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psnet.ahrq.gov/node/43002/psn-pdf
March 12, 2014 - Exposure to media information about a disease can cause
doctors to misdiagnose similar-looking clinical cases.
March 12, 2014
Schmidt HG, Mamede S, Van den Berge K, et al. Exposure to media information about a disease can
cause doctors to misdiagnose similar-looking clinical cases. Acad Med. 2014;89(2):285-91.
doi…
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psnet.ahrq.gov/node/37345/psn-pdf
May 26, 2011 - Impact of computerized prescriber order entry on the
incidence of adverse drug events in pediatric inpatients.
May 26, 2011
Holdsworth MT, Fichtl RE, Raisch DW, et al. Impact of computerized prescriber order entry on the
incidence of adverse drug events in pediatric inpatients. Pediatrics. 2007;120(5):1058-66.
htt…
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psnet.ahrq.gov/node/39571/psn-pdf
October 03, 2017 - Assessing legislative potential to institute error
transparency: a state comparison of malpractice claims
rates.
October 3, 2017
Perez B, DiDona T. Assessing Legislative Potential to Institute Error Transparency: A State Comparison of
Malpractice Claims Rates. Journal For Healthcare Quality. 2009;32(3). doi:10.111…
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psnet.ahrq.gov/node/45610/psn-pdf
November 01, 2017 - Economic value of pharmacist-led medication
reconciliation for reducing medication errors after
hospital discharge.
November 1, 2017
Najafzadeh M, Schnipper JL, Shrank WH, et al. Economic value of pharmacist-led medication reconciliation
for reducing medication errors after hospital discharge. Am J Manag Care. 201…
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psnet.ahrq.gov/node/841772/psn-pdf
December 21, 2022 - Detectability of medication errors with a STOPP/START-
based medication review in older people prior to a
potentially preventable drug-related hospital admission.
December 21, 2022
Sallevelt BTGM, Egberts TCG, Huibers CJA, et al. Detectability of medication errors with a STOPP/START-
based medication review in old…
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psnet.ahrq.gov/node/44750/psn-pdf
January 06, 2016 - Simulation in the executive suite: lessons learned for
building patient safety leadership.
January 6, 2016
Rosen MA, Goeschel CA, Che X-X, et al. Simulation in the Executive Suite: Lessons Learned for Building
Patient Safety Leadership. Simul Healthc. 2015;10(6):372-377.
https://psnet.ahrq.gov/issue/simulation-exe…
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psnet.ahrq.gov/node/46807/psn-pdf
July 02, 2019 - Communication failure: analysis of prescribers' use of an
internal free-text field on electronic prescriptions.
July 2, 2019
Ai A, Wong A, Amato MG, et al. Communication failure: analysis of prescribers’ use of an internal free-text
field on electronic prescriptions. J Am Med Inform Assoc. 2018;25(6):709-714. doi:1…
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psnet.ahrq.gov/node/46567/psn-pdf
January 24, 2019 - Association of overlapping surgery with increased risk for
complications following hip surgery.
January 24, 2019
Ravi B, Pincus D, Wasserstein D, et al. Association of Overlapping Surgery With Increased Risk for
Complications Following Hip Surgery: A Population-Based, Matched Cohort Study. JAMA Intern Med.
2018;17…
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psnet.ahrq.gov/node/42787/psn-pdf
January 19, 2014 - The effects of electronic prescribing by community-based
providers on ambulatory medication safety.
January 19, 2014
Abramson EL, Pfoh ER, Barrón Y, et al. The effects of electronic prescribing by community-based
providers on ambulatory medication safety. Jt Comm J Qual Patient Saf. 2013;39(12):545-552.
https://ps…
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psnet.ahrq.gov/node/46435/psn-pdf
August 20, 2018 - Patients' experiences with communication-and-resolution
programs after medical injury.
August 20, 2018
Moore J, Bismark M, Mello MM. Patients' Experiences With Communication-and-Resolution Programs After
Medical Injury. JAMA Intern Med. 2017;177(11):1595-1603. doi:10.1001/jamainternmed.2017.4002.
https://psnet.ahr…
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psnet.ahrq.gov/node/838239/psn-pdf
October 05, 2022 - Emotional exhaustion among US health care workers
before and during the COVID-19 pandemic, 2019-2021.
