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psnet.ahrq.gov/node/34644/psn-pdf
December 23, 2008 - Medication-prescribing errors in a teaching hospital: a 9-
year experience.
December 23, 2008
Lesar TS, Lomaestro BM, Pohl H. Medication-prescribing errors in a teaching hospital. A 9-year
experience. Arch Intern Med. 1997;157(14):1569-76.
https://psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospita…
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psnet.ahrq.gov/node/36032/psn-pdf
April 11, 2011 - Pediatric medication safety and the media: what does the
public see?
April 11, 2011
Stebbing C, Kaushal R, Bates DW. Pediatric medication safety and the media: what does the public see?
Pediatrics. 2006;117(6):1907-1914. doi:10.1542/peds.2005-2017.
https://psnet.ahrq.gov/issue/pediatric-medication-safety-and-media…
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psnet.ahrq.gov/node/46287/psn-pdf
April 12, 2019 - Anesthesia adverse events voluntarily reported in the
Veterans Health Administration and lessons learned.
April 12, 2019
Neily J, Silla ES, Sum-Ping S (J) T, et al. Anesthesia Adverse Events Voluntarily Reported in the Veterans
Health Administration and Lessons Learned. Anesth Analg. 2017;126(2):471-477.
doi:10.12…
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psnet.ahrq.gov/node/40132/psn-pdf
May 25, 2011 - Information needs in operating room teams: what is right,
what is wrong, and what is needed?
May 25, 2011
Forrest D, Healey A, Shirafkan H, et al. Information needs in operating room teams: what is right, what is
wrong, and what is needed? Surg Endosc. 2011;25(6):1913-20. doi:10.1007/s00464-010-1486-z.
https://psn…
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psnet.ahrq.gov/node/854992/psn-pdf
November 01, 2023 - Failure to rescue as a patient safety indicator for
neurosurgical patients: are we there yet?
November 1, 2023
Roy JM, Rumalla K, Skandalakis GP, et al. Failure to rescue as a patient safety indicator for neurosurgical
patients: are we there yet? A systematic review. Neurosurg Rev. 2023;46(1):227. doi:10.1007/s1014…
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psnet.ahrq.gov/node/865667/psn-pdf
April 24, 2024 - Impact of short-notice accreditation assessments on
hospitals' patient safety and quality culture--a scoping
review.
April 24, 2024
Scanlan R, Flenady T, Judd J. Impact of short?notice accreditation assessments on hospitals' patient
safety and quality culture- a scoping review. J Adv Nurs. 2024;80(10):3965-3976. d…
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psnet.ahrq.gov/node/47730/psn-pdf
January 23, 2019 - Assessment of a simulated case-based measurement of
physician diagnostic performance.
January 23, 2019
Chatterjee S, Desai S, Manesh R, et al. Assessment of a Simulated Case-Based Measurement of
Physician Diagnostic Performance. JAMA Netw Open. 2019;2(1):e187006.
doi:10.1001/jamanetworkopen.2018.7006.
https://psn…
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psnet.ahrq.gov/node/48140/psn-pdf
July 31, 2019 - Impact of critical event checklists on anaesthetist
performance in simulated operating theatre emergencies.
July 31, 2019
Siddiqui A, Ng E, Burrows C, et al. Impact of Critical Event Checklists on Anaesthetist Performance in
Simulated Operating Theatre Emergencies. Cureus. 2019;11(4):e4376. doi:10.7759/cureus.4376.…
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psnet.ahrq.gov/node/45904/psn-pdf
October 24, 2017 - Addressing physician burnout: the way forward.
October 24, 2017
Shanafelt TD, Dyrbye LN, West CP. Addressing Physician Burnout: The Way Forward. JAMA.
2017;317(9):901-902. doi:10.1001/jama.2017.0076.
https://psnet.ahrq.gov/issue/addressing-physician-burnout-way-forward
Burnout can diminish both patient safety and …
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psnet.ahrq.gov/node/36856/psn-pdf
August 31, 2011 - Hospital workload and adverse events.
August 31, 2011
Weissman JS, Rothschild JM, Bendavid E, et al. Hospital workload and adverse events. Med Care.
