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psnet.ahrq.gov/node/46901/psn-pdf
May 30, 2018 - Physician resiliency and wellness for transforming a
health system.
May 30, 2018
Armato CS, Jenike TE. NEJM Catalyst. May 2, 2018.
https://psnet.ahrq.gov/issue/physician-resiliency-and-wellness-transforming-health-system
Physician burnout can contribute to medical errors. This article discusses an organizational e…
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psnet.ahrq.gov/node/73579/psn-pdf
August 11, 2021 - A systematic review on pediatric medication errors by
parents or caregivers at home.
August 11, 2021
Lopez-Pineda A, Gonzalez de Dios J, Guilabert Mora M, et al. A systematic review on pediatric medication
errors by parents or caregivers at home. Expert Opin Drug Saf. 2021:1-11.
doi:10.1080/14740338.2021.1950138.
…
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psnet.ahrq.gov/node/35340/psn-pdf
July 10, 2008 - Posthospital medication discrepancies: prevalence and
contributing factors.
July 10, 2008
Coleman EA, Smith JD, Raha D, et al. Posthospital medication discrepancies: prevalence and contributing
factors. Arch Intern Med. 2005;165(16):1842-1847.
https://psnet.ahrq.gov/issue/posthospital-medication-discrepancies-prev…
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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/35440/psn-pdf
May 27, 2011 - Computerized physician order entry with clinical decision
support in the long-term care setting: insights from the
Baycrest Centre for Geriatric Care.
May 27, 2011
Rochon P, Field T, Bates DW, et al. Computerized physician order entry with clinical decision support in the
long-term care setting: insights from the …
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psnet.ahrq.gov/node/38650/psn-pdf
May 20, 2009 - Resident duty hour regulation and patient safety:
establishing a balance between concerns about resident
fatigue and adequate training in neurosurgery.
May 20, 2009
Grady S, Batjer H, Dacey RG. Resident duty hour regulation and patient safety: establishing a balance
between concerns about resident fatigue and adeq…
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psnet.ahrq.gov/node/764409/psn-pdf
March 02, 2022 - She was headed to a locked psych ward. Then an ER
doctor made a startling discovery.
March 2, 2022
Boodman SG. Washington Post. February 12, 2022.
https://psnet.ahrq.gov/issue/she-was-headed-locked-psych-ward-then-er-doctor-made-startling-discovery
Misdiagnosis over a long period of time can be exacerbated by stig…
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psnet.ahrq.gov/node/43955/psn-pdf
December 04, 2016 - For Colorado mom, story of daughter's hospital death is
key to others' safety.
December 4, 2016
Daley J. Colorado Public Radio. February 17, 2015.
https://psnet.ahrq.gov/issue/colorado-mom-story-daughters-hospital-death-key-others-safety
Patient and family stories of harm are increasingly promoted as a strategy to…
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psnet.ahrq.gov/node/39275/psn-pdf
February 03, 2010 - Medical librarians supporting information systems project
lifecycles toward improved patient safety.
February 3, 2010
Saimbert MK, Zhang Y, Pierce J, et al. Medical librarians supporting information systems project lifecycles
toward improved patient safety. Medical librarians possess expertise to navigate various s…
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psnet.ahrq.gov/node/44161/psn-pdf
December 19, 2018 - Among the elderly, many mental illnesses go
undiagnosed.
December 19, 2018
Bor JS. Among the elderly, many mental illnesses go undiagnosed. Health Aff (Millwood). 2015;34(5):727-
31. doi:10.1377/hlthaff.2015.0314.
https://psnet.ahrq.gov/issue/among-elderly-many-mental-illnesses-go-undiagnosed
This commentary spot…
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psnet.ahrq.gov/node/840163/psn-pdf
November 16, 2022 - Deep Dive: Racial and Ethnic Disparities in Health and
Healthcare.
