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psnet.ahrq.gov/node/45740/psn-pdf
January 23, 2017 - Patient perspectives on delays in diagnosis and treatment
of cancer: a qualitative analysis of free-text data.
January 23, 2017
Parsonage RK, Hiscock J, Law R-J, et al. Patient perspectives on delays in diagnosis and treatment of
cancer: a qualitative analysis of free-text data. Br J Gen Pract. 2017;67(654):e49-e56…
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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/34803/psn-pdf
January 05, 2017 - Systematic root cause analysis of adverse drug events in
a tertiary referral hospital.
January 5, 2017
Rex JH, Turnbull JE, Allen SJ, et al. Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary
Referral Hospital. Jt Comm J Qual Improv. 2016;26(10). doi:10.1016/s1070-3241(00)26048-3.
https://psnet.ah…
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psnet.ahrq.gov/node/855106/psn-pdf
November 08, 2023 - Home Health Agencies Failed To Report Over Half of Falls
With Major Injury and Hospitalization Among Their
Medicare Patients.
November 8, 2023
Maxwell A. Washington DC: Office of Inspector General; September 2023. Report no. OEI-05-22-00290.
https://psnet.ahrq.gov/issue/home-health-agencies-failed-report-over-half…
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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/43805/psn-pdf
February 11, 2015 - Understanding the nature of medication errors in an ICU
with a computerized physician order entry system.
February 11, 2015
Cho IS, Park H, Choi YJ, et al. Understanding the nature of medication errors in an ICU with a
computerized physician order entry system. PLoS One. 2014;9(12):e114243.
doi:10.1371/journal.pon…
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psnet.ahrq.gov/node/838930/psn-pdf
October 26, 2022 - Artificial Intelligence in Health Care: Benefits and
Challenges of Machine Learning Technologies for Medical
Diagnostics.
October 26, 2022
Washington DC: United States Government Accountability Office and National Academy of
Medicine; September 2022. Report no. GAO-22-104629.
https://psnet.ahrq.gov/issue/ar…
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psnet.ahrq.gov/node/48010/psn-pdf
May 22, 2019 - In-situ interprofessional perinatal drills: the impact of a
structured debrief on maximizing training while sensing
patient safety threats.
May 22, 2019
Greer JA, Haischer-Rollo G, Delorey D, et al. In-situ Interprofessional Perinatal Drills: The Impact of a
Structured Debrief on Maximizing Training While Sensing …
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psnet.ahrq.gov/node/837060/psn-pdf
May 11, 2022 - Clinician distress and inappropriate antibiotic prescribing
for acute respiratory tract infections: a retrospective
cohort study.
May 11, 2022
Brady KJS, Barlam TF, Trockel MT, et al. Clinician distress and inappropriate antibiotic prescribing for
acute respiratory tract infections: a retrospective cohort study. J…
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psnet.ahrq.gov/node/74085/psn-pdf
November 17, 2021 - Race, ethnicity, and 60-day outcomes after hospitalization
with COVID-19.
November 17, 2021
Robinson-Lane SG, Sutton NR, Chubb H, et al. Race, ethnicity, and 60-day outcomes after hospitalization
with COVID-19. J Am Med Dir Assoc. 2021;22(11):2245-2250. doi:10.1016/j.jamda.2021.08.023.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/44406/psn-pdf
December 04, 2016 - Drug manufacturers' delayed disclosure of serious and
unexpected adverse events to the US Food and Drug
Administration.
December 4, 2016
Ma P, Marinovic I, Karaca-Mandic P. Drug Manufacturers' Delayed Disclosure of Serious and Unexpected
Adverse Events to the US Food and Drug Administration. JAMA Intern Med. 2015;…
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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/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/838146/psn-pdf
September 21, 2022 - HSIB Maternity Investigation Programme Year in Review
2021/22. Summary of Highlights, Themes and Future
Work.
September 21, 2022
Farnborough, UK: Healthcare Safety Investigation Branch; 2022.
https://psnet.ahrq.gov/issue/hsib-maternity-investigation-programme-year-review-202122-summary-
highlights-themes-and
Thi…
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psnet.ahrq.gov/node/47470/psn-pdf
April 07, 2019 - Association between surgical trainee daytime sleepiness
and intraoperative technical skill when performing
septoplasty.
April 7, 2019
Tseng YW, Vedula S, Malpani A, et al. Association Between Surgical Trainee Daytime Sleepiness and
Intraoperative Technical Skill When Performing Septoplasty. JAMA Facial Plast Surg.…
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psnet.ahrq.gov/node/853975/psn-pdf
September 27, 2023 - Strategies for Improving Clinician Psychological Safety in
Reporting and Discussing Diagnostic Error.
September 27, 2023
Amin D, Cosby K. Rockville, MD: Agency for Healthcare Research and Quality; September 2023.
Publication No. 23-0040-6-EF.
https://psnet.ahrq.gov/issue/strategies-improving-clinician-psychologica…
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psnet.ahrq.gov/node/837342/psn-pdf
June 08, 2022 - Assessment of perioperative outcomes among surgeons
who operated the night before.
June 8, 2022
Sun EC, Mello MM, Vaughn MT, et al. Assessment of perioperative outcomes among surgeons who
operated the night before. JAMA Intern Med. 2022;182(7):720-728. doi:10.1001/jamainternmed.2022.1563.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/44798/psn-pdf
November 02, 2016 - From the closest observers of patient care: a thematic
analysis of online narrative reviews of hospitals.
November 2, 2016
Bardach N, Lyndon A, Asteria-Peñaloza R, et al. From the closest observers of patient care: a thematic
analysis of online narrative reviews of hospitals. BMJ Qual Saf. 2016;25(11):889-897. doi:…
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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/47574/psn-pdf
November 21, 2018 - The architecture of safety: an emerging priority for
improving patient safety.
November 21, 2018
Joseph A, Henriksen K, Malone E. The Architecture Of Safety: An Emerging Priority For Improving Patient
Safety. Health Aff (Millwood). 2018;37(11):1884-1891. doi:10.1377/hlthaff.2018.0643.
https://psnet.ahrq.gov/issue/…