October 5, 2022
Sexton JB, Adair KC, Proulx J, et al. Emotional exhaustion among US health care workers before and
during the COVID-19 pandemic, 2019-2021. JAMA Netw Open. 2022;5(9):e2232748.
doi:10.1001/jamanetwo…
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psnet.ahrq.gov/node/44302/psn-pdf
August 04, 2015 - The Global Comparators project: international
comparison of 30-day in-hospital mortality by day of the
week.
August 4, 2015
Ruiz M, Bottle A, Aylin PP. The Global Comparators project: international comparison of 30-day in-hospital
mortality by day of the week. BMJ Qual Saf. 2015;24(8):492-504. doi:10.1136/bmjqs-20…
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psnet.ahrq.gov/node/846158/psn-pdf
March 15, 2023 - Safety risks and workflow implications associated with
nursing-related free-text communication orders.
March 15, 2023
Staes CJ, Yusuf S, Hambly M, et al. Safety risks and workflow implications associated with nursing-related
free-text communication orders. J Am Med Inform Assoc. 2023;30(5):828-837. doi:10.1093/jami…
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psnet.ahrq.gov/node/45780/psn-pdf
March 15, 2017 - Overdose risk in young children of women prescribed
opioids.
March 15, 2017
Finkelstein Y, Macdonald EM, Gonzalez A, et al. Overdose Risk in Young Children of Women Prescribed
Opioids. Pediatrics. 2017;139(3). doi:10.1542/peds.2016-2887.
https://psnet.ahrq.gov/issue/overdose-risk-young-children-women-prescribed-op…
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psnet.ahrq.gov/node/45739/psn-pdf
July 02, 2017 - High-risk medications in hospitalized elderly adults: are
we making it easy to do the wrong thing?
July 2, 2017
Blachman NL, Leipzig RM, Mazumdar M, et al. High-Risk Medications in Hospitalized Elderly Adults: Are
We Making It Easy to Do the Wrong Thing? J Am Geriatr Soc. 2017;65(3):603-607. doi:10.1111/jgs.14703.
…
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psnet.ahrq.gov/node/44376/psn-pdf
October 08, 2016 - Avoidability of hospital deaths and association with
hospital-wide mortality ratios: retrospective case record
review and regression analysis.
October 8, 2016
Hogan H, Zipfel R, Neuburger J, et al. Avoidability of hospital deaths and association with hospital-wide
mortality ratios: retrospective case record review…
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psnet.ahrq.gov/node/47974/psn-pdf
May 08, 2019 - Reducing surgical mortality in Scotland by use of the
WHO Surgical Safety Checklist.
May 8, 2019
Ramsay G, Haynes AB, Lipsitz SR, et al. Reducing surgical mortality in Scotland by use of the WHO
Surgical Safety Checklist. Br J Surg. 2019;106(8):1005-1011. doi:10.1002/bjs.11151.
https://psnet.ahrq.gov/issue/reducin…
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psnet.ahrq.gov/node/46594/psn-pdf
November 01, 2017 - Peers without fears? Barriers to effective communication
among primary care physicians and oncologists about
diagnostic delays in cancer.
November 1, 2017
Lipitz-Snyderman A, Kale M, Robbins L, et al. Peers without fears? Barriers to effective communication
among primary care physicians and oncologists about diagn…
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psnet.ahrq.gov/node/45435/psn-pdf
August 24, 2016 - Pharmacist–physician communications in a highly
computerised hospital: sign-off and action of electronic
review messages.
August 24, 2016
Pontefract SK, Hodson J, Marriott JF, et al. Pharmacist-Physician Communications in a Highly
Computerised Hospital: Sign-Off and Action of Electronic Review Messages. PLoS One.
…
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psnet.ahrq.gov/node/40072/psn-pdf
April 04, 2011 - Perceptions of hospital safety climate and incidence of
readmission.
April 4, 2011
Hansen LO, Williams M, Singer SJ. Perceptions of hospital safety climate and incidence of readmission.
Health Serv Res. 2011;46(2):596-616. doi:10.1111/j.1475-6773.2010.01204.x.
https://psnet.ahrq.gov/issue/perceptions-hospital-safe…