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psnet.ahrq.gov/node/40842/psn-pdf
September 24, 2016 - systematic-review-psychological-literature-interruption-and-its-patient-safety-implications
https://psnet.ahrq.gov/issue/handoffs-causing-patient-harm-survey-medical-and-surgical-house-staff
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psnet.ahrq.gov/print/pdf/node/840940
March 22, 2024 - Introducing PSNet's New Shared Libraries Feature Registered PSNet users can create private libraries to
house
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psnet.ahrq.gov/node/867758/psn-pdf
March 12, 2025 - Errors in the EMR: under-recognized hazard for AI in
healthcare.
March 12, 2025
Morreim EH. Errors in the EMR: under-recognized hazard for AI in healthcare. Hous J Health Law Policy.
2025;24:127-165.
https://psnet.ahrq.gov/issue/errors-emr-under-recognized-hazard-ai-healthcare
Artificial intelligence (AI) systems…
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psnet.ahrq.gov/node/40073/psn-pdf
July 01, 2011 - preserve an 80-hour workweek limit,
new mandates require no more than 16 hours of continuous work with in-house
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psnet.ahrq.gov/node/50850/psn-pdf
January 29, 2020 - Better Safer Care Victoria.
January 29, 2020
Safer Care Victoria and Victorian Agency for Health Information.
https://psnet.ahrq.gov/issue/better-safer-care-victoria
Large scale tracking of adverse care incidents offers evidence that governments and organizations can use
to target care process improvement efforts.…
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psnet.ahrq.gov/node/848105/psn-pdf
April 26, 2023 - GoodDx.org
April 26, 2023
GoodDx.
https://psnet.ahrq.gov/issue/gooddxorg
Effective feedback is an important component of individual, team and organizational learning in order to
achieve safe diagnosis. GoodDx.org houses a variety of diagnostic performance feedback resources for
use by clinicians, patient safety p…
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psnet.ahrq.gov/issue/medical-errors-affecting-pediatric-intensive-care-patient-incidence-identification-and
June 26, 2019 - March 6, 2013
In-house, overnight physician staffing: a cross-sectional survey of Canadian
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psnet.ahrq.gov/node/841199/psn-pdf
December 07, 2022 - Press Play on Safety Conversations.
December 7, 2022
Healthcare Excellence Canada. 2022.
https://psnet.ahrq.gov/issue/press-play-safety-conversations
After a patient safety incident, effective discussions are critical for healing and improvement. This website
houses collections of materials to support constructive…
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psnet.ahrq.gov/node/865706/psn-pdf
May 01, 2024 - Stigmatizing language, patient demographics, and errors
in the diagnostic process.
May 1, 2024
Brooks KC, Raffel KE, Chia D, et al. Stigmatizing language, patient demographics, and errors in the
diagnostic process. JAMA Intern Med. 2024;184(6):704-706. doi:10.1001/jamainternmed.2024.0705.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/836811/psn-pdf
April 07, 2022 - These huddles are led by the
house supervisor and including nursing representatives, on-call hospitalist
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psnet.ahrq.gov/issue/kaiser-permanentes-innovation-front-lines
January 20, 2021 - Ten years after the IOM report: engaging residents in quality and patient safety by creating a house
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psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
September 28, 2022 - instability, they'd been kicked out of their grandmother's home and all of their meds were at grandma's house … The community health worker was able to go to grandma's house, get the meds, bring them to the patient
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psnet.ahrq.gov/issue/gooddxorg
August 07, 2019 - Multi-use Website
GoodDx.org
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GoodDx.org GoodDx.
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April 26, 2023
GoodDx.
Effective …
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psnet.ahrq.gov/web-mm/fumbled-handoff
September 01, 2006 - The impact of a regulation restricting medical house staff working hours on the quality of patient care … Effect of a change in house staff work schedule on resource utilization and patient care. … February 24, 2011
House staff team workload and organization effects on patient outcomes
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psnet.ahrq.gov/issue/reduce-risks-hospitals-enlist-proceduralists
August 17, 2016 - Ten years after the IOM report: engaging residents in quality and patient safety by creating a house
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psnet.ahrq.gov/node/867631/psn-pdf
February 26, 2025 - Implicit bias in the patient descriptor "homeless" and its
association with emergency department opioid
administration and disposition.
February 26, 2025
Lauricella M, Nene RV, Coyne CJ, et al. Implicit bias in the patient descriptor “homeless” and its
association with emergency department opioid administration an…
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psnet.ahrq.gov/node/866559/psn-pdf
August 21, 2024 - Exploring the impact of pharmacist-supported medication
reviews in dementia care: experiences of general
practitioners and nurses.
August 21, 2024
Carlqvist C, Ekstedt M, Lehnbom EC. Exploring the impact of pharmacist-supported medication reviews in
dementia care: experiences of general practitioners and nurses. B…
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psnet.ahrq.gov/node/60592/psn-pdf
June 17, 2020 - African American COVID-19 mortality: a sentinel event.
June 17, 2020
Ferdinand KC, Nasser SA. African American COVID-19 mortality: a sentinel event. J Am Coll Cardiol.
2020;75(21):2746-2748. doi:10.1016/j.jacc.2020.04.040.
https://psnet.ahrq.gov/issue/african-american-covid-19-mortality-sentinel-event
The authors …
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psnet.ahrq.gov/issue/white-blood-cell-left-shift-neonate-case-mistaken-identity
March 30, 2022 - June 12, 2013
In-house, overnight physician staffing: a cross-sectional survey of Canadian
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psnet.ahrq.gov/node/857455/psn-pdf
January 01, 2024 - Addressing veteran health-related social needs: how
Joint Commission standards accelerated integration and
expansion of tools and services in the Veterans Health
Administration.
December 6, 2023
List JM, Russell LE, Hausmann LRM, et al. Addressing veteran health-related social needs: how Joint
Commission standard…