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psnet.ahrq.gov/node/841155/psn-pdf
February 02, 2020 - Understanding unwarranted variation in clinical practice:
a focus on network effects, reflective medicine and
learning health systems.
February 2, 2020
Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on
network effects, reflective medicine and learning health systems…
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psnet.ahrq.gov/node/73575/psn-pdf
August 04, 2021 - Unlocking Solutions in Imaging: Working Together to
Learn from Failings in the NHS.
August 4, 2021
Manchester, UK: Parliamentary and Health Service Ombudsman; 2021. ISBN 9781528627016.
https://psnet.ahrq.gov/issue/unlocking-solutions-imaging-working-together-learn-failings-nhs
Lack of appropriate follow up o…
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psnet.ahrq.gov/node/72806/psn-pdf
March 03, 2021 - A woman’s laborious search uncovered the probable
cause of her searing abdominal pain. Getting a doctor to
help was much harder.
March 3, 2021
Boodman SG. Washington Post. February 20, 2021.
https://psnet.ahrq.gov/issue/womans-laborious-search-uncovered-probable-cause-her-searing-abdominal-
pain-getting-doct…
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psnet.ahrq.gov/node/44196/psn-pdf
March 27, 2017 - Patient Safety in Ambulance Services: A Scoping Review.
March 27, 2017
Patient Safety In Ambulance Services: A Scoping Review.
https://psnet.ahrq.gov/issue/patient-safety-ambulance-services-scoping-review
The safety of emergency medical care delivered in conjunction with ambulance services has not been
studied in …
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psnet.ahrq.gov/node/44603/psn-pdf
January 22, 2016 - Contamination of health care personnel during removal of
personal protective equipment.
January 22, 2016
Tomas ME, Kundrapu S, Thota P, et al. Contamination of Health Care Personnel During Removal of
Personal Protective Equipment. JAMA Intern Med. 2015;175(12):1904-10.
doi:10.1001/jamainternmed.2015.4535.
https:/…
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psnet.ahrq.gov/node/43843/psn-pdf
February 11, 2015 - Impact of a clinical decision support system for high-alert
medications on the prevention of prescription errors.
February 11, 2015
Lee JH, Han H, Ock M, et al. Impact of a clinical decision support system for high-alert medications on the
prevention of prescription errors. Int J Med Inform. 2014;83(12). doi:10.101…
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psnet.ahrq.gov/node/37298/psn-pdf
December 14, 2016 - Enhancing pediatric safety: using simulation to assess
radiology resident preparedness for anaphylaxis
from intravenous contrast media.
December 14, 2016
Gaca AM, Frush DP, Hohenhaus SM, et al. Enhancing pediatric safety: using simulation to assess
radiology resident preparedness for anaphylaxis from intravenous c…
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psnet.ahrq.gov/node/44317/psn-pdf
August 19, 2015 - Use of in-situ simulation to investigate latent safety
threats prior to opening a new emergency department.
August 19, 2015
Medwid K, Smith SW, Gang M. Use of in-situ simulation to investigate latent safety threats prior to opening
a new emergency department. Safety Sci. 2015;77:19-24. doi:10.1016/j.ssci.2015.03.01…
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psnet.ahrq.gov/node/46131/psn-pdf
December 19, 2017 - Characteristics associated with requests by pathologists
for second opinions on breast biopsies.
December 19, 2017
Geller BM, Nelson HD, Weaver DL, et al. Characteristics associated with requests by pathologists for
second opinions on breast biopsies. J Clin Pathol. 2017;70(11):947-953. doi:10.1136/jclinpath-2016-
…
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psnet.ahrq.gov/node/837340/psn-pdf
June 08, 2022 - Wellbeing, burnout, and safe practice among healthcare
professionals: predictive influences of mindfulness,
values, and self-compassion.
June 8, 2022
Prudenzi A, D. Graham C, Flaxman PE, et al. Wellbeing, burnout, and safe practice among healthcare
professionals: predictive influences of mindfulness, values, and s…
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psnet.ahrq.gov/node/42994/psn-pdf
March 26, 2014 - Conditions that influence the impact of malpractice
litigation risk on physicians' behavior regarding patient
safety.
