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psnet.ahrq.gov/node/854632/psn-pdf
October 18, 2023 - Radiologist age and diagnostic errors.
October 18, 2023
Lamoureux C, Hanna TN, Callaway E, et al. Radiologist age and diagnostic errors. Emerg Radiol.
2023;30(5):577-587. doi:10.1007/s10140-023-02158-1.
https://psnet.ahrq.gov/issue/radiologist-age-and-diagnostic-errors
Clinician skills can decrease with age. This …
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psnet.ahrq.gov/node/845655/psn-pdf
March 08, 2023 - Crisis in the Lakeshore Hospital ER.
March 8, 2023
Derfel A. Montreal Gazette. February 24- March 1, 2023
https://psnet.ahrq.gov/issue/crisis-lakeshore-hospital-er
Emergency room failures are often rooted in system weaknesses. This series examines six patient deaths
associated with emergency care that, w…
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psnet.ahrq.gov/node/841490/psn-pdf
December 14, 2022 - Prevent administration of ear drops into the eyes.
December 14, 2022
ISMP Medication Safety Alert!: Acute Care Edition. December 1, 2022;27(24):1-3.
https://psnet.ahrq.gov/issue/prevent-administration-ear-drops-eyes
Look-alike medications are vulnerable to wrong route and other use errors. This article examines the…
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psnet.ahrq.gov/node/46558/psn-pdf
November 01, 2017 - Using fault trees to advance understanding of diagnostic
errors.
November 1, 2017
Rogith D, Iyengar S, Singh H. Using Fault Trees to Advance Understanding of Diagnostic Errors. Jt Comm
J Qual Patient Saf. 2017;43(11):598-605. doi:10.1016/j.jcjq.2017.06.007.
https://psnet.ahrq.gov/issue/using-fault-trees-advance-un…
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psnet.ahrq.gov/node/60569/psn-pdf
June 10, 2020 - Workplace team resilience: a systematic review and
conceptual development.
June 10, 2020
Hartwig A, Clarke S, Johnson S, et al. Workplace team resilience: s systematic review and conceptual
development. Org Psychol Rev. 2020;10(3-4):169-200. doi:10.1177/2041386620919476.
https://psnet.ahrq.gov/issue/workplace-team…
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psnet.ahrq.gov/node/40407/psn-pdf
October 04, 2011 - Insights into the climate of safety towards the prevention
of falls among hospital staff.
October 4, 2011
Black AA, Brauer SG, Bell RAR, et al. Insights into the climate of safety towards the prevention of falls
among hospital staff. J Clin Nurs. 2011;20(19-20):2924-30. doi:10.1111/j.1365-2702.2010.03535.x.
https:…
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psnet.ahrq.gov/node/42929/psn-pdf
February 05, 2014 - Do no harm: is it time to rethink the Hippocratic Oath?
February 5, 2014
Walton M, Kerridge I. Do no harm: is it time to rethink the Hippocratic Oath? Med Educ. 2014;48(1):17-27.
doi:10.1111/medu.12275.
https://psnet.ahrq.gov/issue/do-no-harm-it-time-rethink-hippocratic-oath
This commentary discusses how health ca…
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psnet.ahrq.gov/node/39844/psn-pdf
November 02, 2010 - Safety through redundancy: a case study of in-hospital
patient transfers.
November 2, 2010
Ong M-S, Coiera E. Safety through redundancy: a case study of in-hospital patient transfers. Qual Saf
Health Care. 2010;19(5):e32. doi:10.1136/qshc.2009.035972.
https://psnet.ahrq.gov/issue/safety-through-redundancy-case-stu…
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psnet.ahrq.gov/node/35255/psn-pdf
April 06, 2011 - Safety Climate Survey: reliability of results from a
multicenter ICU survey.
April 6, 2011
Kho ME. Safety Climate Survey: reliability of results from a multicenter ICU survey. Quality and Safety in
Health Care. 2005;14(4). doi:10.1136/qshc.2005.014316.
https://psnet.ahrq.gov/issue/safety-climate-survey-reliability…
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psnet.ahrq.gov/node/40164/psn-pdf
February 15, 2011 - Patient risk factors for medical injury: a case–control
study.
