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psnet.ahrq.gov/node/72589/psn-pdf
December 23, 2020 - Despite the frequency of breast complaints, evaluating a breast lump is a beguilingly complex
process
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psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
November 30, 2023 - November 28, 2018
Evaluating horizontal violence and bullying in the nursing workforce
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psnet.ahrq.gov/node/44166/psn-pdf
October 13, 2015 - Development and validation of electronic health
record–based triggers to detect delays in follow-up of
abnormal lung imaging findings.
October 13, 2015
Murphy DR, Thomas EJ, Meyer AND, et al. Development and Validation of Electronic Health Record-based
Triggers to Detect Delays in Follow-up of Abnormal Lung Imagin…
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psnet.ahrq.gov/node/73211/psn-pdf
May 05, 2021 - The effectiveness of interruptive prescribing alerts in
ambulatory CPOE to change prescriber behaviour and
improve safety.
May 5, 2021
Cerqueira O, Gill M, Swar B, et al. The effectiveness of interruptive prescribing alerts in ambulatory CPOE
to change prescriber behaviour and improve safety. BMJ Qual Saf. 2021;30…
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psnet.ahrq.gov/node/836988/psn-pdf
April 27, 2022 - Effect of the surgical safety checklist on provider and
patient outcomes: a systematic review.
April 27, 2022
Armstrong BA, Dutescu IA, Nemoy L, et al. Effect of the surgical safety checklist on provider and patient
outcomes: a systematic review. BMJ Qual Saf. 2022;31(6):463-478. doi:10.1136/bmjqs-2021-014361.
htt…
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psnet.ahrq.gov/node/50860/psn-pdf
February 05, 2020 - Does team reflexivity impact teamwork and
communication in interprofessional hospital-based
healthcare teams? A systematic review and narrative
synthesis.
February 5, 2020
McHugh SK, Lawton R, O'Hara JK, et al. Does team reflexivity impact teamwork and communication in
interprofessional hospital-based healthcare …
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psnet.ahrq.gov/node/34713/psn-pdf
February 18, 2011 - The nature of adverse events in hospitalized patients.
Results of the Harvard Medical Practice Study II.
February 18, 2011
Leape L, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized patients. Results of the
Harvard Medical Practice Study II. N Engl J Med. 1991;324(6):377-84.
https://psnet.ah…
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psnet.ahrq.gov/node/60304/psn-pdf
January 01, 2021 - Patients' perspectives of diagnostic error: a qualitative
study.
May 6, 2020
Sacco AY, Self QR, Worswick EL, et al. Patients' perspectives of diagnostic error: a qualitative study. J
Patient Saf. 2021;17(8):e1759-e1773. doi:10.1097/pts.0000000000000642.
https://psnet.ahrq.gov/issue/patients-perspectives-diagnostic…
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psnet.ahrq.gov/node/860388/psn-pdf
January 10, 2024 - Patient reasoning: patients' and care partners'
perceptions of diagnostic accuracy in emergency care.
January 10, 2024
Dukhanin V, McDonald KM, Gonzalez N, et al. Patient reasoning: patients' and care partners' perceptions
of diagnostic accuracy in emergency care. Med Decis Making. 2024;44(1):102-111.
doi:10.1177/…
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psnet.ahrq.gov/node/36648/psn-pdf
January 18, 2011 - The Safety Organizing Scale: development and validation
of a behavioral measure of safety culture in hospital
nursing units.
January 18, 2011
Vogus TJ, Sutcliffe K. The Safety Organizing Scale: development and validation of a behavioral measure of
safety culture in hospital nursing units. Med Care. 2007;45(1):46-5…
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psnet.ahrq.gov/node/845632/psn-pdf
March 08, 2023 - Pharmacists reducing medication risk in medical
outpatient clinics: a retrospective study of 18 clinics.
