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psnet.ahrq.gov/node/866538/psn-pdf
August 14, 2024 - Improving departmental psychological safety through a
medical school-wide initiative
August 14, 2024
Porter-Stransky KA, Horneffer-Ginter KJ, Bauler LD, et al. Improving departmental psychological safety
through a medical school-wide initiative. BMC Med Educ. 2024;24(1):800. doi:10.1186/s12909-024-05794-
4.
https…
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psnet.ahrq.gov/node/838316/psn-pdf
October 12, 2022 - The Lancet Commission on lessons for the future from
the COVID-19 pandemic.
October 12, 2022
Sachs JD, Karim SSA, Aknin L, et al. The Lancet Commission on lessons for the future from the COVID-19
pandemic. Lancet. 2022;400(10359):1224-1280. doi:10.1016/s0140-6736(22)01585-9.
https://psnet.ahrq.gov/issue/lancet-com…
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psnet.ahrq.gov/node/43387/psn-pdf
August 20, 2014 - The occurrence of adverse events potentially attributable
to nursing care in medical units: cross sectional record
review.
August 20, 2014
D'Amour D, Dubois C-A, Tchouaket E, et al. The occurrence of adverse events potentially attributable to
nursing care in medical units: cross sectional record review. Int J Nurs…
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psnet.ahrq.gov/node/60349/psn-pdf
May 20, 2020 - Health care provider factors associated with patient-
reported adverse events and harm.
May 20, 2020
Giardina TD, Royse KE, Khanna A, et al. Health care provider factors associated with patient-reported
adverse events and harm. Jt Comm J Qual Patient Saf. 2020;46(5):282-290.
doi:10.1016/j.jcjq.2020.02.004.
https:…
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psnet.ahrq.gov/node/48020/psn-pdf
July 17, 2019 - 'I think this medicine actually killed my wife': patient and
family perspectives on shared decision-making to
optimize medications and safety.
July 17, 2019
Mangin D, Risdon C, Lamarche L, et al. 'I think this medicine actually killed my wife': patient and family
perspectives on shared decision-making to optimize …
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psnet.ahrq.gov/node/859354/psn-pdf
December 20, 2023 - Millions of people used tainted breathing machines. The
FDA failed to use its power to protect them.
December 20, 2023
Cenziper D, Sallah MD, Korsh M. ProPublica. December 7, 2023.
https://psnet.ahrq.gov/issue/millions-people-used-tainted-breathing-machines-fda-failed-use-its-power-
protect-them
Systemic regulato…
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psnet.ahrq.gov/node/863208/psn-pdf
February 28, 2024 - Exploring clinical lessons learned by experienced
hospitalists from diagnostic errors and successes.
February 28, 2024
Kotwal S, Howell M, Zwaan L, et al. Exploring clinical lessons learned by experienced hospitalists from
diagnostic errors and successes. J Gen Intern Med. 2024;39(8):1386-1392. doi:10.1007/s11606-0…
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psnet.ahrq.gov/node/45552/psn-pdf
February 15, 2017 - Speaking up behaviours (safety voices) of healthcare
workers: a metasynthesis of qualitative research studies.
February 15, 2017
Morrow KJ, Gustavson AM, Jones J. Speaking up behaviours (safety voices) of healthcare workers: a
metasynthesis of qualitative research studies. Int J Nurs Stud. 2016;64:42-51.
doi:10.10…
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psnet.ahrq.gov/node/837802/psn-pdf
August 10, 2022 - Tipping the balance: a systematic review and meta-
ethnography to unfold the complexity of surgical
antimicrobial prescribing behavior in hospital settings.
August 10, 2022
Parker H, Frost J, Day J, et al. Tipping the balance: a systematic review and meta-ethnography to unfold
the complexity of surgical antimicrob…
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psnet.ahrq.gov/node/44037/psn-pdf
March 14, 2018 - Pediatric medication safety in the emergency department.
