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psnet.ahrq.gov/node/45085/psn-pdf
May 04, 2016 - A piece of my mind. The patient you least want to see.
May 4, 2016
Chen JH. A PIECE OF MY MIND. The Patient You Least Want to See. JAMA. 2016;315(16):1701-2.
doi:10.1001/jama.2016.0221.
https://psnet.ahrq.gov/issue/piece-my-mind-patient-you-least-want-see
Providing insights from a physician regarding the complexit…
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psnet.ahrq.gov/node/47952/psn-pdf
January 01, 2020 - Overlooked guide wire: a multicomplicated Swiss Cheese
Model example. Analysis of a case and review of the
literature.
May 15, 2019
Thonon H, Espeel F, Frederic F, et al. Overlooked guide wire: a multicomplicated Swiss Cheese Model
example. Analysis of a case and review of the literature. Acta Clin Belg. 2020;75(3…
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psnet.ahrq.gov/node/60050/psn-pdf
March 18, 2020 - Zero harm in health care.
March 18, 2020
Gandhi TK, Feeley D, Schummers D. Zero Harm in Health Care. NEJM Catal Innov Care Deliv. 2020;1(2).
doi:10.1056/cat.19.1137.
https://psnet.ahrq.gov/issue/zero-harm-health-care
Health systems are encouraged to strive for zero preventable harm, but achieving this goal require…
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psnet.ahrq.gov/node/72597/psn-pdf
January 01, 2021 - Second victim experiences of nurses in obstetrics and
gynaecology: a Second Victim Experience and Support
Tool Survey
December 23, 2020
Finney RE, Torbenson VE, Riggan KA, et al. Second victim experiences of nurses in obstetrics and
gynaecology: a Second Victim Experience and Support Tool Survey. J Nurs Manag. 202…
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psnet.ahrq.gov/node/837428/psn-pdf
June 15, 2022 - A retrospective review of serious surgical incidents in 5
large UK teaching hospitals: a system-based approach.
June 15, 2022
Serou N, Slight RD, Husband AK, et al. A retrospective review of serious surgical incidents in 5 large UK
teaching hospitals: a system-based approach. J Patient Saf. 2022;18(4):358-364.
doi…
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psnet.ahrq.gov/node/60816/psn-pdf
August 19, 2020 - Workplace verbal abuse, nurse-reported quality of care,
and patient safety outcomes among early-career hospital
nurses.
August 19, 2020
Cho H, Pavek K, Steege LM. Workplace verbal abuse, nurse?reported quality of care and patient safety
outcomes among early?career hospital nurses. J Nurs Manag. 2020;28(6):1250-125…
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psnet.ahrq.gov/node/74245/psn-pdf
January 14, 2024 - Surveys on Patient Safety Culture (SOPS) Ambulatory
Surgery Center Survey: User Database Report.
January 14, 2024
Hare R, Tyler ER, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality; December
2023. AHRQ Publication no. 23(24)-0095.
https://psnet.ahrq.gov/issue/surveys-patient-safety-culture…
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psnet.ahrq.gov/node/36700/psn-pdf
July 20, 2011 - Adverse drug events resulting from patient errors in older
adults.
July 20, 2011
Field TS, Mazor KM, Briesacher BA, et al. Adverse Drug Events Resulting from Patient Errors in Older
Adults. J Am Geriatr Soc. 2007;55(2):271-276. doi:10.1111/j.1532-5415.2007.01047.x.
https://psnet.ahrq.gov/issue/adverse-drug-events-…
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psnet.ahrq.gov/node/39856/psn-pdf
December 21, 2014 - Patient perceptions of mistakes in ambulatory care.
December 21, 2014
Kistler CE, Walter LC, Mitchell M, et al. Patient perceptions of mistakes in ambulatory care. Arch Intern
Med. 2010;170(16):1480-7. doi:10.1001/archinternmed.2010.288.
https://psnet.ahrq.gov/issue/patient-perceptions-mistakes-ambulatory-care
Pat…
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psnet.ahrq.gov/node/865814/psn-pdf
May 08, 2024 - Effects of fatigue on anaesthetist well-being and patient
safety: a narrative review.
