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psnet.ahrq.gov/node/35575/psn-pdf
April 11, 2011 - Parental preferences for error disclosure, reporting, and
legal action after medical error in the care of their
children.
April 11, 2011
Hobgood C, Tamayo-Sarver JH, Elms A, et al. Parental preferences for error disclosure, reporting, and
legal action after medical error in the care of their children. Pediatrics. …
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psnet.ahrq.gov/node/43079/psn-pdf
May 28, 2014 - Confirming delivery: understanding the role of the
hospitalized patient in medication administration safety.
May 28, 2014
Macdonald M, Heilemann MS, MacKinnon NJ, et al. Confirming delivery: understanding the role of the
hospitalized patient in medication administration safety. Qual Health Res. 2014;24(4):536-50.
…
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psnet.ahrq.gov/node/866311/psn-pdf
January 01, 2025 - Systematic review of types of safety incidents and the
processes and systems used for safety incident reporting
in care homes.
July 17, 2024
Scott J, Sykes K, Waring J, et al. Systematic review of types of safety incidents and the processes and
systems used for safety incident reporting in care homes. J Adv Nurs. …
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psnet.ahrq.gov/node/73164/psn-pdf
April 21, 2021 - Effectiveness of communication interventions in
obstetrics--a systematic review.
April 21, 2021
Lippke S, Derksen C, Keller FM, et al. Effectiveness of communication interventions in obstetrics--a
systematic review. Int J Environ Res Public Health. 2021;18(5):2616. doi:10.3390/ijerph18052616.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/47160/psn-pdf
August 08, 2018 - Preventing dispensing errors by alerting for drug
confusions in the pharmacy information system—a
survey of users.
August 8, 2018
Campmans Z, van Rhijn A, Dull RM, et al. Preventing dispensing errors by alerting for drug confusions in
the pharmacy information system-A survey of users. PLoS One. 2018;13(5):e0197469…
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psnet.ahrq.gov/node/47937/psn-pdf
July 31, 2019 - Special Issue on Medication Safety.
July 31, 2019
Chui MA, Pohjanoksa-Mäntylä M, Snyder ME, eds. Res Social Adm Pharm. 2019;15(7):811-906.
https://psnet.ahrq.gov/issue/special-issue-medication-safety
Medication safety is a worldwide challenge. This special issue discusses factors affecting the reliability of
the o…
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psnet.ahrq.gov/node/837901/psn-pdf
August 24, 2022 - Trial and error: learning from malpractice claims in
childhood surgery.
August 24, 2022
Prieto JM, Falcone B, Greenberg P, et al. Trial and error: learning from malpractice claims in childhood
surgery. J Surg Res. 2022;279:84-88. doi:10.1016/j.jss.2022.05.033.
https://psnet.ahrq.gov/issue/trial-and-error-learning-…
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psnet.ahrq.gov/node/50817/psn-pdf
January 22, 2020 - Analysis of paediatric long-term ventilation incidents in
the community
January 22, 2020
Nawaz RF, Page B, Harrop E, et al. Analysis of paediatric long-term ventilation incidents in the community.
Arch Dis Child. 2020;105(5):446-451. doi:10.1136/archdischild-2019-317965.
https://psnet.ahrq.gov/issue/analysis-paedi…
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psnet.ahrq.gov/node/839320/psn-pdf
November 02, 2022 - Why is patient safety a challenge? Insights from the
Professionalism Opinions of Medical Students' research.
November 2, 2022
McGurgan PM, Calvert KL, Nathan EA, et al. Why is patient safety a challenge? Insights from the
Professionalism Opinions of Medical Students' research. J Patient Saf. 2022;18(7):e1124-e1134.…
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psnet.ahrq.gov/node/35418/psn-pdf
June 14, 2011 - Anatomic pathology databases and patient safety.
June 14, 2011
Raab SS, Grzybicki DM, Zarbo RJ, et al. Anatomic pathology databases and patient safety. Arch Pathol
Lab Med. 2005;129(10):1246-1251.
https://psnet.ahrq.gov/issue/anatomic-pathology-databases-and-patient-safety
This AHRQ-funded project describes the de…
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psnet.ahrq.gov/node/47258/psn-pdf
January 09, 2019 - The effect of cognitive load and task complexity on
automation bias in electronic prescribing.
