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psnet.ahrq.gov/node/60255/psn-pdf
April 22, 2020 - Discrepancies in written versus calculated durations in
opioid prescriptions: pre-post study.
April 22, 2020
Slovis BH, Kairys J, Babula B, et al. Discrepancies in written versus calculated durations in opioid
prescriptions: pre-post study. JMIR Med Inform. 2020;8(3). doi:10.2196/16199.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/50658/psn-pdf
November 13, 2019 - Thresholds, rules and defensive strategies: how
physicians learn from their prior diagnosis-related
experiences.
November 13, 2019
Donner-Banzhoff N, Müller B, Beyer M, et al. Thresholds, rules and defensive strategies: how physicians
learn from their prior diagnosis-related experiences. Diagnosis (Berl). 2019;7(2…
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psnet.ahrq.gov/node/866114/psn-pdf
June 12, 2024 - Influence of external assessment on quality and safety in
surgery: a qualitative study of surgeons' perspectives.
June 12, 2024
Øyri SF, Wiig S, Tjomsland O. Influence of external assessment on quality and safety in surgery: a
qualitative study of surgeons’ perspectives. BMJ Open Qual. 2024;13(2):e002672. doi:10.11…
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psnet.ahrq.gov/node/47628/psn-pdf
March 13, 2019 - Prescribing in 2019: what are the safety concerns?
March 13, 2019
Coleman JJ. Prescribing in 2019: what are the safety concerns? Expert Opin Drug Saf. 2019;18(2):69-74.
doi:10.1080/14740338.2019.1571038.
https://psnet.ahrq.gov/issue/prescribing-2019-what-are-safety-concerns
Medication errors present challenges to …
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psnet.ahrq.gov/node/865530/psn-pdf
April 10, 2024 - Electronic Health Record Modernization Caused
Pharmacy-Related Patient Safety Issues Nationally and at
the VA Central Ohio Healthcare System in Columbus.
April 10, 2024
Washington, DC: The Veterans Affairs Inspector General; March 21, 2024. Report No. 23-01450-
114.
https://psnet.ahrq.gov/issue/electronic-he…
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psnet.ahrq.gov/node/851917/psn-pdf
January 01, 2024 - Incivility in healthcare: the impact of poor
communication.
August 2, 2023
Guppy JH, Widlund H, Munro R, et al. Incivility in healthcare: the impact of poor communication. BMJ Lead.
2024;8(1):83-87. doi:10.1136/leader-2022-000717.
https://psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication
Incivi…
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psnet.ahrq.gov/node/47862/psn-pdf
April 08, 2019 - Assessing the use of Google Translate for Spanish and
Chinese translations of emergency department discharge
instructions.
April 8, 2019
Khoong EC, Steinbrook E, Brown C, et al. Assessing the Use of Google Translate for Spanish and Chinese
Translations of Emergency Department Discharge Instructions. JAMA Intern Me…
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psnet.ahrq.gov/node/34796/psn-pdf
November 18, 2015 - The business case for quality: case studies and an
analysis.
November 18, 2015
Leatherman S, Berwick DM, Iles D, et al. The business case for quality: case studies and an analysis.
Health Aff (Millwood). 2003;22(2):17-30.
https://psnet.ahrq.gov/issue/business-case-quality-case-studies-and-analysis
This comprehens…
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psnet.ahrq.gov/node/74699/psn-pdf
January 26, 2022 - Indication alerts to improve problem list documentation.
January 26, 2022
Grauer A, Kneifati-Hayek J, Reuland B, et al. Indication alerts to improve problem list documentation. J Am
Med Inform Assoc. 2022;29(5):909-917. doi:10.1093/jamia/ocab285.
https://psnet.ahrq.gov/issue/indication-alerts-improve-problem-list-d…
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psnet.ahrq.gov/node/41947/psn-pdf
January 30, 2013 - Self-reported patient safety competence among new
graduates in medicine, nursing and pharmacy.
January 30, 2013
Ginsburg LR, Tregunno D, Norton PG. Self-reported patient safety competence among new graduates in
medicine, nursing and pharmacy. BMJ Qual Saf. 2013;22(2):147-54. doi:10.1136/bmjqs-2012-001308.
https://…
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psnet.ahrq.gov/node/47520/psn-pdf
February 06, 2019 - Improving patient safety in developing countries—moving
towards an integrated approach.
