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  1. A 60-year-old man with delayed care for a renal mass. | PSNet

    psnet.ahrq.gov/issue/60-year-old-man-delayed-care-renal-mass
    January 31, 2024 - Commentary A 60-year-old man with delayed care for a renal mass. Citation Text: Schiff G. Medical error: a 60-year-old man with delayed care for a renal mass. JAMA. 2011;305(18):1890-8. doi:10.1001/jama.2011.496. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

  2. A lethal hidden curriculum—death of a medical student from opioid use disorder. | PSNet

    psnet.ahrq.gov/issue/lethal-hidden-curriculum-death-medical-student-opioid-use-disorder
    October 19, 2022 - Commentary A lethal hidden curriculum—death of a medical student from opioid use disorder. Citation Text: Lucey CR, Jones L, Eastburn A. A Lethal Hidden Curriculum - Death of a Medical Student from Opioid Use Disorder. N Engl J Med. 2019;381(9):793-795. doi:10.1056/NEJMp1901537. Copy C…

  3. Testing alertness of emergency physicians: a novel quantitative measure of alertness and implications for worker and patient care. | PSNet

    psnet.ahrq.gov/issue/testing-alertness-emergency-physicians-novel-quantitative-measure-alertness-and
    September 01, 2016 - Study Testing alertness of emergency physicians: a novel quantitative measure of alertness and implications for worker and patient care. Citation Text: Ferguson BA, Lauriski DR, Huecker M, et al. Testing Alertness of Emergency Physicians: A Novel Quantitative Measure of Alertness and Imp…

  4. Is oral chemotherapy prescription safe for patients? A cross-sectional survey. | PSNet

    psnet.ahrq.gov/issue/oral-chemotherapy-prescription-safe-patients-cross-sectional-survey
    May 18, 2022 - Study Is oral chemotherapy prescription safe for patients? A cross-sectional survey. Citation Text: Bourmaud A, Pacaut C, Melis A, et al. Is oral chemotherapy prescription safe for patients? A cross-sectional survey. Ann Oncol. 2014;25(2):500-504. doi:10.1093/annonc/mdt553. Copy Citati…

  5. Development and validation of a brief culture-of-safety survey. | PSNet

    psnet.ahrq.gov/issue/development-and-validation-brief-culture-safety-survey
    May 26, 2021 - Study Development and validation of a brief culture-of-safety survey. Citation Text: Barnard C, Chung JW, Flaherty V, et al. Development and validation of a brief culture-of-safety survey. Jt Comm J Qual Patient Saf. 2022;48(9):430-438. doi:10.1016/j.jcjq.2022.04.006. Copy Citation …

  6. Patient safety over power hierarchy: a scoping review of healthcare professionals' speaking-up skills training. | PSNet

    psnet.ahrq.gov/issue/patient-safety-over-power-hierarchy-scoping-review-healthcare-professionals-speaking-skills
    November 11, 2009 - Review Emerging Classic Patient safety over power hierarchy: a scoping review of healthcare professionals' speaking-up skills training. Citation Text: Kim S, Appelbaum NP, Baker N, et al. Patient Safety Over Power Hierarchy: A Scoping Review of Healthcare Profes…

  7. Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a population-based study. | PSNet

    psnet.ahrq.gov/issue/mortality-and-risk-factors-associated-misdiagnosis-acute-aortic-syndrome-ontario-canada
    September 23, 2020 - Study Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a population-based study. Citation Text: Ohle R, Savage DW, Caswell J, et al. Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a …

  8. Maternal mortality: near-miss events in middle-income countries, a systematic review. | PSNet

    psnet.ahrq.gov/issue/maternal-mortality-near-miss-events-middle-income-countries-systematic-review
    October 13, 2021 - Review Maternal mortality: near-miss events in middle-income countries, a systematic review. Citation Text: Heitkamp A, Meulenbroek A, van Roosmalen J, et al. Maternal mortality: near-miss events in middle-income countries, a systematic review. Bull World Health Organ. 2021;99(10):693-70…

  9. Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/frontline-providers-and-patients-perspectives-improving-diagnostic-safety-emergency
    May 15, 2024 - Study Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department: a qualitative study. Citation Text: Mangus CW, James TG, Parker SJ, et al. Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency dep…

