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psnet.ahrq.gov/node/46912/psn-pdf
March 28, 2018 - Ignoring the Alarms: How NHS Eating Disorder Services
Are Failing Patients.
March 28, 2018
London, UK: Parliamentary and Health Service Ombudsman; 2017. ISBN: 9781528601344.
https://psnet.ahrq.gov/issue/ignoring-alarms-how-nhs-eating-disorder-services-are-failing-patients
Patients with mental health conditions fac…
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psnet.ahrq.gov/node/73113/psn-pdf
April 07, 2021 - Analysis of results from event investigations in industrial
and patient safety contexts.
April 7, 2021
Harms-Ringdahl L. Analysis of results from event investigations in industrial and patient safety contexts.
Safety. 2021;7(1):19. doi:10.3390/safety7010019.
https://psnet.ahrq.gov/issue/analysis-results-event-inve…
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psnet.ahrq.gov/node/46514/psn-pdf
October 18, 2017 - Comparison of clinical diagnoses and autopsy findings:
six-year retrospective study.
October 18, 2017
Marshall HS, Milikowski C. Comparison of clinical diagnoses and autopsy findings: six-year retrospective
study. Arch Pathol Lab Med. 2017;141(9):1262-1266. doi:10.5858/arpa.2016-0488-oa.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/50731/psn-pdf
December 11, 2019 - Awareness of diagnosis and follow up care after
discharge from the emergency department
December 11, 2019
Leamy K, Thompson J, Mitra B. Awareness of diagnosis and follow up care after discharge from the
Emergency Department. Australas Emerg Care. 2019;22(4):221-226. doi:10.1016/j.auec.2019.08.004.
https://psnet.ah…
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psnet.ahrq.gov/node/47155/psn-pdf
October 17, 2018 - Medication errors with pediatric liquid acetaminophen
after standardization of concentration and packaging
improvements.
October 17, 2018
Brass EP, Reynolds KM, Burnham RI, et al. Medication Errors With Pediatric Liquid Acetaminophen After
Standardization of Concentration and Packaging Improvements. Acad Pediatr. …
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psnet.ahrq.gov/node/46934/psn-pdf
March 14, 2018 - Engaging the front line: tapping into hospital-wide quality
and safety initiatives.
March 14, 2018
Wolpaw J, Schwengel D, Hensley N, et al. Engaging the Front Line: Tapping into Hospital-Wide Quality
and Safety Initiatives. J Cardiothorac Vasc Anesth. 2018;32(1):522-533. doi:10.1053/j.jvca.2017.05.038.
https://psn…
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psnet.ahrq.gov/node/39021/psn-pdf
October 14, 2009 - Medication safety in acute care in Australia: where are we
now? Part 2: a review of strategies and activities for
improving medication safety 2002-2008.
October 14, 2009
Semple SJ, Roughead EE. Medication safety in acute care in Australia: where are we now? Part 2: a
review of strategies and activities for improvi…
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psnet.ahrq.gov/node/36265/psn-pdf
April 21, 2015 - "Health courts" and accountability for patient safety.
April 21, 2015
Mello MM, Studdert DM, Kachalia A, et al. "Health courts" and accountability for patient safety. Milbank Q.
2006;84(3):459-92.
https://psnet.ahrq.gov/issue/health-courts-and-accountability-patient-safety
This article provides an overview of "hea…
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psnet.ahrq.gov/node/74753/psn-pdf
February 09, 2022 - The morbidity and mortality conference: opportunities for
enhancing patient safety.
February 9, 2022
Lazzara EH, Salisbury M, Hughes AM, et al. The morbidity and mortality conference: opportunities for
enhancing patient safety. J Patient Saf. 2022;18(1):e275-e281. doi:10.1097/pts.0000000000000765.
https://psnet.ah…
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psnet.ahrq.gov/node/47873/psn-pdf
March 27, 2019 - Stand-alone artificial intelligence for breast cancer
detection in mammography: comparison with 101
radiologists.
March 27, 2019
Rodriguez-Ruiz A, Lång K, Gubern-Merida A, et al. Stand-Alone Artificial Intelligence for Breast Cancer
Detection in Mammography: Comparison With 101 Radiologists. J Natl Cancer Inst. 20…
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psnet.ahrq.gov/node/48035/psn-pdf
May 29, 2019 - Is the future of medical diagnosis in computer
algorithms?
