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psnet.ahrq.gov/node/843079/psn-pdf
January 25, 2023 - Electronic health record use issues and diagnostic error:
a scoping review and framework.
January 25, 2023
Dixit RA, Boxley CL, Samuel S, et al. Electronic health record use issues and diagnostic error: a scoping
review and framework. J Patient Saf. 2023;19(1):e25-e30. doi:10.1097/pts.0000000000001081.
https://psn…
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psnet.ahrq.gov/node/39387/psn-pdf
July 23, 2014 - Medication errors involving oral chemotherapy.
July 23, 2014
Weingart SN, Toro J, Spencer J, et al. Medication errors involving oral chemotherapy. Cancer.
2010;116(10):2455-2464. doi:10.1002/cncr.25027.
https://psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy
Widely publicized errors associated w…
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psnet.ahrq.gov/node/35405/psn-pdf
December 14, 2007 - Use of administrative data to find substandard care:
validation of the complications screening program.
December 14, 2007
Weingart SN, Iezzoni LI, Davis RB, et al. Use of Administrative Data to Find Substandard Care. Med Care.
2003;38(8):796-806. doi:10.1097/00005650-200008000-00004.
https://psnet.ahrq.gov/issue/u…
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psnet.ahrq.gov/node/73312/psn-pdf
May 26, 2021 - Healthcare professionals experience of psychological
safety, voice, and silence.
May 26, 2021
O'Donovan R, De Brún A, McAuliffe E. Healthcare professionals experience of psychological safety, voice,
and silence. Front Psychol. 2021;12:626689. doi:10.3389/fpsyg.2021.626689.
https://psnet.ahrq.gov/issue/healthcare-p…
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psnet.ahrq.gov/node/50933/psn-pdf
February 26, 2020 - Medication-related harm in older adults following hospital
discharge: development and validation of a prediction
tool.
February 26, 2020
Parekh N, Ali K, Davies JG, et al. Medication-related harm in older adults following hospital discharge:
development and validation of a prediction tool. BMJ Qual Saf. 2020;29(2)…
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psnet.ahrq.gov/node/73067/psn-pdf
March 24, 2021 - Changes in error patterns in unanticipated trauma deaths
during 20 years: in pursuit of zero preventable deaths.
March 24, 2021
LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during
20 years: In pursuit of zero preventable deaths. J Trauma Acute Care Surg. 2020;89…
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psnet.ahrq.gov/node/44205/psn-pdf
June 21, 2015 - Teamwork, communication and safety climate: a
systematic review of interventions to improve surgical
culture.
June 21, 2015
Sacks GD, Shannon EM, Dawes AJ, et al. Teamwork, communication and safety climate: a systematic
review of interventions to improve surgical culture. BMJ Qual Saf. 2015;24(7):458-67. doi:10.11…
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psnet.ahrq.gov/node/60522/psn-pdf
May 27, 2020 - Nursing turbulence in critical care: relationships with
nursing workload and patient safety.
May 27, 2020
Browne J, Braden CJ. Nursing turbulence in critical care: relationships with nursing workload and patient
safety. Am J Crit Care. 2020;29(3):182-191. doi:10.4037/ajcc2020180.
https://psnet.ahrq.gov/issue/nursi…
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psnet.ahrq.gov/node/47947/psn-pdf
May 29, 2019 - Transcription errors of blood glucose values and insulin
errors in an intensive care unit: secondary data analysis
toward electronic medical record–glucometer
interoperability.
May 29, 2019
Sowan AK, Vera A, Malshe A, et al. Transcription Errors of Blood Glucose Values and Insulin Errors in an
Intensive Care Unit…
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psnet.ahrq.gov/node/46979/psn-pdf
January 01, 2021 - Improving patient safety in public hospitals: developing
standard measures to track medical errors and process
breakdowns.
April 4, 2018
Ackerman SL, Gourley G, Le G, et al. Improving Patient Safety in Public Hospitals: Developing Standard
Measures to Track Medical Errors and Process Breakdowns. J Patient Saf. 202…
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psnet.ahrq.gov/node/850159/psn-pdf
June 07, 2023 - Underreporting of quality measures and associated
facility characteristics and racial disparities in US nursing
home ratings.
