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psnet.ahrq.gov/node/46871/psn-pdf
July 14, 2018 - Understanding diagnostic safety in emergency medicine:
a case?by?case review of closed ED malpractice claims.
July 14, 2018
Lemoine N, Dajer A, Konwinski J, et al. Understanding diagnostic safety in emergency medicine: A case-
by-case review of closed ED malpractice claims. J Healthc Risk Manag. 2018;38(1):48-53.
…
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psnet.ahrq.gov/node/866735/psn-pdf
September 18, 2024 - Achieving diagnostic excellence: roadmaps to develop
and use patient-reported measures with an equity lens.
September 18, 2024
McDonald KM, Gleason KT, Jajodia A, et al. Achieving diagnostic excellence: roadmaps to develop and
use patient-reported measures with an equity lens. Int J Health Policy Manag. 2024;13:804…
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psnet.ahrq.gov/node/60580/psn-pdf
January 01, 2022 - Sustaining the gains: a 7-year follow-through of a
hospital-wide patient safety improvement project on
hospital-wide adverse event outcomes and patient safety
culture.
June 10, 2020
Sim MA, Ti LK, Mujumdar S, et al. Sustaining the gains: a 7-year follow-through of a hospital-wide patient
safety improvement projec…
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psnet.ahrq.gov/node/46201/psn-pdf
September 27, 2017 - Risk factors for patient-reported errors during cancer
follow-up: results from a national survey in Denmark.
September 27, 2017
Christiansen AH, Lipczak H, Knudsen JL, et al. Risk factors for patient-reported errors during cancer follow-
up: Results from a national survey in Denmark. Cancer Epidemiol. 2017;49:38-45…
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psnet.ahrq.gov/node/843415/psn-pdf
February 01, 2023 - Explaining the negative effects of patient participation in
patient safety: an exploratory qualitative study in an
academic tertiary healthcare centre in the Netherlands.
February 1, 2023
Van der Voorden M, Ahaus K, Franx A. Explaining the negative effects of patient participation in patient
safety: an exploratory…
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psnet.ahrq.gov/node/72731/psn-pdf
February 10, 2021 - Problems in care and avoidability of death after discharge
from intensive care: a multi-centre retrospective case
record review study.
February 10, 2021
Vollam S, Gustafson O, Young JD, et al. Problems in care and avoidability of death after discharge from
intensive care: a multi-centre retrospective case record r…
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psnet.ahrq.gov/node/854384/psn-pdf
January 01, 2024 - Look-alike medications in the perioperative setting:
scoping review of medication incidents and risk reduction
interventions.
October 11, 2023
Ryan AN, Robertson KL, Glass BD. Look-alike medications in the perioperative setting: scoping review of
medication incidents and risk reduction interventions. Int J Clin Ph…
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psnet.ahrq.gov/node/840147/psn-pdf
November 16, 2022 - Electronic diagnostic support in emergency physician
triage: qualitative study with thematic analysis of
interviews.
November 16, 2022
Sibbald M, Abdulla B, Keuhl A, et al. Electronic diagnostic support in emergency physician triage:
qualitative study with thematic analysis of interviews. JMIR Hum Factors. 2022;9(…
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psnet.ahrq.gov/node/47198/psn-pdf
August 22, 2018 - Health IT Safe Practices for Closing the Loop.
August 22, 2018
Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018.
https://psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop
Inadequate follow-up of test results can contribute to missed and delayed diagnoses. Developing optimal…
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psnet.ahrq.gov/node/44768/psn-pdf
February 03, 2016 - Recommendations and low-technology safety solutions
following neuromuscular blocking agent incidents.
February 3, 2016
Graudins L, Downey G, Bui T, et al. Recommendations and Low-Technology Safety Solutions Following
Neuromuscular Blocking Agent Incidents. Jt Comm J Qual Patient Saf. 2016;42(2):86-91.
https://psne…
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psnet.ahrq.gov/node/47040/psn-pdf
October 18, 2018 - Unplanned early hospital readmission among critical care
survivors: a mixed methods study of patients and carers.