February 15, 2011
Marbella AM, Laud PW, Brasel KJ, et al. Patient risk factors for medical injury: a case-control study. BMJ
Qual Saf. 2011;20(2):187-93. doi:10.1136/bmjqs.2009.032664.
https://psnet.ahrq.gov/issue/patient-risk-factors-medical-injury-ca…
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psnet.ahrq.gov/node/43818/psn-pdf
January 21, 2015 - A report on 15 years of clinical negligence claims in
rhinology.
January 21, 2015
Geyton T, Odutoye T, Mathew R. A report on 15 years of clinical negligence claims in rhinology. Am J
Rhinol Allergy. 2014;28(6):219-23. doi:10.2500/ajra.2014.28.4118.
https://psnet.ahrq.gov/issue/report-15-years-clinical-negligence-c…
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psnet.ahrq.gov/node/42236/psn-pdf
May 01, 2013 - Nursing student medication errors: a case study using
root cause analysis.
May 1, 2013
Dolansky MA, Druschel K, Helba M, et al. Nursing student medication errors: a case study using root cause
analysis. J Prof Nurs. 2013;29(2):102-8. doi:10.1016/j.profnurs.2012.12.010.
https://psnet.ahrq.gov/issue/nursing-student-…
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psnet.ahrq.gov/node/72685/psn-pdf
January 27, 2021 - Human Factors and Ergonomics in Healthcare.
January 27, 2021
Carayon P, Hignett S, Albolino S eds. Int J Qual Health Care. 2021;33(Supp1):1-71.
https://psnet.ahrq.gov/issue/human-factors-and-ergonomics-healthcare
Human factors approaches have been identified as one of the primary vehicles to create las…
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psnet.ahrq.gov/node/43011/psn-pdf
May 20, 2014 - Early warnings, weak signals and learning from
healthcare disasters.
May 20, 2014
Macrae C. Early warnings, weak signals and learning from healthcare disasters. BMJ Qual Saf.
2014;23(6):440-5. doi:10.1136/bmjqs-2013-002685.
https://psnet.ahrq.gov/issue/early-warnings-weak-signals-and-learning-healthcare-disasters
…
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psnet.ahrq.gov/node/40198/psn-pdf
February 09, 2011 - Measures and measurement of high-performance work
systems in health care settings: propositions for
improvement.
February 9, 2011
Etchegaray J, St John C, Thomas EJ. Measures and measurement of high-performance work systems in
health care settings: Propositions for improvement. Health Care Manage Rev. 2011;36(1):3…
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psnet.ahrq.gov/node/849338/psn-pdf
May 24, 2023 - The impact of language barriers on patient care: a
pharmacy perspective.
May 24, 2023
Patel J. PM Healthcare Journal. Spring 2023(4):5-18.
https://psnet.ahrq.gov/issue/impact-language-barriers-patient-care-pharmacy-perspective
Language discordance is known to degrade medication safety. The article discusses an exa…
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psnet.ahrq.gov/node/48148/psn-pdf
August 14, 2019 - Global Patient Safety: Law, Policy and Practice.
August 14, 2019
Tingle J, O'Neill C, Shimwell M. New York, NY: Routledge; 2019. ISBN: 9781138052789.
https://psnet.ahrq.gov/issue/global-patient-safety-law-policy-and-practice
Improving patient safety is a global goal. This book covers error reduction methods used in…
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psnet.ahrq.gov/node/74145/psn-pdf
January 01, 2022 - Diagnostic Excellence in the ICU: Thinking Critically and
Masterfully.
December 1, 2021
Bergl PA, Nanchal RS, eds. Crit Care Clin. 2022;38(1):1-158.
https://psnet.ahrq.gov/issue/diagnostic-excellence-icu-thinking-critically-and-masterfully
Critical care diagnosis is complicated by factors such as stress, patient a…
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psnet.ahrq.gov/issue/pathology-and-patient-safety-critical-role-pathology-informatics-error-reduction-and-quality
July 20, 2009 - Resources From the Same Author(s)
Database construction for improving patient safety by examining
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psnet.ahrq.gov/issue/does-your-knee-make-more-click-or-clack-teaching-car-talk-new-docs
April 17, 2019 - November 4, 2014
Examining the diagnostic justification abilities of fourth-year medical