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psnet.ahrq.gov/node/866962/psn-pdf
October 16, 2024 - Diagnostic Excellence– Age-Friendly Health Systems
(DxEx–AFHS) Seed Grant Program Improving Diagnosis
for Older Adults.
October 16, 2024
Boston, MA: Institute for Healthcare Improvement; September 23, 2024.
https://psnet.ahrq.gov/issue/diagnostic-excellence-age-friendly-health-systems-dxex-afhs-seed-grant-
progra…
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psnet.ahrq.gov/node/60031/psn-pdf
March 11, 2020 - Patient perspectives on the usefulness of an artificial
intelligence-assisted symptom checker: cross-sectional
survey study.
March 11, 2020
Meyer AND, Giardina TD, Spitzmueller C, et al. Patient Perspectives on the Usefulness of an Artificial
Intelligence–Assisted Symptom Checker: Cross-Sectional Survey Study. J M…
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psnet.ahrq.gov/node/74191/psn-pdf
December 15, 2021 - Race differences in reported "near miss" patient safety
events in health care system high reliability
organizations.
December 15, 2021
Thomas AD, Pandit C, Krevat S. Race differences in reported "near miss" patient safety events in health
care system high reliability organizations. J Patient Saf. 2021;17(8):e1605-…
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psnet.ahrq.gov/node/846156/psn-pdf
March 15, 2023 - Communication matters when it comes to adverse events:
associations of adverse events during implant treatment
with patients' communication quality and trust
assessments.
March 15, 2023
Schrimpff C, Link E, Fisse T, et al. Communication matters when it comes to adverse events: associations
of adverse events durin…
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psnet.ahrq.gov/node/837968/psn-pdf
August 31, 2022 - The perception of the patient safety climate by health
professionals during the COVID-19 pandemic-
international research.
August 31, 2022
Kosydar-Bochenek J, Krupa S, Religa D, et al. The Perception of the Patient Safety Climate by Health
Professionals during the COVID-19 Pandemic—International Research. Int J En…
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psnet.ahrq.gov/node/862989/psn-pdf
February 21, 2024 - Peer support and second victim programs for anesthesia
professionals involved in stressful or traumatic clinical
events.
February 21, 2024
Finney RE, Jacob AK. Peer support and second victim programs for anesthesia professionals involved in
stressful or traumatic clinical events. Adv Anesth. 2023;41(1):39-52. doi:…
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psnet.ahrq.gov/node/837700/psn-pdf
July 20, 2022 - Temporal associations between EHR-derived workload,
burnout, and errors: a prospective cohort study.
July 20, 2022
Lou SS, Lew D, Harford DR, et al. Temporal associations between EHR-derived workload, burnout, and
errors: a prospective cohort study. J Gen Intern Med. 2022;37(9):2165-2172. doi:10.1007/s11606-022-
0…
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psnet.ahrq.gov/node/837588/psn-pdf
June 29, 2022 - Does racism impact healthcare quality? Perspectives of
Black and Hispanic/Latino patients.
June 29, 2022
Findling MG, Zephyrin L, Bleich SN, et al. Does racism impact healthcare quality? Perspectives of Black
and Hispanic/Latino patients. Healthc (Amst). 2022;10(2):100630. doi:10.1016/j.hjdsi.2022.100630.
https://…
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psnet.ahrq.gov/node/836778/psn-pdf
March 23, 2022 - Medication errors and processes to reduce them in care
homes in the United Kingdom: a scoping review.
March 23, 2022
Irons MW, Auta A, Portlock JC, et al. Medication errors and processes to reduce them in care homes in the
United Kingdom: a scoping review. Home Health Care Serv Q. 2022;41(2):91-123.
doi:10.1080/01…
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psnet.ahrq.gov/node/46867/psn-pdf
February 20, 2019 - Connecting perspectives on quality and safety: patient-
level linkage of incident, adverse event and complaint
data.
February 20, 2019
de Vos MS, Hamming JF, Chua-Hendriks JJC, et al. Connecting perspectives on quality and safety:
patient-level linkage of incident, adverse event and complaint data. BMJ Qual Saf. 2…
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psnet.ahrq.gov/node/839827/psn-pdf
December 20, 2020 - Racial bias in pulse oximetry measurement.
