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psnet.ahrq.gov/node/44638/psn-pdf
May 18, 2016 - Developing an appreciation of patient safety: analysis of
interprofessional student experiences with health
mentors.
May 18, 2016
Langlois S. Developing an appreciation of patient safety: analysis of interprofessional student experiences
with health mentors. Perspect Med Educ. 2016;5(2):88-94. doi:10.1007/s40037-0…
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psnet.ahrq.gov/node/74207/psn-pdf
December 22, 2021 - The impact of health information management
professionals on patient safety: a systematic review.
December 22, 2021
Kemp T, Butler?Henderson K, Allen P, et al. The impact of health information management professionals
on patient safety: a systematic review. Health Info Libr J. 2021;38(4):248-258. doi:10.1111/hir.12…
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psnet.ahrq.gov/node/40350/psn-pdf
April 20, 2011 - Systemic vulnerabilities to suicide among veterans from
the Iraq and Afghanistan conflicts: review of case reports
from a national Veterans Affairs database.
April 20, 2011
Mills PD, Huber SJ, Watts BV, et al. Systemic vulnerabilities to suicide among veterans from the Iraq and
Afghanistan Conflicts: review of cas…
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psnet.ahrq.gov/node/40690/psn-pdf
August 17, 2011 - Designing a safer process to prevent retained surgical
sponges: a healthcare failure mode and effect analysis.
August 17, 2011
Steelman VM, Cullen JJ. Designing a safer process to prevent retained surgical sponges: a healthcare
failure mode and effect analysis. AORN J. 2011;94(2):132-41. doi:10.1016/j.aorn.2010.09.…
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psnet.ahrq.gov/node/37171/psn-pdf
October 06, 2011 - Disclosing unanticipated outcomes to patients: the art
and practice.
October 6, 2011
Gallagher TH; Denham CR; Leape LL; Amori G; Levinson W.
https://psnet.ahrq.gov/issue/disclosing-unanticipated-outcomes-patients-art-and-practice
Although medical errors remain disturbingly common, many patients are never informed …
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psnet.ahrq.gov/node/50870/psn-pdf
February 05, 2020 - A survey of outpatient internal medicine clinician
perceptions of diagnostic error.
February 5, 2020
Matulis JC, Kok SN, Dankbar EC, et al. A survey of outpatient Internal Medicine clinician perceptions of
diagnostic error. Diagnosis. 2020;7(2):107-114. doi:10.1515/dx-2019-0070.
https://psnet.ahrq.gov/issue/survey…
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psnet.ahrq.gov/node/47852/psn-pdf
May 08, 2019 - Impact of time pressure on dentists' diagnostic
performance.
May 8, 2019
Plessas A, Nasser M, Hanoch Y, et al. Impact of time pressure on dentists' diagnostic performance. J Dent.
2019;82:38-44. doi:10.1016/j.jdent.2019.01.011.
https://psnet.ahrq.gov/issue/impact-time-pressure-dentists-diagnostic-performance
This…
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psnet.ahrq.gov/node/45423/psn-pdf
September 27, 2016 - Lost in translation: impact of language barriers on
children's healthcare.
September 27, 2016
Goenka PK. Lost in translation: impact of language barriers on children's healthcare. Curr Opin Pediatr.
2016;28(5):659-666. doi:10.1097/MOP.0000000000000404.
https://psnet.ahrq.gov/issue/lost-translation-impact-language-…
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psnet.ahrq.gov/node/41432/psn-pdf
October 19, 2012 - Adverse events are common on the intensive care unit:
results from a structured record review.
October 19, 2012
Nilsson L, Pihl A, Tågsjö M, et al. Adverse events are common on the intensive care unit: results from a
structured record review. Acta Anaesthesiol Scand. 2012;56(8):959-65. doi:10.1111/j.1399-
6576.201…
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psnet.ahrq.gov/node/47860/psn-pdf
June 30, 2019 - New mother number 14.
June 30, 2019
Sangarlangkarn A. Healthc (Amst). 2019;7:31-32.
https://psnet.ahrq.gov/issue/new-mother-number-14
Rigid adherence to protocols may detract from safety when unexpected critical events occur that require
deviation from the standard process. This commentary explores insights from a…
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psnet.ahrq.gov/node/42488/psn-pdf
August 14, 2013 - Lessons learned from implementation of computerized
provider order entry in 5 community hospitals: a
qualitative study.
