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psnet.ahrq.gov/node/46752/psn-pdf
July 19, 2018 - Task errors by emergency physicians are associated with
interruptions, multitasking, fatigue and working memory
capacity: a prospective, direct observation study.
July 19, 2018
Westbrook JI, Raban MZ, Walter SR, et al. Task errors by emergency physicians are associated with
interruptions, multitasking, fatigue and…
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psnet.ahrq.gov/node/36046/psn-pdf
June 21, 2006 - The Future of Emergency Care in the United States Health
System.
June 21, 2006
Institute of Medicine. Washington DC; National Academies Press: 2007.
https://psnet.ahrq.gov/issue/future-emergency-care-united-states-health-system
In September 2003, an Institute of Medicine (IOM) committee began a detailed examinatio…
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psnet.ahrq.gov/node/849615/psn-pdf
May 31, 2023 - Clinical Investigation Booking Systems Failures: Written
Communications in Community Languages.
May 31, 2023
Farnborough, UK: Healthcare Safety Investigation Branch; April 2023.
https://psnet.ahrq.gov/issue/clinical-investigation-booking-systems-failures-written-communications-
community-languages
Gaps in patient…
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psnet.ahrq.gov/node/43196/psn-pdf
September 27, 2016 - Impact of intraoperative distractions on patient safety: a
prospective descriptive study using validated
instruments.
September 27, 2016
Sevdalis N, Undre S, McDermott J, et al. Impact of intraoperative distractions on patient safety: a
prospective descriptive study using validated instruments. World J Surg. 2014;…
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psnet.ahrq.gov/node/36929/psn-pdf
September 09, 2011 - Nurse working conditions and patient safety outcomes.
September 9, 2011
Stone PW, Mooney-Kane C, Larson EL, et al. Nurse Working Conditions and Patient Safety Outcomes.
Med Care. 2007;45(6):571-578. doi:10.1097/mlr.0b013e3180383667.
https://psnet.ahrq.gov/issue/nurse-working-conditions-and-patient-safety-outcomes
…
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psnet.ahrq.gov/node/40022/psn-pdf
June 09, 2011 - Patient safety begins with proper planning: a quantitative
method to improve hospital design.
June 9, 2011
Birnbach DJ, Nevo I, Scheinman SR, et al. Patient safety begins with proper planning: a quantitative
method to improve hospital design. Qual Saf Health Care. 2010;19(5):462-5.
doi:10.1136/qshc.2008.031013.
h…
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psnet.ahrq.gov/node/60056/psn-pdf
March 18, 2020 - Overprescribing of opioids to adults by dentists in the
U.S., 2011-2015.
March 18, 2020
Suda KJ, Zhou J, Rowan SA, et al. Overprescribing of opioids to adults by dentists in the U.S., 2011-2015.
Am J Prev Med. 2020;58(4):473-486. doi:10.1016/j.amepre.2019.11.006.
https://psnet.ahrq.gov/issue/overprescribing-opioid…
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psnet.ahrq.gov/node/43903/psn-pdf
April 21, 2015 - Crisis management on surgical wards: a simulation-based
approach to enhancing technical, teamwork, and patient
interaction skills.
April 21, 2015
Arora S, Hull L, Fitzpatrick M, et al. Crisis management on surgical wards: a simulation-based approach to
enhancing technical, teamwork, and patient interaction skills.…
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psnet.ahrq.gov/node/50885/psn-pdf
February 12, 2020 - Impact of staff turnover during cardiac surgical
procedures.
February 12, 2020
Bloom JP, Moonsamy P, Gartland RM, et al. Impact of staff turnover during cardiac surgical procedures. J
Thorac Cardiovasc Surg. 2019. doi:10.1016/j.jtcvs.2019.11.051.
https://psnet.ahrq.gov/issue/impact-staff-turnover-during-cardiac-su…
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psnet.ahrq.gov/node/45522/psn-pdf
January 01, 2020 - Is communication improved with the implementation of an
obstetrical version of the World Health Organization safe
surgery checklist?
