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psnet.ahrq.gov/node/47514/psn-pdf
October 31, 2018 - Making Hospitals Safe for People With Diabetes.
October 31, 2018
Watts E, Rayman G. Diabetes UK. London, UK; 2018.
https://psnet.ahrq.gov/issue/making-hospitals-safe-people-diabetes
Chronic disease management can add complexity to inpatient care regimens. Researchers worked with
patients, system leaders, and clini…
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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/73075/psn-pdf
March 24, 2021 - Analysis of transdermal medication patch errors
uncovers a “patchwork” of safety challenges.
March 24, 2021
ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(5):1-6.
https://psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety-
challenges
Skin patches are a conveni…
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psnet.ahrq.gov/node/850911/psn-pdf
June 21, 2023 - International perspectives on modifications to the
surgical safety checklist.
June 21, 2023
Turley N, Elam M, Brindle ME. International perspectives on modifications to the surgical safety checklist.
JAMA Netw Open. 2023;6(6):e2317183. doi:10.1001/jamanetworkopen.2023.17183.
https://psnet.ahrq.gov/issue/internatio…
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psnet.ahrq.gov/node/46942/psn-pdf
September 24, 2018 - Measurement and monitoring of safety: impact and
challenges of putting a conceptual framework into
practice.
September 24, 2018
Chatburn E, Macrae C, Carthey J, et al. Measurement and monitoring of safety: impact and challenges of
putting a conceptual framework into practice. BMJ Qual Saf. 2018;27(10):818-826. doi…
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psnet.ahrq.gov/node/46028/psn-pdf
July 05, 2017 - The role of morbidity and mortality rounds in medical
education: a scoping review.
July 5, 2017
Benassi P, MacGillivray L, Silver I, et al. The role of morbidity and mortality rounds in medical education: a
scoping review. Med Educ. 2017;51(5):469-479. doi:10.1111/medu.13234.
https://psnet.ahrq.gov/issue/role-morb…
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psnet.ahrq.gov/node/46697/psn-pdf
January 10, 2018 - Primary care providers' perspectives on errors of
omission.
January 10, 2018
Poghosyan L, Norful AA, Fleck E, et al. Primary Care Providers' Perspectives on Errors of Omission. J Am
Board Fam Med. 2017;30(6):733-742. doi:10.3122/jabfm.2017.06.170161.
https://psnet.ahrq.gov/issue/primary-care-providers-perspectives…
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psnet.ahrq.gov/node/35510/psn-pdf
February 19, 2010 - Simulation study of rested versus sleep-deprived
anesthesiologists.
February 19, 2010
Howard SK, Gaba DM, Smith B, et al. Simulation study of rested versus sleep-deprived anesthesiologists.
Anesthesiology. 2003;98(6):1345-1355. doi:10.1097/00000542-200306000-00008.
https://psnet.ahrq.gov/issue/simulation-study-res…
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psnet.ahrq.gov/node/855437/psn-pdf
November 15, 2023 - Advancing Diagnostic Excellence for Maternal Health
Care: Proceedings of a Workshop–in Brief.
November 15, 2023
National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies
Press; 2023. ISBN: 9780309711937.
https://psnet.ahrq.gov/issue/advancing-diagnostic-excellence-maternal-h…
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psnet.ahrq.gov/node/44794/psn-pdf
May 21, 2019 - Medical Device Use Error: Root Cause Analysis.
May 21, 2019
Wiklund M, Dwyer A, Davis E. Boca Raton, FL: CRC Press; 2015. ISBN: 9781498705790.
https://psnet.ahrq.gov/issue/medical-device-use-error-root-cause-analysis
Applying human factors engineering to examine mistakes associated with medical device use can lead …
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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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www.uspreventiveservicestaskforce.org/uspstf/update-on-methods-insufficient-evidence---table-1
February 01, 2009 - Update on Methods: Insufficient Evidence - Table 1
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Table 1. Insufficient Evidence Statements for Screening of Large Population Sub-groups
From the USPSTF Pocket Guide to C…
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psnet.ahrq.gov/node/46609/psn-pdf
January 01, 2020 - The impact of adverse events on clinicians: what's in a
name?
April 3, 2019
Wu AW, Shapiro J, Harrison R, et al. The Impact of Adverse Events on Clinicians: What's in a Name? J
Patient Saf. 2020;16(1):65-72. doi:10.1097/PTS.0000000000000256.
https://psnet.ahrq.gov/issue/impact-adverse-events-clinicians-whats-name
…
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psnet.ahrq.gov/node/50827/psn-pdf
January 22, 2020 - Becoming a high-reliability organization through shared
learning of safety events
January 22, 2020
Klenklen J. Patient Saf Qual HCare. December 19, 2019.
https://psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
High reliability organizations consistently examine wha…
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psnet.ahrq.gov/node/48141/psn-pdf
July 24, 2019 - Evidence Brief: Implementation of High Reliability
Organization Principles.
July 24, 2019
Veazie S, Peterson K, Bourne D. Washington DC: United States Department of Veterans Affairs;
May 2019.
https://psnet.ahrq.gov/issue/evidence-brief-implementation-high-reliability-organization-principles
This brief evalu…
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psnet.ahrq.gov/node/864862/psn-pdf
March 20, 2024 - Global Burden of Preventable Medication-related Harm in
Health Care: A Systematic Review.
March 20, 2024
Geneva, Switzerland: World Health Organization; 2023. ISBN: 9789240088887.
https://psnet.ahrq.gov/issue/global-burden-preventable-medication-related-harm-health-care-systematic-
review
The Medication Without H…
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psnet.ahrq.gov/node/846164/psn-pdf
March 15, 2023 - Crowding in the Emergency Department: Challenges for
the Care of Children.
March 15, 2023
Gross TK, Lane NE, Timm NL, et al. Crowding in the Emergency Department: Challenges for the Care of
Children. Pediatrics. 2023;151(3):e2022060971-e2022060972. doi:10.1542/peds.2022-060971.
https://psnet.ahrq.gov/issue/crowdin…
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psnet.ahrq.gov/node/50400/psn-pdf
October 02, 2019 - The role of personal health information management in
promoting patient safety in the home: a qualitative
analysis
October 2, 2019
Demiris G, Lin S-Y, Turner AM. The role of personal health information management in promoting patient
safety in the home: a qualitative analysis. Stud Health Technol Inform . 2019;264…
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psnet.ahrq.gov/node/34873/psn-pdf
February 18, 2011 - Nurse-staffing levels and the quality of care in hospitals.
February 18, 2011
Needleman J, Buerhaus P, Mattke S, et al. Nurse-staffing levels and the quality of care in hospitals. N Engl
J Med. 2002;346(22):1715-22.
https://psnet.ahrq.gov/issue/nurse-staffing-levels-and-quality-care-hospitals
The relationship betw…
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psnet.ahrq.gov/node/853436/psn-pdf
September 13, 2023 - Long-term sustainability and adaptation of I-PASS
handovers.
September 13, 2023
Ryan SL, Logan M, Liu X, et al. Long-term sustainability and adaptation of I-PASS handovers. Jt Comm J
Qual Patient Saf. 2023;19(12):689-697. doi:10.1016/j.jcjq.2023.07.007.
https://psnet.ahrq.gov/issue/long-term-sustainability-and-ada…