  10. Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. | PSNet

    psnet.ahrq.gov/issue/association-diagnostic-stewardship-blood-cultures-critically-ill-children-culture-rates
    October 19, 2022 - Study Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. Citation Text: Woods-Hill CZ, Colantuoni EA, Koontz DW, et al. Association of diagnostic stewardsh…

  11. Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database. | PSNet

    psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents-nations-largest-event
    May 19, 2021 - Study Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database. Citation Text: Kepner S, Jones RM. Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest eve…

  12. Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. | PSNet

    psnet.ahrq.gov/issue/analyzing-and-mitigating-risks-patient-harm-during-operating-room-intensive-care-unit-patient
    October 05, 2022 - Commentary Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. Citation Text: Martins NRS, Martinez EZ, Simões CM, et al. Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient …

  13. Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies. | PSNet

    psnet.ahrq.gov/issue/speaking-behaviours-safety-voices-healthcare-workers-metasynthesis-qualitative-research
    June 23, 2021 - Review Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies. Citation Text: Morrow KJ, Gustavson AM, Jones J. Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies. Int J Nurs…

  14. COVID-19 Pandemic Impact on Healthcare Associated Conditions | PSNet

    psnet.ahrq.gov/curated-library/covid-19-pandemic-impact-healthcare-associated-conditions
    July 21, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed COVID-19 Pandemic Impact on Healthcare Associated Conditions  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Sam W…

  15. Risk perception on the labour ward: a mixed methods study. | PSNet

    psnet.ahrq.gov/issue/risk-perception-labour-ward-mixed-methods-study
    June 08, 2022 - Study Risk perception on the labour ward: a mixed methods study. Citation Text: McCarthy C, Meaney S, Rochford M, et al. Risk perception on the labour ward: a mixed methods study. J Patient Saf Risk Manag. 2021;26(2):56-63. doi:10.1177/25160435211002428. Copy Citation Format: …

  16. Adherence to black box warnings for prescription medications in outpatients. | PSNet

    psnet.ahrq.gov/issue/adherence-black-box-warnings-prescription-medications-outpatients
    September 29, 2017 - Study Adherence to black box warnings for prescription medications in outpatients. Citation Text: Lasser KE, Seger DL, Yu T, et al. Adherence to black box warnings for prescription medications in outpatients. Arch Intern Med. 2006;166(3):338-44. Copy Citation Format: Goog…

  17. Improving departmental psychological safety through a medical school-wide initiative | PSNet

    psnet.ahrq.gov/issue/improving-departmental-psychological-safety-through-medical-school-wide-initiative
    July 19, 2023 - Study Improving departmental psychological safety through a medical school-wide initiative Citation Text: Porter-Stransky KA, Horneffer-Ginter KJ, Bauler LD, et al. Improving departmental psychological safety through a medical school-wide initiative. BMC Med Educ. 2024;24(1):800. doi:10.…

  18. Pediatric obesity and safety in inpatient settings: a systematic literature review. | PSNet

    psnet.ahrq.gov/issue/pediatric-obesity-and-safety-inpatient-settings-systematic-literature-review
    November 12, 2014 - Review Pediatric obesity and safety in inpatient settings: a systematic literature review. Citation Text: Halvorson EE, Irby MB, Skelton JA. Pediatric obesity and safety in inpatient settings: a systematic literature review. Clin Pediatr (Phila). 2014;53(10):975-87. doi:10.1177/000992281…

  19. Internal reporting system to improve a pharmacy's medication distribution process. | PSNet

    psnet.ahrq.gov/issue/internal-reporting-system-improve-pharmacys-medication-distribution-process
    October 31, 2017 - Study Internal reporting system to improve a pharmacy's medication distribution process. Citation Text: Rickrode GA, Williams-Lowe ME, Rippe JL, et al. Internal reporting system to improve a pharmacy's medication distribution process. Am J Health Syst Pharm. 2007;64(11):1197-202. Cop…

  20. Understanding diagnostic errors in medicine: a lesson from aviation. | PSNet

    psnet.ahrq.gov/issue/understanding-diagnostic-errors-medicine-lesson-aviation
    December 30, 2014 - Study Understanding diagnostic errors in medicine: a lesson from aviation. Citation Text: Singh H, Petersen LA, Thomas EJ. Understanding diagnostic errors in medicine: a lesson from aviation. Qual Saf Health Care. 2006;15(3):159-64. Copy Citation Format: Google Scholar Pu…
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