2007;45(5):448-55.
https://psnet.ahrq.gov/issue/hospital-workload-and-adverse-events
Past research suggests a relationship between nursing workload and quality of car…
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psnet.ahrq.gov/node/43138/psn-pdf
April 23, 2014 - The quest for safe surgical care: are we missing the
obvious?
April 23, 2014
Shuhaiber J. The quest for safe surgical care: are we missing the obvious? Bull Am Coll Surg.
2014;99(2):42-5.
https://psnet.ahrq.gov/issue/quest-safe-surgical-care-are-we-missing-obvious
Many studies have examined how checklists impact …
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psnet.ahrq.gov/node/849133/psn-pdf
May 17, 2023 - The association between patient safety culture and
adverse events - a scoping review.
May 17, 2023
Vikan M, Haugen AS, Bjørnnes AK, et al. The association between patient safety culture and adverse
events – a scoping review. BMC Health Serv Res. 2023;23(1):300. doi:10.1186/s12913-023-09332-8.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/34742/psn-pdf
July 20, 2016 - Culture at Work in Aviation and Medicine: National,
Organizational, and Professional Influences.
July 20, 2016
Helmreich RL, Merritt AC. Brookfield, VT: Ashgate; 1998. ISBN: 9780291398536.
https://psnet.ahrq.gov/issue/culture-work-aviation-and-medicine-national-organizational-and-professional-
influences
This boo…
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psnet.ahrq.gov/node/844796/psn-pdf
September 18, 2019 - Workplace violence against anesthesiologists: we are not
immune to this patient safety threat.
September 18, 2019
Udoji MA, Ifeanyi-Pillette IC, Miller TR, Lin DM. Int Anesthesiol Clin. 2019;57:123-137.
https://psnet.ahrq.gov/issue/workplace-violence-against-anesthesiologists-we-are-not-immune-patient-
safety-thre…
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psnet.ahrq.gov/node/853058/psn-pdf
August 30, 2023 - Diagnostic reliability in teledermatology: a systematic
review and a meta-analysis.
August 30, 2023
Bourkas AN, Barone N, Bourkas MEC, et al. Diagnostic reliability in teledermatology: a systematic review
and a meta-analysis. BMJ Open. 2023;13(8):e068207. doi:10.1136/bmjopen-2022-068207.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/50839/psn-pdf
January 29, 2020 - Mid Staffs scandal: 10 years on, inquiry chair worries NHS
staff too scared to speak up.
January 29, 2020
Lintern S. The Independent. January 15, 2020.
https://psnet.ahrq.gov/issue/mid-staffs-scandal-10-years-inquiry-chair-worries-nhs-staff-too-scared-speak
The Francis report is a primary example of a large-scale …
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psnet.ahrq.gov/node/849336/psn-pdf
May 24, 2023 - AI may be on its way to your doctor’s office, but it’s not
ready to see patients.
May 24, 2023
Tahir D. KFF Health News. May 12, 2023.
https://psnet.ahrq.gov/issue/ai-may-be-its-way-your-doctors-office-its-not-ready-see-patients
Real-time use of artificial intelligence (AI) in health care settings continues to cau…
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psnet.ahrq.gov/node/44449/psn-pdf
January 22, 2016 - Do patient safety indicators explain increased weekend
mortality?
January 22, 2016
Ricciardi R, Nelson J, Francone TD, et al. Do patient safety indicators explain increased weekend
mortality? J Surg Res. 2016;200(1):164-70. doi:10.1016/j.jss.2015.07.030.
https://psnet.ahrq.gov/issue/do-patient-safety-indicators-ex…
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psnet.ahrq.gov/node/47517/psn-pdf
January 27, 2019 - Defining and classifying terminology for medication
harm: a call for consensus.
January 27, 2019
Falconer N, Barras M, Martin J, et al. Defining and classifying terminology for medication harm: a call for
consensus. Eur J Clin Pharmacol. 2019;75(2):137-145. doi:10.1007/s00228-018-2567-5.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/36511/psn-pdf
January 07, 2011 - Facing ambiguous threats.
January 7, 2011
Roberto MA, Bohmer RMJ, Edmondson A. Facing ambiguous threats. Harv Bus Rev. 2006;84(11):106-13,
157.
https://psnet.ahrq.gov/issue/facing-ambiguous-threats
This study describes how organizations respond to signs that may or may not portend future
catastrophes. The authors…