May 29, 2019
Gruber K. Is the future of medical diagnosis in computer algorithms? Lancet Digit Health. 2019;1(1):e15-
e16. doi:10.1016/s2589-7500(19)30011-1.
https://psnet.ahrq.gov/issue/future-medical-diagnosis-computer-algorithms
Artificial intelligence…
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psnet.ahrq.gov/node/36470/psn-pdf
September 27, 2010 - Prioritizing patient safety interventions in small and rural
hospitals.
September 27, 2010
Casey M, Wakefield M, Coburn AF, et al. Prioritizing patient safety interventions in small and rural
hospitals. Jt Comm J Qual Patient Saf. 2006;32(12):693-702.
https://psnet.ahrq.gov/issue/prioritizing-patient-safety-interv…
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psnet.ahrq.gov/node/46013/psn-pdf
January 01, 2018 - The dichotomy of the application of a systems approach
in UK healthcare the challenges and priorities for
implementation.
December 19, 2017
Pickup L, Lang A, Atkinson S, et al. The dichotomy of the application of a systems approach in UK
healthcare the challenges and priorities for implementation. Ergonomics. 2018…
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psnet.ahrq.gov/node/44836/psn-pdf
January 27, 2016 - Advancing the next generation of handover research and
practice with cognitive load theory.
January 27, 2016
Young JQ, Wachter R, Cate OT, et al. Advancing the next generation of handover research and practice
with cognitive load theory. BMJ Qual Saf. 2016;25(2):66-70. doi:10.1136/bmjqs-2015-004181.
https://psnet.…
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psnet.ahrq.gov/node/44735/psn-pdf
January 06, 2016 - Quality and patient safety teams in the perioperative
setting.
January 6, 2016
Serino MF. Quality and Patient Safety Teams in the Perioperative Setting. AORN J. 2015;102(6):617-28.
doi:10.1016/j.aorn.2015.10.006.
https://psnet.ahrq.gov/issue/quality-and-patient-safety-teams-perioperative-setting
Team effectivenes…
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psnet.ahrq.gov/node/39073/psn-pdf
February 20, 2010 - Using simulation to teach patient safety behaviors in
undergraduate nursing education.
February 20, 2010
Gantt LT, Webb-Corbett R. Using simulation to teach patient safety behaviors in undergraduate nursing
education. J Nurs Educ. 2010;49(1):48-51. doi:10.3928/01484834-20090918-10.
https://psnet.ahrq.gov/issue/usi…
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psnet.ahrq.gov/node/47501/psn-pdf
February 06, 2019 - Formative evaluation of the video reflexive ethnography
method, as applied to the physician–nurse dyad.
February 6, 2019
Manojlovich M, Frankel RM, Harrod M, et al. Formative evaluation of the video reflexive ethnography
method, as applied to the physician-nurse dyad. BMJ Qual Saf. 2019;28(2):160-166. doi:10.1136/b…
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psnet.ahrq.gov/node/40084/psn-pdf
December 15, 2010 - Patterns in nursing home medication errors:
disproportionality analysis as a novel method to identify
quality improvement opportunities.
December 15, 2010
Hansen RA, Cornell PY, Ryan PB, et al. Patterns in nursing home medication errors: disproportionality
analysis as a novel method to identify quality improvement…
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psnet.ahrq.gov/node/853062/psn-pdf
August 30, 2023 - Quality and safety practices among academic obstetrics
and gynecology departments.
August 30, 2023
Christopher D, Leininger WM, Beaty L, et al. Quality and safety practices among academic obstetrics and
gynecology departments. Am J Med Qual. 2023;38(4):165-173. doi:10.1097/jmq.0000000000000129.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/837855/psn-pdf
August 17, 2022 - Patterns of error in interpretive pathology.
August 17, 2022
Packer MDC, Ravinsky E, Azordegan N. Patterns of error in interpretive pathology. Am J Clin Pathol.
2022;157(5):767-773. doi:10.1093/ajcp/aqab190.
https://psnet.ahrq.gov/issue/patterns-error-interpretive-pathology
Studies have shown diagnostic discordanc…