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psnet.ahrq.gov/node/39709/psn-pdf
September 20, 2011 - A systems approach to morbidity and mortality
conference.
September 20, 2011
Szostek JH, Wieland ML, Loertscher LL, et al. A systems approach to morbidity and mortality conference.
Am J Med. 2010;123(7):663-668. doi:10.1016/j.amjmed.2010.03.010.
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January 06, 2010 - Resident fatigue: is there a patient safety issue?
January 6, 2010
Mitchell CD, Mooty CR, Dunn EL, et al. Resident fatigue: is there a patient safety issue? Am J Surg.
2009;198(6):811-6. doi:10.1016/j.amjsurg.2009.04.028.
https://psnet.ahrq.gov/issue/resident-fatigue-there-patient-safety-issue
Regulations limiting…
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psnet.ahrq.gov/node/60576/psn-pdf
June 10, 2020 - Patient safety over power hierarchy: a scoping review of
healthcare professionals' speaking-up skills training.
June 10, 2020
Kim S, Appelbaum NP, Baker N, et al. Patient Safety Over Power Hierarchy: A Scoping Review of
Healthcare Professionals' Speaking-up Skills Training. J Healthc Qual. 2020;42(5):249-263.
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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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December 19, 2014 - Systematic biases in group decision-making: implications
for patient safety.
December 19, 2014
Mannion R, Thompson C. Systematic biases in group decision-making: implications for patient safety. Int J
Qual Health Care. 2014;26(6):606-12. doi:10.1093/intqhc/mzu083.
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July 23, 2014 - Improving team information sharing with a structured
call-out in anaesthetic emergencies: a randomized
controlled trial.
July 23, 2014
Weller JM, Torrie J, Boyd M, et al. Improving team information sharing with a structured call-out in
anaesthetic emergencies: a randomized controlled trial. Br J Anaesth. 2014;112(…
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June 01, 2022 - An objective framework for evaluating unrecognized bias
in medical AI models predicting COVID-19 outcomes.
June 1, 2022
Estiri H, Strasser ZH, Rashidian S, et al. An objective framework for evaluating unrecognized bias in
medical AI models predicting COVID-19 outcomes. J Am Med Inform Assoc. 2022;29(8):1334–1341.
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March 15, 2017 - Gender-based differences in surgical residents'
perceptions of patient safety, continuity of care, and well-
being: an analysis from the Flexibility in Duty Hour
Requirements for Surgical Trainees (FIRST) trial.
March 15, 2017
Ban KA, Chung JW, Matulewicz RS, et al. Gender-Based Differences in Surgical Residents' …
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November 08, 2012 - Anatomy of an incident disclosure: the importance of
dialogue.
November 8, 2012
Iedema R, Allen S. Anatomy of an incident disclosure: the importance of dialogue. Jt Comm J Qual Patient
Saf. 2012;38(10):435-42.
https://psnet.ahrq.gov/issue/anatomy-incident-disclosure-importance-dialogue
Physician organizations who…
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September 02, 2020 - When bad things happen: training medical students to
anticipate the aftermath of medical errors.
September 2, 2020
Musunur S, Waineo E, Walton E, et al. When bad things happen: training medical students to anticipate the
aftermath of medical errors. Acad Psychiatry. 2020;44(5):586-591. doi:10.1007/s40596-020-01278-…
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October 07, 2020 - National Nursing Home COVID Action Network.
October 7, 2020
Rockville, MD: Agency for Healthcare Research and Quality; September 2020.
https://psnet.ahrq.gov/issue/national-nursing-home-covid-action-network
Nursing home residents are especially vulnerable to COVID-19 due to their age, and communal living
condition…
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psnet.ahrq.gov/node/47044/psn-pdf
April 18, 2018 - Bedside computer vision—moving artificial intelligence
from driver assistance to patient safety.
April 18, 2018
Yeung S, Downing L, Fei-Fei L, et al. Bedside Computer Vision - Moving Artificial Intelligence from Driver
Assistance to Patient Safety. New Engl J Med. 2018;378(14):1271-1273. doi:10.1056/NEJMp1716891.
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January 10, 2024 - Methods for studying medication safety following
electronic health record implementation in acute care: a
scoping review.
January 10, 2024
Pereira N, Duff JP, Hayward T, et al. Methods for studying medication safety following electronic health
record implementation in acute care: a scoping review. J Am Med Inform …
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February 23, 2022 - Eliminating explicit and implicit biases in health care:
evidence and research needs.
February 23, 2022
Vela MB, Erondu AI, Smith NA, et al. Eliminating explicit and implicit biases in health care: evidence and
research needs. Annu Rev Public Health. 2022;43(1):477-501. doi:10.1146/annurev-publhealth-052620-
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June 02, 2021 - Human factors and ergonomics to improve performance
in intensive care units during the COVID-19 pandemic.
June 2, 2021
Della Torre V, E. Nacul F, Rosseel P, et al. Human factors and ergonomics to improve performance in
intensive care units during the COVID-19 pandemic. Anaesthesiol Intensive Ther. 2021;53(3):265-27…
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March 03, 2011 - Surgeon information transfer and communication: factors
affecting quality and efficiency of inpatient care.
March 3, 2011
Williams RG, Silverman R, Schwind C, et al. Surgeon information transfer and communication: factors
affecting quality and efficiency of inpatient care. Ann Surg. 2007;245(2):159-69.
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January 01, 2021 - Disclosure coaching: an ask-tell-ask model to support
clinicians in disclosure conversations.
July 25, 2018
Shapiro J, Robins L, Galowitz P, et al. Disclosure Coaching: An Ask-Tell-Ask Model to Support Clinicians in
Disclosure Conversations. J Patient Saf. 2021;17(8):e1364-e1370. doi:10.1097/PTS.0000000000000491.
…
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August 07, 2019 - Multi-use Website
GoodDx.org
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April 26, 2023
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January 02, 2017 - Adverse events during hospitalization: results of a patient
survey.
January 2, 2017
Fowler FJ, Epstein AM, Weingart SN, et al. Adverse events during hospitalization: results of a patient
survey. Jt Comm J Qual Patient Saf. 2008;34(10):583-90.
https://psnet.ahrq.gov/issue/adverse-events-during-hospitalization-resul…
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psnet.ahrq.gov/node/73292/psn-pdf
May 19, 2021 - Redeployment of health care workers in the COVID-19
pandemic: a qualitative study of health system leaders'
strategies.
May 19, 2021
Panda N, Sinyard RD, Henrich N, et al. Redeployment of health care workers in the COVID-19 pandemic: a
qualitative study of health system leaders' strategies. J Patient Saf. 2021;17(…