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psnet.ahrq.gov/node/60299/psn-pdf
May 06, 2020 - Impact of multidisciplinary team huddles on patient
safety: a systematic review and proposed taxonomy.
May 6, 2020
Franklin BJ, Gandhi TK, Bates DW, et al. Impact of multidisciplinary team huddles on patient safety: a
systematic review and proposed taxonomy. BMJ Qual Saf. 2020;29(10):844–853. doi:10.1136/bmjqs-2019…
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April 18, 2018 - Bedside computer vision—moving artificial intelligence
from driver assistance to patient safety.
April 18, 2018
Yeung S, Downing L, Fei-Fei L, et al. Bedside Computer Vision - Moving Artificial Intelligence from Driver
Assistance to Patient Safety. New Engl J Med. 2018;378(14):1271-1273. doi:10.1056/NEJMp1716891.
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psnet.ahrq.gov/node/866271/psn-pdf
July 10, 2024 - A taxonomy for advancing systematic error analysis in
multi-site electronic health record-based clinical concept
extraction.
July 10, 2024
Fu S, Wang L, He H, et al. A taxonomy for advancing systematic error analysis in multi-site electronic
health record-based clinical concept extraction. J Am Med Inform Assoc. 2…
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psnet.ahrq.gov/node/47448/psn-pdf
October 10, 2018 - Ten principles for more conservative, care-full diagnosis.
October 10, 2018
Schiff G, Martin SA, Eidelman DH, et al. Ten Principles for More Conservative, Care-Full Diagnosis. Ann
Intern Med. 2018;169(9):643-645. doi:10.7326/M18-1468.
https://psnet.ahrq.gov/issue/ten-principles-more-conservative-care-full-diagnosis…
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psnet.ahrq.gov/node/836955/psn-pdf
April 20, 2022 - The National Imperative to Improve Nursing Home
Quality: Honoring Our Commitment to Residents,
Families, and Staff.
April 20, 2022
National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies
Press; 2022. ISBN: 9780309686259
https://psnet.ahrq.gov/issue/national-imperative-imp…
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psnet.ahrq.gov/node/60620/psn-pdf
June 24, 2020 - Analysis of lawsuits related to diagnostic errors from
point-of-care ultrasound in internal medicine, paediatrics,
family medicine and critical care in the USA.
June 24, 2020
Reaume M, Farishta M, Costello JA, et al. Analysis of lawsuits related to diagnostic errors from point-of-
care ultrasound in internal medic…
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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/46897/psn-pdf
October 13, 2018 - An assessment of the impact of just culture on quality
and safety in US hospitals.
October 13, 2018
Edwards MT. An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. Am J
Med Qual. 2018;33(5):502-508. doi:10.1177/1062860618768057.
https://psnet.ahrq.gov/issue/assessment-impact-just-cul…
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psnet.ahrq.gov/node/36681/psn-pdf
May 31, 2011 - Improving general practice computer systems for patient
safety: qualitative study of key stakeholders.
May 31, 2011
Avery A, Savelyich BSP, Sheikh A, et al. Improving general practice computer systems for patient safety:
qualitative study of key stakeholders. Qual Saf Health Care. 2007;16(1):28-33.
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July 21, 2021 - NHS ‘Learning from Deaths’ reports: a qualitative and
quantitative document analysis of the first year of a
countrywide patient safety programme.
July 21, 2021
Brummell Z, Vindrola-Padros C, Braun D, et al. NHS ‘Learning from Deaths’ reports: a qualitative and
quantitative document analysis of the first year of a …
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psnet.ahrq.gov/node/866113/psn-pdf
June 12, 2024 - Reducing the risk of delayed colorectal cancer diagnoses
through an ambulatory safety net collaborative.
June 12, 2024
Moyal-Smith R, Elam M, Boulanger J, et al. Reducing the risk of delayed colorectal cancer diagnoses
through an ambulatory safety net collaborative. Jt Comm J Qual Patient Saf. 2024;50(10):690-699.
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psnet.ahrq.gov/node/60277/psn-pdf
January 01, 2021 - Evidence that nurses need to participate in diagnosis:
lessons from malpractice claims.
April 29, 2020
Gleason KT, Jones RM, Rhodes C, et al. Evidence that nurses need to participate in diagnosis: lessons
from malpractice claims. J Patient Saf. 2021;17(8):e959-e963. doi:10.1097/pts.0000000000000621.
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January 01, 2021 - Hospital- and system-wide interventions for health care-
associated infections: a systematic review.
September 16, 2020
Maurer NR, Hogan TH, Walker DM. Hospital- and system-wide interventions for health care-associated
infections: a systematic review. Med Care Res Rev. 2021;78(6):643-659. doi:10.1177/10775587209529…
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psnet.ahrq.gov/node/48101/psn-pdf
August 14, 2019 - Partnering with families and patient advocates: another
line of defense in adverse event surveillance.
August 14, 2019
ISMP Medication Safety Alert! Acute Care Edition. August 1, 2019;24.
https://psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event-
surveillance
Having…
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psnet.ahrq.gov/node/44857/psn-pdf
March 23, 2016 - Health IT Safe Practices. Toolkit for the Safe Use of Copy
and Paste.
March 23, 2016
Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; February 2016.
https://psnet.ahrq.gov/issue/health-it-safe-practices-toolkit-safe-use-copy-and-paste
Electronic health records have potential to improve health …
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psnet.ahrq.gov/node/47004/psn-pdf
July 02, 2019 - Physicians' perspectives regarding prescription drug
monitoring program use within the Department of
Veterans Affairs: a multi-state qualitative study.
July 2, 2019
Radomski TR, Bixler FR, Zickmund SL, et al. Physicians' Perspectives Regarding Prescription Drug
Monitoring Program Use Within the Department of Veter…
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psnet.ahrq.gov/node/46031/psn-pdf
April 12, 2017 - Chief of Residents for Quality Improvement and Patient
Safety: a recipe for a new role in graduate medical
education.
April 12, 2017
Ferraro K, Zernzach R, Maturo S, et al. Chief of Residents for Quality Improvement and Patient Safety: A
Recipe for a New Role in Graduate Medical Education. Mil Med. 2017;182(3):e17…
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psnet.ahrq.gov/node/73087/psn-pdf
March 31, 2021 - Developing open disclosure strategies to medical error
using simulation in final-year medical students: linking
mindset and experiential learning to lifelong reflective
practice.
March 31, 2021
Lane AS, Roberts C. Developing open disclosure strategies to medical error using simulation in final-year
medical studen…
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psnet.ahrq.gov/node/46732/psn-pdf
June 07, 2018 - The SAGES Fundamental Use of Surgical Energy program
(FUSE): history, development, and purpose.
June 7, 2018
Fuchshuber P, Schwaitzberg S, Jones D, et al. The SAGES Fundamental Use of Surgical Energy program
(FUSE): history, development, and purpose. Surg Endosc. 2018;32(6):2583-2602. doi:10.1007/s00464-
017-5933-…
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November 16, 2016 - Improving patient safety through the involvement of
patients: development and evaluation of novel
interventions to engage patients in preventing patient
safety incidents and protecting them against unintended
harm.
November 16, 2016
Wright J, Lawton R, O’Hara J, et al. Improving Patient Safety Through The Involve…