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psnet.ahrq.gov/node/40477/psn-pdf
March 23, 2012 - Adverse drug events in U.S. adult ambulatory medical
care.
March 23, 2012
Sarkar U, Lopez A, Maselli JH, et al. Adverse drug events in U.S. adult ambulatory medical care. Health
Serv Res. 2011;46(5):1517-1533. doi:10.1111/j.1475-6773.2011.01269.x.
https://psnet.ahrq.gov/issue/adverse-drug-events-us-adult-ambulator…
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psnet.ahrq.gov/node/847532/psn-pdf
April 12, 2023 - The impact of an intervention to improve intrapartum
maternal vital sign monitoring and reduce alarm fatigue.
April 12, 2023
Kern-Goldberger AR, Nicholls EM, Plastino N, et al. The impact of an intervention to improve intrapartum
maternal vital sign monitoring and reduce alarm fatigue. Am J Obstet Gynecol MFM. 2023…
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psnet.ahrq.gov/node/847048/psn-pdf
April 05, 2023 - Comparison of health care worker satisfaction before vs
after implementation of a communication and optimal
resolution program in acute care hospitals.
April 5, 2023
Friedson AI, Humphreys A, LeCraw F, et al. Comparison of health care worker satisfaction before vs after
implementation of a communication and optima…
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psnet.ahrq.gov/node/45639/psn-pdf
February 17, 2017 - Dual health care system use and high-risk prescribing
in patients with dementia: a national cohort study.
February 17, 2017
Thorpe JM, Thorpe CT, Gellad WF, et al. Dual Health Care System Use and High-Risk Prescribing in
Patients With Dementia: A National Cohort Study. Ann Intern Med. 2017;166(3):157-163. doi:10.73…
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psnet.ahrq.gov/node/36865/psn-pdf
April 27, 2010 - Pharmacist workload and pharmacy characteristics
associated with the dispensing of potentially clinically
important drug-drug interactions.
April 27, 2010
Malone DC, Abarca J, Skrepnek GH, et al. Pharmacist workload and pharmacy characteristics associated
with the dispensing of potentially clinically important dru…
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psnet.ahrq.gov/node/46419/psn-pdf
April 12, 2019 - Medical malpractice lawsuits involving surgical residents.
April 12, 2019
Thiels CA, Choudhry AJ, Ray-Zack MD, et al. Medical Malpractice Lawsuits Involving Surgical Residents.
JAMA Surg. 2017;153(1). doi:10.1001/jamasurg.2017.2979.
https://psnet.ahrq.gov/issue/medical-malpractice-lawsuits-involving-surgical-reside…
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psnet.ahrq.gov/node/37818/psn-pdf
April 30, 2012 - ASHP national survey of pharmacy practice in hospital
settings: prescribing and transcribing—2007.
April 30, 2012
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital
settings: prescribing and transcribing--2007. Am J Health Syst Pharm. 2008;65(9):827-43.
doi:10.2146/aj…
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psnet.ahrq.gov/node/41030/psn-pdf
March 04, 2015 - A systematic review to evaluate the accuracy of electronic
adverse drug event detection.
March 4, 2015
Forster AJ, Jennings A, Chow C, et al. A systematic review to evaluate the accuracy of electronic adverse
drug event detection. J Am Med Inform Assoc. 2012;19(1):31-8. doi:10.1136/amiajnl-2011-000454.
https://psn…
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psnet.ahrq.gov/node/850340/psn-pdf
June 14, 2023 - Assertive communication training for nurses to speak up
in cases of medical errors: a systematic review and meta-
analysis.
June 14, 2023
Chen H-W, Wu J-C, Kang Y-N, et al. Assertive communication training for nurses to speak up in cases of
medical errors: a systematic review and meta-analysis. Nurse Educ Today. 2…
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psnet.ahrq.gov/node/73289/psn-pdf
May 19, 2021 - Clinical characteristics and short-term outcomes of acute
kidney injury missed diagnosis in older patients with
severe COVID-19 in intensive care unit.