December 20, 2020
Sjoding MW, Dickson RP, Iwashyna TJ, et al. Racial bias in pulse oximetry measurement. N Engl J Med.
2020;383(25):2477-2478. doi:10.1056/nejmc2029240.
https://psnet.ahrq.gov/issue/racial-bias-pulse-oximetry-measurement
Pulse oximetry is used to triage pa…
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psnet.ahrq.gov/node/45685/psn-pdf
January 01, 2021 - The effects of the second victim phenomenon on work-
related outcomes: connecting self-reported caregiver
distress to turnover intentions and absenteeism.
December 21, 2016
Burlison JD, Quillivan RR, Scott SD, et al. The Effects of the Second Victim Phenomenon on Work-Related
Outcomes: Connecting Self-Reported Car…
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psnet.ahrq.gov/node/61119/psn-pdf
November 11, 2020 - Misdiagnosis and failure to diagnose in emergency care:
causes and empathy as a solution.
November 11, 2020
Pelaccia T, Messman AM, Kline JA. Misdiagnosis and failure to diagnose in emergency care: causes and
empathy as a solution. Patient Edu Couns. 2020;103(8):1650-1656. doi:10.1016/j.pec.2020.02.039.
https://ps…
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psnet.ahrq.gov/node/46118/psn-pdf
December 20, 2017 - Predictors of in-hospital postoperative opioid overdose
after major elective operations: a nationally
representative cohort study.
December 20, 2017
Cauley CE, Anderson G, Haynes AB, et al. Predictors of In-hospital Postoperative Opioid Overdose After
Major Elective Operations: A Nationally Representative Cohort S…
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psnet.ahrq.gov/node/73534/psn-pdf
July 28, 2021 - "It's a big part of being good surgeons": surgical trainees'
perceptions of error recovery in the operating room.
July 28, 2021
Gabrysz-Forget F, Zahabi S, Young M, et al. "It's a big part of being good surgeons": surgical trainees'
perceptions of error recovery in the operating room. J Surg Educ. 2021;78(6):2020-2…
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psnet.ahrq.gov/node/45830/psn-pdf
June 27, 2018 - Performance of vascular exposure and fasciotomy among
surgical residents before and after training compared with
experts.
June 27, 2018
Mackenzie CF, Garofalo E, Puche A, et al. Performance of Vascular Exposure and Fasciotomy Among
Surgical Residents Before and After Training Compared With Experts. JAMA Surg. 2017…
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psnet.ahrq.gov/node/36696/psn-pdf
July 10, 2008 - The impact of video games on training surgeons in the
21st century.
July 10, 2008
Rosser JC, Lynch PJ, Cuddihy L, et al. The impact of video games on training surgeons in the 21st century.
Arch Surg. 2007;142(2):181-6; discusssion 186.
https://psnet.ahrq.gov/issue/impact-video-games-training-surgeons-21st-centur…
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psnet.ahrq.gov/node/60059/psn-pdf
August 12, 2020 - Survey shows room for improvement with two new ISMP
Targeted Medication Safety Best Practices.
August 12, 2020
ISMP Medication Safety Alert! Acute care edition. July 30, 2020;25(15).
https://psnet.ahrq.gov/issue/survey-shows-room-improvement-two-new-ismp-targeted-medication-safety-
best-practices
This article rep…
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psnet.ahrq.gov/node/74869/psn-pdf
February 23, 2022 - Three new best practices in the 2022-2023 Targeted
Medication Safety Best Practices for Hospitals.
February 23, 2022
ISMP Medication Safety Alert! Acute care edition. February 10, 2022:27(3):1-6.
https://psnet.ahrq.gov/issue/three-new-best-practices-2022-2023-targeted-medication-safety-best-
practices-hospitals
B…
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psnet.ahrq.gov/node/44688/psn-pdf
February 23, 2018 - Improving diagnosis in health care—the next imperative
for patient safety.
February 23, 2018
Singh H, Graber ML. Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. New
Engl J Med. 2015;373(26):2493-2495. doi:10.1056/NEJMp1512241.
https://psnet.ahrq.gov/issue/improving-diagnosis-health-care…