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psnet.ahrq.gov/node/34710/psn-pdf
February 18, 2011 - Fatigue among clinicians and the safety of patients.
February 18, 2011
Gaba DM, Howard SK. Patient safety: fatigue among clinicians and the safety of patients. New Engl J Med.
2002;347(16):1249-1255.
https://psnet.ahrq.gov/issue/fatigue-among-clinicians-and-safety-patients
Acknowledging the inevitable connection b…
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psnet.ahrq.gov/node/851921/psn-pdf
August 02, 2023 - Association between electronic health record
implementations and hospital-acquired conditions in
pediatric hospitals.
August 2, 2023
Rabbani N, Pageler NM, Hoffman JM, et al. Association between electronic health record implementations
and hospital-acquired conditions in pediatric hospitals. Appl Clin Inform. 2023…
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psnet.ahrq.gov/node/836728/psn-pdf
March 15, 2022 - Survey suggests disrespectful behaviors persist in
healthcare: practitioners speak up (yet again) – Parts I
and II.
March 15, 2022
ISMP Medication Safety Alert! Acute care edition. February 24, 2022; 27(4):1-5; March 10, 2022; 27(5):1-5.
https://psnet.ahrq.gov/issue/survey-suggests-disrespectful-behaviors-persist-…
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psnet.ahrq.gov/node/866938/psn-pdf
October 09, 2024 - The Patient’s Role in Diagnostic Safety and Excellence:
From Passive Reception towards Co-Design.
October 9, 2024
Epstein HM, Haskell H, Hemmelgarn C, et al. The Patient’s Role In Diagnostic Safety And Excellence:
From Passive Reception Towards Co-Design. Rockville, MD: Agency for Healthcare Research and Quality;
…
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psnet.ahrq.gov/node/47284/psn-pdf
December 05, 2018 - Preventable anesthesia-related adverse events at a large
tertiary care center: a nine-year retrospective analysis.
December 5, 2018
Curatolo CJ, McCormick PJ, Hyman JB, et al. Preventable Anesthesia-Related Adverse Events at a Large
Tertiary Care Center: A Nine-Year Retrospective Analysis. Jt Comm J Qual Patient Sa…
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psnet.ahrq.gov/node/34653/psn-pdf
March 07, 2005 - Structural and organizational issues in patient safety: a
comparison of health care to other high-hazard
industries.
March 7, 2005
Gaba DM. California Manage Rev. 2000;43(1):83-102.
https://psnet.ahrq.gov/issue/structural-and-organizational-issues-patient-safety-comparison-health-care-
other-high-hazard
Gaba ana…
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psnet.ahrq.gov/node/46000/psn-pdf
April 26, 2017 - Diagnostic error in the emergency department: follow up
of patients with minor trauma in the outpatient clinic.
April 26, 2017
Moonen P-J, Mercelina L, Boer W, et al. Diagnostic error in the Emergency Department: follow up of
patients with minor trauma in the outpatient clinic. Scand J Trauma Resusc Emerg Med. 2017…
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psnet.ahrq.gov/node/37992/psn-pdf
August 20, 2008 - Medication errors reported by US family physicians and
their office staff.
August 20, 2008
Kuo GM, Phillips RL, Graham D, et al. Medication errors reported by US family physicians and their office
staff. Quality and Safety in Health Care. 2008;17(4). doi:10.1136/qshc.2007.024869.
https://psnet.ahrq.gov/issue/medic…
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psnet.ahrq.gov/node/41464/psn-pdf
November 26, 2014 - Risk of unintentional overdose with non-prescription
acetaminophen products.
November 26, 2014
Wolf MS, King J, Jacobson K, et al. Risk of unintentional overdose with non-prescription acetaminophen
products. J Gen Intern Med. 2012;27(12):1587-93. doi:10.1007/s11606-012-2096-3.
https://psnet.ahrq.gov/issue/risk-uni…
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psnet.ahrq.gov/node/46917/psn-pdf
April 18, 2018 - Consumer mobile apps for potential drug–drug
interaction check: systematic review and content analysis
using the Mobile App Rating Scale (MARS).