November 16, 2022
Plymouth Meeting, PA: ECRI and the Institute for Safe Medication Practices; 2022.
https://psnet.ahrq.gov/issue/deep-dive-racial-and-ethnic-disparities-health-and-healthcare
Racist behavior directed at either patients or clinicians…
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psnet.ahrq.gov/node/846460/psn-pdf
March 22, 2023 - I’m an ER doctor: here’s what I found when I asked
ChatGPT to diagnose my patients.
March 22, 2023
Tamayo-Sarver J. Fast Company. March 13, 2023.
https://psnet.ahrq.gov/issue/im-er-doctor-heres-what-i-found-when-i-asked-chatgpt-diagnose-my-patients
Artificial intelligence (AI) harbors risks and biases that can mis…
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psnet.ahrq.gov/node/45015/psn-pdf
July 18, 2016 - Interhospital transfer handoff practices among US tertiary
care centers: a descriptive survey.
July 18, 2016
Herrigel DJ, Carroll M, Fanning C, et al. Interhospital transfer handoff practices among US tertiary care
centers: A descriptive survey. J Hosp Med. 2016;11(6):413-7. doi:10.1002/jhm.2577.
https://psnet.ahr…
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psnet.ahrq.gov/node/47473/psn-pdf
December 05, 2018 - Holding out for an apology.
December 5, 2018
Holding out for an apology. BMJ. 2018;363:k3033. doi:10.1136/bmj.k3033.
https://psnet.ahrq.gov/issue/holding-out-apology
Patients who experience care complications are vulnerable to psychological consequences that can affect
their relationship with their clinical teams.…
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psnet.ahrq.gov/node/47641/psn-pdf
March 20, 2019 - Guided reflection interventions show no effect on
diagnostic accuracy in medical students.
March 20, 2019
Lambe KA, Hevey D, Kelly BD. Guided Reflection Interventions Show No Effect on Diagnostic Accuracy in
Medical Students. Front Psychol. 2018;9:2297. doi:10.3389/fpsyg.2018.02297.
https://psnet.ahrq.gov/issue/gu…
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psnet.ahrq.gov/node/44712/psn-pdf
December 09, 2015 - The effect of contact precautions on frequency of hospital
adverse events.
December 9, 2015
Croft LD, Liquori M, Ladd J, et al. The Effect of Contact Precautions on Frequency of Hospital Adverse
Events. Infect Control Hosp Epidemiol. 2015;36(11):1268-74. doi:10.1017/ice.2015.192.
https://psnet.ahrq.gov/issue/effec…
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psnet.ahrq.gov/node/41545/psn-pdf
December 29, 2014 - Using the patient safety indicators to detect potential
safety events among US veterans with psychotic
disorders: clinical and research implications.
December 29, 2014
Smith EG, Zhao S, Rosen AK. Using the patient safety indicators to detect potential safety events among
US veterans with psychotic disorders: clini…
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psnet.ahrq.gov/node/851646/psn-pdf
January 01, 2024 - Burden of serious harms from diagnostic error in the
USA.
July 28, 2023
Newman-Toker DE, Nassery N, Schaffer AC, et al. Burden of serious harms from diagnostic error in the
USA. BMJ Qual Saf. 2024;33(2):109-120. doi:10.1136/bmjqs-2021-014130.
https://psnet.ahrq.gov/issue/burden-serious-harms-diagnostic-error-usa
…
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psnet.ahrq.gov/node/47958/psn-pdf
June 26, 2019 - Patient safety professionals as the third victims of
adverse events.
June 26, 2019
Holden J, Card AJ. Patient safety professionals as the third victims of adverse events. J Patient Saf Risk
Manag. 2019;24(4):166-175. doi:10.1177/2516043519850914.
https://psnet.ahrq.gov/issue/patient-safety-professionals-third-vict…
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psnet.ahrq.gov/node/47060/psn-pdf
April 25, 2018 - Patient safety vulnerabilities for children with intellectual
disability in hospital: a systematic review and narrative
synthesis.
April 25, 2018
Mimmo L, Harrison R, Hinchcliff R. Patient safety vulnerabilities for children with intellectual disability in
hospital: a systematic review and narrative synthesis. BMJ…