January 9, 2019
Lyell D, Magrabi F, Coiera E. The Effect of Cognitive Load and Task Complexity on Automation Bias in
Electronic Prescribing. Hum Factors. 2018;60(7):1008-1021. doi:10.1177/0018720818781224.
https://psnet.…
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psnet.ahrq.gov/node/47832/psn-pdf
February 27, 2019 - Another round of the blame game: a paralyzing criminal
indictment that recklessly "overrides" just culture.
February 27, 2019
ISMP Medication Safety Alert! Acute Care Edition. February 14, 2019;24.
https://psnet.ahrq.gov/issue/another-round-blame-game-paralyzing-criminal-indictment-recklessly-
overrides-just-cultu…
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psnet.ahrq.gov/node/74847/psn-pdf
February 16, 2022 - Guidelines for US hospitals and clinicians on assessment
of electronic health record safety using SAFER Guides.
February 16, 2022
Sittig DF, Sengstack P, Singh H. Guidelines for US hospitals and clinicians on assessment of electronic
health record safety using SAFER Guides. JAMA. 2022;327(8):719-720. doi:10.1001/ja…
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psnet.ahrq.gov/node/851186/psn-pdf
July 05, 2023 - Time out: the impact of physician burnout on patient care
quality and safety in perioperative medicine.
July 5, 2023
Shin P, Desai V, Conte AH, et al. Time out: the impact of physician burnout on patient care quality and
safety in perioperative medicine. Perm J. 2023;27(2):160-168. doi:10.7812/tpp/23.015.
https://…
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psnet.ahrq.gov/node/41759/psn-pdf
October 10, 2012 - Optimal preoperative assessment of the geriatric surgical
patient: a best practices guideline from the American
College of Surgeons National Surgical Quality
Improvement Program and the American Geriatrics
Society.
October 10, 2012
Chow WB, Rosenthal RA, Merkow RP, et al. Optimal preoperative assessment of the ge…
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psnet.ahrq.gov/node/47507/psn-pdf
December 21, 2018 - The fate of medicine in the time of AI.
December 21, 2018
Coiera E. The fate of medicine in the time of AI. Lancet. 2018;392(10162):2331-2332. doi:10.1016/S0140-
6736(18)31925-1.
https://psnet.ahrq.gov/issue/fate-medicine-time-ai
Artificial intelligence can improve practice by making synthesized data available in …
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psnet.ahrq.gov/node/837894/psn-pdf
August 24, 2022 - Identifying boundary spanning reporter roles in patient
safety events.
August 24, 2022
Hurley VB, Boxley C, Sloss EA, et al. Identifying boundary spanning reporter roles in patient safety events.
J Patient Saf Risk Manag. 2022;27(4):181-187. doi:10.1177/25160435221103096.
https://psnet.ahrq.gov/issue/identifying-b…
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psnet.ahrq.gov/node/43580/psn-pdf
October 01, 2014 - Reducing medication errors in critical care: a multimodal
approach.
October 1, 2014
Kruer RM, Jarrell AS, Latif A. Reducing medication errors in critical care: a multimodal approach. Clin
Pharmacol. 2014;6:117-26. doi:10.2147/CPAA.S48530.
https://psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-multim…
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psnet.ahrq.gov/node/44657/psn-pdf
November 11, 2015 - Understanding and confronting our mistakes: the
epidemiology of error in radiology and strategies for error
reduction.
November 11, 2015
Bruno MA, Walker EA, Abujudeh H. Understanding and confronting our mistakes: the epidemiology of error
in radiology and strategies for error reduction. Radiographics. 2015;35(6):…
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psnet.ahrq.gov/node/848092/psn-pdf
April 26, 2023 - Doctors must stop tuning out Black women. It happened
to me, as a pregnant OB-GYN.
April 26, 2023
Gillispie-Bell V. USA Today. April 14, 2023.
https://psnet.ahrq.gov/issue/doctors-must-stop-tuning-out-black-women-it-happened-me-pregnant-ob-gyn
Structural racism and implicit biases can lead to poor quality of care …