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psnet.ahrq.gov/node/60838/psn-pdf
January 01, 2021 - Using the ecological systems theory to understand
black/white disparities in maternal morbidity and mortality
in the United States.
August 26, 2020
Noursi S, Saluja B, Richey L. Using the ecological systems theory to understand black/white disparities in
maternal morbidity and mortality in the United States. J Rac…
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psnet.ahrq.gov/node/847046/psn-pdf
April 05, 2023 - Indication documentation and indication-based
prescribing within electronic prescribing systems: a
systematic review and narrative synthesis.
April 5, 2023
Feather C, Appelbaum N, Darzi A, et al. Indication documentation and indication-based prescribing within
electronic prescribing systems: a systematic review an…
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psnet.ahrq.gov/node/764398/psn-pdf
March 02, 2022 - What do we really know about crew resource
management in healthcare?: An umbrella review on crew
resource management and its effectiveness.
March 2, 2022
Buljac-Samardzic M, Dekker-van Doorn CM, Maynard MT. What do we really know about crew resource
management in healthcare?: An umbrella review on crew resource ma…
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psnet.ahrq.gov/node/41211/psn-pdf
January 03, 2017 - He thought the "lady in the door" was the "lady in the
window": a qualitative study of patient identification
practices.
January 3, 2017
Phipps E, Turkel M, Mackenzie ER, et al. He thought the "lady in the door" was the "lady in the window": a
qualitative study of patient identification practices. Jt Comm J Qual P…
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psnet.ahrq.gov/node/837203/psn-pdf
May 25, 2022 - Engaging with ethnic minority consumers to improve
safety in cancer services: a national stakeholder analysis.
May 25, 2022
Joseph K, Newman B, Manias E, et al. Engaging with ethnic minority consumers to improve safety in
cancer services: a national stakeholder analysis. Patient Educ Couns. 2022;105(8):2778-2784.
…
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psnet.ahrq.gov/node/839816/psn-pdf
January 01, 2023 - Gender bias in risk management reports involving
physicians in training - a retrospective qualitative study.
November 9, 2022
Andraska EA, Phillips AR, Asaadi S, et al. Gender bias in risk management reports involving physicians in
training - a retrospective qualitative study. J Surg Educ. 2023;80(1):102-109.
doi:…
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psnet.ahrq.gov/node/35407/psn-pdf
September 11, 2009 - Liability reform should make patients safer: "Avoidable
classes of events" are a key improvement.
September 11, 2009
Bovbjerg RR, Tancredi LR. Liability reform should make patients safer: "avoidable classes of events" are a
key improvement. J Law Med Ethics. 2005;33(3):478-500.
https://psnet.ahrq.gov/issue/liabili…
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psnet.ahrq.gov/node/39533/psn-pdf
May 25, 2015 - The relationship between patient safety culture and the
implementation of organizational patient safety defences
at emergency departments.
May 25, 2015
van Noord I, de Bruijne M, Twisk JWR. The relationship between patient safety culture and the
implementation of organizational patient safety defences at emergency…
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psnet.ahrq.gov/node/841142/psn-pdf
December 07, 2022 - Experience of hospital-initiated medication changes in
older people with multimorbidity: a multicentre mixed-
methods study embedded in the OPtimising thERapy to
prevent Avoidable hospital admissions in Multimorbid
older people (OPERAM) trial.
December 7, 2022
Thevelin S, Pétein C, Metry B, et al. Experience of h…
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psnet.ahrq.gov/node/854822/psn-pdf
October 25, 2023 - Cognitive bias during clinical decision-making and its
influence on patient outcomes in the emergency
department: a scoping review.
October 25, 2023
Jala S, Fry M, Elliott R. Cognitive bias during clinical decision?making and its influence on patient
outcomes in the emergency department: a scoping review. J Clin N…
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psnet.ahrq.gov/node/42980/psn-pdf
February 17, 2017 - Disclosing adverse events to patients: international
norms and trends.
