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psnet.ahrq.gov/node/854992/psn-pdf
November 01, 2023 - Failure to rescue as a patient safety indicator for
neurosurgical patients: are we there yet?
November 1, 2023
Roy JM, Rumalla K, Skandalakis GP, et al. Failure to rescue as a patient safety indicator for neurosurgical
patients: are we there yet? A systematic review. Neurosurg Rev. 2023;46(1):227. doi:10.1007/s1014…
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psnet.ahrq.gov/node/60797/psn-pdf
August 12, 2020 - Nonoperating room anaesthesia: safety, monitoring,
cognitive aids and severe acute respiratory syndrome
coronavirus 2.
August 12, 2020
Borshoff DC, Sadleir P. Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe
acute respiratory syndrome coronavirus 2. Curr Opin Anaesthesiol. 2020;33(4):55…
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psnet.ahrq.gov/node/48028/psn-pdf
August 28, 2019 - Error Reduction and Prevention in Surgical Pathology,
Second Edition.
August 28, 2019
Nakhleh RE, Volmar KE, eds. Cham, Switzerland: Springer Nature; 2019. ISBN: 9783030184636.
https://psnet.ahrq.gov/issue/error-reduction-and-prevention-surgical-pathology-2nd-edition
Surgical specimen and laboratory process proble…
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psnet.ahrq.gov/node/44989/psn-pdf
July 01, 2016 - Can medical record reviewers reliably identify errors and
adverse events in the ED?
July 1, 2016
Klasco RS, Wolfe RE, Lee T, et al. Can medical record reviewers reliably identify errors and adverse
events in the ED? Am J Emerg Med. 2016;34(6):1043-8. doi:10.1016/j.ajem.2016.03.001.
https://psnet.ahrq.gov/issue/can…
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psnet.ahrq.gov/node/37769/psn-pdf
March 10, 2011 - Turning off frequently overridden drug alerts: limited
opportunities for doing it safely.
March 10, 2011
van der Sijs H, Aarts J, van Gelder T, et al. Turning off frequently overridden drug alerts: limited
opportunities for doing it safely. J Am Med Inform Assoc. 2008;15(4):439-48. doi:10.1197/jamia.M2311.
https:/…
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psnet.ahrq.gov/node/46287/psn-pdf
April 12, 2019 - Anesthesia adverse events voluntarily reported in the
Veterans Health Administration and lessons learned.
April 12, 2019
Neily J, Silla ES, Sum-Ping S (J) T, et al. Anesthesia Adverse Events Voluntarily Reported in the Veterans
Health Administration and Lessons Learned. Anesth Analg. 2017;126(2):471-477.
doi:10.12…
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psnet.ahrq.gov/node/47623/psn-pdf
February 06, 2019 - Diagnostic heuristics in dermatology—part 1 and part 2.
February 6, 2019
Lowenstein EJ, Sidlow R. Cognitive and visual diagnostic errors in dermatology: part 1 and part 2. J
Dermatol. 2018;179(6):1263-1276. doi:10.1111/bjd.16932.
https://psnet.ahrq.gov/issue/diagnostic-heuristics-dermatology-part-1-and-part-2
Cogn…
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psnet.ahrq.gov/node/867144/psn-pdf
November 13, 2024 - Life of the Mother. How Abortion Bans Lead to
Preventable Deaths.
November 13, 2024
Jaramillo C, Surana K, Presser L, et al. Life of the Mother. How Abortion Bans Lead to Preventable Deaths.
ProPublica. 2024:September - November 2024.
https://psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deat…
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psnet.ahrq.gov/node/44285/psn-pdf
November 06, 2015 - Hospital board oversight of quality and safety: a
stakeholder analysis exploring the role of trust and
intelligence.
November 6, 2015
Millar R, Freeman T, Mannion R. Hospital board oversight of quality and safety: a stakeholder analysis
exploring the role of trust and intelligence. BMC Health Serv Res. 2015;15:196…
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psnet.ahrq.gov/node/44674/psn-pdf
December 18, 2017 - Achieving Safe Health Care: Delivery of Safe Patient Care
at Baylor Scott & White Health.
