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psnet.ahrq.gov/node/42916/psn-pdf
February 05, 2014 - Are autopsy findings still relevant to the management of
critically ill patients in the modern era?
February 5, 2014
Fröhlich S, Ryan O, Murphy N, et al. Are autopsy findings still relevant to the management of critically ill
patients in the modern era? Crit Care Med. 2014;42(2):336-43. doi:10.1097/CCM.0b013e3182a2…
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psnet.ahrq.gov/node/73501/psn-pdf
July 14, 2021 - Deficiencies in Emergency Preparedness for Veterans
Health Administration Telemental Health Care at VA Clinic
Locations Prior to the Pandemic.
July 14, 2021
Washington, DC: Department of Veterans Affairs, Office of Inspector General. June 24, 2021. Report No.
19-09808-171.
https://psnet.ahrq.gov/issue/deficiencie…
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psnet.ahrq.gov/node/72482/psn-pdf
November 18, 2020 - Real-time debriefing after critical events: exploring the
gap between principle and reality.
November 18, 2020
Arriaga AF, Szyld D, Pian-Smith MCM. Real-time debriefing after critical events: exploring the gap between
principle and reality. Anesthesiol Clin. 2020;38(4):801-820. doi:10.1016/j.anclin.2020.08.003.
ht…
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psnet.ahrq.gov/node/47823/psn-pdf
March 13, 2019 - Greater Focus on Credentialing Needed to Prevent
Disqualified Providers From Delivering Patient Care.
March 13, 2019
Washington, DC: United States Government Accountability Office; February 2019. Publication GAO-19-6.
https://psnet.ahrq.gov/issue/greater-focus-credentialing-needed-prevent-disqualified-providers-del…
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psnet.ahrq.gov/node/72643/psn-pdf
January 13, 2021 - Ockenden Report. Emerging Fndings and
Recommendations from the Independent Review of
Maternity Services at the Shrewsbury and Telford
Hospital NHS Trust.
January 13, 2021
London UK: Crown Copyright; December 10, 2020. ISBN: 9781528623049.
https://psnet.ahrq.gov/issue/ockenden-report-emerging-fndings-a…
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psnet.ahrq.gov/node/50833/psn-pdf
January 29, 2020 - Linking transformational leadership, patient safety culture
and work engagement in home care services.
January 29, 2020
Ree E, Wiig S. Linking transformational leadership, patient safety culture and work engagement in home
care services. Nurs Open. 2020;7(1):256-264. doi:10.1002/nop2.386.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/47761/psn-pdf
May 22, 2019 - Clinicians' perceptions of opioid error–contributing
factors in inpatient palliative care services: a qualitative
study.
May 22, 2019
Heneka N, Bhattarai P, Shaw T, et al. Clinicians' perceptions of opioid error-contributing factors in inpatient
palliative care services: A qualitative study. Palliat Med. 2019;33(4…
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psnet.ahrq.gov/node/35210/psn-pdf
June 24, 2009 - Hospitalwide adverse drug events before and after
limiting weekly work hours of medical residents to 80.
June 24, 2009
Mycyk MB, McDaniel MR, Fotis MA, et al. Hospitalwide adverse drug events before and after limiting
weekly work hours of medical residents to 80. Am J Health Syst Pharm. 2005;62(15):1592-5.
https:/…
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psnet.ahrq.gov/node/50375/psn-pdf
September 25, 2019 - Medical error in the care of the unrepresented: disclosure
and apology for a vulnerable patient population.
September 25, 2019
Byju AS, Mayo K. Medical error in the care of the unrepresented: disclosure and apology for a vulnerable
patient population. J Med Ethics. 2019;45(12):821-823. doi:10.1136/medethics-2019-10…
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psnet.ahrq.gov/node/44902/psn-pdf
February 24, 2016 - Barriers to incident-reporting behavior among nursing
staff: a study based on the theory of planned behavior.
February 24, 2016
Lee Y-H, Yang C-C, Chen T-T. Barriers to incident-reporting behavior among nursing staff: A study based
on the theory of planned behavior. J Manag Organ. 2015;22(1):1-18. doi:10.1017/jmo.2…
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psnet.ahrq.gov/node/863208/psn-pdf
February 28, 2024 - Exploring clinical lessons learned by experienced
hospitalists from diagnostic errors and successes.
