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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/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/39032/psn-pdf
September 19, 2016 - The natural history of recovery for the healthcare provider
"second victim" after adverse patient events.
September 19, 2016
Scott SD, Hirschinger LE, Cox KR, et al. The natural history of recovery for the healthcare provider "second
victim" after adverse patient events. Qual Saf Health Care. 2009;18(5):325-330.
d…
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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/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/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/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/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/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/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/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/838919/psn-pdf
January 01, 2024 - Delayed diagnosis of serious paediatric conditions in 13
regional emergency departments.
October 26, 2022
Michelson KA, McGarghan FLE, Patterson EE, et al. Delayed diagnosis of serious paediatric conditions in
13 regional emergency departments. BMJ Qual Saf. 2024;33(5):293-300. doi:10.1136/bmjqs-2022-015314.
https…
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psnet.ahrq.gov/node/843320/psn-pdf
February 01, 2023 - Society for Maternal-Fetal Medicine Special Statement:
telemedicine in obstetrics-quality and safety
considerations.
February 1, 2023
Healy A, Davidson C, Allbert J, et al. Society for Maternal-Fetal Medicine Special Statement: telemedicine
in obstetrics-quality and safety considerations. Am J Obstet Gynecol. 2023…
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psnet.ahrq.gov/node/47590/psn-pdf
February 20, 2019 - Explaining organisational responses to a board-level
quality improvement intervention: findings from an
evaluation in six providers in the English National Health
Service.
February 20, 2019
Jones L, Pomeroy L, Robert G, et al. Explaining organisational responses to a board-level quality
improvement intervention: …
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psnet.ahrq.gov/node/866402/psn-pdf
July 31, 2024 - GPT versus resident physicians — a benchmark based on
official board scores.
July 31, 2024
Katz U, Cohen E, Shachar E, et al. GPT versus resident physicians — a benchmark based on official board
scores. NEJM AI. 2024;1(5):5. doi:10.1056/aidbp2300192.
https://psnet.ahrq.gov/issue/gpt-versus-resident-physicians-benc…
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psnet.ahrq.gov/node/34735/psn-pdf
June 16, 2014 - An Organisation with a Memory: Report of an Expert
Group on Learning from Adverse Events in the NHS
Chaired by the Chief Medical Officer.
June 16, 2014
Donaldson L. London, UK: The Stationery Office, 2000.
https://psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs-
chaired-ch…
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psnet.ahrq.gov/node/60053/psn-pdf
January 01, 2021 - A review of adverse event reports from emergency
departments in the Veterans Health Administration.
March 18, 2020
Gill S, Mills PD, Watts BV, et al. A Review of Adverse Event Reports From Emergency Departments in the
Veterans Health Administration. J Patient Saf. 2021;17(8):e898-e903. doi:10.1097/pts.0000000000000…
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psnet.ahrq.gov/node/867591/psn-pdf
January 22, 2025 - Biased language in simulated handoffs and clinician
recall and attitudes.
January 22, 2025
Wesevich A, Langan E, Fridman I, et al. Biased language in simulated handoffs and clinician recall and
attitudes. JAMA Netw Open. 2024;7(12):e2450172. doi:10.1001/jamanetworkopen.2024.50172.
https://psnet.ahrq.gov/issue/bias…
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psnet.ahrq.gov/node/38026/psn-pdf
March 21, 2017 - Does error and adverse event reporting by physicians and
nurses differ?
March 21, 2017
Rowin EJ, Lucier D, Pauker SG, et al. Does error and adverse event reporting by physicians and nurses
differ? Jt Comm J Qual Patient Saf. 2008;34(9):537-545.
https://psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-ph…