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psnet.ahrq.gov/node/35886/psn-pdf
July 23, 2010 - In-house, overnight physician staffing: a cross-sectional
survey of Canadian adult and pediatric intensive care
units.
July 23, 2010
Parshuram CS, Kirpalani H, Mehta S, et al. In-house, overnight physician staffing: a cross-sectional survey
of Canadian adult and pediatric intensive care units. Crit Care Med. 2006;…
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psnet.ahrq.gov/node/845651/psn-pdf
November 17, 2016 - Variability in diagnostic error rates of 10 MRI centers
performing lumbar spine MRI examinations on the same
patient within a 3-week period.
November 17, 2016
Herzog R, Elgort DR, Flanders AE, et al. Variability in diagnostic error rates of 10 MRI centers performing
lumbar spine MRI examinations on the same patien…
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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/44814/psn-pdf
February 24, 2018 - Systematic review of physiologic monitor alarm
characteristics and pragmatic interventions to reduce
alarm frequency.
February 24, 2018
Paine CW, Goel V, Ely E, et al. Systematic Review of Physiologic Monitor Alarm Characteristics and
Pragmatic Interventions to Reduce Alarm Frequency. J Hosp Med. 2016;11(2):136-14…
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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/73983/psn-pdf
October 20, 2021 - Factors associated with potentially missed acute
deterioration in primary care: cohort study of UK general
practices.
October 20, 2021
Cecil E, Bottle A, Majeed A, et al. Factors associated with potentially missed acute deterioration in primary
care: cohort study of UK general practices. Br J Gen Pract. 2021;71(70…
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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/73881/psn-pdf
September 29, 2021 - Changes in hospital-acquired conditions and mortality
associated with the hospital-acquired condition reduction
program.
September 29, 2021
Arntson E, Dimick JB, Nuliyalu U, et al. Changes in hospital-acquired conditions and mortality associated
with the hospital-acquired condition reduction program. Ann Surg. 202…
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psnet.ahrq.gov/node/842763/psn-pdf
January 18, 2023 - Implementation of peer messengers to deliver feedback:
an observational study to promote professionalism in
nursing.
January 18, 2023
Baldwin CA, Hanrahan K, Edmonds SW, et al. Implementation of peer messengers to deliver feedback: an
observational study to promote professionalism in nursing. Jt Comm J Qual Patien…
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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/866565/psn-pdf
August 21, 2024 - Crowdsourced feedback to improve resident physician
error disclosure skills: a randomized clinical trial.
August 21, 2024
White AA, King AM, D’Addario AE, et al. Crowdsourced feedback to improve resident physician error
disclosure skills: a randomized clinical trial. JAMA Netw Open. 2024;7(8):e2425923.
doi:10.1001…
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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:…