February 17, 2017
Wu AW, McCay L, Levinson W, et al. Disclosing Adverse Events to Patients: International Norms and
Trends. J Patient Saf. 2017;13(1):43-49. doi:10.1097/PTS.0000000000000107.
https://psnet.ahrq.gov/issue/disclosing-adverse-event…
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psnet.ahrq.gov/node/43983/psn-pdf
February 05, 2016 - Near-miss transcription errors: a comparison of reporting
rates between a novel error-reporting mechanism and a
current formal reporting system.
February 5, 2016
South DA, Skelley JW, Dang M, et al. Near-miss transcription errors: a comparison of reporting rates
between a novel error-reporting mechanism and a curr…
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psnet.ahrq.gov/node/47291/psn-pdf
October 31, 2018 - Incidence and method of suicide in hospitals in the United
States.
October 31, 2018
Williams SC, Schmaltz SP, Castro GM, et al. Incidence and Method of Suicide in Hospitals in the United
States. Jt Comm J Qual Patient Saf. 2018;44(11):643-650. doi:10.1016/j.jcjq.2018.08.002.
https://psnet.ahrq.gov/issue/incidence-…
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psnet.ahrq.gov/node/72855/psn-pdf
March 17, 2021 - We asked the experts: the WHO Surgical Safety Checklist
and the COVID-19 pandemic: recommendations for
content and implementation adaptations.
March 17, 2021
Panda N, Etheridge JC, Singh T, et al. The WHO Surgical Safety Checklist and the COVID-19 pandemic:
recommendations for content and implementation adaptation…
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psnet.ahrq.gov/node/837137/psn-pdf
May 18, 2022 - Exploring system features of primary care practices that
promote better providers' clinical work satisfaction: a
qualitative comparative analysis.
May 18, 2022
Liu L, Chien AT, Singer SJ. Exploring system features of primary care practices that promote better
providers’ clinical work satisfaction. Health Care Mana…
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psnet.ahrq.gov/node/38176/psn-pdf
October 29, 2008 - Human error, not communication and systems, underlies
surgical complications.
October 29, 2008
Fabri PJ, Zayas-Castro JL. Human error, not communication and systems, underlies surgical
complications. Surgery. 2008;144(4):557-63; discussion 563-5. doi:10.1016/j.surg.2008.06.011.
https://psnet.ahrq.gov/issue/human-e…
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psnet.ahrq.gov/node/50447/psn-pdf
October 09, 2019 - Patient safety incidents in advance care planning for
serious illness: a mixed-methods analysis
October 9, 2019
Dinnen T, Williams H, Yardley S, et al. Patient safety incidents in advance care planning for serious illness:
a mixed-methods analysis. BMJ Support Palliat Care. 2019. doi:10.1136/bmjspcare-2019-001824.
…
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psnet.ahrq.gov/node/849340/psn-pdf
May 24, 2023 - Death Inside Lemuel Shattuck Hospital: A Case Study on
Medical Treatment for Persons with Mental Health
Disabilities.
May 24, 2023
Massachusetts Protection and Advocacy. Boston, MA: Disability Law Center; May 8, 2023.
https://psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treat…
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psnet.ahrq.gov/node/866398/psn-pdf
July 31, 2024 - An effective program to reduce malpractice claims and
payments in a large orthopaedic practice.
July 31, 2024
Doub TW, Hickson GB, Casey VF, et al. An effective program to reduce malpractice claims and payments
in a large orthopaedic practice. J Bone Joint Surg Am. 2024;106(14):1286-1292. doi:10.2106/jbjs.23.00973.…
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psnet.ahrq.gov/node/37701/psn-pdf
February 22, 2011 - Use of a handheld computer application for voluntary
medication event reporting by inpatient nurses and
physicians.
February 22, 2011
Dollarhide AW, Rutledge T, Weinger MB, et al. Use of a handheld computer application for voluntary
medication event reporting by inpatient nurses and physicians. J Gen Intern Med. 2…