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psnet.ahrq.gov/node/47016/psn-pdf
June 25, 2018 - U.S. Food and Drug Administration Precertification pilot
program for digital health software: weighing the benefits
and risks.
June 25, 2018
Lee TT, Kesselheim AS. U.S. Food and Drug Administration Precertification Pilot Program for Digital Health
Software: Weighing the Benefits and Risks. Ann Intern Med. 2018;168…
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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/853066/psn-pdf
August 30, 2023 - Opportunities to improve diagnosis in emergency
transfers to the pediatric intensive care unit.
August 30, 2023
Mehta SD, Congdon M, Phillips CA, et al. Opportunities to improve diagnosis in emergency transfers to the
pediatric intensive care unit. J Hosp Med. 2023;18(6):509-518. doi:10.1002/jhm.13103.
https://psn…
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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/866525/psn-pdf
August 14, 2024 - Stakeholder perceptions of and attitudes towards
problematic polypharmacy and prescribing cascades: a
qualitative study.
August 14, 2024
Jennings AA, Doherty AS, Clyne B, et al. Stakeholder perceptions of and attitudes towards problematic
polypharmacy and prescribing cascades: a qualitative study. Age Ageing. 2024…
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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/74172/psn-pdf
December 08, 2021 - Differences in safety report event types submitted by
graduate medical education trainees compared with other
healthcare team members.
December 8, 2021
Cohen SP, McLean HS, Milne J, et al. Differences in Safety Report Event Types Submitted by Graduate
Medical Education Trainees Compared With Other Healthcare Team …
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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/60521/psn-pdf
May 27, 2020 - Assessment of potentially inappropriate prescribing of
opioid analgesics requiring prior opioid tolerance.
May 27, 2020
Jeffery MM, Chaisson CE, Hane C, et al. Assessment of potentially inappropriate prescribing of opioid
analgesics requiring prior opioid tolerance. JAMA Netw Open. 2020;3(4).
doi:10.1001/jamanetwo…
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psnet.ahrq.gov/node/846452/psn-pdf
March 22, 2023 - The relationship between job stress and patient safety
culture among nurses: a systematic review.
March 22, 2023
Zabin LM, Zaitoun RSA, Sweity EM, et al. The relationship between job stress and patient safety culture
among nurses: a systematic review. BMC Nurs. 2023;22(1):39. doi:10.1186/s12912-023-01198-9.
https:…
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psnet.ahrq.gov/node/47240/psn-pdf
March 06, 2019 - Improving detection of intraoperative medical errors
(iMEs) and intraoperative adverse events (iAEs) and their
contribution to postoperative outcomes.
March 6, 2019
Chen Q, Rosen AK, Amirfarzan H, et al. Improving detection of intraoperative medical errors (iMEs) and
intraoperative adverse events (iAEs) and their …
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psnet.ahrq.gov/node/849328/psn-pdf
May 24, 2023 - Assessing the impact of hospital mergers and
acquisitions on safety culture with proactive risk
assessments
May 24, 2023
Folcarelli P, Hoffman J, Janes M, et al. Assessing the impact of hospital mergers and acquisitions on safety
culture with proactive risk assessments. J Healthc Risk Manag. 2023;43(1):26-31. doi:…
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psnet.ahrq.gov/node/46924/psn-pdf
March 07, 2018 - Factors influencing the reporting of adverse medical
device events: qualitative interviews with physicians
about higher risk implantable devices.
March 7, 2018
Gagliardi AR, Ducey A, Lehoux P, et al. Factors influencing the reporting of adverse medical device events:
qualitative interviews with physicians about hi…
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psnet.ahrq.gov/node/866558/psn-pdf
August 21, 2024 - Near-miss and maternal sepsis mortality: a qualitative
study of survivors and support persons.
August 21, 2024
Bauer ME, Perez SL, Main EK, et al. Near-miss and maternal sepsis mortality: a qualitative study of
survivors and support persons. Eur J Obstet Gynecol Reprod Biol. 2024;299:136-142.
doi:10.1016/j.ejogrb.…
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psnet.ahrq.gov/node/38491/psn-pdf
January 31, 2011 - Diagnostic errors--The next frontier for patient safety.
January 31, 2011
Newman-Toker DE, Pronovost P. Diagnostic errors--the next frontier for patient safety. JAMA.
2009;301(10):1060-2. doi:10.1001/jama.2009.249.
https://psnet.ahrq.gov/issue/diagnostic-errors-next-frontier-patient-safety
Studies from autopsy dat…
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psnet.ahrq.gov/node/43154/psn-pdf
August 22, 2016 - Root cause analysis of ambulatory adverse drug events
that present to the emergency department.
August 22, 2016
Gertler SA, Coralic Z, Lopez A, et al. Root Cause Analysis of Ambulatory Adverse Drug Events That
Present to the Emergency Department. J Patient Saf. 2014;12(3). doi:10.1097/pts.0000000000000072.
https:/…
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psnet.ahrq.gov/node/861289/psn-pdf
January 01, 2025 - Assessing the impact of an electronic chemotherapy
order verification checklist on pharmacist reported errors
in oncology infusion centers of a health-system.
January 24, 2024
Wat SK (S), Wesolowski B, Cierniak K, et al. Assessing the impact of an electronic chemotherapy order
verification checklist on pharmacist …
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psnet.ahrq.gov/node/837632/psn-pdf
July 06, 2022 - Serious experience events: applying patient safety
concepts to improve patient experience.
July 6, 2022
Donnelly LF, Uhlhorn E, Bargmann-Losche J, et al. Serious experience events: applying patient safety
concepts to improve patient experience. J Patient Exp. 2022;9:237437352211026.
doi:10.1177/23743735221102670.
…
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psnet.ahrq.gov/node/50795/psn-pdf
January 15, 2020 - Diagnostic error in the emergency department: learning
from national patient safety incident report analysis.
January 15, 2020
Hussain F, Cooper A, Carson-Stevens A, et al. Diagnostic error in the emergency department: learning
from national patient safety incident report analysis. BMC Emerg Med. 2019;19(1):77. doi…
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psnet.ahrq.gov/node/41814/psn-pdf
March 04, 2015 - Autopsy as a quality control measure for radiology, and
vice versa.
March 4, 2015
Murken DR, Ding M, Branstetter BF, et al. Autopsy as a quality control measure for radiology, and vice
versa. AJR Am J Roentgenol. 2012;199(2):394-401. doi:10.2214/AJR.11.8386.
https://psnet.ahrq.gov/issue/autopsy-quality-control-mea…