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psnet.ahrq.gov/node/866519/psn-pdf
August 14, 2024 - Medication errors in emergency departments: a
systematic review and meta-analysis of prevalence and
severity
August 14, 2024
Nguyen PTL, Phan TAT, Vo VBN, et al. Medication errors in emergency departments: a systematic review
and meta-analysis of prevalence and severity. Int J Clin Pharm. 2024;46(5):1024-1033.
do…
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psnet.ahrq.gov/node/44400/psn-pdf
September 23, 2015 - Near misses and unsafe conditions reported in a Pediatric
Emergency Research Network.
September 23, 2015
Ruddy RM, Chamberlain JM, Mahajan P, et al. Near misses and unsafe conditions reported in a Pediatric
Emergency Research Network. BMJ Open. 2015;5(9):e007541. doi:10.1136/bmjopen-2014-007541.
https://psnet.ahrq…
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psnet.ahrq.gov/node/45339/psn-pdf
August 10, 2016 - Hospital at night: an organizational design that provides
safer care at night.
August 10, 2016
Hamilton-Fairley D, Coakley J, Moss F. Hospital at night: an organizational design that provides safer care
at night. BMC Med Edu. 2014;14(Suppl 1):S17. doi:10.1186/1472-6920-14-S1-S17.
https://psnet.ahrq.gov/issue/hospi…
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psnet.ahrq.gov/node/848365/psn-pdf
May 03, 2023 - Value of improving patient safety: health economic
considerations for rapid response systems-a rapid review
of the literature and expert round table.
May 3, 2023
Subbe CP, Hughes DA, Lewis S, et al. Value of improving patient safety: health economic considerations
for rapid response systems–a rapid review of the l…
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psnet.ahrq.gov/node/838080/psn-pdf
September 14, 2022 - Effect on diagnostic accuracy of cognitive reasoning
tools for the workplace setting: systematic review and
meta-analysis.
September 14, 2022
Staal J, Hooftman J, Gunput STG, et al. Effect on diagnostic accuracy of cognitive reasoning tools for the
workplace setting: systematic review and meta-analysis. BMJ Qual S…
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psnet.ahrq.gov/node/40049/psn-pdf
April 12, 2011 - Field test results of a new ambulatory care Medication
Error and Adverse Drug Event Reporting
System—MEADERS.
April 12, 2011
Hickner J, Zafar A, Kuo GM, et al. Field test results of a new ambulatory care Medication Error and
Adverse Drug Event Reporting System--MEADERS. Ann Fam Med. 2010;8(6):517-25.
doi:10.1370/…
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psnet.ahrq.gov/node/853244/psn-pdf
September 06, 2023 - Error traps in pediatric patient blood management in the
perioperative period.
September 6, 2023
Tan GM, Murto K, Downey LA, et al. Error traps in pediatric patient blood management in the perioperative
period. Paediatr Anaesth. 2023;33(8):609-619. doi:10.1111/pan.14683.
https://psnet.ahrq.gov/issue/error-traps-pe…
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psnet.ahrq.gov/node/35832/psn-pdf
August 04, 2009 - The incorporation of patient safety into board certification
examinations.
August 4, 2009
Kachalia A, Johnson J, Miller ST, et al. The incorporation of patient safety into board certification
examinations. Acad Med. 2006;81(4):317-25.
https://psnet.ahrq.gov/issue/incorporation-patient-safety-board-certification-ex…
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psnet.ahrq.gov/node/865310/psn-pdf
March 27, 2024 - Organizational learning in the morbidity and mortality
conference.
March 27, 2024
Batthish M, Kuper A, Fine C, et al. Organizational learning in the morbidity and mortality conference. J
Healthc Qual. 2024;46(2):100-108. doi:10.1097/jhq.0000000000000416.
https://psnet.ahrq.gov/issue/organizational-learning-morbidi…
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psnet.ahrq.gov/node/34784/psn-pdf
June 24, 2015 - The potential for improved teamwork to reduce medical
errors in the emergency department.
June 24, 2015
Risser DT, Rice MM, Salisbury ML, et al. The potential for improved teamwork to reduce medical errors in
the emergency department. Ann Emerg Med. 2005;34(3):373-383. doi:10.1016/s0196-0644(99)70134-4.
https://ps…
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psnet.ahrq.gov/node/47664/psn-pdf
April 03, 2019 - Minor flow disruptions, traffic-related factors and their
effect on major flow disruptions in the operating room.