February 28, 2024
Kotwal S, Howell M, Zwaan L, et al. Exploring clinical lessons learned by experienced hospitalists from
diagnostic errors and successes. J Gen Intern Med. 2024;39(8):1386-1392. doi:10.1007/s11606-0…
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psnet.ahrq.gov/node/60957/psn-pdf
September 30, 2020 - A narrative review of strategies to increase patient safety
event reporting by residents.
September 30, 2020
Aaron M, Webb A, Luhanga U. A narrative review of strategies to increase patient safety event reporting by
residents. J Grad Med Educ. 2020;12(4):415-424. doi:10.4300/jgme-d-19-00649.1.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/45821/psn-pdf
May 09, 2017 - Putting knowledge into practice: does information on
adverse drug interactions influence people's dosing
behaviour?
May 9, 2017
Dohle S, Dawson IGJ. Putting knowledge into practice: Does information on adverse drug interactions
influence people's dosing behaviour? Br J Health Psychol. 2017;22(2):330-344. doi:10.11…
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psnet.ahrq.gov/node/46428/psn-pdf
November 01, 2017 - Translating staff experience into organisational
improvement: the HEADS-UP stepped wedge, cluster
controlled, non-randomised trial.
November 1, 2017
Pannick S, Athanasiou T, Long SJ, et al. Translating staff experience into organisational improvement: the
HEADS-UP stepped wedge, cluster controlled, non-randomised …
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psnet.ahrq.gov/node/864863/psn-pdf
March 20, 2024 - All in Her Head. The Truth and Lies Early Medicine Taught
Us About Women's Bodies and Why It Matters Today.
March 20, 2024
New York, NY: Harper Wave; 2024. ISBN: 9780063293014.
https://psnet.ahrq.gov/issue/all-her-head-truth-and-lies-early-medicine-taught-us-about-womens-bodies-
and-why-it-matters
Gender bias is …
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psnet.ahrq.gov/node/863746/psn-pdf
March 06, 2024 - What's going well: a qualitative analysis of positive
patient and family feedback in the context of the
diagnostic process.
March 6, 2024
Liu SK, Bourgeois FC, Dong J, et al. What’s going well: a qualitative analysis of positive patient and family
feedback in the context of the diagnostic process. Diagnosis (Berl)…
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psnet.ahrq.gov/node/48033/psn-pdf
July 17, 2019 - Doctors' perceived working conditions and the quality of
patient care: a systematic review.
July 17, 2019
Teoh K, Hassard J, Cox T. Doctors’ perceived working conditions and the quality of patient care: a
systematic review. Work Stress. 2019;33(4):385-413. doi:10.1080/02678373.2019.1598514.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/50630/psn-pdf
November 06, 2019 - Non-dispensing pharmacists' actions and solutions of
drug therapy problems among elderly polypharmacy
patients in primary care.
November 6, 2019
Hazen ACM, Zwart DLM, Poldervaart JM, et al. Non-dispensing pharmacists' actions and solutions of drug
therapy problems among elderly polypharmacy patients in primary car…
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psnet.ahrq.gov/node/864847/psn-pdf
March 20, 2024 - Inter-hospital transfer is an independent risk factor for
hospital-associated infection.
March 20, 2024
Gardner C, Rubinfeld IS, Gupta AH, et al. Inter-hospital transfer is an independent risk factor for hospital-
associated infection. Surg Infect (Larchmt). 2024;25(2):125-132. doi:10.1089/sur.2023.077.
https://ps…
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psnet.ahrq.gov/node/838325/psn-pdf
October 12, 2022 - Comprehensive Healthcare Inspection Summary Report:
Evaluation of Care Coordination in Veterans Health
Administration Facilities, Fiscal Year 2021.
October 12, 2022
Washington, DC: VA Office of the Inspector General; September 15, 2022. Report no. 22-00815-232.
https://psnet.ahrq.gov/issue/comprehensive-healthcare…