March 26, 2014
Renkema E, Broekhuis M, Ahaus K. Conditions that influence the impact of malpractice litigation risk on
physicians' behavior regarding patient safety. BMC Health Serv Res. 2014;14:38…
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psnet.ahrq.gov/node/42673/psn-pdf
October 30, 2013 - Clinical evaluation of the ADE scorecards as a decision
support tool for adverse drug event analysis and
medication safety management.
October 30, 2013
Hackl WO, Ammenwerth E, Marcilly R, et al. Clinical evaluation of the ADE scorecards as a decision
support tool for adverse drug event analysis and medication safe…
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psnet.ahrq.gov/node/863758/psn-pdf
March 06, 2024 - Medication safety gaps in English pediatric inpatient
units: an exploration using work domain analysis.
March 6, 2024
Sutherland A, Phipps DL, Gill A, et al. Medication safety gaps in English pediatric inpatient units: an
exploration using work domain analysis. J Patient Saf. 2024;20(1):7-15.
doi:10.1097/pts.00000…
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psnet.ahrq.gov/node/43650/psn-pdf
November 05, 2014 - Silence that can be dangerous: a vignette study to assess
healthcare professionals' likelihood of speaking up about
safety concerns.
November 5, 2014
Schwappach DLB, Gehring K. Silence that can be dangerous: a vignette study to assess healthcare
professionals' likelihood of speaking up about safety concerns. PLoS …
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psnet.ahrq.gov/node/47192/psn-pdf
January 23, 2019 - Barriers to self-reporting patient safety incidents by
paramedics: a mixed methods study.
January 23, 2019
Sinclair JE, Austin MA, Bourque C, et al. Barriers to Self-Reporting Patient Safety Incidents by Paramedics:
A Mixed Methods Study. Prehosp Emerg Care. 2018;22(6):762-772. doi:10.1080/10903127.2018.1469703.
h…
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psnet.ahrq.gov/node/846465/psn-pdf
March 22, 2023 - Difficult diagnosis in the ICU: making the right call but
beware uncertainty and bias.
March 22, 2023
Pisciotta W, Arina P, Hofmaenner D, et al. Difficult diagnosis in the ICU: making the right call but beware
uncertainty and bias. Anaesthesia. 2023;78(4):501-509. doi:10.1111/anae.15897.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/50710/psn-pdf
December 04, 2019 - Safety in office-based anesthesia: an updated review of
the literature from 2016 to 2019
December 4, 2019
de Lima A, Osman BM, Shapiro FE. Safety in office-based anesthesia. Curr Opin Anaesthesiol.
2019;32(6):749-755. doi:10.1097/aco.0000000000000794.
https://psnet.ahrq.gov/issue/safety-office-based-anesthesia-upd…
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psnet.ahrq.gov/node/47232/psn-pdf
November 14, 2018 - Managing alarm systems for quality and safety in the
hospital setting.
November 14, 2018
Bach TA, Berglund L-M, Turk E. Managing alarm systems for quality and safety in the hospital setting. BMJ
Open Qual. 2018;7(3):e000202. doi:10.1136/bmjoq-2017-000202.
https://psnet.ahrq.gov/issue/managing-alarm-systems-quality…
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psnet.ahrq.gov/node/853245/psn-pdf
September 06, 2023 - Intraoperative communications between pathologists and
surgeons: do we understand each other?
September 6, 2023
Wiggett A, Fischer G. Intraoperative communications between pathologists and surgeons: do we
understand each other? Arch Pathol Lab Med. 2023;147(8):933-939. doi:10.5858/arpa.2020-0632-oa.
https://psnet.…
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psnet.ahrq.gov/node/866199/psn-pdf
June 26, 2024 - The role of pediatric nurses during preventable adverse
event disclosure: a scoping review.
June 26, 2024
Sexton JR, Kelly-Weeder S. The role of pediatric nurses during preventable adverse event disclosure: a
scoping review. J Patient Saf. 2024;20(6):381-387. doi:10.1097/pts.0000000000001239.
https://psnet.ahrq.go…