March 14, 2018
Benjamin L, Frush K, Shaw KN, et al. Pediatric Medication Safety in the Emergency Department. Ann
Emerg Med. 2018;71(3):e17-e24. doi:10.1016/j.annemergmed.2017.12.013.
https://psnet.ahrq.gov/issue/pediatric-medication-safety-emergency-departmen…
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psnet.ahrq.gov/node/73418/psn-pdf
June 23, 2021 - Evaluation of older persons' medications: a critical
incident technique study exploring healthcare
professionals' experiences and actions.
June 23, 2021
Holmqvist M, Thor J, Ros A, et al. Evaluation of older persons’ medications: a critical incident technique
study exploring healthcare professionals’ experiences a…
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psnet.ahrq.gov/node/50414/psn-pdf
September 04, 2019 - Rating the raters: an evaluation of publicly reported
hospital quality rating systems.
September 4, 2019
Bilimoria KY, Birkmeyer JD, Burstin H, et al. NEJM Catalyst. August 14, 2019.
https://psnet.ahrq.gov/issue/rating-raters-evaluation-publicly-reported-hospital-quality-rating-systems
Numerous publicly available …
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psnet.ahrq.gov/node/856634/psn-pdf
January 01, 2024 - Perspectives on perioperative team-based morbidity and
mortality conferences: a mixed-methods study.
November 29, 2023
Samost-Williams A, Rosen R, Cummins E, et al. Perspectives on Perioperative Team-Based Morbidity and
Mortality Conferences: A Mixed Methods Study. Jt Comm J Qual Patient Saf. 2024;50(2):139-148.
d…
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psnet.ahrq.gov/node/836995/psn-pdf
April 27, 2022 - Multifactorial interventions to reduce duration and
variability in delays to identification of serious injury after
falls in hospital inpatients.
April 27, 2022
Saleem J, Sarma D, Wright H, et al. Multifactorial interventions to reduce duration and variability in delays
to identification of serious injury after fa…
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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/844989/psn-pdf
February 22, 2023 - Defining and enhancing collaboration between
community pharmacists and primary care providers to
improve medication safety.
February 22, 2023
White A, Fulda KG, Blythe R, et al. Defining and enhancing collaboration between community pharmacists
and primary care providers to improve medication safety. Expert Opin D…
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psnet.ahrq.gov/node/836782/psn-pdf
March 23, 2022 - Frequency of diagnostic errors in the neonatal intensive
care unit: a retrospective cohort study.
March 23, 2022
Shafer GJ, Singh H, Thomas EJ, et al. Frequency of diagnostic errors in the neonatal intensive care unit: a
retrospective cohort study. J Perinatol. 2022;42(10):1312-1318. doi:10.1038/s41372-022-01359-9.…
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psnet.ahrq.gov/node/73625/psn-pdf
August 25, 2021 - Barriers and facilitators to patient engagement in patient
safety from patients and healthcare professionals'
perspectives: a systematic review and meta-synthesis.
August 25, 2021
Chegini Z, Arab?Zozani M, Shariful Islam SM, et al. Barriers and facilitators to patient engagement in
patient safety from patients and…
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psnet.ahrq.gov/node/860389/psn-pdf
January 10, 2024 - Error codes at autopsy to study potential biases in
diagnostic error.
January 10, 2024
Goldman BI, Bharadwaj R, Fuller M, et al. Error codes at autopsy to study potential biases in diagnostic
error. Diagnosis (Berl). 2023;10(4):375-382. doi:10.1515/dx-2023-0010.
https://psnet.ahrq.gov/issue/error-codes-autopsy-stu…
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psnet.ahrq.gov/node/60738/psn-pdf
July 29, 2020 - Signs and symptoms to determine if a patient presenting
in primary care or hospital outpatient settings has COVID-
19 disease.
July 29, 2020
Struyf T, Deeks JJ, Dinnes J, et al. Signs and symptoms to determine if a patient presenting in primary care
or hospital outpatient settings has COVID-19 disease. Cochrane Da…