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psnet.ahrq.gov/node/865975/psn-pdf
May 29, 2024 - A systematic review of workplace triggers of emotions in
the healthcare environment, the emotions experienced,
and the impact on patient safety.
May 29, 2024
Sattar R, Lawton R, Janes G, et al. A systematic review of workplace triggers of emotions in the healthcare
environment, the emotions experienced, and the im…
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psnet.ahrq.gov/node/851055/psn-pdf
June 28, 2023 - How do we learn about error? A cross-sectional study of
urology trainees.
June 28, 2023
Browne C, Crone L, O'Connor E. How do we learn about error? A cross-sectional study of urology trainees.
J Surg Educ. 2023;80(6):864-872. doi:10.1016/j.jsurg.2023.03.007.
https://psnet.ahrq.gov/issue/how-do-we-learn-about-error…
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psnet.ahrq.gov/node/43662/psn-pdf
November 05, 2014 - A crack in our best armor: "wrong patient" injections from
insulin pens alarmingly frequent even with barcode
scanning.
November 5, 2014
ISMP Medication Safety Alert! Acute Care Edition. October 23, 2014;19:1-5.
https://psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly-
fr…
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psnet.ahrq.gov/node/60662/psn-pdf
January 01, 2022 - Medication order errors at hospital admission among
children with medical complexity
July 8, 2020
Blaine K, Wright J, Pinkham A, et al. Medication Order Errors at Hospital Admission Among Children With
Medical Complexity. J Patient Saf. 2022;18(1):e156-e162. doi:10.1097/pts.0000000000000719.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/865486/psn-pdf
April 03, 2024 - Clinical informatics team members' perspectives on
health information technology safety after experiential
learning and safety process development: qualitative
descriptive study.
April 3, 2024
Recsky C, Rush KL, MacPhee M, et al. Clinical informatics team members' perspectives on health
information technology saf…
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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/73444/psn-pdf
June 30, 2021 - Exploring patient safety outcomes for people with
learning disabilities in acute hospital settings: a scoping
review.
June 30, 2021
Louch G, Albutt AK, Harlow-Trigg J, et al. Exploring patient safety outcomes for people with learning
disabilities in acute hospital settings: a scoping review. BMJ Open. 2021;11(5):e…
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psnet.ahrq.gov/node/45706/psn-pdf
September 01, 2018 - Improving communication and resolution following
adverse events using a patient-created simulation
exercise.
September 1, 2018
Gallagher TH, Etchegaray J, Bergstedt B, et al. Improving Communication and Resolution Following
Adverse Events Using a Patient-Created Simulation Exercise. Health Serv Res. 2016;51 Suppl …
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psnet.ahrq.gov/node/47757/psn-pdf
February 06, 2019 - Doctors make mistakes. A new documentary explores
what happens when they do—and how to fix it.
February 6, 2019
Park A. Time Magazine. January 24, 2019.
https://psnet.ahrq.gov/issue/doctors-make-mistakes-new-documentary-explores-what-happens-when-they-
do-and-how-fix-it
This news article reports on the documentar…
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psnet.ahrq.gov/node/46365/psn-pdf
September 06, 2017 - Learning to overcome hierarchical pressures to achieve
safer patient care: an interprofessional simulation for
nursing, medical, and physician assistant students.
September 6, 2017
Reeves SA, Denault D, Huntington JT, et al. Learning to Overcome Hierarchical Pressures to Achieve
Safer Patient Care: An Interprofess…
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psnet.ahrq.gov/node/854247/psn-pdf
October 04, 2023 - Cognitive biases regarding utilization of Emergency
Severity Index among emergency nurses.
October 4, 2023
Essa CD, Victor G, Khan SF, et al. Cognitive biases regarding utilization of emergency severity index
among emergency nurses. Am J Emerg Med. 2023;73:63-68. doi:10.1016/j.ajem.2023.08.021.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/866194/psn-pdf
June 26, 2024 - Patient safety and satisfaction with fully remote
management of radiation oncology care.
June 26, 2024
Cuaron JJ, McBride S, Chino F, et al. Patient safety and satisfaction with fully remote management of
radiation oncology care. JAMA Netw Open. 2024;7(6):e2416570.
doi:10.1001/jamanetworkopen.2024.16570.
https://…
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psnet.ahrq.gov/node/43543/psn-pdf
November 05, 2014 - A patient safety approach to setting pass/fail standards
for basic procedural skills checklists.
November 5, 2014
Yudkowsky R, Tumuluru S, Casey P, et al. A patient safety approach to setting pass/fail standards for basic
procedural skills checklists. Simul Healthc. 2014;9(5):277-82. doi:10.1097/SIH.000000000000004…
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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/73916/psn-pdf
January 01, 2022 - Use of heuristics during the clinical decision process
from family care physicians in real conditions.
October 6, 2021
Fernández?Aguilar C, Martín?Martín JJ, Minué Lorenzo S, et al. Use of heuristics during the clinical
decision process from family care physicians in real conditions. J Eval Clin Pract. 2022;28(1):1…
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psnet.ahrq.gov/node/44043/psn-pdf
September 20, 2017 - Incident learning in pursuit of high reliability:
implementing a comprehensive, low-threshold reporting
program in a large, multisite radiation oncology
department.
September 20, 2017
Gabriel PE, Volz E, Bergendahl HW, et al. Incident learning in pursuit of high reliability: implementing a
comprehensive, low-thre…
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psnet.ahrq.gov/node/39322/psn-pdf
February 24, 2010 - Complications and death at the start of the new academic
year: is there a July phenomenon?
February 24, 2010
Inaba K, Recinos G, Teixeira PGR, et al. Complications and death at the start of the new academic year: is
there a July phenomenon? J Trauma. 2010;68(1):19-22. doi:10.1097/TA.0b013e3181b88dfe.
https://psnet…
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psnet.ahrq.gov/node/37903/psn-pdf
May 09, 2013 - Safe Surgery.
May 9, 2013
World Health Organization.
https://psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge
This initiative provides a surgical safety checklist and related educational and training materials building on
the Second Global Patient Safety Challenge vision to enco…
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psnet.ahrq.gov/node/73422/psn-pdf
January 01, 2022 - Are online patient reviews associated with health care
outcomes? A systematic review of the literature.
June 23, 2021
Placona AM, Rathert C. Are online patient reviews associated with health care outcomes? A systematic
review of the literature. Med Care Res Rev. 2022;79(1):3-16. doi:10.1177/10775587211014534.
http…
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psnet.ahrq.gov/node/34709/psn-pdf
February 18, 2011 - Views of practicing physicians and the public on medical
errors.
February 18, 2011
Blendon RJ, DesRoches CM, Brodie M, et al. Views of practicing physicians and the public on medical
errors. N Engl J Med. 2002;347(24):1933-40.
https://psnet.ahrq.gov/issue/views-practicing-physicians-and-public-medical-errors
In r…