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psnet.ahrq.gov/node/42944/psn-pdf
March 03, 2024 - Clinical Learning Environment Review (CLER) Program.
March 3, 2024
Accreditation Council for Graduate Medical Education.
https://psnet.ahrq.gov/issue/clinical-learning-environment-review-cler-program
Many graduate medical education programs have instituted patient safety didactics or online courses to
meet accredi…
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psnet.ahrq.gov/node/43635/psn-pdf
November 12, 2014 - Electronic medical record: a balancing act of patient
safety, privacy and health care delivery.
November 12, 2014
Gummadi S, Housri N, Zimmers TA, et al. Electronic medical record: a balancing act of patient safety,
privacy and health care delivery. Am J Med Sci. 2014;348(3):238-243.
doi:10.1097/MAJ.00000000000002…
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psnet.ahrq.gov/node/41586/psn-pdf
January 01, 2013 - Strategies for improving patient safety culture in
hospitals: a systematic review.
December 31, 2012
Morello RT, Lowthian JA, Barker AL, et al. Strategies for improving patient safety culture in hospitals: a
systematic review. BMJ Qual Saf. 2013;22(1):11-8. doi:10.1136/bmjqs-2011-000582.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/44866/psn-pdf
March 15, 2016 - Associations between attending physician workload,
teaching effectiveness, and patient safety.
March 15, 2016
Wingo MT, Halvorsen AJ, Beckman T, et al. Associations between attending physician workload, teaching
effectiveness, and patient safety. J Hosp Med. 2016;11(3):169-73. doi:10.1002/jhm.2540.
https://psnet.a…
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psnet.ahrq.gov/node/866689/psn-pdf
September 11, 2024 - Human-AI teaming in critical care: a comparative analysis
of data scientists' and clinicians' perspectives on AI
augmentation and automation.
September 11, 2024
Bienefeld N, Keller E, Grote G. Human-AI teaming in critical care: a comparative analysis of data scientists'
and clinicians' perspectives on AI augmentat…
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psnet.ahrq.gov/node/43764/psn-pdf
July 03, 2016 - Redesigning rounds: towards a more purposeful
approach to inpatient teaching and learning.
July 3, 2016
Reilly JB, Bennett N, Fosnocht K, et al. Redesigning rounds: towards a more purposeful approach to
inpatient teaching and learning. Acad Med. 2015;90(4):450-3. doi:10.1097/ACM.0000000000000579.
https://psnet.ahr…
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psnet.ahrq.gov/node/867039/psn-pdf
October 30, 2024 - Correlates of missed or late versus timely diagnosis of
dementia in healthcare settings.
October 30, 2024
Chen Y, Power MC, Grodstein F, et al. Correlates of missed or late versus timely diagnosis of dementia in
healthcare settings. Alzheimers Dement. 2024;20(8):5551-5560. doi:10.1002/alz.14067.
https://psnet.ahrq…
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psnet.ahrq.gov/node/73115/psn-pdf
April 07, 2021 - Can decision support combat incompleteness and bias in
routine primary care data?
April 7, 2021
Kostopoulou O, Tracey C, Delaney BC. Can decision support combat incompleteness and bias in routine
primary care data? J Am Med Inform Assoc. 2021;28(7):1461-1467. doi:10.1093/jamia/ocab025.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/47415/psn-pdf
December 05, 2018 - Blinding or information control in diagnosis: could it
reduce errors in clinical decision-making?
December 5, 2018
Lockhart JJ, Satya-Murti S. Blinding or information control in diagnosis: could it reduce errors in clinical
decision-making? Diagnosis (Berl). 2018;5(4):179-189. doi:10.1515/dx-2018-0030.
https://psn…
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psnet.ahrq.gov/node/46024/psn-pdf
June 15, 2017 - Introductions during time-outs: do surgical team
members know one another's names?