March 8, 2023
Snoswell CL, De Guzman KR, Barras M. Pharmacists reducing medication risk in medical outpatient
clinics: a retrospective study of 18 clinics. Intern Med J. 2023;53(1):95-103. doi:10.1111/imj.15504.…
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psnet.ahrq.gov/node/865338/psn-pdf
March 27, 2024 - Analysis of intervention employability in pharmacy-
related medication safety reports at a tertiary medical
center.
March 27, 2024
Crozier N, Robinson E, Murtagh NC, et al. Analysis of intervention employability in pharmacy-related
medication safety reports at a tertiary medical center. Hosp Pharm. 2024;59(2):210-…
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psnet.ahrq.gov/node/866589/psn-pdf
August 28, 2024 - Developing a process to measure actual harm from
medication errors in paediatric inpatients: from design to
implementation.
August 28, 2024
Mumford V, Raban MZ, Li L, et al. Developing a process to measure actual harm from medication errors in
paediatric inpatients: from design to implementation. Br J Clin Pharmac…
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psnet.ahrq.gov/node/60031/psn-pdf
March 11, 2020 - Patient perspectives on the usefulness of an artificial
intelligence-assisted symptom checker: cross-sectional
survey study.
March 11, 2020
Meyer AND, Giardina TD, Spitzmueller C, et al. Patient Perspectives on the Usefulness of an Artificial
Intelligence–Assisted Symptom Checker: Cross-Sectional Survey Study. J M…
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psnet.ahrq.gov/node/851458/psn-pdf
July 19, 2023 - Improving handoffs in the perioperative environment: a
conceptual framework of key theories, system factors,
methods, and core interventions to ensure success.
July 19, 2023
Starmer AJ, Michael MM, Spector ND, et al. Improving handoffs in the perioperative environment: a
conceptual framework of key theories, syste…
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psnet.ahrq.gov/node/34094/psn-pdf
September 27, 2017 - Surveillance of medical device-related hazards and
adverse events in hospitalized patients.
September 27, 2017
Samore MH, Evans S, Lassen A, et al. Surveillance of medical device-related hazards and adverse events
in hospitalized patients. JAMA. 2004;291(3):325-34.
https://psnet.ahrq.gov/issue/surveillance-medical…
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psnet.ahrq.gov/node/72603/psn-pdf
December 23, 2020 - Telemedicine as a medical examination tool during the
Covid-19 emergency: the experience of the onco-
haematology center of Tor Vergata Hospital in Rome.
December 23, 2020
Postorino M, Treglia M, Giammatteo J, et al. Telemedicine as a medical examination tool during the Covid-
19 emergency: the experience of the o…
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psnet.ahrq.gov/node/45199/psn-pdf
June 15, 2016 - Towards safer transitions: a curriculum to teach and
assess hospital-to-hospice handoffs.
June 15, 2016
Darrah NJ, O'Connor NR. Toward Safer Transitions: A Curriculum to Teach and Assess Hospital-to-
Hospice Handoffs. J Pain Symptom Manage. 2016;51(6):959-962.e2.
doi:10.1016/j.jpainsymman.2016.01.012.
https://psn…
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psnet.ahrq.gov/node/74855/psn-pdf
February 23, 2022 - Patient safety when receiving telephone advice in primary
care - a Swedish qualitative interview study.
February 23, 2022
Berntsson K, Eliasson M, Beckman L. Patient safety when receiving telephone advice in primary care – a
Swedish qualitative interview study. BMC Nurs. 2022;21(1):24. doi:10.1186/s12912-021-00796-…
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psnet.ahrq.gov/node/38100/psn-pdf
July 02, 2009 - Surgical team behaviors and patient outcomes.
July 2, 2009
Mazzocco K, Petitti DB, Fong KT, et al. Surgical team behaviors and patient outcomes. Am J Surg.
2009;197(5):678-85. doi:10.1016/j.amjsurg.2008.03.002.
https://psnet.ahrq.gov/issue/surgical-team-behaviors-and-patient-outcomes
Direct observation of teamwork…