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psnet.ahrq.gov/node/46367/psn-pdf
August 30, 2017 - Why are so many women being misdiagnosed?
August 30, 2017
Mickle K. Glamour. August 11, 2017.
https://psnet.ahrq.gov/issue/why-are-so-many-women-being-misdiagnosed
Implicit bias and differences in communication style can affect patient care. This magazine article reports
on factors that contribute to misdiagnosis …
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psnet.ahrq.gov/node/44718/psn-pdf
November 25, 2015 - Beyond the Quick Fix: Strategies for Improving Patient
Safety.
November 25, 2015
Baker GR. Toronto, ON: Institute of Health Policy, Management and Evaluation, University of Toronto;
2015.
https://psnet.ahrq.gov/issue/beyond-quick-fix-strategies-improving-patient-safety
The 2004 Canadian Adverse Events Study helpe…
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psnet.ahrq.gov/node/44229/psn-pdf
October 13, 2015 - Patterns and predictors of medication discrepancies in
primary care.
October 13, 2015
Coletti DJ, Stephanou H, Mazzola N, et al. Patterns and predictors of medication discrepancies in primary
care. J Eval Clin Pract. 2015;21(5):831-9. doi:10.1111/jep.12387.
https://psnet.ahrq.gov/issue/patterns-and-predictors-medi…
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psnet.ahrq.gov/node/39876/psn-pdf
July 02, 2014 - The anatomy of health care team training and the state of
practice: a critical review.
July 2, 2014
Weaver SJ, Lyons R, DiazGranados D, et al. The anatomy of health care team training and the state of
practice: a critical review. Acad Med. 2010;85(11):1746-60. doi:10.1097/ACM.0b013e3181f2e907.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/35966/psn-pdf
January 02, 2017 - Assessing and monitoring override medications in
automated dispensing devices.
January 2, 2017
Kowiatek JG, Weber RJ, Skledar S, et al. Assessing and monitoring override medications in automated
dispensing devices. Jt Comm J Qual Patient Saf. 2006;32(6):309-17.
https://psnet.ahrq.gov/issue/assessing-and-monitoring…
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psnet.ahrq.gov/node/843323/psn-pdf
February 01, 2023 - Long-Term Trends of Psychotropic Drug Use in Nursing
Homes.
February 1, 2023
Grimm CA. Washington DC: Office of the Inspector General; Nov 2022. Report no. OEI-07-20-
00500.
https://psnet.ahrq.gov/issue/long-term-trends-psychotropic-drug-use-nursing-homes
Misdiagnosis can result in inappropriate medication u…
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psnet.ahrq.gov/node/60989/psn-pdf
October 07, 2020 - The accuracy of preliminary diagnoses made by
paramedics - a cross-sectional comparative study.
October 7, 2020
Koivulahti O, Tommila M, Haavisto E. The accuracy of preliminary diagnoses made by paramedics – a
cross-sectional comparative study. Scand J Trauma Resusc Emerg Med. 2020;28(1):70.
doi:10.1186/s13049-020…
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psnet.ahrq.gov/node/41012/psn-pdf
December 29, 2014 - The impact of patient and public involvement on UK NHS
health care: a systematic review.
December 29, 2014
Mockford C, Staniszewska S, Griffiths F, et al. The impact of patient and public involvement on UK NHS
health care: a systematic review. Int J Qual Health Care. 2012;24(1):28-38. doi:10.1093/intqhc/mzr066.
ht…
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psnet.ahrq.gov/node/60945/psn-pdf
September 23, 2020 - Safety in pediatric hospice and palliative care: a
qualitative study.
September 23, 2020
Pestian T, Thienprayoon R, Grossoehme D, et al. Safety in pediatric hospice and palliative care: a
qualitative study. Pediatr Qual Saf. 2020;5(4):e328. doi:10.1097/pq9.0000000000000328.
https://psnet.ahrq.gov/issue/safety-pedi…
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psnet.ahrq.gov/node/46698/psn-pdf
February 07, 2018 - Enhancing the quality and safety of the perioperative
patient.
February 7, 2018
Staender S, Smith A. Enhancing the quality and safety of the perioperative patient. Curr Opin Anaesthesiol.
2017;30(6):730-735. doi:10.1097/ACO.0000000000000517.
https://psnet.ahrq.gov/issue/enhancing-quality-and-safety-perioperative-p…
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psnet.ahrq.gov/node/44910/psn-pdf
March 09, 2016 - Systematically Identified Failure Is the Route to a
Successful Health System.
March 9, 2016
Tepper J, Martin D, eds. Healthc Pap. 2015;15(2):4-61.
https://psnet.ahrq.gov/issue/systematically-identified-failure-route-successful-health-system
Identifying and addressing organizational factors that enable individual m…
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psnet.ahrq.gov/node/47268/psn-pdf
May 11, 2019 - Measuring shared mental models in healthcare.
May 11, 2019
Gisick LM, Webster KL, Keebler JR, et al. J Patient Saf Risk Manag. 2018;23:207–219.
https://psnet.ahrq.gov/issue/measuring-shared-mental-models-healthcare
Shared mental models are an important element of team collaboration. This review explores the current…
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psnet.ahrq.gov/node/43062/psn-pdf
September 04, 2016 - The relationship between patient safety culture and
patient outcomes: a systematic review.
September 4, 2016
DiCuccio MH. The Relationship Between Patient Safety Culture and Patient Outcomes: A Systematic
Review. J Patient Saf. 2015;11(3):135-42. doi:10.1097/PTS.0000000000000058.
https://psnet.ahrq.gov/issue/relat…
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psnet.ahrq.gov/node/838638/psn-pdf
September 01, 2012 - Directed peer review in surgical pathology.
September 1, 2012
Smith ML, Raab SS. Directed peer review in surgical pathology. Adv Anat Pathol. 2012;19(5):331-337.
doi:10.1097/pap.0b013e31826661b7.
https://psnet.ahrq.gov/issue/directed-peer-review-surgical-pathology
Diagnostic error in pathology can result in delaye…
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psnet.ahrq.gov/node/45756/psn-pdf
December 21, 2016 - Accidental IV infusion of heparinized irrigation in the OR.
December 21, 2016
ISMP Medication Safety Alert! Acute Care Edition. December 1, 2016;21:1-3.
https://psnet.ahrq.gov/issue/accidental-iv-infusion-heparinized-irrigation-or
Accidental administration of irrigation solutions are a wrong-route error that can re…
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psnet.ahrq.gov/node/42564/psn-pdf
September 11, 2013 - Error rating tool to identify and analyse technical errors
and events in laparoscopic surgery.
September 11, 2013
Bonrath EM, Zevin B, Dedy NJ, et al. Error rating tool to identify and analyse technical errors and events in
laparoscopic surgery. Br J Surg. 2013;100(8):1080-8. doi:10.1002/bjs.9168.
https://psnet.ah…
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psnet.ahrq.gov/issue/special-issue-health-information-technology
August 22, 2007 - June 29, 2022
Scoping review of studies evaluating frailty and its association with medication
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psnet.ahrq.gov/issue/digital-healthcare-research
December 24, 2008 - August 19, 2020
Novel, High-Impact Studies Evaluating Health System and Healthcare Professional
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psnet.ahrq.gov/issue/grants-line-database-gold
December 24, 2008 - September 22, 2021
Novel, High-Impact Studies Evaluating Health System and Healthcare
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psnet.ahrq.gov/issue/hospital-mistakes-kept-secret
September 30, 2009 - June 21, 2017
Medication safety at the interface: evaluating risks associated with discharge