub2.
https://psnet.ahrq.gov/issue/reducing-medi…
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psnet.ahrq.gov/node/46798/psn-pdf
March 14, 2018 - NHTSA Fatigue in EMS Project.
March 14, 2018
Patterson PD, ed. Prehosp Emerg Care. 2018;22(suppl 1):1-118.
https://psnet.ahrq.gov/issue/nhtsa-fatigue-ems-project
Health care worker fatigue is a persistent threat to patient safety. Articles in this special issue cover the
results of a National Highway Traffic Safet…
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psnet.ahrq.gov/node/42116/psn-pdf
March 20, 2013 - Rapid response systems as a patient safety strategy: a
systematic review.
March 20, 2013
Winters BD, Weaver SJ, Pfoh ER, et al. Rapid-response systems as a patient safety strategy: a systematic
review. Ann Intern Med. 2013;158(5 Pt 2):417-25. doi:10.7326/0003-4819-158-5-201303051-00009.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/73077/psn-pdf
March 24, 2021 - Well-Being Playbook 2.0. A COVID-19 Resource for
Hospital and Health System Leaders.
March 24, 2021
AHA Physician Alliance. Chicago, IL: American Hospital Association. February 2021.
https://psnet.ahrq.gov/issue/well-being-playbook-20-covid-19-resource-hospital-and-health-system-leaders
Human factors enginee…
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psnet.ahrq.gov/node/33671/psn-pdf
July 01, 2008 - The Soil, Not the Seed: The Real Problem with Root
Cause Analysis
July 1, 2008
Spath P, Minogue W. The Soil, Not the Seed: The Real Problem with Root Cause Analysis. PSNet
[internet]. 2008.
https://psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
Perspective
Throughout most of his life, …
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psnet.ahrq.gov/node/866083/psn-pdf
June 05, 2024 - An invisible disability: communication, patient safety and
dual sensory impairment in older persons.
June 5, 2024
Dunsmore ME, Watharow A, Schneider J. An invisible disability: communication, patient safety and dual
sensory impairment in older persons. J Adv Nurs. 2024;Epub Mar 22. doi:10.1111/jan.16159.
https://p…
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psnet.ahrq.gov/node/45728/psn-pdf
January 23, 2017 - Executive leadership and physician well-being: nine
organizational strategies to promote engagement and
reduce burnout.
January 23, 2017
Shanafelt TD, Noseworthy JH. Executive Leadership and Physician Well-being: Nine Organizational
Strategies to Promote Engagement and Reduce Burnout. Mayo Clin Proc. 2017;92(1):12…
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psnet.ahrq.gov/node/73495/psn-pdf
July 14, 2021 - Implementation strategies in the context of medication
reconciliation: a qualitative study.
July 14, 2021
Stolldorf DP, Ridner SH, Vogus TJ, et al. Implementation strategies in the context of medication
reconciliation: a qualitative study. Implement Sci Commun. 2021;2(1):63. doi:10.1186/s43058-021-00162-5.
https:/…
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psnet.ahrq.gov/node/45736/psn-pdf
February 01, 2017 - Disruptive behaviour in the perioperative setting: a
contemporary review.
February 1, 2017
Villafranca A, Hamlin C, Enns S, et al. Disruptive behaviour in the perioperative setting: a contemporary
review. Canadian J Anaesth. 2017;64(2):128-140. doi:10.1007/s12630-016-0784-x.
https://psnet.ahrq.gov/issue/disruptive…
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psnet.ahrq.gov/node/74081/psn-pdf
November 17, 2021 - The influence of the availability heuristic on physicians in
the emergency department.
November 17, 2021
Ly DP. The influence of the availability heuristic on physicians in the emergency department. Ann Emerg
Med. 2021;78(5):650-657. doi:10.1016/j.annemergmed.2021.06.012.
https://psnet.ahrq.gov/issue/influence-ava…
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psnet.ahrq.gov/node/43645/psn-pdf
November 12, 2014 - Health IT and Clinical Decision Support Systems.
November 12, 2014
Ohno-Machado L, ed. J Am Med Inform Assoc. 2014;21:e180-e375.
https://psnet.ahrq.gov/issue/health-it-and-clinical-decision-support-systems
A universal agreement on how to calculate the return on investment for health information technology (IT)
and…