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psnet.ahrq.gov/node/47761/psn-pdf
May 22, 2019 - Clinicians' perceptions of opioid error–contributing
factors in inpatient palliative care services: a qualitative
study.
May 22, 2019
Heneka N, Bhattarai P, Shaw T, et al. Clinicians' perceptions of opioid error-contributing factors in inpatient
palliative care services: A qualitative study. Palliat Med. 2019;33(4…
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psnet.ahrq.gov/node/837668/psn-pdf
July 13, 2022 - Factors associated with malpractice claim payout: an
analysis of closed emergency department claims.
July 13, 2022
Gupta K, Szymonifka J, Rivadeneira NA, et al. Factors associated with malpractice claim payout: an
analysis of closed emergency department claims. Jt Comm J Qual Patient Saf. 2022;48(9):492-496.
doi:1…
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psnet.ahrq.gov/node/60225/psn-pdf
April 15, 2020 - Beyond 'find and fix': improving quality and safety
through resilient healthcare systems.
April 15, 2020
Anderson JE, Ross AJ, Back J, et al. Beyond ‘find and fix’: improving quality and safety through resilient
healthcare systems. Int J Qual Health Care. 2020;32(3):204-211. doi:10.1093/intqhc/mzaa007.
https://psn…
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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/47782/psn-pdf
June 14, 2019 - Testing and improving the acceptability of a web-based
platform for collective intelligence to improve diagnostic
accuracy in primary care clinics.
June 14, 2019
Fontil V, Radcliffe K, Lyson HC, et al. Testing and improving the acceptability of a web-based platform for
collective intelligence to improve diagnostic…
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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…
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psnet.ahrq.gov/node/43767/psn-pdf
February 04, 2015 - Self-reported patient safety competence among Canadian
medical students and postgraduate trainees: a cross-
sectional survey.
February 4, 2015
Doyle P, VanDenKerkhof E, Edge DS, et al. Self-reported patient safety competence among Canadian
medical students and postgraduate trainees: a cross-sectional survey. BMJ Q…
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psnet.ahrq.gov/node/74155/psn-pdf
December 08, 2021 - "Time is of the essence": relationship between hospital
staff perceptions of time, safety attitudes and staff
wellbeing.
December 8, 2021
Ellis LA, Tran Y, Pomare C, et al. “Time is of the essence”: relationship between hospital staff perceptions
of time, safety attitudes and staff wellbeing. BMC Health Serv Res. …
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psnet.ahrq.gov/node/44589/psn-pdf
January 01, 2016 - Observation for assessment of clinician performance: a
narrative review.
December 16, 2015
Yanes AF, McElroy LM, Abecassis ZA, et al. Observation for assessment of clinician performance: a
narrative review. BMJ Qual Saf. 2016;25(1):46-55. doi:10.1136/bmjqs-2015-004171.
https://psnet.ahrq.gov/issue/observation-asse…
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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/72647/psn-pdf
January 20, 2021 - Association of unexpected newborn deaths with changes
in obstetric and neonatal process of care.
January 20, 2021
Han D, Khadka A, McConnell M, et al. Association of Unexpected Newborn Deaths With Changes in
Obstetric and Neonatal Process of Care. JAMA Netw Open. 2020;3(12):e2024589.
doi:10.1001/jamanetworkopen.20…
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psnet.ahrq.gov/node/41042/psn-pdf
September 29, 2017 - Research in Ambulatory Patient Safety 2000-2010: A 10-
Year Review.
September 29, 2017
Lorincz CY, Drazen E, Sokol PE, et al. Chicago, IL: American Medical Association; 2011.
https://psnet.ahrq.gov/issue/research-ambulatory-patient-safety-2000-2010-10-year-review
Although traditionally the majority of patient safe…
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psnet.ahrq.gov/node/865877/psn-pdf
May 15, 2024 - Refining a framework to enhance communication in the
emergency department during the diagnostic process: an
eDelphi approach.
May 15, 2024
Manojlovich M, Bettencourt AP, Mangus CW, et al. Refining a framework to enhance communication in the
emergency department during the diagnostic process: an eDelphi approach. J…
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psnet.ahrq.gov/node/844770/psn-pdf
September 11, 2019 - Use of "Doctor" badges for physician role identification
during clinical training.
September 11, 2019
Foote MB, DeFilippis EM, Rome BN, et al. Use of "Doctor" Badges for Physician Role Identification During
Clinical Training. JAMA Intern Med. 2019. doi:10.1001/jamainternmed.2019.2416.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/866354/psn-pdf
July 24, 2024 - Partnership as a pathway to diagnostic excellence: the
challenges and successes of implementing the Safer Dx
Learning Lab.
July 24, 2024
Sloane J, Singh H, Upadhyay DK, et al. Partnership as a pathway to diagnostic excellence: the challenges
and successes of implementing the Safer Dx Learning Lab. Jt Comm J Qual P…
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psnet.ahrq.gov/node/43867/psn-pdf
March 11, 2015 - Applying fault tree analysis to the prevention of wrong-
site surgery.
March 11, 2015
Abecassis ZA, McElroy LM, Patel RM, et al. Applying fault tree analysis to the prevention of wrong-site
surgery. J Surg Res. 2015;193(1):88-94. doi:10.1016/j.jss.2014.08.062.
https://psnet.ahrq.gov/issue/applying-fault-tree-analy…
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psnet.ahrq.gov/node/73570/psn-pdf
January 01, 2022 - Long-term care nurses' experiences with patient safety
incident management: a qualitative study.
August 4, 2021
Serre N, Espin S, Indar A, et al. Long-term care nurses' experiences with patient safety incident
management: a qualitative study. J Nurs Care Qual. 2022;37(2):188-194.
doi:10.1097/ncq.0000000000000583.
…
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psnet.ahrq.gov/node/50448/psn-pdf
October 09, 2019 - Diagnostic errors reported in primary healthcare and
emergency departments: a retrospective and descriptive
cohort study of 4830 reported cases of preventable harm
in Sweden.
October 9, 2019
Fernholm R, Pukk Härenstam K, Wachtler C, et al. Diagnostic errors reported in primary healthcare and
emergency departments…
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psnet.ahrq.gov/node/837664/psn-pdf
July 13, 2022 - Cognitive and implicit biases in nurses' judgment and
decision-making: a scoping review.
July 13, 2022
Thirsk LM, Panchuk JT, Stahlke S, et al. Cognitive and implicit biases in nurses' judgment and decision-
making: a scoping review. Int J Nurs Stud. 2022;133:104284. doi:10.1016/j.ijnurstu.2022.104284.
https://psn…
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psnet.ahrq.gov/node/842767/psn-pdf
January 18, 2023 - Medication safety incidents associated with the remote
delivery of primary care: a rapid review.
January 18, 2023
Gleeson LL, Clyne B, Barlow JW, et al. Medication safety incidents associated with the remote delivery of
primary care: a rapid review. Int J Pharm Pract. 2023;30(6):495-506. doi:10.1093/ijpp/riac087.
…