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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/node/47700/psn-pdf
January 16, 2019 - Current challenges in health information
technology–related patient safety.
January 16, 2019
Sittig DF, Wright A, Coiera E, et al. Current challenges in health information technology–related patient
safety. Health Inform J. 2020;26(1):181-189. doi:10.1177/1460458218814893.
https://psnet.ahrq.gov/issue/current-chal…
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psnet.ahrq.gov/node/44274/psn-pdf
February 18, 2019 - Concepts for the development of a customizable checklist
for use by patients.
February 18, 2019
Fernando RJ, Shapiro FE, Rosenberg NM, et al. Concepts for the Development of a Customizable
Checklist for Use by Patients. J Patient Saf. 2019;15(1):18-23. doi:10.1097/PTS.0000000000000203.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/45549/psn-pdf
October 12, 2016 - Preventing diagnostic errors in primary care.
October 12, 2016
Ely JW, Graber ML. Preventing Diagnostic Errors in Primary Care. Am Fam Physician. 2016;94(6):426-32.
https://psnet.ahrq.gov/issue/preventing-diagnostic-errors-primary-care
The Improving Diagnosis in Health Care report advocated for enhancing patient en…
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psnet.ahrq.gov/node/43008/psn-pdf
November 21, 2014 - Understanding safety culture in long-term care: a case
study.
November 21, 2014
Halligan MH, Zecevic A, Kothari AR, et al. Understanding safety culture in long-term care: a case study. J
Patient Saf. 2014;10(4):192-201. doi:10.1097/PTS.0b013e31829d4ae7.
https://psnet.ahrq.gov/issue/understanding-safety-culture-lon…
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psnet.ahrq.gov/node/38055/psn-pdf
January 12, 2009 - Improving patient safety: patient-focused, high-reliability
team training.
January 12, 2009
McKeon LM, Cunningham PD, Oswaks JSD. Improving patient safety: patient-focused, high-reliability team
training. J Nurs Care Qual. 2009;24(1):76-82. doi:10.1097/NCQ.0b013e31818f5595.
https://psnet.ahrq.gov/issue/improving-p…
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psnet.ahrq.gov/node/50580/psn-pdf
October 23, 2019 - Suspicious insulin injections, nearly a dozen deaths:
inside an unfolding investigation at a VA hospital in West
Virginia.
October 23, 2019
Rein L. Washington Post. October 5, 2019.
https://psnet.ahrq.gov/issue/suspicious-insulin-injections-nearly-dozen-deaths-inside-unfolding-
investigation-va-hospital
The Vete…
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psnet.ahrq.gov/node/43825/psn-pdf
January 28, 2015 - A systematic review of adult admissions to ICUs related
to adverse drug events.
January 28, 2015
Jolivot P-A, Hindlet P, Pichereau C, et al. A systematic review of adult admissions to ICUs related to
adverse drug events. Crit Care. 2014;18(6):643. doi:10.1186/s13054-014-0643-5.
https://psnet.ahrq.gov/issue/systema…
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psnet.ahrq.gov/node/44606/psn-pdf
October 28, 2015 - 'Trust but verify'—five approaches to ensure safe medical
apps.
October 28, 2015
Wicks P, Chiauzzi E. 'Trust but verify'--five approaches to ensure safe medical apps. BMC Med.
2015;13:205. doi:10.1186/s12916-015-0451-z.
https://psnet.ahrq.gov/issue/trust-verify-five-approaches-ensure-safe-medical-apps
Mobile heal…
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psnet.ahrq.gov/node/45885/psn-pdf
May 03, 2017 - E-collection: Safety and Error Prevention in Health.
May 3, 2017
https://psnet.ahrq.gov/issue/e-collection-safety-and-error-prevention-health
The increasing implementation of health information technology has introduced both benefits and
challenges to patient safety. Articles in this series explore the impacts of t…
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psnet.ahrq.gov/node/43839/psn-pdf
January 28, 2015 - Patient Safety.
January 28, 2015
J Health Serv Res Policy. 2015;20(suppl 1):S1-S60.
https://psnet.ahrq.gov/issue/patient-safety-11
Articles in this special supplement explore research commissioned by National Institute for Health
Research in the United Kingdom to address four patient safety research gaps: how orga…
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psnet.ahrq.gov/node/45801/psn-pdf
August 03, 2017 - Overcoming diagnostic errors in medical practice.
August 3, 2017
Bordini BJ, Stephany A, Kliegman RM. Overcoming Diagnostic Errors in Medical Practice. J Pediatr.
2017;185. doi:10.1016/j.jpeds.2017.02.065.
https://psnet.ahrq.gov/issue/overcoming-diagnostic-errors-medical-practice
This commentary describes a progra…
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psnet.ahrq.gov/node/45071/psn-pdf
April 27, 2016 - Using simulation to identify sources of medical
diagnostic error in child physical abuse.
April 27, 2016
Anderst J, Nielsen-Parker M, Moffatt M, et al. Using simulation to identify sources of medical diagnostic
error in child physical abuse. Child Abuse Negl. 2016;52:62-69. doi:10.1016/j.chiabu.2015.12.015.
https:…
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psnet.ahrq.gov/node/45601/psn-pdf
April 13, 2017 - Patient safety improvement interventions in children's
surgery: a systematic review.
April 13, 2017
Macdonald AL, Sevdalis N. Patient safety improvement interventions in children's surgery: A systematic
review. J Pediatr Surg. 2017;52(3):504-511. doi:10.1016/j.jpedsurg.2016.09.058.
https://psnet.ahrq.gov/issue/pat…
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psnet.ahrq.gov/node/38842/psn-pdf
April 18, 2011 - One-stop diagnostic breast clinics: how often are breast
cancers missed?
April 18, 2011
Britton P, Duffy SW, Sinnatamby R, et al. One-stop diagnostic breast clinics: how often are breast cancers
missed? Br J Cancer. 2009;100(12). doi:10.1038/sj.bjc.6605082.
https://psnet.ahrq.gov/issue/one-stop-diagnostic-breast-c…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/BM-D2tSCN9U8uuBFAufXaa
August 01, 2013 - Preventing Dental Caries in Children <5 Years: Systematic Review Updating USPSTF Recommendation
Preventing Dental Caries in Children ,5 Years:
Systematic Review Updating USPSTF Recommendation
abstract
BACKGROUND AND OBJECTIVE: Screening and preventive interventions
by primary care providers could improve outcomes re…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-review49/hepatitis-c-screening-2013
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Final Evidence Review
Hepatitis C: Screening
November 15, 2012
Recommendations made by the USPSTF are independent of the U.S. government. They should not be constru…