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psnet.ahrq.gov/node/850916/psn-pdf
June 21, 2023 - Awareness of racial and ethnic bias and potential
solutions to address bias with use of health care
algorithms.
June 21, 2023
Jain A, Brooks JR, Alford CC, et al. Awareness of racial and ethnic bias and potential solutions to address
bias with use of health care algorithms. JAMA Health Forum. 2023;4(6):e231197.
d…
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psnet.ahrq.gov/node/44819/psn-pdf
June 21, 2016 - Opioid prescribing after nonfatal overdose and
association with repeated overdose: a cohort study.
June 21, 2016
Larochelle MR, Liebschutz JM, Zhang F, et al. Opioid Prescribing After Nonfatal Overdose and Association
With Repeated Overdose: A Cohort Study. Ann Inter Med. 2016;164(1):1-9. doi:10.7326/M15-0038.
htt…
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psnet.ahrq.gov/node/46954/psn-pdf
January 23, 2019 - Opioid prescribing decreases after learning of a patient's
fatal overdose.
January 23, 2019
Doctor JN, Nguyen A, Lev R, et al. Opioid prescribing decreases after learning of a patient's fatal overdose.
Science. 2018;361(6402):588-590. doi:10.1126/science.aat4595.
https://psnet.ahrq.gov/issue/opioid-prescribing-dec…
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psnet.ahrq.gov/node/47769/psn-pdf
May 11, 2019 - Avoiding chemotherapy prescribing errors: analysis and
innovative strategies.
May 11, 2019
Reinhardt H, Otte P, Eggleton AG, et al. Avoiding chemotherapy prescribing errors: Analysis and innovative
strategies. Cancer. 2019;125(9):1547-1557. doi:10.1002/cncr.31950.
https://psnet.ahrq.gov/issue/avoiding-chemotherapy…
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psnet.ahrq.gov/node/837136/psn-pdf
May 18, 2022 - What can we learn from in-depth analysis of human errors
resulting in diagnostic errors in the emergency
department: an analysis of serious adverse event reports.
May 18, 2022
Baartmans MC, Hooftman J, Zwaan L, et al. What can we learn from in-depth analysis of human errors
resulting in diagnostic errors in the em…
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psnet.ahrq.gov/node/44248/psn-pdf
May 26, 2016 - Wrong-site surgery, retained surgical items, and surgical
fires: a systematic review of surgical never events.
May 26, 2016
Hempel S, Maggard-Gibbons M, Nguyen DK, et al. Wrong-Site Surgery, Retained Surgical Items, and
Surgical Fires : A Systematic Review of Surgical Never Events. JAMA Surg. 2015;150(8):796-805.
…
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psnet.ahrq.gov/node/37478/psn-pdf
February 22, 2011 - Programmable infusion pumps in ICUs: an analysis of
corresponding adverse drug events.
February 22, 2011
Nuckols TK, Bower AG, Paddock SM, et al. Programmable infusion pumps in ICUs: an analysis of
corresponding adverse drug events. J Gen Intern Med. 2008;23 Suppl 1:41-5. doi:10.1007/s11606-007-
0414-y.
https://p…
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psnet.ahrq.gov/node/44960/psn-pdf
February 14, 2017 - Readmissions, observation, and the Hospital
Readmissions Reduction Program.
February 14, 2017
Zuckerman RB, Sheingold SH, Orav J, et al. Readmissions, Observation, and the Hospital Readmissions
Reduction Program. N Engl J Med. 2016;374(16):1543-51. doi:10.1056/NEJMsa1513024.
https://psnet.ahrq.gov/issue/readmissio…
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psnet.ahrq.gov/node/38675/psn-pdf
February 15, 2011 - Prescription errors and outcomes related to inconsistent
information transmitted through computerized order
entry: a prospective study.
February 15, 2011
Singh H, Mani S, Espadas D, et al. Prescription errors and outcomes related to inconsistent information
transmitted through computerized order entry: a prospecti…
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psnet.ahrq.gov/node/60342/psn-pdf
May 20, 2020 - Occurrence, prevention, and management of the
psychological effects of emerging virus outbreaks on
healthcare workers: rapid review and meta-analysis.