November 9, 2016
Govindappagari S, Guardado A, Goffman D, et al. Is Communication Improved With the Implementation of
an Obstetrical Version of the World Health Organization Safe Sur…
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psnet.ahrq.gov/node/39270/psn-pdf
February 03, 2010 - Organization-wide adoption of computerized provider
order entry systems: a study based on diffusion of
innovations theory.
February 3, 2010
Rahimi B, Timpka T, Vimarlund V, et al. Organization-wide adoption of computerized provider order entry
systems: a study based on diffusion of innovations theory. BMC Med Info…
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psnet.ahrq.gov/node/44083/psn-pdf
April 24, 2018 - How prevalent are hazardous attitudes among
orthopaedic surgeons?
April 24, 2018
Bruinsma WE, Becker SJE, Guitton TG, et al. How prevalent are hazardous attitudes among orthopaedic
surgeons? Clin Orthop Relat Res. 2015;473(5):1582-9. doi:10.1007/s11999-014-3966-2.
https://psnet.ahrq.gov/issue/how-prevalent-are-haz…
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psnet.ahrq.gov/node/47825/psn-pdf
March 06, 2019 - Diagnostic error as a result of drug-laboratory test
interactions.
March 6, 2019
van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Diagnostic error as a result of drug-
laboratory test interactions. Diagnosis (Berl). 2019;6(1):69-71. doi:10.1515/dx-2018-0098.
https://psnet.ahrq.gov/issue/diagnostic-err…
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psnet.ahrq.gov/node/46057/psn-pdf
September 24, 2017 - Narrative feedback from OR personnel about the safety of
their surgical practice before and after a surgical safety
checklist intervention.
September 24, 2017
Alidina S, Hur H-C, Berry WR, et al. Narrative feedback from OR personnel about the safety of their
surgical practice before and after a surgical safety che…
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psnet.ahrq.gov/node/44765/psn-pdf
November 23, 2016 - Communication relating to family members' involvement
and understandings about patients' medication
management in hospital.
November 23, 2016
Manias E. Communication relating to family members' involvement and understandings about patients'
medication management in hospital. Health Expect. 2015;18(5):850-66. doi:1…
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psnet.ahrq.gov/node/838125/psn-pdf
September 22, 2022 - Frontiers in measuring structural racism and its health
effects.
September 22, 2022
Brown TH, Homan PA. Frontiers in measuring structural racism and its health effects. Health Serv Res.
2022;57(3):443-447. doi:10.1111/1475-6773.13978.
https://psnet.ahrq.gov/issue/frontiers-measuring-structural-racism-and-its-healt…
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psnet.ahrq.gov/node/866966/psn-pdf
October 16, 2024 - Diagnostic Excellence in U.S. Rural Healthcare: A Call to
Action.
October 16, 2024
Ali KJ, Galvez NJ, Craig S, et al. Diagnostic Excellence In U.s. Rural Healthcare: A Call To Action.
Rockville, MD: Agency for Healthcare Research and Quality; September 2024. AHRQ Publication No. 24-
0010-9-EF
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psnet.ahrq.gov/node/43134/psn-pdf
September 04, 2015 - Evaluating the accuracy of electronic pediatric drug
dosing rules.
September 4, 2015
Kirkendall E, Spooner A, Logan JR. Evaluating the accuracy of electronic pediatric drug dosing rules. J Am
Med Inform Assoc. 2014;21(e1):e43-9. doi:10.1136/amiajnl-2013-001793.
https://psnet.ahrq.gov/issue/evaluating-accuracy-elec…
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psnet.ahrq.gov/node/44739/psn-pdf
January 13, 2016 - Missed opportunities for diagnosis: lessons learned from
diagnostic errors in primary care.
January 13, 2016
Goyder CR, Jones CHD, Heneghan CJ, et al. Missed opportunities for diagnosis: lessons learned from
diagnostic errors in primary care. Br J Gen Pract. 2015;65(641):e838-e844. doi:10.3399/bjgp15X687889.
https…
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May 10, 2013 - National efforts to improve health information system
safety in Canada, the United States of America and
England.
May 10, 2013
Kushniruk AW, Bates DW, Bainbridge M, et al. National efforts to improve health information system safety
in Canada, the United States of America and England. Int J Med Inform. 2013;82(5):…