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psnet.ahrq.gov/node/36237/psn-pdf
September 12, 2011 - An empirically derived taxonomy of factors affecting
physicians' willingness to disclose medical errors.
September 12, 2011
Kaldjian LC, Jones EW, Rosenthal GE, et al. An empirically derived taxonomy of factors affecting
physicians’ willingness to disclose medical errors. J Gen Intern Med. 2007;21(9). doi:10.1007/b…
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psnet.ahrq.gov/node/853069/psn-pdf
August 30, 2023 - Estimating breast cancer overdiagnosis after screening
mammography among older women in the United States.
August 30, 2023
Richman IB, Long JB, Soulos PR, et al. Estimating breast cancer overdiagnosis after screening
mammography among older women in the United States. Ann Intern Med. 2023;176(9):1172-1180.
doi:10.…
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psnet.ahrq.gov/node/841141/psn-pdf
December 07, 2022 - Urgent referrals from primary care to dermatology for
lesions suspicious for skin cancer: patterns, outcomes,
and need for systems improvement.
December 7, 2022
Pagani K, Lukac D, Olbricht SM, et al. Urgent referrals from primary care to dermatology for lesions
suspicious for skin cancer: patterns, outcomes, and n…
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psnet.ahrq.gov/node/44242/psn-pdf
January 08, 2016 - Interpretive diagnostic error reduction in surgical
pathology and cytology: guideline from the College of
American Pathologists Pathology and Laboratory Quality
Center and the Association of Directors of Anatomic and
Surgical Pathology.
January 8, 2016
Nakhleh RE, Nosé V, Colasacco C, et al. Interpretive Diagnost…
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psnet.ahrq.gov/node/73633/psn-pdf
August 25, 2021 - Learning from patient safety incidents involving acutely
sick adults in hospital assessment units in England and
Wales: a mixed methods analysis for quality
improvement.
August 25, 2021
Urquhart A, Yardley S, Thomas E, et al. Learning from patient safety incidents involving acutely sick adults
in hospital assessm…
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psnet.ahrq.gov/node/866580/psn-pdf
August 28, 2024 - The lingering safety menace: a 10-year review of enteral
misconnection adverse events and narrative review.
August 28, 2024
Ethington S, Volpe A, Guenter P, et al. The lingering safety menace: A 10?year review of enteral
misconnection adverse events and narrative review. Nutr Clin Prac. 2024;39(5):1251-1258.
doi:1…
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psnet.ahrq.gov/node/50750/psn-pdf
January 01, 2020 - Patterns in medication incidents: a 10-yr experience of a
cross-national anaesthesia incident reporting system.
December 18, 2019
Sanduende-Otero Y, Villalón-Coca J, Romero-García E, et al. Patterns in medication incidents: A 10-yr
experience of a cross-national anaesthesia incident reporting system. Br J Anaesth. …
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psnet.ahrq.gov/issue/safe-patient-outcomes-occur-timely-standardized-communication-critical-values
January 15, 2020 - Newspaper/Magazine Article
Safe patient outcomes occur with timely, standardized communication of critical values.
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April 16, 2018
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psnet.ahrq.gov/node/60612/psn-pdf
January 01, 2021 - COVID-19: patient safety and quality improvement skills
to deploy during the surge.
June 24, 2020
Staines A, Amalberti R, Berwick DM, et al. COVID-19: patient safety and quality improvement skills to
deploy during the surge. Int J Qual Health Care. 2021;33(1):mzaa050. doi:10.1093/intqhc/mzaa050.
https://psnet.ahrq…
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psnet.ahrq.gov/node/860726/psn-pdf
January 17, 2024 - Sustained decrease in latent safety threats through
regular interprofessional in situ simulation training of
neonatal emergencies.
January 17, 2024
Mileder LP, Schwaberger B, Baik-Schneditz N, et al. Sustained decrease in latent safety threats through
regular interprofessional in situ simulation training of neonat…
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psnet.ahrq.gov/node/867045/psn-pdf
October 30, 2024 - The burden of healthcare utilization, cost, and mortality
associated with select surgical site infections.