February 6, 2019
Elmontsri M, Banarsee R, Majeed A. Improving patient safety in developing countries - moving towards an
integrated approach. JRSM Open. 2018;9(11):2054270418786112. doi:10.1177/2054270418786112.
https://psnet.a…
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psnet.ahrq.gov/node/44419/psn-pdf
September 02, 2015 - Lack of standardisation between specialties for human
factors content in postgraduate training: an analysis of
specialty curricula in the UK.
September 2, 2015
Greig PR, Higham H, Vaux E. Lack of standardisation between specialties for human factors content in
postgraduate training: an analysis of specialty curric…
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psnet.ahrq.gov/node/43845/psn-pdf
September 26, 2016 - Disrupting diagnostic reasoning: do interruptions,
instructions, and experience affect the diagnostic
accuracy and response time of residents and emergency
physicians?
September 26, 2016
Monteiro SD, Sherbino JD, Ilgen JS, et al. Disrupting diagnostic reasoning: do interruptions, instructions,
and experience affe…
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psnet.ahrq.gov/node/61032/psn-pdf
October 14, 2020 - System Governance Towards Improved Patient Safety:
Key Functions, Approaches and Pathways to
Implementation.
October 14, 2020
Auraaen A, Saar K, Klazinga N for the Organisation for Economic Co-operation and Development. OECD
Publishing, Paris, France; 2020. OECD Health Working Papers, No. 120.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/863765/psn-pdf
March 06, 2024 - Patient safety and artificial intelligence in clinical care.
March 6, 2024
Ratwani RM, Bates DW, Classen DC. Patient safety and artificial intelligence in clinical care. JAMA Health
Forum. 2024;5(2):e235514. doi:10.1001/jamahealthforum.2023.5514.
https://psnet.ahrq.gov/issue/patient-safety-and-artificial-intelligen…
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psnet.ahrq.gov/node/842433/psn-pdf
February 15, 2023 - New AHRQ SOPS Workplace Safety Supplemental Item
Set for Nursing Homes.
February 15, 2023
Agency for Healthcare Research and Quality. January 24, 2023.
https://psnet.ahrq.gov/issue/new-ahrq-sops-workplace-safety-supplemental-item-set-nursing-homes
Workplace safety became more apparent during the COVID pandemic as …
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psnet.ahrq.gov/node/847051/psn-pdf
April 05, 2023 - Distractions in the operating room: a survey of the
healthcare team.
April 5, 2023
Nasri B-N, Mitchell JD, Jackson C, et al. Distractions in the operating room: a survey of the healthcare
team. Surg Endosc. 2023;37(3):2316-2325. doi:10.1007/s00464-022-09553-8.
https://psnet.ahrq.gov/issue/distractions-operating-ro…
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psnet.ahrq.gov/node/844802/psn-pdf
September 18, 2019 - Using proactive risk assessment (HFMEA) to improve
patient safety and quality associated with intraocular lens
selection and implantation in cataract surgery.
September 18, 2019
DeRosier JM, Hansemann BK, Smith-Wheelock MW, et al. Using Proactive Risk Assessment (HFMEA) to
Improve Patient Safety and Quality Associ…
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psnet.ahrq.gov/node/853074/psn-pdf
February 06, 2024 - Patient Experience, Patient Safety, and Provider Well-
Being: Associations and Paths for Quality Improvement.
February 6, 2024
Rockville, MD: Agency for Healthcare Research and Quality; January 2024. AHRQ Publication no.
24-0030.
https://psnet.ahrq.gov/issue/patient-experience-patient-safety-and-provider-well…
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psnet.ahrq.gov/node/72478/psn-pdf
November 18, 2020 - The impact of the use of employee functional flexibility on
patient safety.
November 18, 2020
Salvador RO, Gnanlet A, McDermott C. The impact of the use of employee functional flexibility on patient
safety. Personnel Rev. 2020;50(3):971-984. doi:10.1108/pr-10-2019-0562.
https://psnet.ahrq.gov/issue/impact-use-empl…