June 15, 2017
Birnbach DJ, Rosen LF, Fitzpatrick M, et al. Introductions during time-outs: do surgical team members
know one another's names? Jt Comm J Qual Patient Saf. 2017;43(6):284-288.
doi:10.1016/j.jcjq.2017.03.001.
https://p…
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psnet.ahrq.gov/node/46436/psn-pdf
May 30, 2018 - Effect of number of open charts on intercepted wrong-
patient medication orders in an emergency department.
May 30, 2018
Kannampallil TG, Manning JD, Chestek DW, et al. Effect of number of open charts on intercepted wrong-
patient medication orders in an emergency department. J Am Med Inform Assoc. 2018;25(6):739-7…
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psnet.ahrq.gov/node/37219/psn-pdf
June 16, 2011 - Workforce perceptions of hospital safety culture:
development and validation of the patient safety climate
in healthcare organizations survey.
June 16, 2011
Singer SJ, Meterko M, Baker LC, et al. Workforce perceptions of hospital safety culture: development and
validation of the patient safety climate in healthcar…
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psnet.ahrq.gov/node/40994/psn-pdf
December 18, 2014 - Implementing medication reconciliation in outpatient
pediatrics.
December 18, 2014
Rappaport DI, Collins B, Koster A, et al. Implementing medication reconciliation in outpatient pediatrics.
Pediatrics. 2011;128(6):e1600-7. doi:10.1542/peds.2011-0993.
https://psnet.ahrq.gov/issue/implementing-medication-reconciliat…
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psnet.ahrq.gov/node/50736/psn-pdf
December 11, 2019 - Prevalence and nature of medication errors and
preventable adverse drug events in paediatric and
neonatal intensive care settings: a systematic review.
December 11, 2019
Alghamdi AA, Keers RN, Sutherland A, et al. Prevalence and Nature of Medication Errors and Preventable
Adverse Drug Events in Paediatric and Neon…
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psnet.ahrq.gov/node/860724/psn-pdf
January 17, 2024 - Retrospective cohort study of wrong-patient imaging
order errors: how many reach the patient?
January 17, 2024
Kneifati-Hayek JZ, Geist E, Applebaum JR, et al. Retrospective cohort study of wrong-patient imaging
order errors: how many reach the patient? BMJ Qual Saf. 2024;33(2):132-135. doi:10.1136/bmjqs-2023-
016…
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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/47806/psn-pdf
January 01, 2021 - Pursuing patient safety at the intersection of design,
systems engineering, and health care delivery research:
an ongoing assessment.
February 27, 2019
Henriksen K, Rodrick D, Grace EN, et al. Pursuing Patient Safety at the Intersection of Design, Systems
Engineering, and Health Care Delivery Research: An Ongoing …
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psnet.ahrq.gov/node/838242/psn-pdf
January 01, 2023 - Are pathologists self-aware of their diagnostic accuracy?
Metacognition and the diagnostic process in pathology.
October 5, 2022
Clayton DA, Eguchi MM, Kerr KF, et al. Are pathologists self-aware of their diagnostic accuracy?
Metacognition and the diagnostic process in pathology. Med Decis Making. 2023;43(2):164-17…
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psnet.ahrq.gov/node/844769/psn-pdf
January 01, 2020 - Failure to administer recommended chemotherapy:
acceptable variation or cancer care quality blind spot?
September 18, 2019
Ellis RJ, Schlick CJR, Feinglass J, et al. Failure to administer recommended chemotherapy: acceptable
variation or cancer care quality blind spot? BMJ Qual Saf. 2020;29(2):103-112. doi:10.1136/…
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psnet.ahrq.gov/node/34671/psn-pdf
June 15, 2011 - Confidential clinician-reported surveillance of adverse
events among medical inpatients.
June 15, 2011
Weingart SN, Ship AN, Aronson MD. Confidential clinician-reported surveillance of adverse events among
medical inpatients. J Gen Intern Med. 2003;15(7). doi:10.1046/j.1525-1497.2000.06269.x.
https://psnet.ahrq.go…