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psnet.ahrq.gov/issue/influences-physical-layout-and-space-patient-safety-and-communication-ambulatory-oncology
August 25, 2021 - Study
Influences of physical layout and space on patient safety and communication in ambulatory oncology practices: a multisite, mixed method investigation.
Citation Text:
Fauer AJ. Influences of physical layout and space on patient safety and communication in ambulatory oncology practic…
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psnet.ahrq.gov/issue/understanding-attitudes-hospital-pharmacists-reporting-medication-incidents-qualitative-study
September 04, 2016 - Study
Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study.
Citation Text:
Williams SD, Phipps D, Ashcroft DM. Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. Res Social Adm…
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psnet.ahrq.gov/issue/does-perception-severity-medical-error-differ-between-varying-levels-clinical-seniority
August 31, 2022 - Study
Does the perception of severity of medical error differ between varying levels of clinical seniority?
Citation Text:
Khan I, Arsanious M. Does the perception of severity of medical error differ between varying levels of clinical seniority? Adv Med Educ Pract. 2018;9:443-452. doi:10…
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psnet.ahrq.gov/issue/improving-patient-safety-automated-laboratory-based-adverse-event-grading
October 19, 2022 - Study
Improving patient safety via automated laboratory-based adverse event grading.
Citation Text:
Niland JC, Stiller T, Neat J, et al. Improving patient safety via automated laboratory-based adverse event grading. J Am Med Inform Assoc. 2012;19(1):111-5. doi:10.1136/amiajnl-2011-0005…
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psnet.ahrq.gov/issue/effect-audible-alarms-anaesthesiologists-response-times-adverse-events-simulated-anaesthesia
September 18, 2013 - Study
The effect of audible alarms on anaesthesiologists' response times to adverse events in a simulated anaesthesia environment: a randomised trial.
Citation Text:
de Man FR, Erwteman M, van Groeningen D, et al. The effect of audible alarms on anaesthesiologists' response times to adve…
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psnet.ahrq.gov/issue/promoting-patient-safety-using-early-warning-scoring-system
October 16, 2012 - Study
Promoting patient safety using an early warning scoring system.
Citation Text:
Higgins Y, Maries-Tillott C, Quinton S, et al. Promoting patient safety using an early warning scoring system. Nurs Stand. 2008;22(44):35-40.
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psnet.ahrq.gov/issue/putting-knowledge-practice-does-information-adverse-drug-interactions-influence-peoples
June 14, 2023 - Study
Putting knowledge into practice: does information on adverse drug interactions influence people's dosing behaviour?
Citation Text:
Dohle S, Dawson IGJ. Putting knowledge into practice: Does information on adverse drug interactions influence people's dosing behaviour? Br J Health Ps…
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psnet.ahrq.gov/node/33589/psn-pdf
September 15, 2024 - High Reliability
September 15, 2024
High Reliability. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/high-reliability
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in …
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psnet.ahrq.gov/perspective/conversation-eric-j-topol-md
February 26, 2025 - In Conversation With… Eric J. Topol, MD
September 1, 2015
Citation Text:
In Conversation With… Eric J. Topol, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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Form…
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psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
August 25, 2021 - Diagnosis in a Patient with Recurrent Pneumothorax
August 25, 2021
Lessons learned
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psnet.ahrq.gov/node/37555/psn-pdf
February 14, 2018 - ACOG Committee Opinion #730: fatigue and patient
safety.
February 14, 2018
ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2018;131(2):e78-
e81.
https://psnet.ahrq.gov/issue/acog-committee-opinion-730-fatigue-and-patient-safety
This commentary discusses how sleep deprivation affects…
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psnet.ahrq.gov/node/42491/psn-pdf
September 18, 2013 - The incidence of diagnostic error in medicine.
September 18, 2013
Graber ML. The incidence of diagnostic error in medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii21-ii27.
doi:10.1136/bmjqs-2012-001615.
https://psnet.ahrq.gov/issue/incidence-diagnostic-error-medicine
This review examines eight research methods used to es…
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psnet.ahrq.gov/node/48170/psn-pdf
July 31, 2019 - Developing resilience to combat nurse burnout.
July 31, 2019
Quick Safety. July 15, 2019;(50):1-4.
https://psnet.ahrq.gov/issue/developing-resilience-combat-nurse-burnout
This newsletter article discusses nurse burnout and how to reduce conditions that contribute to the problem
. Recommendations focus on the role …
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psnet.ahrq.gov/node/837738/psn-pdf
July 27, 2022 - High-reliability organisation principles implemented in
dentistry.
July 27, 2022
Minyé HM, Benjamin EM. High-reliability organisation principles implemented in dentistry. Br Dent J.
2022;232(12):879-885. doi:10.1038/s41415-022-4354-z.
https://psnet.ahrq.gov/issue/high-reliability-organisation-principles-implemente…
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psnet.ahrq.gov/node/45476/psn-pdf
September 21, 2016 - Use of a surgical safety checklist to improve team
communication.
September 21, 2016
Cabral RA, Eggenberger T, Keller K, et al. Use of a surgical safety checklist to improve team
communication. AORN J. 2016;104(3):206-216. doi:10.1016/j.aorn.2016.06.019.
https://psnet.ahrq.gov/issue/use-surgical-safety-checklist-i…
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psnet.ahrq.gov/node/35046/psn-pdf
June 22, 2009 - Patient safety: do nursing and medical curricula address
this theme?
June 22, 2009
Wakefield A, Attree M, Braidman I, et al. Patient safety: do nursing and medical curricula address this
theme? Nurse Educ Today. 2005;25(4):333-40.
https://psnet.ahrq.gov/issue/patient-safety-do-nursing-and-medical-curricula-address…
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psnet.ahrq.gov/node/43844/psn-pdf
January 21, 2015 - Unintended side effects: arbitration and the deterrence of
medical error.
January 21, 2015
Shieh D. N Y Univ Law Rev. 2014;89:1806-1835.
https://psnet.ahrq.gov/issue/unintended-side-effects-arbitration-and-deterrence-medical-error
This commentary explores the role of medical malpractice arbitration as a deterrent …
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psnet.ahrq.gov/node/40447/psn-pdf
March 04, 2015 - Analysis and prioritization of near-miss adverse events in
a radiology department.
March 4, 2015
Thornton RH, Miransky J, Killen A, et al. Analysis and prioritization of near-miss adverse events in a
radiology department. AJR Am J Roentgenol. 2011;196(5):1120-4. doi:10.2214/AJR.10.5373.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/38242/psn-pdf
November 26, 2008 - Is health care getting safer?
November 26, 2008
Vincent CA, Aylin PP, Franklin BD, et al. Is health care getting safer? BMJ. 2008;337:a2426.
doi:10.1136/bmj.a2426.
https://psnet.ahrq.gov/issue/health-care-getting-safer
This commentary reflects on data from the United Kingdom's National Health Service to underscore…
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psnet.ahrq.gov/node/47791/psn-pdf
March 20, 2019 - Essential activities for electronic health record safety: a
qualitative study.
March 20, 2019
Ash JS, Singh H, Wright A, et al. Essential activities for electronic health record safety: A qualitative study.
Health Informatics J. 2019:1460458219833109. doi:10.1177/1460458219833109.
https://psnet.ahrq.gov/issue/esse…