June 7, 2023
Sanghavi P, Chen Z. Underreporting of quality measures and associated facility characteristics and racial
disparities in US nursing home ratings. JAMA Netw Open. 2023;6(5):e231…
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psnet.ahrq.gov/node/764394/psn-pdf
March 02, 2022 - Assessing resident and attending error and adverse
events in the emergency department.
March 2, 2022
Adler JL, Gurley K, Rosen CL, et al. Assessing resident and attending error and adverse events in the
emergency department. Am J Emerg Med. 2022;54:228-231. doi:10.1016/j.ajem.2022.01.015.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/41646/psn-pdf
September 05, 2012 - Interventions to increase clinical incident reporting in
health care.
September 5, 2012
Parmelli E, Flodgren G, Fraser SG, et al. Interventions to increase clinical incident reporting in health care.
Cochrane Database Syst Rev. 2012;8(8):CD005609. doi:10.1002/14651858.cd005609.pub2.
https://psnet.ahrq.gov/issue/in…
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psnet.ahrq.gov/node/50596/psn-pdf
October 30, 2019 - Encouraging resident adverse event reporting: a
qualitative study of suggestions from the front lines.
October 30, 2019
Szymusiak J, Walk TJ, Benson M, et al. Encouraging Resident Adverse Event Reporting: A Qualitative
Study of Suggestions from the Front Lines. Ped Qual Saf. 2019;4(3):e167.
doi:10.1097/pq9.0000000…
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psnet.ahrq.gov/node/864859/psn-pdf
March 20, 2024 - Team relations and role perceptions during anesthesia
crisis management in magnetic-resonance imaging
settings: a mixed-methods exploration.
March 20, 2024
Schroeck H, Whitty MA, Hatton B, et al. Team relations and role perceptions during anesthesia crisis
management in magnetic-resonance imaging settings: a mixed…
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psnet.ahrq.gov/node/851063/psn-pdf
June 28, 2023 - Emotional responses and support needs of healthcare
professionals after adverse or traumatic experiences in
healthcare-evidence from seminars on peer support.
June 28, 2023
Schrøder K, Assing Hvidt E. Emotional responses and support needs of healthcare professionals after
adverse or traumatic experiences in health…
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psnet.ahrq.gov/node/867235/psn-pdf
December 04, 2024 - HCUP Statistical Brief #312. Trends in Severe Maternal
Morbidity Complications by Patient Characteristics, 2016-
2021.
December 4, 2024
Reid LD. Hcup Statistical Brief #313. Trends In Severe Maternal Morbidity Complications By Patient
Characteristics, 2016-2021. Rockville, MD: Agency for Healthcare Research and Qu…
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psnet.ahrq.gov/node/853440/psn-pdf
September 13, 2023 - Radiographers' experience of preventing patient safety
incidents in the context of radiological examinations.
September 13, 2023
Wallin A, Ringdal M, Ahlberg K, et al. Radiographers' experience of preventing patient safety incidents in
the context of radiological examinations. Scand J Caring Sci. 2023;37(2):414-423…
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psnet.ahrq.gov/node/46300/psn-pdf
August 16, 2017 - Prioritizing medication safety in care of people with
cancer: clinicians' views on main problems and solutions.
August 16, 2017
Car LT, Papachristou N, Urch C, et al. Prioritizing medication safety in care of people with cancer:
clinicians' views on main problems and solutions. J Glob Health. 2017;7(1):011001.
doi…
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psnet.ahrq.gov/node/852796/psn-pdf
August 23, 2023 - Women with large vessel occlusion acute ischemic stroke
are less likely to be routed to comprehensive stroke
centers.
August 23, 2023
Tariq MB, Ali I, Salazar?Marioni S, et al. Women with large vessel occlusion acute ischemic stroke are less
likely to be routed to comprehensive stroke centers. J Am Heart Assoc. 20…