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psnet.ahrq.gov/node/74063/psn-pdf
April 10, 2019 - Structural racism--a 60-year-old black woman with breast
cancer.
April 10, 2019
Pallok K, De Maio F, Ansell DA. Structural racism--a 60-year-old black woman with breast cancer. N Engl J
Med. 2019;380(16):1489-1493. doi:10.1056/nejmp1811499.
https://psnet.ahrq.gov/issue/structural-racism-60-year-old-black-woman-bre…
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psnet.ahrq.gov/node/35572/psn-pdf
February 03, 2011 - The long road to patient safety: a status report on patient
safety systems.
February 3, 2011
Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety
systems. JAMA. 2005;294(22):2858-65.
https://psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-s…
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psnet.ahrq.gov/node/42789/psn-pdf
December 04, 2013 - Development of the just culture assessment tool:
measuring the perceptions of health-care professionals in
hospitals.
December 4, 2013
Petschonek S, Burlison JD, Cross C, et al. Development of the just culture assessment tool: measuring the
perceptions of health-care professionals in hospitals. J Patient Saf. 2013…
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psnet.ahrq.gov/node/39670/psn-pdf
July 07, 2010 - The Power of Safety: State Reporting Provides Lessons in
Reducing Harm, Improving Care.
July 7, 2010
Washington DC: National Quality Forum; 2010.
https://psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care
The landmark Institute of Medicine (IOM) report, To Err Is Human,…
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psnet.ahrq.gov/node/39405/psn-pdf
March 31, 2010 - ED overcrowding is associated with an increased
frequency of medication errors.
March 31, 2010
Kulstad EB, Sikka R, Sweis RT, et al. ED overcrowding is associated with an increased frequency of
medication errors. Am J Emerg Med. 2010;28(3):304-309. doi:10.1016/j.ajem.2008.12.014.
https://psnet.ahrq.gov/issue/ed-ov…
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psnet.ahrq.gov/node/850162/psn-pdf
June 07, 2023 - Understanding medication safety involving patient
transfer from intensive care to hospital ward: a qualitative
sociotechnical factor study.
June 7, 2023
Bourne RS, Jeffries M, Phipps DL, et al. Understanding medication safety involving patient transfer from
intensive care to hospital ward: a qualitative sociotechn…
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psnet.ahrq.gov/node/42474/psn-pdf
September 19, 2015 - A new, evidence-based estimate of patient harms
associated with hospital care.
September 19, 2015
James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf.
2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69.
https://psnet.ahrq.gov/issue/new-evidence-based-estimate-pat…
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psnet.ahrq.gov/node/46547/psn-pdf
April 16, 2018 - Hidden curricula, ethics, and professionalism: clinical
learning environments in becoming and being a
physician: a position paper of the American College of
Physicians.
April 16, 2018
Lehmann LS, Sulmasy LS, Desai S, et al. Hidden Curricula, Ethics, and Professionalism: Optimizing
Clinical Learning Environments i…
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psnet.ahrq.gov/node/42178/psn-pdf
April 10, 2013 - Outside case review of surgical pathology for referred
patients: the impact on patient care.
April 10, 2013
Swapp RE, Aubry MC, Salomão DR, et al. Outside case review of surgical pathology for referred patients:
the impact on patient care. Arch Pathol Lab Med. 2013;137(2):233-40. doi:10.5858/arpa.2012-0088-OA.
htt…
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psnet.ahrq.gov/node/44904/psn-pdf
June 01, 2016 - Does time pressure have a negative effect on diagnostic
accuracy?
June 1, 2016
ALQahtani DA, Rotgans JI, Mamede S, et al. Does Time Pressure Have a Negative Effect on Diagnostic
Accuracy? Acad Med. 2016;91(5):710-716. doi:10.1097/ACM.0000000000001098.
https://psnet.ahrq.gov/issue/does-time-pressure-have-negative-e…
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psnet.ahrq.gov/node/43007/psn-pdf
December 12, 2014 - 'I think we should just listen and get out': a qualitative
exploration of views and experiences of Patient Safety
Walkrounds.
