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psnet.ahrq.gov/issue/assessing-anticipated-consequences-computer-based-provider-order-entry-three-community
May 27, 2011 - April 29, 2018
Orders on file but no labs drawn: investigation of machine and human errors
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psnet.ahrq.gov/issue/unintended-consequences-computerized-provider-order-entry-findings-mixed-methods-exploration
May 27, 2011 - April 29, 2018
Orders on file but no labs drawn: investigation of machine and human errors
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psnet.ahrq.gov/issue/computerized-provider-order-entry-adoption-implications-clinical-workflow
May 27, 2011 - April 29, 2018
Orders on file but no labs drawn: investigation of machine and human errors
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psnet.ahrq.gov/issue/user-centered-collaborative-design-and-development-inpatient-safety-dashboard
July 24, 2017 - December 19, 2018
Orders on file but no labs drawn: investigation of machine and human
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psnet.ahrq.gov/issue/transitional-chaos-or-enduring-harm-ehr-and-disruption-medicine
August 02, 2015 - January 25, 2023
Orders on file but no labs drawn: investigation of machine and human
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psnet.ahrq.gov/node/38851/psn-pdf
August 12, 2009 - Analysis of malpractice claims in mammography: a
complex issue.
August 12, 2009
Fileni A, Magnavita N, Pescarini L. Analysis of malpractice claims in mammography: a complex issue.
Radiol Med. 2009;114(4):636-44. doi:10.1007/s11547-009-0394-6.
https://psnet.ahrq.gov/issue/analysis-malpractice-claims-mammography-com…
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psnet.ahrq.gov/node/36217/psn-pdf
March 04, 2015 - Will saying "I'm sorry" prevent a malpractice lawsuit?
March 4, 2015
Berlin L. Will Saying "I'm Sorry" Prevent a Malpractice Lawsuit? AJR Am J Roentgenol. 2006;187(1):10-5.
https://psnet.ahrq.gov/issue/will-saying-im-sorry-prevent-malpractice-lawsuit
In the context of a malpractice lawsuit filed after a communicati…
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psnet.ahrq.gov/node/866216/psn-pdf
July 10, 2024 - Health Plan Patient Safety Initiatives
July 10, 2024
Helwig A, Sousane Z, Mossburg S. Health Plan Patient Safety Initiatives. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
When we think of improving patient safety, we often think of strategies that can be implemen…
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psnet.ahrq.gov/Information/Privacy
May 23, 2025 - A persistent cookie is a more permanent line of text that gets saved by your browser to a file on your
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psnet.ahrq.gov/node/39818/psn-pdf
January 04, 2011 - Diagnostic error in a national incident reporting system in
the UK.
January 4, 2011
Sevdalis N, Jacklin R, Arora S, et al. Diagnostic error in a national incident reporting system in the UK. J
Eval Clin Pract. 2010;16(6):1276-81. doi:10.1111/j.1365-2753.2009.01328.x.
https://psnet.ahrq.gov/issue/diagnostic-error-n…
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psnet.ahrq.gov/node/45093/psn-pdf
September 04, 2016 - Radically redesigning patient safety.
September 4, 2016
Radick LE. Radically Redesigning Patient Safety. Healthcare executive. 2016;31(2):32-4, 36-40, 42.
https://psnet.ahrq.gov/issue/radically-redesigning-patient-safety
Leadership and staff commitment are required to achieve improvements in patient safety. Discuss…
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psnet.ahrq.gov/node/34931/psn-pdf
April 06, 2011 - Relationship between tort claims and patient incident
reports in the Veterans Health Administration.
April 6, 2011
Schmidek JM, Weeks WB. Relationship between tort claims and patient incident reports in the Veterans
Health Administration. Qual Saf Health Care. 2005;14(2):117-22.
https://psnet.ahrq.gov/issue/relati…
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psnet.ahrq.gov/node/40307/psn-pdf
April 20, 2011 - The interrelationship of isolation precautions and adverse
events in an acute care facility.
April 20, 2011
Spence MR, McQuaid M. The interrelationship of isolation precautions and adverse events in an acute care
facility. Am J Infect Control. 2011;39(2):154-155. doi:10.1016/j.ajic.2010.04.213.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/42743/psn-pdf
November 20, 2013 - Enhance patient safety by identifying and minimizing risk
exposures affecting nurse practitioner practice.
November 20, 2013
Leigh J, Flynn J. Enhance patient safety by identifying and minimizing risk exposures affecting nurse
practitioner practice. J Healthc Risk Manag. 2013;33(2):27-35. doi:10.1002/jhrm.21124.
h…
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psnet.ahrq.gov/node/73257/psn-pdf
December 01, 2021 - Peer Review of a Report on Strategies to Improve Patient
Safety.
May 12, 2021
Washington DC: National Academies of Sciences, Engineering, and Medicine; 2021. ISBN:
9780309462808.
https://psnet.ahrq.gov/issue/peer-review-report-strategies-improve-patient-safety
The Patient Safety and Quality Improvement Act of 200…
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psnet.ahrq.gov/node/34637/psn-pdf
March 02, 2011 - Risk management: extreme honesty may be the best
policy.
March 2, 2011
Kraman SS, Hamm G. Risk management: extreme honesty may be the best policy. Ann Intern Med.
1999;131(12):963-967.
https://psnet.ahrq.gov/issue/risk-management-extreme-honesty-may-be-best-policy
This article reviews a humanistic risk management…
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psnet.ahrq.gov/node/47985/psn-pdf
July 19, 2019 - Can patients contribute to safer care in meetings with
healthcare professionals? A cross-sectional survey of
patient perceptions and beliefs.
July 19, 2019
Ericsson C, Skagerström J, Schildmeijer K, et al. Can patients contribute to safer care in meetings with
healthcare professionals? A crosssectional survey of p…
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psnet.ahrq.gov/node/73980/psn-pdf
October 20, 2021 - Descriptive analysis of patient misidentification from
incident report system data in a large academic hospital
federation.
October 20, 2021
Abraham P, Augey L, Duclos A, et al. Descriptive analysis of patient misidentification from incident report
system data in a large academic hospital federation. J Patient Saf…
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psnet.ahrq.gov/node/73914/psn-pdf
October 06, 2021 - Is there a mismatch between the perspectives of patients
and regulators on healthcare quality? A survey study.
October 6, 2021
Bouwman R, Bomhoff M, Robben PB, et al. Is there a mismatch between the perspectives of patients and
regulators on healthcare quality? A survey study. J Patient Saf. 2021;17(7):473-482.
do…
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psnet.ahrq.gov/node/837298/psn-pdf
June 01, 2022 - Assessment of bias in patient safety reporting systems
categorized by physician gender, race and ethnicity, and
faculty rank: a qualitative study.
June 1, 2022
doi:https://doi.org/10.1001/jamanetworkopen.2022.13234.
https://psnet.ahrq.gov/issue/assessment-bias-patient-safety-reporting-systems-categorized-physician…