May 20, 2020
Kisely S, Warren N, McMahon L, et al. Occurrence, prevention, and management of the psychological
effects of emerging virus outbreaks on healthcare wor…
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psnet.ahrq.gov/node/857444/psn-pdf
December 06, 2023 - The relationship between nursing home staffing and
resident safety outcomes: a systematic review of reviews.
December 6, 2023
Blatter C, Osi?ska M, Simon M, et al. The relationship between nursing home staffing and resident safety
outcomes: a systematic review of reviews. Int J Nurs Stud. 2023;150:104641.
doi:10.1…
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psnet.ahrq.gov/node/74075/psn-pdf
November 17, 2021 - CDC guideline for opioid prescribing associated with
reduced dispensing to certain patients with chronic pain.
November 17, 2021
Townsend T, Cerdá M, Bohnert AS, et al. CDC guideline for opioid prescribing associated with reduced
dispensing to certain patients with chronic pain. Health Aff (Millwood). 2021;40(11):1…
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psnet.ahrq.gov/node/45055/psn-pdf
December 04, 2016 - Analysis of clinical decision support system
malfunctions: a case series and survey.
December 4, 2016
Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case
series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093/jamia/ocw005.
https://psnet.ah…
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psnet.ahrq.gov/node/854831/psn-pdf
January 01, 2024 - Medication safety events after acute myocardial infarction
among veterans treated at VA versus non-VA hospitals.
October 25, 2023
Weeda ER, Ward R, Gebregziabher M, et al. Medication safety events after acute myocardial infarction
among veterans treated at VA versus non-VA hospitals. Med Care. 2024;62(2):72-78.
do…
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psnet.ahrq.gov/node/35572/psn-pdf
February 03, 2011 - The long road to patient safety: a status report on patient
safety systems.
February 3, 2011
Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety
systems. JAMA. 2005;294(22):2858-65.
https://psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-s…
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psnet.ahrq.gov/node/60635/psn-pdf
January 01, 2021 - Systemic defenses to prevent intravenous medication
errors in hospitals: a systematic review.
July 1, 2020
Kuitunen SK, Niittynen I, Airaksinen M, et al. Systemic Defenses to Prevent Intravenous Medication Errors
in Hospitals. J Patient Saf. 2021;17(8):e1669-e1680. doi:10.1097/pts.0000000000000688.
https://psnet.a…
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psnet.ahrq.gov/node/36586/psn-pdf
July 08, 2008 - House staff team workload and organization effects on
patient outcomes in an academic general internal
medicine inpatient service.
July 8, 2008
Ong M, Bostrom A, Vidyarthi A, et al. House staff team workload and organization effects on patient
outcomes in an academic general internal medicine inpatient service. Ar…
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psnet.ahrq.gov/node/47704/psn-pdf
April 03, 2019 - Changes in practice among physicians with malpractice
claims.
April 3, 2019
Studdert DM, Spittal MJ, Zhang Y, et al. Changes in Practice among Physicians with Malpractice Claims. N
Engl J Med. 2019;380(13):1247-1255. doi:10.1056/NEJMsa1809981.
https://psnet.ahrq.gov/issue/changes-practice-among-physicians-malpract…
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psnet.ahrq.gov/node/47014/psn-pdf
July 02, 2019 - Multisource evaluation of surgeon behavior is associated
with malpractice claims.
July 2, 2019
Lagoo J, Berry WR, Miller K, et al. Multisource Evaluation of Surgeon Behavior Is Associated With
Malpractice Claims. Ann Surg. 2019;270(1):84-90. doi:10.1097/SLA.0000000000002742.
https://psnet.ahrq.gov/issue/multisourc…
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psnet.ahrq.gov/node/45891/psn-pdf
October 11, 2017 - Extent of diagnostic agreement among medical referrals.
October 11, 2017
Van Such M, Lohr R, Beckman T, et al. Extent of diagnostic agreement among medical referrals. J Eval
Clin Pract. 2017;23(4):870-874. doi:10.1111/jep.12747.
https://psnet.ahrq.gov/issue/extent-diagnostic-agreement-among-medical-referrals
Diagn…