December 18, 2017
Compton J. Boca Raton, FL: CRC Press; 2016. ISBN: 9781498732390.
https://psnet.ahrq.gov/issue/achieving-safe-health-care-delivery-safe-patient-care-baylor-scott-white-health
Since the publication of the Inst…
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psnet.ahrq.gov/node/35237/psn-pdf
November 29, 2009 - Improving nurse-to-patient staffing ratios as a cost-
effective safety intervention.
November 29, 2009
Rothberg MB, Abraham I, Lindenauer PK, et al. Improving nurse-to-patient staffing ratios as a cost-effective
safety intervention. Med Care. 2005;43(8):785-91.
https://psnet.ahrq.gov/issue/improving-nurse-patient-…
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psnet.ahrq.gov/node/47852/psn-pdf
May 08, 2019 - Impact of time pressure on dentists' diagnostic
performance.
May 8, 2019
Plessas A, Nasser M, Hanoch Y, et al. Impact of time pressure on dentists' diagnostic performance. J Dent.
2019;82:38-44. doi:10.1016/j.jdent.2019.01.011.
https://psnet.ahrq.gov/issue/impact-time-pressure-dentists-diagnostic-performance
This…
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psnet.ahrq.gov/node/74006/psn-pdf
October 27, 2021 - Building patient trust in hospitals: a combination of
hospital-related factors and health care clinician
behaviors.
October 27, 2021
Greene J, Samuel-Jakubos H. Building patient trust in hospitals: a combination of hospital-related factors
and health care clinician behaviors. Jt Comm J Qual Patient Saf. 2021;47(12…
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psnet.ahrq.gov/node/46973/psn-pdf
June 25, 2018 - Balancing innovation and safety when integrating digital
tools into health care.
June 25, 2018
Auerbach AD, Neinstein A, Khanna R. Balancing Innovation and Safety When Integrating Digital Tools Into
Health Care. Ann Intern Med. 2018;168(10):733-734. doi:10.7326/M17-3108.
https://psnet.ahrq.gov/issue/balancing-inno…
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psnet.ahrq.gov/node/44890/psn-pdf
July 11, 2017 - The frequency of inappropriate nonformulary medication
alert overrides in the inpatient setting.
July 11, 2017
Her QL, Amato MG, Seger DL, et al. The frequency of inappropriate nonformulary medication alert
overrides in the inpatient setting. J Am Med Inform Assoc. 2016;23(5):924-33. doi:10.1093/jamia/ocv181.
http…
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psnet.ahrq.gov/node/50925/psn-pdf
February 19, 2020 - Report of the Independent Inquiry into the Issues Raised
by Paterson.
February 19, 2020
James G. House Commons Report 31. Department of Health and Social Care. London,
England: Crown Copyright; 2020. ISBN 9781528617284.
https://psnet.ahrq.gov/issue/report-independent-inquiry-issues-raised-paterson
Shari…
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psnet.ahrq.gov/node/47517/psn-pdf
January 27, 2019 - Defining and classifying terminology for medication
harm: a call for consensus.
January 27, 2019
Falconer N, Barras M, Martin J, et al. Defining and classifying terminology for medication harm: a call for
consensus. Eur J Clin Pharmacol. 2019;75(2):137-145. doi:10.1007/s00228-018-2567-5.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/46206/psn-pdf
August 02, 2017 - Patient safety in dentistry: development of a candidate
'never event' list for primary care.
August 2, 2017
Black I, Bowie P. Patient safety in dentistry: development of a candidate 'never event' list for primary care.
Br Dent J. 2017;222(10):782-788. doi:10.1038/sj.bdj.2017.456.
https://psnet.ahrq.gov/issue/patie…
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psnet.ahrq.gov/node/36856/psn-pdf
August 31, 2011 - Hospital workload and adverse events.
August 31, 2011
Weissman JS, Rothschild JM, Bendavid E, et al. Hospital workload and adverse events. Med Care.
2007;45(5):448-55.
https://psnet.ahrq.gov/issue/hospital-workload-and-adverse-events
Past research suggests a relationship between nursing workload and quality of car…
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psnet.ahrq.gov/node/36032/psn-pdf
April 11, 2011 - Pediatric medication safety and the media: what does the
public see?
April 11, 2011
Stebbing C, Kaushal R, Bates DW. Pediatric medication safety and the media: what does the public see?
Pediatrics. 2006;117(6):1907-1914. doi:10.1542/peds.2005-2017.
https://psnet.ahrq.gov/issue/pediatric-medication-safety-and-media…