October 18, 2018
Donaghy E, Salisbury L, Lone NI, et al. Unplanned early hospital readmission among critical care survivors:
a mixed methods study of patients and carers. BMJ Qual Saf. 2018;27(11):915-9…
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psnet.ahrq.gov/node/73981/psn-pdf
October 20, 2021 - Medication errors at hospital admission and discharge:
risk factors and impact of medication reconciliation
process to improve healthcare.
October 20, 2021
Breuker C, Macioce V, Mura T, et al. Medication errors at hospital admission and discharge: risk factors
and impact of medication reconciliation process to imp…
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psnet.ahrq.gov/node/862994/psn-pdf
February 21, 2024 - Impact of the primary care nurse manager on nurse intent
to leave and staff perception of patient safety.
February 21, 2024
Miller MJ, Johansen ML, de Cordova PB, et al. Impact of the primary care nurse manager on nurse intent
to leave and staff perception of patient safety. Nurs Manage. 2024;55(1):32-42.
doi:10.1…
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psnet.ahrq.gov/node/38097/psn-pdf
January 02, 2017 - Adverse events during hospitalization: results of a patient
survey.
January 2, 2017
Fowler FJ, Epstein AM, Weingart SN, et al. Adverse events during hospitalization: results of a patient
survey. Jt Comm J Qual Patient Saf. 2008;34(10):583-90.
https://psnet.ahrq.gov/issue/adverse-events-during-hospitalization-resul…
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psnet.ahrq.gov/node/73132/psn-pdf
April 14, 2021 - Association of clinician diagnostic performance with
machine learning–based decision support systems: a
systematic review.
April 14, 2021
Vasey B, Ursprung S, Beddoe B, et al. Association of clinician diagnostic performance with machine
learning–based decision support systems: a systematic review. JAMA Netw Open. …
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psnet.ahrq.gov/node/867752/psn-pdf
March 12, 2025 - Analyzing and mitigating the risks of patient harm during
operating room to intensive care unit patient handoffs.
March 12, 2025
Martins NRS, Martinez EZ, Simões CM, et al. Analyzing and mitigating the risks of patient harm during
operating room to intensive care unit patient handoffs. Int J Qual Health Care. 2025;…
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psnet.ahrq.gov/node/858168/psn-pdf
December 13, 2023 - A resilience view on health system resilience: a scoping
review of empirical studies and reviews.
December 13, 2023
Copeland S, Hinrichs-Krapels S, Fecondo F, et al. A resilience view on health system resilience: a scoping
review of empirical studies and reviews. BMC Health Serv Res. 2023;23(1):1297. doi:10.1186/s1…
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psnet.ahrq.gov/node/851919/psn-pdf
August 02, 2023 - A data-driven approach to evaluate barcode-assisted
medication preparation alerts at a large academic medical
center.
August 2, 2023
Joshi RN, Kalaminsky S, Feemster A-A, et al. A data-driven approach to evaluate barcode-assisted
medication preparation alerts at a large academic medical center. Jt Comm J Qual Pati…
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psnet.ahrq.gov/node/836984/psn-pdf
April 27, 2022 - A 6-year thematic review of reported incidents associated
with cardiopulmonary resuscitation calls in a United
Kingdom hospital.
April 27, 2022
Beed M, Hussain S, Woodier N, et al. A 6-year thematic review of reported incidents associated with
cardiopulmonary resuscitation calls in a United Kingdom hospital. J Pat…
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psnet.ahrq.gov/node/60643/psn-pdf
July 01, 2020 - Human factors considerations in using personal
protective equipment in the COVID-19 pandemic context:
a bi-national survey study.
July 1, 2020
Parush A, Wacht O, Gomes R, et al. Human Factors Considerations in Using Personal Protective
Equipment in the COVID-19 Pandemic Context: A Bi-national Survey Study (Preprin…