April 3, 2019
Joseph A, Khoshkenar A, Taaffe KM, et al. Minor flow disruptions, traffic-related factors and their effect on
major flow disruptions in the operating room. BMJ Qual Saf. 2019;28(4):276-283…
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psnet.ahrq.gov/node/43039/psn-pdf
August 24, 2016 - How Doctors Think.
August 24, 2016
Groopman J. Boston, MA: Houghton Mifflin; 2007. ISBN: 0618610030.
https://psnet.ahrq.gov/issue/how-doctors-think
In this book, the author presents several stories that illustrate the forces that shape physician decision-
making and may lead to diagnostic mistakes. Borrowing from …
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psnet.ahrq.gov/node/44937/psn-pdf
September 29, 2017 - Effect of behavioral interventions on inappropriate
antibiotic prescribing among primary care practices: a
randomized clinical trial.
September 29, 2017
Meeker D, Linder JA, Fox CR, et al. Effect of Behavioral Interventions on Inappropriate Antibiotic
Prescribing Among Primary Care Practices: A Randomized Clinical…
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psnet.ahrq.gov/node/837736/psn-pdf
July 27, 2022 - Body mass index category and adverse events in
hospitalized children.
July 27, 2022
Halvorson EE, Thurtle DP, Easter A, et al. Body mass index category and adverse events in hospitalized
children. Acad Pediatr. 2022;22(5):747-753. doi:10.1016/j.acap.2021.09.004.
https://psnet.ahrq.gov/issue/body-mass-index-categor…
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psnet.ahrq.gov/node/851917/psn-pdf
January 01, 2024 - Incivility in healthcare: the impact of poor
communication.
August 2, 2023
Guppy JH, Widlund H, Munro R, et al. Incivility in healthcare: the impact of poor communication. BMJ Lead.
2024;8(1):83-87. doi:10.1136/leader-2022-000717.
https://psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication
Incivi…
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psnet.ahrq.gov/node/46473/psn-pdf
December 18, 2017 - Diagnostic errors: impact of an educational intervention
on pediatric primary care.
December 18, 2017
Walsh JN, Knight M, Lee AJ. Diagnostic Errors: Impact of an Educational Intervention on Pediatric Primary
Care. Journal of Pediatric Health Care. 2017;32(1). doi:10.1016/j.pedhc.2017.07.004.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/45172/psn-pdf
January 01, 2017 - Strategies for developing and recognizing faculty working
in quality improvement and patient safety.
December 30, 2016
Coleman DL, Wardrop RM, Levinson WS, et al. Strategies for Developing and Recognizing Faculty
Working in Quality Improvement and Patient Safety. Acad Med. 2017;92(1):52-57.
doi:10.1097/ACM.0000000…
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psnet.ahrq.gov/node/863765/psn-pdf
March 06, 2024 - Patient safety and artificial intelligence in clinical care.
March 6, 2024
Ratwani RM, Bates DW, Classen DC. Patient safety and artificial intelligence in clinical care. JAMA Health
Forum. 2024;5(2):e235514. doi:10.1001/jamahealthforum.2023.5514.
https://psnet.ahrq.gov/issue/patient-safety-and-artificial-intelligen…
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psnet.ahrq.gov/node/44968/psn-pdf
January 23, 2017 - Financial incentives and mortality: taking pay for
performance a step too far.
January 23, 2017
Gupta K, Wachter R, Kachalia A. Financial incentives and mortality: taking pay for performance a step too
far. BMJ Qual Saf. 2017;26(2):164-168. doi:10.1136/bmjqs-2015-004835.
https://psnet.ahrq.gov/issue/financial-ince…
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psnet.ahrq.gov/node/41155/psn-pdf
March 06, 2012 - Functional decline associated with polypharmacy and
potentially inappropriate medications in community-
dwelling older adults with dementia.
March 6, 2012
Lau DT, Mercaldo ND, Shega JW, et al. Functional decline associated with polypharmacy and potentially
inappropriate medications in community-dwelling older adul…