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psnet.ahrq.gov/node/44769/psn-pdf
January 20, 2016 - Behaving safely under pressure: the effects of job
demands, resources, and safety climate on employee
physical and psychosocial safety behavior.
January 20, 2016
Bronkhorst B. Behaving safely under pressure: The effects of job demands, resources, and safety climate
on employee physical and psychosocial safety beha…
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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/48053/psn-pdf
July 17, 2019 - Review of medication errors that are new or likely to
occur more frequently with electronic medication
management systems.
July 17, 2019
Van de Vreede M, McGrath A, de Clifford J. Review of medication errors that are new or likely to occur
more frequently with electronic medication management systems. Aust Health …
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psnet.ahrq.gov/node/44903/psn-pdf
September 27, 2016 - What would you ideally do if there were no targets? An
ethnographic study of the unintended consequences of
top-down governance in two clinical settings.
September 27, 2016
Allard J, Bleakley A. What would you ideally do if there were no targets? An ethnographic study of the
unintended consequences of top-down gov…
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psnet.ahrq.gov/node/41561/psn-pdf
August 01, 2012 - Few Adverse Events in Hospitals Were Reported to State
Adverse Event Reporting Systems.
August 1, 2012
Wright S. Washington, DC: US Department of Health and Human Services, Office of the Inspector General;
July 2012. Report No. OEI-06-09-00092.
https://psnet.ahrq.gov/issue/few-adverse-events-hospitals-were-reporte…
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psnet.ahrq.gov/node/47874/psn-pdf
April 10, 2019 - Evaluating the effect of data standardization and
validation on patient matching accuracy.
April 10, 2019
Grannis SJ, Xu H, Vest JR, et al. Evaluating the effect of data standardization and validation on patient
matching accuracy. J Am Med Inform Assoc. 2019;26(5):447-456. doi:10.1093/jamia/ocy191.
https://psnet.a…
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psnet.ahrq.gov/node/43794/psn-pdf
January 14, 2015 - Prescriber barriers and enablers to minimising potentially
inappropriate medications in adults: a systematic review
and thematic synthesis.
January 14, 2015
Anderson K, Stowasser D, Freeman C, et al. Prescriber barriers and enablers to minimising potentially
inappropriate medications in adults: a systematic review…
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psnet.ahrq.gov/node/45371/psn-pdf
April 24, 2017 - Patient safety and workplace bullying: an integrative
review.
April 24, 2017
Houck NM, Colbert AM. Patient Safety and Workplace Bullying: An Integrative Review. J Nurs Care Qual.
2017;32(2):164-171. doi:10.1097/NCQ.0000000000000209.
https://psnet.ahrq.gov/issue/patient-safety-and-workplace-bullying-integrative-rev…
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psnet.ahrq.gov/node/47929/psn-pdf
June 26, 2019 - Cultural Issues Related to Allegations of Bullying and
Harassment in NHS Highland: Independent Review
Report.
June 26, 2019
Sturrock J. Edinburgh, Scotland: The Scottish Government; May 2019. ISBN: 9781787817760.
https://psnet.ahrq.gov/issue/cultural-issues-related-allegations-bullying-and-harassment-nhs-highland-…
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psnet.ahrq.gov/node/45669/psn-pdf
January 23, 2017 - Overdiagnosis of coronary artery disease detected by
coronary computed tomography angiography: a
teachable moment.
January 23, 2017
Schmidt T, Maag R, Foy AJ. Overdiagnosis of Coronary Artery Disease Detected by Coronary Computed
Tomography Angiography: A Teachable Moment. JAMA Intern Med. 2016;176(12):1747-1748.
…
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psnet.ahrq.gov/node/41996/psn-pdf
July 03, 2014 - Effects of duty hour restrictions on core competencies,
education, quality of life, and burnout among general
surgery interns.
July 3, 2014
Antiel RM, Reed DA, Van Arendonk K, et al. Effects of duty hour restrictions on core competencies,
education, quality of life, and burnout among general surgery interns. JAMA …
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psnet.ahrq.gov/node/34807/psn-pdf
January 01, 2019 - The Quality in Australian Health Care Study.
November 18, 2015
Wilson RML, Runciman WB, Gibberd RW, et al. The Quality in Australian Health Care Study. Med J Aust.
2019;163(9):458-471. doi:10.5694/j.1326-5377.1995.tb124691.x.
https://psnet.ahrq.gov/issue/quality-australian-health-care-study
In order to estimate pa…
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psnet.ahrq.gov/node/843321/psn-pdf
February 01, 2023 - Latent and active failures perfectly align to allow a
preventable adverse event to reach a patient.
February 1, 2023
ISMP Medication Safety Alert! Acute care edition. January 12, 2023;28(1):1-4.
https://psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-
reach-patient
…
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psnet.ahrq.gov/node/846708/psn-pdf
March 29, 2023 - Anesthesiology patient handoff education interventions: a
systematic review.
March 29, 2023
Riesenberg LA, Davis R, Heng A, et al. Anesthesiology patient handoff education interventions: a
systematic review. Jt Comm J Qual Patient Saf. 2023;49(8):394-404. doi:10.1016/j.jcjq.2022.12.002.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/73403/psn-pdf
June 16, 2021 - Pathology Oversight Failures at the Veterans Health Care
System of the Ozarks in Fayetteville, Arkansas VA.
June 16, 2021
Office of Inspector General. June 2, 2021. Report No. 18-02496-157.
https://psnet.ahrq.gov/issue/pathology-oversight-failures-veterans-health-care-system-ozarks-fayetteville-
arkansas-va
…
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psnet.ahrq.gov/node/837983/psn-pdf
August 31, 2022 - Identifying and Understanding Ways to Address the
Impact of Racism on Patient Safety in Health Care
Settings.
August 31, 2022
Schulson LB, Thomas AD, Tsuei J, et al. Santa Monica, CA: RAND Corporation; 2022
https://psnet.ahrq.gov/issue/identifying-and-understanding-ways-address-impact-racism-patient-safety-
…
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psnet.ahrq.gov/node/34989/psn-pdf
February 24, 2011 - Laboratory safety monitoring of chronic medications in
ambulatory care settings.
February 24, 2011
Hurley JS, Roberts M, Solberg LI, et al. Brief report: Laboratory safety monitoring of chronic medications in
ambulatory care settings. J Gen Intern Med. 2005;20(4). doi:10.1111/j.1525-1497.2005.40182.x.
https://psne…
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psnet.ahrq.gov/node/74169/psn-pdf
December 08, 2021 - Pointing fingers: verbosity of patient safety narratives is
associated with attribution of blame.
December 8, 2021
Ackerman RS, Patel SY, Costache M, et al. Anesthesiology News. November 21, 2021.
https://psnet.ahrq.gov/issue/pointing-fingers-verbosity-patient-safety-narratives-associated-attribution-
bl…
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psnet.ahrq.gov/node/46702/psn-pdf
April 16, 2018 - Characteristics of medical liability claims against
dermatologists from 1991 through 2015.
April 16, 2018
Kornmehl H, Singh S, Adler BL, et al. Characteristics of Medical Liability Claims Against Dermatologists
From 1991 Through 2015. JAMA Dermatol. 2018;154(2):160-166. doi:10.1001/jamadermatol.2017.3713.
https://…
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psnet.ahrq.gov/node/46496/psn-pdf
October 11, 2017 - Lessons learned for reducing the negative impact of
adverse events on patients, health professionals and
healthcare organizations.
October 11, 2017
Mira JJ, Lorenzo S, Carrillo I, et al. Lessons learned for reducing the negative impact of adverse events on
patients, health professionals and healthcare organization…