August 14, 2013
Simon SR, Keohane CA, Amato MG, et al. Lessons learned from implementation of computerized provider
order entry in 5 community hospitals: a qualitative study. BMC Med Inform Decis…
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psnet.ahrq.gov/node/46254/psn-pdf
October 09, 2017 - Using risk stratification to reduce medical errors in
cervical cancer prevention.
October 9, 2017
Perkins RB, Cain JM, Feldman S. Using Risk Stratification to Reduce Medical Errors in Cervical Cancer
Prevention. JAMA Intern Med. 2017;177(10):1411-1412. doi:10.1001/jamainternmed.2017.3999.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/44994/psn-pdf
October 11, 2017 - Diagnostic delays and errors in head and neck cancer
patients: opportunities for improvement.
October 11, 2017
Franco J, Elghouche AN, Harris MS, et al. Diagnostic Delays and Errors in Head and Neck Cancer
Patients: Opportunities for Improvement. Am J Med Qual. 2017;32(3):330-335.
doi:10.1177/1062860616638413.
ht…
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psnet.ahrq.gov/node/74006/psn-pdf
October 27, 2021 - Building patient trust in hospitals: a combination of
hospital-related factors and health care clinician
behaviors.
October 27, 2021
Greene J, Samuel-Jakubos H. Building patient trust in hospitals: a combination of hospital-related factors
and health care clinician behaviors. Jt Comm J Qual Patient Saf. 2021;47(12…
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psnet.ahrq.gov/node/46973/psn-pdf
June 25, 2018 - Balancing innovation and safety when integrating digital
tools into health care.
June 25, 2018
Auerbach AD, Neinstein A, Khanna R. Balancing Innovation and Safety When Integrating Digital Tools Into
Health Care. Ann Intern Med. 2018;168(10):733-734. doi:10.7326/M17-3108.
https://psnet.ahrq.gov/issue/balancing-inno…
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psnet.ahrq.gov/node/46650/psn-pdf
July 12, 2018 - Towards a more patient-centered approach to medication
safety.
July 12, 2018
Lee JL, Dy SM, Gurses AP, et al. Towards a More Patient-Centered Approach to Medication Safety. J
Patient Exp. 2018;5(2):83-87. doi:10.1177/2374373517727532.
https://psnet.ahrq.gov/issue/towards-more-patient-centered-approach-medication-s…
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psnet.ahrq.gov/node/44365/psn-pdf
November 20, 2015 - A prospective study of suicide screening tools and their
association with near-term adverse events in the ED.
November 20, 2015
Chang BP, Tan TM. Suicide screening tools and their association with near-term adverse events in the ED.
Am J Emerg Med. 2015;33(11):1680-1683. doi:10.1016/j.ajem.2015.08.013.
https://psn…
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psnet.ahrq.gov/node/850341/psn-pdf
June 14, 2023 - Impact of fatigue on anaesthesia providers: a scoping
review.
June 14, 2023
Scholliers A, Cornelis S, Tosi M, et al. Impact of fatigue on anaesthesia providers: a scoping review. Br J
Anaesth. 2023;130(5):622-635. doi:10.1016/j.bja.2022.12.011.
https://psnet.ahrq.gov/issue/impact-fatigue-anaesthesia-providers-scop…
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psnet.ahrq.gov/node/850927/psn-pdf
June 21, 2023 - Room of horrors simulation in healthcare education: a
systematic review.
June 21, 2023
Lee SE, Repsha C, Seo WJ, et al. Room of horrors simulation in healthcare education: a systematic
review. Nurse Educ Today. 2023;126:105824. doi:10.1016/j.nedt.2023.105824.
https://psnet.ahrq.gov/issue/room-horrors-simulation-he…
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psnet.ahrq.gov/node/852803/psn-pdf
August 23, 2023 - Sentinel Event Alert 67: Preserving Patient Safety After a
Cyberattack.
August 23, 2023
Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack. Jt Comm J Qual Patient Saf.
2023;49(12):724-729. doi:10.1016/j.jcjq.2023.07.006.
https://psnet.ahrq.gov/issue/sentinel-event-alert-67-preserving-patient-sa…