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psnet.ahrq.gov/node/36499/psn-pdf
January 07, 2011 - Retrospective analysis of medication incidents reported
using an on-line reporting system.
January 7, 2011
Ashcroft DM, Cooke J. Retrospective analysis of medication incidents reported using an on-line reporting
system. Pharmacy World & Science. 2006;28(6). doi:10.1007/s11096-006-9040-8.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/41710/psn-pdf
November 08, 2012 - Improving teamwork on general medical units: when
teams do not work face-to-face.
November 8, 2012
McComb SA, Henneman EA, Hinchey KT, et al. Improving teamwork on general medical units: when teams
do not work face-to-face. Jt Comm J Qual Patient Saf. 2012;38(10):471-478.
https://psnet.ahrq.gov/issue/improving-tea…
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psnet.ahrq.gov/node/42603/psn-pdf
March 04, 2015 - Cognitive and system factors contributing to diagnostic
errors in radiology.
March 4, 2015
Lee CS, Nagy PG, Weaver SJ, et al. Cognitive and system factors contributing to diagnostic errors in
radiology. AJR Am J Roentgenol. 2013;201(3):611-7. doi:10.2214/AJR.12.10375.
https://psnet.ahrq.gov/issue/cognitive-and-sys…
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psnet.ahrq.gov/node/60855/psn-pdf
August 26, 2020 - The paradoxes of defensive medicine.
August 26, 2020
Saks MJ, Landsman S. Health Matrix: J Law-Med. 2020;30(1):25-84.
https://psnet.ahrq.gov/issue/paradoxes-defensive-medicine
Defensive medicine behaviors seeking to avoid malpractice risk due to care omissions challenge patient
safety and value narratives. This le…
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psnet.ahrq.gov/node/46971/psn-pdf
July 18, 2018 - The Future of NHS Patient Safety Investigation.
July 18, 2018
NHS Improvement. London, UK: National Health Service; 2018.
https://psnet.ahrq.gov/issue/future-nhs-patient-safety-investigation
Organizational processes to investigate adverse care incidents play an important part in generating the
learning needed for …
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psnet.ahrq.gov/node/34679/psn-pdf
February 09, 2011 - Patient complaints and malpractice risk.
February 9, 2011
Hickson GB, Federspiel CF, Pichert JW, et al. Patient complaints and malpractice risk. JAMA.
2002;287(22):2951-7.
https://psnet.ahrq.gov/issue/patient-complaints-and-malpractice-risk
This study examines the association between physicians’ patient complaint …
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psnet.ahrq.gov/node/37039/psn-pdf
September 14, 2007 - Corporate Responsibility and Health Care Quality: A
Resource for Health Care Boards of Directors.
September 14, 2007
Callender AN, Hastings DA, Hemsley MC, et al. Washington DC: Office of the Inspector General of the US
Department of Health and Human Services, American Health Lawyers Association; September 2007.
h…
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psnet.ahrq.gov/node/37739/psn-pdf
June 07, 2008 - Health-Care-Associated Infections in Hospitals:
Leadership Needed from HHS to Prioritize Prevention
Practices and Improve Data on these Infections.
June 7, 2008
Washington, DC: United States Government Accountability Office; March 31, 2008. Publication GAO-08-
283.
https://psnet.ahrq.gov/issue/health-care-associa…
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psnet.ahrq.gov/node/37432/psn-pdf
November 29, 2009 - The Pennsylvania Learning Exchange: Helping States
Improve and Integrate Patient Safety
Initiatives—Summary Report.
November 29, 2009
Hanlon C; Rosenthal J. Portland, ME: National Academy for State Health Policy; 2007.
https://psnet.ahrq.gov/issue/pennsylvania-learning-exchange-helping-states-improve-and-integrate…
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psnet.ahrq.gov/node/35828/psn-pdf
July 21, 2010 - Structural empowerment, Magnet hospital characteristics,
and patient safety culture: making the link.
