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psnet.ahrq.gov/node/38616/psn-pdf
June 08, 2009 - Cost and workforce implications of subjecting all
physicians to aviation industry work-hour restrictions.
June 8, 2009
Payette M, Chatterjee A, Weeks WB. Cost and workforce implications of subjecting all physicians to
aviation industry work-hour restrictions. Am J Surg. 2009;197(6):820-5; discussion 826-7.
doi:1…
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psnet.ahrq.gov/node/38077/psn-pdf
January 31, 2011 - Building physician work hour regulations from first
principles and best evidence.
January 31, 2011
Volpp KG, Landrigan CP. Building physician work hour regulations from first principles and best evidence.
JAMA. 2008;300(10):1197-9. doi:10.1001/jama.300.10.1197.
https://psnet.ahrq.gov/issue/building-physician-work-…
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psnet.ahrq.gov/node/40562/psn-pdf
July 03, 2014 - Paid malpractice claims for adverse events in inpatient
and outpatient settings.
July 3, 2014
Bishop TF, Ryan AM, Ryan AK, et al. Paid malpractice claims for adverse events in inpatient and outpatient
settings. JAMA. 2011;305(23):2427-31. doi:10.1001/jama.2011.813.
https://psnet.ahrq.gov/issue/paid-malpractice-cla…
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psnet.ahrq.gov/node/39951/psn-pdf
October 27, 2010 - Making inpatient medication reconciliation patient
centered, clinically relevant and implementable: a
consensus statement on key principles and necessary
first steps.
October 27, 2010
Greenwald JL, Halasyamani L, Greene J, et al. Making inpatient medication reconciliation patient centered,
clinically relevant and…
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psnet.ahrq.gov/node/37484/psn-pdf
April 01, 2010 - Using patient safety indicators to estimate the impact of
potential adverse events on outcomes.
April 1, 2010
Rivard PE, Luther SL, Christiansen CL, et al. Using Patient Safety Indicators to Estimate the Impact of
Potential Adverse Events on Outcomes. Med Care Res Rev. 2008;65(1):67-87.
doi:10.1177/107755870730961…
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psnet.ahrq.gov/node/47058/psn-pdf
August 20, 2018 - The first U.S. study on nurses' evidence-based practice
competencies indicates major deficits that threaten
healthcare quality, safety, and patient outcomes.
August 20, 2018
Melnyk BM, Gallagher-Ford L, Zellefrow C, et al. The First U.S. Study on Nurses' Evidence-Based Practice
Competencies Indicates Major Deficit…
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psnet.ahrq.gov/node/37908/psn-pdf
June 10, 2010 - Incidence and characteristics of potential and actual
retained foreign object events in surgical patients.
June 10, 2010
Cima RR, Kollengode A, Garnatz J, et al. Incidence and characteristics of potential and actual retained
foreign object events in surgical patients. J Am Coll Surg. 2008;207(1):80-7.
doi:10.1016/…
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psnet.ahrq.gov/node/42653/psn-pdf
January 07, 2015 - Exploring the sociotechnical intersection of patient safety
and electronic health record implementation.
January 7, 2015
Meeks DW, Takian A, Sittig DF, et al. Exploring the sociotechnical intersection of patient safety and
electronic health record implementation. J Am Med Inform Assoc. 2014;21(e1):e28-e34.
doi:10.…
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psnet.ahrq.gov/node/45356/psn-pdf
May 09, 2017 - Screening for medication errors using an outlier detection
system.
May 9, 2017
Schiff G, Volk LA, Volodarskaya M, et al. Screening for medication errors using an outlier detection system.
J Am Med Inform Assoc. 2017;24(2):281-287. doi:10.1093/jamia/ocw171.
https://psnet.ahrq.gov/issue/screening-medication-errors-u…
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psnet.ahrq.gov/node/847718/psn-pdf
April 19, 2023 - Effect of a Veterans Health Administration mandate to
case review patients with opioid prescriptions on
mortality among patients with opioid use disorder: a
secondary analysis of the STORM randomized control
trial.
April 19, 2023
Auty SG, Barr KD, Frakt AB, et al. Effect of a Veterans Health Administration mandat…
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psnet.ahrq.gov/node/865531/psn-pdf
April 10, 2024 - Implicit bias and patient care: mitigating bias, preventing
harm.
April 10, 2024
Barber Doucet H, Wilson T, Vrablik L, et al. Implicit bias and patient care: mitigating bias, preventing harm.
MedEdPORTAL. 2023;19:11343. doi:10.15766/mep_2374-8265.11343.
https://psnet.ahrq.gov/innovation/implicit-bias-and-patient-c…
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psnet.ahrq.gov/node/836842/psn-pdf
April 07, 2022 - Assessing the impact of virtual medication history
technicians on medication reconciliation discrepancies.
April 7, 2022
Gadallah A, McGinnis B, Nguyen B, et al. Assessing the impact of virtual medication history technicians on
medication reconciliation discrepancies. Int J Clin Pharm. 2021;43(5):1404-1411. doi:10.…
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psnet.ahrq.gov/node/45555/psn-pdf
June 15, 2017 - Variations in GPs' decisions to investigate suspected
lung cancer: a factorial experiment using multimedia
vignettes.
June 15, 2017
Sheringham J, Sequeira R, Myles J, et al. Variations in GPs' decisions to investigate suspected lung
cancer: a factorial experiment using multimedia vignettes. BMJ Qual Saf. 2017;26(6…
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psnet.ahrq.gov/node/37842/psn-pdf
November 20, 2017 - An epistemology of patient safety research: a framework
for study design and interpretation.
November 20, 2017
Brown C, Hofer T, Johal A, et al. An epistemology of patient safety research: a framework for study design
and interpretation. Part 4. One size does not fit all. Quality and Safety in Health Care. 2008;17(…
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psnet.ahrq.gov/node/46203/psn-pdf
June 14, 2017 - Prescription errors related to the use of computerized
provider order-entry system for pediatric patients.
June 14, 2017
Alhanout K, Bun S-S, Retornaz K, et al. Prescription errors related to the use of computerized provider
order-entry system for pediatric patients. Int J Med Inform. 2017;103:15-19.
doi:10.1016/j…
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psnet.ahrq.gov/node/39624/psn-pdf
June 23, 2010 - Single-parameter early warning criteria to predict life-
threatening adverse events.
June 23, 2010
Rothschild JM, Gandara E, Woolf S, et al. Single-Parameter Early Warning Criteria to Predict Life-
Threatening Adverse Events. J Patient Saf. 2010;6(2). doi:10.1097/pts.0b013e3181dcaf32.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/33593/psn-pdf
June 15, 2024 - Measurement of Patient Safety
June 15, 2024
Measurement of Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/measurement-patient-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient …
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psnet.ahrq.gov/web-mm/confusion-acetaminophen
December 01, 2009 - Confusion With Acetaminophen
Citation Text:
Heubi JE. Confusion With Acetaminophen. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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psnet.ahrq.gov/primer/measurement-patient-safety
September 15, 2024 - Measurement of Patient Safety
Citation Text:
Measurement of Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
March 01, 2007 - The Soil, Not the Seed: The Real Problem with Root Cause Analysis
Patrice Spath, BA, RHIT, and William Minogue, MD | July 1, 2008
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Citation Text:
Spath P, Minogue W. The Soil, Not the Seed: The Real Problem with Root Cause …