December 12, 2014
Rotteau L, Shojania KG, Webster F. ‘I think we should just listen and get out’: a qualitative exploration of
views and experiences of Patient Safety Walkrounds: Table 1. B…
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psnet.ahrq.gov/node/47704/psn-pdf
April 03, 2019 - Changes in practice among physicians with malpractice
claims.
April 3, 2019
Studdert DM, Spittal MJ, Zhang Y, et al. Changes in Practice among Physicians with Malpractice Claims. N
Engl J Med. 2019;380(13):1247-1255. doi:10.1056/NEJMsa1809981.
https://psnet.ahrq.gov/issue/changes-practice-among-physicians-malpract…
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psnet.ahrq.gov/node/36384/psn-pdf
January 05, 2017 - Forum: The 100,000 Lives Campaign: a scientific and
policy review [with IHI response].
January 5, 2017
Wachter R, Pronovost P. The 100,000 Lives Campaign: A scientific and policy review. Jt Comm J Qual
Patient Saf. 2006;32(11):621-7.
https://psnet.ahrq.gov/issue/forum-100000-lives-campaign-scientific-and-policy-re…
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psnet.ahrq.gov/node/43258/psn-pdf
May 01, 2015 - Interventions employed to improve intrahospital
handover: a systematic review.
May 1, 2015
Robertson ER, Morgan L, Bird S, et al. Interventions employed to improve intrahospital handover: a
systematic review. BMJ Qual Saf. 2014;23(7):600-7. doi:10.1136/bmjqs-2013-002309.
https://psnet.ahrq.gov/issue/interventions-…
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psnet.ahrq.gov/node/60539/psn-pdf
July 10, 2017 - Understanding facilitators and barriers to care
transitions: insights from Project ACHIEVE Site Visits.
July 10, 2017
Scott AM, Li J, Oyewole-Eletu S, et al. Understanding facilitators and barriers to care transitions: insights
from Project ACHIEVE Site Visits. Jt Comm J Qual Patient Saf. 2017;43(9):433-447.
doi:1…
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psnet.ahrq.gov/node/837311/psn-pdf
June 01, 2022 - Effects of healthcare organization actions and policies
related to COVID-19 on perceived organizational support
among U.S. internists: a national study.
June 1, 2022
Sonis J, Pathman DE, Read S, et al. Effects of healthcare organization actions and policies related to
COVID-19 on perceived organizational support a…
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psnet.ahrq.gov/node/40129/psn-pdf
January 12, 2011 - Medical error disclosure training: evidence for values-
based ethical environments.
January 12, 2011
Rathert C, Phillips W. Medical Error Disclosure Training: Evidence for Values-Based Ethical Environments.
Journal of Business Ethics. 2010;97(3). doi:10.1007/s10551-010-0520-3.
https://psnet.ahrq.gov/issue/medical-…
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psnet.ahrq.gov/node/42710/psn-pdf
December 29, 2014 - Impact of electronic chemotherapy order forms on
prescribing errors at an urban medical center: results
from an interrupted time-series analysis.
December 29, 2014
Elsaid K, Truong T, Monckeberg M, et al. Impact of electronic chemotherapy order forms on prescribing
errors at an urban medical center: results from a…
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psnet.ahrq.gov/node/764402/psn-pdf
March 02, 2022 - A systematic review of methods for medical record
analysis to detect adverse events in hospitalized patients.
March 2, 2022
Klein DO, Rennenberg RJMW, Koopmans RP, et al. A systematic review of methods for medical record
analysis to detect adverse events in hospitalized patients. J Patient Saf. 2021;17(8):e1234-e12…
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psnet.ahrq.gov/node/73110/psn-pdf
April 07, 2021 - Does one size fit all? Assessing the need for
organizational second victim support programs.
April 7, 2021
Edrees HH, Wu AW. Does one size fit all? Assessing the need for organizational second victim support
programs. J Patient Saf. 2021;17(3):e247-e254. doi:10.1097/pts.0000000000000321.
https://psnet.ahrq.gov/iss…