October 30, 2024
Shambhu S, Gordon AS, Liu Y, et al. The burden of healthcare utilization, cost, and mortality associated
with select surgical site infections. Jt Comm J Qual Patient Saf. 2024;50(12):857-866.
…
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psnet.ahrq.gov/node/837662/psn-pdf
July 13, 2022 - Analysis of variation between diagnosis at admission vs
discharge and clinical outcomes among adults with
possible bacteremia.
July 13, 2022
Dregmans E, Kaal AG, Meziyerh S, et al. Analysis of variation between diagnosis at admission vs
discharge and clinical outcomes among adults with possible bacteremia. JAMA Ne…
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psnet.ahrq.gov/node/856587/psn-pdf
January 01, 2024 - Surgical leadership in a culture of safety: an inter-
professional study of metrics and tools for improving
clinical practice.
November 29, 2023
Gogalniceanu P, Kunduzi B, Ruckley C, et al. Surgical leadership in a culture of safety: an inter-
professional study of metrics and tools for improving clinical practice…
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psnet.ahrq.gov/node/866170/psn-pdf
June 19, 2024 - The World Federation of Chiropractic Global Patient
Safety Task Force: a call to action.
June 19, 2024
Coleman BC, Rubinstein SM, Salsbury SA, et al. The World Federation of Chiropractic Global Patient
Safety Task Force: a call to action. Chiropr Man Therap. 2024;32(1):15. doi:10.1186/s12998-024-00536-1.
https://p…
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psnet.ahrq.gov/node/73131/psn-pdf
April 14, 2021 - Identification of common themes from never events data
published by NHS England.
April 14, 2021
Omar I, Graham Y, Singhal R, et al. Identification of common themes from never events data published by
NHS England. World J Surg. 2021;45(3):697-704. doi:10.1007/s00268-020-05867-7.
https://psnet.ahrq.gov/issue/identif…
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psnet.ahrq.gov/node/839821/psn-pdf
November 09, 2022 - Cognitive biases encountered by physicians in the
emergency room.
November 9, 2022
Kunitomo K, Harada T, Watari T. Cognitive biases encountered by physicians in the emergency room.
BMC Emerg Med. 2022;22(1):148. doi:10.1186/s12873-022-00708-3.
https://psnet.ahrq.gov/issue/cognitive-biases-encountered-physicians-em…
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psnet.ahrq.gov/node/863212/psn-pdf
February 28, 2024 - unDerstandIng the cauSes of mediCation errOrs and
adVerse drug evEnts for patients with mental illness in
community caRe (DISCOVER): a qualitative study.
February 28, 2024
Ayre MJ, Lewis PJ, Phipps DL, et al. unDerstandIng the cauSes of mediCation errOrs and adVerse drug
evEnts for patients with mental illness in …
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psnet.ahrq.gov/node/47886/psn-pdf
April 24, 2019 - Clinical impact of intraoperative electronic health record
downtime on surgical patients.
April 24, 2019
Harrison AM, Siwani R, Pickering BW, et al. Clinical impact of intraoperative electronic health record
downtime on surgical patients. J Am Med Inform Assoc. 2019;26(10):928-933. doi:10.1093/jamia/ocz029.
https:…
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psnet.ahrq.gov/node/836991/psn-pdf
April 27, 2022 - Nearly all thirty most frequently used emergency
department drugs experienced shortages from 2006-2019.
April 27, 2022
Lin MP, Vargas-Torres C, Shin-Kim J, et al. Nearly all thirty most frequently used emergency department
drugs experienced shortages from 2006–2019. Am J Emerg Med. 2022;53:135-139.
doi:10.1016/j.a…
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psnet.ahrq.gov/node/61092/psn-pdf
November 04, 2020 - Patient race and opioid misuse history influence provider
risk perceptions for future opioid-related problems.
November 4, 2020
Hirsh AT, Anastas TM, Miller MM, et al. Patient race and opioid misuse history influence provider risk
perceptions for future opioid-related problems. Am Psychol. 2020;75(6):784-795.
doi:…