July 21, 2010
Armstrong KJ, Laschinger H. Structural empowerment, Magnet hospital characteristics, and patient safety
culture: making the link. J Nurs Care Qual. 2006;21(2):124-134.
https://psnet.ahrq.gov/issue/st…
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psnet.ahrq.gov/node/38478/psn-pdf
March 11, 2009 - Medication administration process assessment: applying
lessons learned from commercial aviation.
March 11, 2009
Donahue M, Brown JP, Fitzpatrick JJ. Medication administration process assessment: applying lessons
learned from commercial aviation. J Nurs Admin. 2009;39(2):77-83. doi:10.1097/NNA.0b013e318195a5e6.
htt…
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psnet.ahrq.gov/node/35946/psn-pdf
July 26, 2010 - A review of educational philosophies as applied to
radiation safety training at medical institutions.
July 26, 2010
Dauer LT, St Germain J. A review of educational philosophies as applied to radiation safety training at
medical institutions. Health Phys. 2006;90(5 Suppl):S67-72.
https://psnet.ahrq.gov/issue/review…
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digital.ahrq.gov/location/usa-ca-los-angeles
January 01, 2023 - USA, CA, Los Angeles
Using Artificial Intelligence to Support Efficient Same-Day Diagnostic Imaging in Breast Cancer Screening
Description
This research will develop, implement, and evaluate an artificial intelligence-enabled workflow that would allow for online reading and sa…
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psnet.ahrq.gov/node/41261/psn-pdf
May 04, 2012 - Case-based learning for patient safety: the Lessons
Learnt program for UK junior doctors.
May 4, 2012
Ahmed M, Arora S, Baker P, et al. Case-based learning for patient safety: the Lessons Learnt program for
UK junior doctors. World J Surg. 2012;36(5):956-8. doi:10.1007/s00268-012-1499-y.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/853443/psn-pdf
September 13, 2023 - Complications and Errors in Periodontal and Implant
Therapy.
September 13, 2023
Zucchelli G, Stefanini M, eds. Periodontol 2000. 2023;92(1):1-398.
https://psnet.ahrq.gov/issue/complications-and-errors-periodontal-and-implant-therapy
Patient safety in dentistry shares common challenges with medicine and t…
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psnet.ahrq.gov/node/837644/psn-pdf
July 06, 2022 - Reducing administrative harm in medicine - clinicians and
administrators together.
July 6, 2022
O’Donnell WJ. Reducing administrative harm in medicine - clinicians and administrators together. N Engl J
Med. 2022;386(25):2429-2432. doi:10.1056/nejmms2202174.
https://psnet.ahrq.gov/issue/reducing-administrative-harm…
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psnet.ahrq.gov/node/861779/psn-pdf
January 31, 2024 - Health Care Equity
January 31, 2024
Jt Comm J Qual Patient Saf. 2024;50(1);1-92.
https://psnet.ahrq.gov/issue/health-care-equity
Health care inequities are the result of both clinical and community system failures. This special issue
highlights activities in the field that examine investigative methods to better u…
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psnet.ahrq.gov/node/40516/psn-pdf
July 15, 2013 - Characteristics of unsafe undergraduate nursing students
in clinical practice: an integrative literature review.
July 15, 2013
Killam LA, Luhanga F, Bakker D. Characteristics of unsafe undergraduate nursing students in clinical
practice: an integrative literature review. J Nurs Educ. 2011;50(8):437-46. doi:10.3928/…
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psnet.ahrq.gov/node/853626/psn-pdf
September 20, 2023 - Uncovering the shocking dangers of misdiagnosis.
September 20, 2023
Graedon T. People’s Pharmacy. Show 1355. September 8, 2023.
https://psnet.ahrq.gov/issue/uncovering-shocking-dangers-misdiagnosis
Misdiagnosis continues to impact the safety of health care. This podcast with David Newman-Toker
discusses foun…
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psnet.ahrq.gov/node/39144/psn-pdf
June 09, 2011 - Medication safety in community pharmacy: a qualitative
study of the sociotechnical context.
June 9, 2011
Phipps D, Noyce PR, Parker D, et al. Medication safety in community pharmacy: a qualitative study of the
sociotechnical context. BMC Health Serv Res. 2009;9:158. doi:10.1186/1472-6963-9-158.
https://psnet.ahrq.…