May 19, 2021
Li Q, Hu P, Kang H, et al. Clinical characteristics and short-term outcomes of acute kidney injury missed
diagnosis in older patients with severe COVI…
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psnet.ahrq.gov/node/866397/psn-pdf
July 31, 2024 - Exploring the fear of clinical errors: associations with
socio-demographic, professional, burnout, and mental
health factors in healthcare workers - a nationwide cross-
sectional study.
July 31, 2024
Boyer L, Wu AW, Fernandes S, et al. Exploring the fear of clinical errors: associations with socio-
demographic, p…
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psnet.ahrq.gov/node/46379/psn-pdf
December 22, 2018 - Primary care providers' opening of time-sensitive alerts
sent to commercial electronic health record InBaskets.
December 22, 2018
Cutrona SL, Fouayzi H, Burns L, et al. Primary Care Providers' Opening of Time-Sensitive Alerts Sent to
Commercial Electronic Health Record InBaskets. J Gen Intern Med. 2017;32(11):1210-…
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psnet.ahrq.gov/node/842770/psn-pdf
January 18, 2023 - A multi-site assessment of inpatient safety event rates
during the coronavirus disease 2019 pandemic.
January 18, 2023
Pollock BD, Dykhoff HJ, Breeher LE, et al. A multi-site assessment of inpatient safety event rates during
the coronavirus disease 2019 pandemic. Mayo Clin Proc Innov Qual Outcomes. 2023;7(1):51-57.…
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psnet.ahrq.gov/node/73115/psn-pdf
April 07, 2021 - Can decision support combat incompleteness and bias in
routine primary care data?
April 7, 2021
Kostopoulou O, Tracey C, Delaney BC. Can decision support combat incompleteness and bias in routine
primary care data? J Am Med Inform Assoc. 2021;28(7):1461-1467. doi:10.1093/jamia/ocab025.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/861764/psn-pdf
January 31, 2024 - Low rate of completion of recommended tests and
referrals in an academic primary care practice with
resident trainees.
January 31, 2024
Amat MJ, Anderson TS, Shafiq U, et al. Low rate of completion of recommended tests and referrals in an
academic primary care practice with resident trainees. Jt Comm J Qual Patien…
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psnet.ahrq.gov/node/37498/psn-pdf
April 30, 2014 - Evaluation of a preoperative checklist and team briefing
among surgeons, nurses, and anesthesiologists to
reduce failures in communication.
April 30, 2014
Lingard LA. Evaluation of a Preoperative Checklist and Team Briefing Among Surgeons, Nurses, and
Anesthesiologists to Reduce Failures in Communication. Archives…
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psnet.ahrq.gov/node/36003/psn-pdf
March 28, 2011 - The "To Err Is Human Report" and the patient safety
literature.
March 28, 2011
Stelfox HT, Palmisani S, Scurlock C, et al. The "To Err is Human" report and the patient safety literature.
Qual Saf Health Care. 2006;15(3):174-8.
https://psnet.ahrq.gov/issue/err-human-report-and-patient-safety-literature
This study …
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psnet.ahrq.gov/node/48051/psn-pdf
June 05, 2019 - Estimating the attributable cost of physician burnout in
the United States.
June 5, 2019
Han S, Shanafelt TD, Sinsky CA, et al. Estimating the Attributable Cost of Physician Burnout in the United
States. Ann Intern Med. 2019;170(11):784-790. doi:10.7326/M18-1422.
https://psnet.ahrq.gov/issue/estimating-attributabl…
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psnet.ahrq.gov/node/866565/psn-pdf
August 21, 2024 - Crowdsourced feedback to improve resident physician
error disclosure skills: a randomized clinical trial.
August 21, 2024
White AA, King AM, D’Addario AE, et al. Crowdsourced feedback to improve resident physician error
disclosure skills: a randomized clinical trial. JAMA Netw Open. 2024;7(8):e2425923.
doi:10.1001…
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psnet.ahrq.gov/node/60298/psn-pdf
May 06, 2020 - Impact of simulation-based closed-loop communication
training on medical errors in a pediatric emergency
department.
May 6, 2020
Diaz MCG, Dawson K. Impact of Simulation-Based Closed-Loop Communication Training on Medical
Errors in a Pediatric Emergency Department. Am J Med Qual. 2020;35(6):474-478.
doi:10.1177/1…