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February 19, 2020 - Report of the Independent Inquiry into the Issues Raised
by Paterson.
February 19, 2020
James G. House Commons Report 31. Department of Health and Social Care. London,
England: Crown Copyright; 2020. ISBN 9781528617284.
https://psnet.ahrq.gov/issue/report-independent-inquiry-issues-raised-paterson
Shari…
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July 11, 2017 - The frequency of inappropriate nonformulary medication
alert overrides in the inpatient setting.
July 11, 2017
Her QL, Amato MG, Seger DL, et al. The frequency of inappropriate nonformulary medication alert
overrides in the inpatient setting. J Am Med Inform Assoc. 2016;23(5):924-33. doi:10.1093/jamia/ocv181.
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March 04, 2020 - The influence of bullying on nursing practice errors: a
systematic review.
March 4, 2020
Johnson AH, Benham?Hutchins M. The Influence of Bullying on Nursing Practice Errors: A Systematic
Review. AORN J. 2020;111(2). doi:10.1002/aorn.12923.
https://psnet.ahrq.gov/issue/influence-bullying-nursing-practice-errors-sys…
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December 20, 2017 - Simulation and the diagnostic process: a pilot study of
trauma and rapid response teams.
December 20, 2017
Juriga LL, Murray DJ, Boulet JR, et al. Simulation and the diagnostic process: a pilot study of trauma and
rapid response teams. Diagnosis (Berl). 2017;4(4):241-249. doi:10.1515/dx-2017-0010.
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May 08, 2019 - Impact of time pressure on dentists' diagnostic
performance.
May 8, 2019
Plessas A, Nasser M, Hanoch Y, et al. Impact of time pressure on dentists' diagnostic performance. J Dent.
2019;82:38-44. doi:10.1016/j.jdent.2019.01.011.
https://psnet.ahrq.gov/issue/impact-time-pressure-dentists-diagnostic-performance
This…
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January 16, 2019 - Usability testing of a mobile app to report medication
errors anonymously: mixed-methods approach.
January 16, 2019
George D, Hassali MA, Hss A-S. Usability Testing of a Mobile App to Report Medication Errors
Anonymously: Mixed-Methods Approach. JMIR Hum Factors. 2018;5(4):e12232. doi:10.2196/12232.
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November 13, 2024 - Life of the Mother. How Abortion Bans Lead to
Preventable Deaths.
November 13, 2024
Jaramillo C, Surana K, Presser L, et al. Life of the Mother. How Abortion Bans Lead to Preventable Deaths.
ProPublica. 2024:September - November 2024.
https://psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deat…
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October 31, 2018 - Making Hospitals Safe for People With Diabetes.
October 31, 2018
Watts E, Rayman G. Diabetes UK. London, UK; 2018.
https://psnet.ahrq.gov/issue/making-hospitals-safe-people-diabetes
Chronic disease management can add complexity to inpatient care regimens. Researchers worked with
patients, system leaders, and clini…
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February 06, 2019 - Diagnostic heuristics in dermatology—part 1 and part 2.
February 6, 2019
Lowenstein EJ, Sidlow R. Cognitive and visual diagnostic errors in dermatology: part 1 and part 2. J
Dermatol. 2018;179(6):1263-1276. doi:10.1111/bjd.16932.
https://psnet.ahrq.gov/issue/diagnostic-heuristics-dermatology-part-1-and-part-2
Cogn…
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March 24, 2021 - Analysis of transdermal medication patch errors
uncovers a “patchwork” of safety challenges.
March 24, 2021
ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(5):1-6.
https://psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety-
challenges
Skin patches are a conveni…
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June 21, 2023 - International perspectives on modifications to the
surgical safety checklist.
June 21, 2023
Turley N, Elam M, Brindle ME. International perspectives on modifications to the surgical safety checklist.
JAMA Netw Open. 2023;6(6):e2317183. doi:10.1001/jamanetworkopen.2023.17183.
https://psnet.ahrq.gov/issue/internatio…
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September 24, 2018 - Measurement and monitoring of safety: impact and
challenges of putting a conceptual framework into
practice.
September 24, 2018
Chatburn E, Macrae C, Carthey J, et al. Measurement and monitoring of safety: impact and challenges of
putting a conceptual framework into practice. BMJ Qual Saf. 2018;27(10):818-826. doi…
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July 05, 2017 - The role of morbidity and mortality rounds in medical
education: a scoping review.
July 5, 2017
Benassi P, MacGillivray L, Silver I, et al. The role of morbidity and mortality rounds in medical education: a
scoping review. Med Educ. 2017;51(5):469-479. doi:10.1111/medu.13234.
https://psnet.ahrq.gov/issue/role-morb…
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January 10, 2018 - Primary care providers' perspectives on errors of
omission.
January 10, 2018
Poghosyan L, Norful AA, Fleck E, et al. Primary Care Providers' Perspectives on Errors of Omission. J Am
Board Fam Med. 2017;30(6):733-742. doi:10.3122/jabfm.2017.06.170161.
https://psnet.ahrq.gov/issue/primary-care-providers-perspectives…
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psnet.ahrq.gov/node/35510/psn-pdf
February 19, 2010 - Simulation study of rested versus sleep-deprived
anesthesiologists.
February 19, 2010
Howard SK, Gaba DM, Smith B, et al. Simulation study of rested versus sleep-deprived anesthesiologists.
Anesthesiology. 2003;98(6):1345-1355. doi:10.1097/00000542-200306000-00008.
https://psnet.ahrq.gov/issue/simulation-study-res…
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psnet.ahrq.gov/node/846164/psn-pdf
March 15, 2023 - Crowding in the Emergency Department: Challenges for
the Care of Children.
March 15, 2023
Gross TK, Lane NE, Timm NL, et al. Crowding in the Emergency Department: Challenges for the Care of
Children. Pediatrics. 2023;151(3):e2022060971-e2022060972. doi:10.1542/peds.2022-060971.
https://psnet.ahrq.gov/issue/crowdin…
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October 02, 2019 - The role of personal health information management in
promoting patient safety in the home: a qualitative
analysis
October 2, 2019
Demiris G, Lin S-Y, Turner AM. The role of personal health information management in promoting patient
safety in the home: a qualitative analysis. Stud Health Technol Inform . 2019;264…
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February 18, 2011 - Nurse-staffing levels and the quality of care in hospitals.
February 18, 2011
Needleman J, Buerhaus P, Mattke S, et al. Nurse-staffing levels and the quality of care in hospitals. N Engl
J Med. 2002;346(22):1715-22.
https://psnet.ahrq.gov/issue/nurse-staffing-levels-and-quality-care-hospitals
The relationship betw…
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September 13, 2023 - Long-term sustainability and adaptation of I-PASS
handovers.
September 13, 2023
Ryan SL, Logan M, Liu X, et al. Long-term sustainability and adaptation of I-PASS handovers. Jt Comm J
Qual Patient Saf. 2023;19(12):689-697. doi:10.1016/j.jcjq.2023.07.007.
https://psnet.ahrq.gov/issue/long-term-sustainability-and-ada…
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March 20, 2024 - Global Burden of Preventable Medication-related Harm in
Health Care: A Systematic Review.
March 20, 2024
Geneva, Switzerland: World Health Organization; 2023. ISBN: 9789240088887.
https://psnet.ahrq.gov/issue/global-burden-preventable-medication-related-harm-health-care-systematic-
review
The Medication Without H…