April 18, 2018
Kim BY, Sharafoddini A, Tran N, et al. Consumer Mobile Apps for Potential Drug-Drug Interaction Check:
Systematic Review and Content Analysis Using the Mob…
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psnet.ahrq.gov/node/46570/psn-pdf
April 12, 2019 - Attending physician remote access of the electronic
health record and implications for resident supervision: a
mixed methods study.
April 12, 2019
Martin SK, Tulla K, Meltzer DO, et al. Attending Physician Remote Access of the Electronic Health Record
and Implications for Resident Supervision: A Mixed Methods Stud…
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psnet.ahrq.gov/node/50576/psn-pdf
October 23, 2019 - Breakdowns in the initial patient-provider encounter are a
frequent source of diagnostic error among ischemic
stroke cases included in a large medical malpractice
claims database.
October 23, 2019
Liberman AL, Skillings J, Greenberg P, et al. Breakdowns in the initial patient-provider encounter are a
frequent sou…
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psnet.ahrq.gov/node/46818/psn-pdf
April 18, 2018 - Barriers and facilitators to hospital pharmacists'
engagement in medication safety activities: a qualitative
study using the theoretical domains framework.
April 18, 2018
Mekonnen AB, McLachlan AJ, Brien J-AE, et al. Barriers and facilitators to hospital pharmacists'
engagement in medication safety activities: a q…
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psnet.ahrq.gov/node/851663/psn-pdf
July 26, 2023 - Quality of Care Concerns and the Facility Response
Following a Medical Emergency at the VA Southern
Nevada Health Care System in Las Vegas.
July 26, 2023
Washington, DC: VA Office of the Inspector General; June 28, 2023. Report no. 22-02725-132.
https://psnet.ahrq.gov/issue/quality-care-concerns-and-facility-…
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psnet.ahrq.gov/node/45591/psn-pdf
January 11, 2017 - Efficacy, tolerability, and dose-dependent effects of
opioid analgesics for low back pain: a systematic review
and meta-analysis.
January 11, 2017
Shaheed CA, Maher CG, Williams KA, et al. Efficacy, Tolerability, and Dose-Dependent Effects of Opioid
Analgesics for Low Back Pain: A Systematic Review and Meta-analys…
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psnet.ahrq.gov/node/47204/psn-pdf
July 18, 2018 - The burden of opioid-related mortality in the United
States.
July 18, 2018
Gomes T, Tadrous M, Mamdani MM, et al. The burden of opioid-related mortality in the United States.
JAMA Netw Open. 2018;1(2):e180217. doi:10.1001/jamanetworkopen.2018.0217.
https://psnet.ahrq.gov/issue/burden-opioid-related-mortality-unite…
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psnet.ahrq.gov/node/60881/psn-pdf
September 02, 2020 - Advancing Patient Safety: Reviews From the Agency for
Healthcare Research and Quality's Making Healthcare
Safer III Report.
September 2, 2020
Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality’s Making
Healthcare Safer III Report. J Patient Saf. 2020;16(3S Suppl 1):s1-s56.
doi:1…
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psnet.ahrq.gov/node/73136/psn-pdf
April 14, 2021 - Nurse's Achilles Heel: using big data to determine
workload factors that impact near misses.
April 14, 2021
Campbell AA, Harlan T, Campbell M, et al. Nurse's Achilles Heel: using big data to determine workload
factors that impact near misses. J Nurs Scholarsh. 2021;53(3):333-342. doi:10.1111/jnu.12652.
https://psn…
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psnet.ahrq.gov/node/47195/psn-pdf
September 12, 2018 - Diagnostic discordance, health information exchange,
and inter-hospital transfer outcomes: a population study.
September 12, 2018
Usher M, Sahni N, Herrigel D, et al. Diagnostic discordance, health information exchange, and inter-
hospital transfer outcomes: a population study. J Gen Intern Med. 2018;33(9):1447-145…
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psnet.ahrq.gov/node/60203/psn-pdf
April 08, 2020 - Is my patient ready for a safe transfer to a lower-intensity
care setting? Nursing complexity as an independent
predictor of adverse events risk after ICU discharge.
April 8, 2020
Sanson G, Marino C, Valenti A, et al. Is my patient ready for a safe transfer to a lower-intensity care
setting? Nursing complexity as …