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psnet.ahrq.gov/node/47802/psn-pdf
March 04, 2019 - The path to diagnostic excellence includes feedback to
calibrate how clinicians think.
March 4, 2019
Meyer AND, Singh H. The Path to Diagnostic Excellence Includes Feedback to Calibrate How Clinicians
Think. JAMA. 2019;321(8):737-738. doi:10.1001/jama.2019.0113.
https://psnet.ahrq.gov/issue/path-diagnostic-excelle…
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psnet.ahrq.gov/node/41515/psn-pdf
July 02, 2014 - Anticipated consequences of the 2011 duty hours
standards: views of internal medicine and surgery
program directors.
July 2, 2014
Shea JA, Willett LL, Borman KR, et al. Anticipated consequences of the 2011 duty hours standards: views
of internal medicine and surgery program directors. Acad Med. 2012;87(7):895-903.…
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psnet.ahrq.gov/node/847724/psn-pdf
April 19, 2023 - Defining avoidable healthcare-associated harm in
prisons: a mixed-method development study.
April 19, 2023
Keers RN, Wainwright V, McFadzean J, et al. Defining avoidable healthcare-associated harm in prisons: a
mixed-method development study. PLOS One. 2023;18(3):e0282021. doi:10.1371/journal.pone.0282021.
https:/…
-
psnet.ahrq.gov/node/45347/psn-pdf
September 07, 2016 - Drug Shortages: Certain Factors Are Strongly Associated
With This Persistent Public Health Challenge.
September 7, 2016
Washington, DC: United States Government Accountability Office; July 7, 2016. Publication GAO-16-595.
https://psnet.ahrq.gov/issue/drug-shortages-certain-factors-are-strongly-associated-persistent…
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psnet.ahrq.gov/node/34073/psn-pdf
February 17, 2011 - Effect of reducing interns' weekly work hours on sleep
and attentional failures.
February 17, 2011
Lockley SW, Cronin JW, Evans EE, et al. Effect of reducing interns' weekly work hours on sleep and
attentional failures. N Engl J Med. 2004;351(18):1829-37.
https://psnet.ahrq.gov/issue/effect-reducing-interns-weekly…
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psnet.ahrq.gov/node/60046/psn-pdf
March 18, 2020 - Adverse outcomes of polypharmacy in older people:
systematic review of reviews.
March 18, 2020
Davies LE, Spiers G, Kingston A, et al. Adverse outcomes of polypharmacy in older people: systematic
review of reviews. J Am Med Dir Assoc. 2020;21(2):181-187. doi:10.1016/j.jamda.2019.10.022.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/73069/psn-pdf
March 24, 2021 - Evaluation of the quality of 'do not use' medication
abbreviation audits: a key enabler to successful
implementation of audit and feedback.
March 24, 2021
Li E, Marrandino J, Marshall S, et al. Evaluation of the quality of ‘do not use’ medication abbreviation
audits: a key enabler to successful implementation of a…
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psnet.ahrq.gov/node/45867/psn-pdf
April 12, 2017 - The Economics of Patient Safety: Strengthening a Value-
based Approach to Reducing Patient Harm at National
Level.
April 12, 2017
Slawomirski L, Auraaen A, Klazinga N. Organisation for Economic Co-operation and Development: Paris,
France; 2017.
https://psnet.ahrq.gov/issue/economics-patient-safety-strengthening-v…
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psnet.ahrq.gov/node/843088/psn-pdf
January 25, 2023 - The value of learning from near misses to improve patient
safety: a scoping review.
January 25, 2023
Woodier N, Burnett C, Moppett I. The value of learning from near misses to improve patient safety: a
scoping review. J Patient Saf. 2022;19(1):42-47. doi:10.1097/pts.0000000000001078.
https://psnet.ahrq.gov/issue/v…
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psnet.ahrq.gov/node/43870/psn-pdf
January 28, 2015 - Peer review of medical practices: missed opportunities to
learn.
