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psnet.ahrq.gov/node/44719/psn-pdf
February 14, 2017 - Prevalence and characteristics of physicians prone to
malpractice claims.
February 14, 2017
Studdert DM, Bismark M, Mello MM, et al. Prevalence and Characteristics of Physicians Prone to
Malpractice Claims. New Engl J Med. 2016;374(4):354-362. doi:10.1056/NEJMsa1506137.
https://psnet.ahrq.gov/issue/prevalence-and-…
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psnet.ahrq.gov/node/38941/psn-pdf
November 25, 2009 - Nurse-physician communication in the long-term care
setting: perceived barriers and impact on patient safety.
November 25, 2009
Tjia J, Mazor KM, Field T, et al. Nurse-physician communication in the long-term care setting: perceived
barriers and impact on patient safety. J Patient Saf. 2009;5(3):145-152.
doi:10.10…
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psnet.ahrq.gov/node/45543/psn-pdf
February 17, 2017 - Deriving ICD-10 codes for patient safety indicators for
large-scale surveillance using administrative hospital
data.
February 17, 2017
Southern DA, Burnand B, Droesler SE, et al. Deriving ICD-10 Codes for Patient Safety Indicators for Large-
scale Surveillance Using Administrative Hospital Data. Med Care. 2017;55(…
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psnet.ahrq.gov/node/73448/psn-pdf
June 30, 2021 - A systematic review of the effect of telepharmacy
services in the community pharmacy setting on care
quality and patient safety.
June 30, 2021
Pathak S, Blanchard CM, Moreton E, et al. A systematic review of the effect of telepharmacy services in
the community pharmacy setting on care quality and patient safety. J…
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psnet.ahrq.gov/node/43037/psn-pdf
October 31, 2014 - Adverse Events in Skilled Nursing Facilities: National
Incidence Among Medicare Beneficiaries.
October 31, 2014
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; February 2014. Report No. OEI-06-11-00370.
https://psnet.ahrq.gov/issue/adverse-events-skilled-nu…
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psnet.ahrq.gov/node/43806/psn-pdf
March 20, 2015 - Associations between perceived crisis mode work climate
and poor information exchange within hospitals.
March 20, 2015
Patterson ME, Bogart MS, Starr KR. Associations between perceived crisis mode work climate and poor
information exchange within hospitals. J Hosp Med. 2015;10(3):152-159. doi:10.1002/jhm.2290.
htt…
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psnet.ahrq.gov/node/46932/psn-pdf
April 22, 2018 - Hospital Survey on Patient Safety Culture: 2018 User
Database Report.
April 22, 2018
Famolaro T, Yount N, Hare, R, et al. Rockville, MD: Agency for Healthcare Research and Quality; March
2018. AHRQ Publication No. 18-0025-EF.
https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2018-user-database-re…
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psnet.ahrq.gov/node/44056/psn-pdf
May 19, 2018 - Impact of inpatient harms on hospital finances and
patient clinical outcomes.
May 19, 2018
Adler L, Yi D, Li M, et al. Impact of Inpatient Harms on Hospital Finances and Patient Clinical Outcomes. J
Patient Saf. 2018;14(2):67-73. doi:10.1097/PTS.0000000000000171.
https://psnet.ahrq.gov/issue/impact-inpatient-harms…
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psnet.ahrq.gov/node/46842/psn-pdf
June 22, 2018 - Do EPs change their clinical behaviour in the hallway or
when a companion is present? A cross-sectional survey.
June 22, 2018
Stoklosa H, Scannell M, Ma Z, et al. Do EPs change their clinical behaviour in the hallway or when a
companion is present? A cross-sectional survey. Emerg Med J. 2018;35(7):406-411.
doi:10.…
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psnet.ahrq.gov/node/43074/psn-pdf
December 18, 2014 - Graded autonomy in medical education—managing
things that go bump in the night.
December 18, 2014
Halpern S, Detsky AS. Graded autonomy in medical education--managing things that go bump in the night.
N Engl J Med. 2014;370(12):1086-1089. doi:10.1056/NEJMp1315408.
https://psnet.ahrq.gov/issue/graded-autonomy-medic…
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psnet.ahrq.gov/node/43617/psn-pdf
September 24, 2016 - Do telephone call interruptions have an impact on
radiology resident diagnostic accuracy?
September 24, 2016
Balint BJ, Steenburg SD, Lin H, et al. Do telephone call interruptions have an impact on radiology resident
diagnostic accuracy? Acad Radiol. 2014;21(12):1623-8. doi:10.1016/j.acra.2014.08.001.
https://psne…
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psnet.ahrq.gov/node/44476/psn-pdf
September 26, 2016 - The impact of interruptions on the duration of nursing
interventions: a direct observation study in an academic
emergency department.
September 26, 2016
Cole G, Stefanus D, Gardner H, et al. The impact of interruptions on the duration of nursing interventions: a
direct observation study in an academic emergency de…
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psnet.ahrq.gov/node/41339/psn-pdf
January 03, 2017 - Relationship between nursing home safety culture and
Joint Commission accreditation.
January 3, 2017
Wagner LM, McDonald SM, Castle NG. Relationship between nursing home safety culture and Joint
Commission accreditation. Jt Comm J Qual Patient Saf. 2012;38(5):207-15.
https://psnet.ahrq.gov/issue/relationship-betwe…
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psnet.ahrq.gov/node/37756/psn-pdf
December 15, 2008 - Do the AHRQ Patient Safety Indicators flag conditions
that are present at the time of hospital admission?
December 15, 2008
Bahl V, Thompson MA, Kau T-Y, et al. Do the AHRQ patient safety indicators flag conditions that are
present at the time of hospital admission? Med Care. 2008;46(5):516-22.
doi:10.1097/MLR.0b0…
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psnet.ahrq.gov/node/45065/psn-pdf
June 01, 2016 - Variation in quality of urgent health care provided during
commercial virtual visits.
June 1, 2016
Schoenfeld AJ, Davies JM, Marafino BJ, et al. Variation in Quality of Urgent Health Care Provided During
Commercial Virtual Visits. JAMA Intern Med. 2016;176(5):635-42. doi:10.1001/jamainternmed.2015.8248.
https://ps…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.127_slideshow.ppt
May 01, 2006 - When examined, the ankle had a normal range of motion with no localized tenderness. … The consulting orthopedist reviewed the x-ray report then briefly examined the patient. … communicate this diagnosis clearly and unambiguously to the patient and her family
The ED physician who examined … to discover the history of the patient's previous diagnosis or treatment
The orthopedist "briefly examined
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psnet.ahrq.gov/node/46194/psn-pdf
September 22, 2017 - This review examined
whether the science supports that recognition.
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psnet.ahrq.gov/node/45678/psn-pdf
October 11, 2017 - there-role-patients-and-their-relatives-escalating-clinical-deterioration-hospital-
systematic
This systematic review examined
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psnet.ahrq.gov/node/46588/psn-pdf
February 28, 2018 - This systematic review examined whether resident
physician burnout reduces safety or quality of care
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psnet.ahrq.gov/node/45308/psn-pdf
September 28, 2016 - This systematic review examined record review as a way
to identify adverse events.