January 28, 2015
Kadar N. Peer review of medical practices: missed opportunities to learn. Am J Obstet Gynecol.
2014;211(6):596-601. doi:10.1016/j.ajog.2014.08.018.
https://psnet.ahrq.gov/issue/peer-review-medical-practices-missed-opportunities-learn…
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psnet.ahrq.gov/node/43794/psn-pdf
January 14, 2015 - Prescriber barriers and enablers to minimising potentially
inappropriate medications in adults: a systematic review
and thematic synthesis.
January 14, 2015
Anderson K, Stowasser D, Freeman C, et al. Prescriber barriers and enablers to minimising potentially
inappropriate medications in adults: a systematic review…
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psnet.ahrq.gov/node/47929/psn-pdf
June 26, 2019 - Cultural Issues Related to Allegations of Bullying and
Harassment in NHS Highland: Independent Review
Report.
June 26, 2019
Sturrock J. Edinburgh, Scotland: The Scottish Government; May 2019. ISBN: 9781787817760.
https://psnet.ahrq.gov/issue/cultural-issues-related-allegations-bullying-and-harassment-nhs-highland-…
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psnet.ahrq.gov/node/38715/psn-pdf
February 17, 2011 - Medicare nonpayment, hospital falls, and unintended
consequences.
February 17, 2011
Inouye SK, Brown CJ, Tinetti ME. Medicare nonpayment, hospital falls, and unintended consequences. N
Engl J Med. 2009;360(23):2390-3. doi:10.1056/NEJMp0900963.
https://psnet.ahrq.gov/issue/medicare-nonpayment-hospital-falls-and-uni…
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psnet.ahrq.gov/node/47169/psn-pdf
June 13, 2018 - A systematic review of primary care safety climate survey
instruments: their origins, psychometric properties,
quality, and usage.
June 13, 2018
Curran C, Lydon S, Kelly M, et al. A Systematic Review of Primary Care Safety Climate Survey
Instruments: Their Origins, Psychometric Properties, Quality, and Usage. J Pa…
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psnet.ahrq.gov/node/37797/psn-pdf
February 03, 2010 - Predictors of adverse events in patients after discharge
from the intensive care unit.
February 3, 2010
Chaboyer W, Thalib L, Foster M, et al. Predictors of adverse events in patients after discharge from the
intensive care unit. Am J Crit Care. 2008;17(3):255-63; quiz 264.
https://psnet.ahrq.gov/issue/predictors-…
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psnet.ahrq.gov/node/45845/psn-pdf
December 19, 2017 - You can't blame the wreck on the train.
December 19, 2017
Potts JR. You can't blame the wreck on the train. Am J Surg. 2017;214(5):974-978.
doi:10.1016/j.amjsurg.2016.11.046.
https://psnet.ahrq.gov/issue/you-cant-blame-wreck-train
Insufficient supervision can limit resident education, which may increase risks to p…
-
psnet.ahrq.gov/node/44922/psn-pdf
March 01, 2017 - Mobilising a team for the WHO Surgical Safety Checklist:
a qualitative video study.
March 1, 2017
Korkiakangas T. Mobilising a team for the WHO Surgical Safety Checklist: a qualitative video study. BMJ
Qual Saf. 2017;26(3):177-188. doi:10.1136/bmjqs-2015-004887.
https://psnet.ahrq.gov/issue/mobilising-team-who-sur…
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
February 01, 2018 - Limitations of the Measure
Describe any limitations of the measure related to the attributes included … the measure should be selected for use, taking into
account a balance among desirable attributes and limitations … Limitations of the Measure
Section 13.
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
February 01, 2018 - Limitations of the Measure
Describe any limitations of the measure related to the attributes included … the measure should be selected for use, taking into
account a balance among desirable attributes and limitations … Limitations of the Measure
Section 13.
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
February 01, 2018 - Limitations of the Measure
Describe any limitations of the measure related to the attributes included … the measure should be selected for use, taking into
account a balance among desirable attributes and limitations … Limitations of the Measure
Section 13.