May 8, 2024
Ippolito M, Einav S, Giarratano A, et al. Effects of fatigue on anaesthetist well-being and patient safety: a
narrative review. Br J Anaesth. 2024;133(1):111-117. doi:10.1016/j.bja.2024.03.017.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/46365/psn-pdf
September 06, 2017 - Learning to overcome hierarchical pressures to achieve
safer patient care: an interprofessional simulation for
nursing, medical, and physician assistant students.
September 6, 2017
Reeves SA, Denault D, Huntington JT, et al. Learning to Overcome Hierarchical Pressures to Achieve
Safer Patient Care: An Interprofess…
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psnet.ahrq.gov/node/34916/psn-pdf
March 09, 2009 - Using a claims data-based sentinel system to improve
compliance with clinical guidelines: results of a
randomized prospective study.
March 9, 2009
Javitt JC, Steinberg G, Locke T, et al. Using a claims data-based sentinel system to improve compliance
with clinical guidelines: results of a randomized prospective st…
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psnet.ahrq.gov/node/866960/psn-pdf
October 16, 2024 - The consequences of misdiagnosing race-based trauma
response in Black men: a critical examination.
October 16, 2024
Sanders AA, Roberts JD, McDowell MC, et al. The consequences of misdiagnosing race-based trauma
response in Black men: a critical examination. Soc Work Public Health. 2024;39(7):721-733.
doi:10.1080/…
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psnet.ahrq.gov/node/860387/psn-pdf
January 10, 2024 - An analysis of medical malpractice claims against
medical oncologists from a national database:
implications for safer practice.
January 10, 2024
Doolin JW, Schaffer AC, Tishler RB, et al. An analysis of medical malpractice claims against medical
oncologists from a national database: implications for safer practic…
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psnet.ahrq.gov/node/44150/psn-pdf
August 21, 2015 - Reflection on adverse event disclosure in the
postsurgical hospital context.
August 21, 2015
Roberts F, Gettings P, Torbeck L, et al. Reflection on adverse event disclosure in the postsurgical hospital
context. J Surg Educ. 2015;72(4):767-70. doi:10.1016/j.jsurg.2014.12.016.
https://psnet.ahrq.gov/issue/reflection…
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psnet.ahrq.gov/node/837665/psn-pdf
July 13, 2022 - Evaluating a patient safety learning laboratory to create
an interdisciplinary ecosystem for health care innovation.
July 13, 2022
Atkinson MK, Benneyan JC, Bambury EA, et al. Evaluating a patient safety learning laboratory to create an
interdisciplinary ecosystem for health care innovation. Health Care Manage Rev.…
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psnet.ahrq.gov/node/73464/psn-pdf
July 07, 2021 - Errors in breast imaging: how to reduce errors and
promote a safety environment.
July 7, 2021
Sivarajah R, Dinh ML, Chetlen A. Errors in breast imaging: how to reduce errors and promote a safety
environment. J Breast Imaging. 2021;3(2):221-230. doi:10.1093/jbi/wbaa118.
https://psnet.ahrq.gov/issue/errors-breast-im…
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psnet.ahrq.gov/node/852271/psn-pdf
August 09, 2023 - Redesign of health care systems to reduce diagnostic
errors: leveraging human experience and artificial
intelligence.
August 9, 2023
Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and
artificial intelligence. J Clin Outcomes Manag. 2023;30(3):67-70. doi:10.12788/j…
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psnet.ahrq.gov/node/848042/psn-pdf
April 26, 2023 - Clinicians' perspectives on proactive patient safety
behaviors in the perioperative environment.
April 26, 2023
Duffy C, Menon N, Horak D, et al. Clinicians' perspectives on proactive patient safety behaviors in the
perioperative environment. JAMA Netw Open. 2023;6(4):e237621.
doi:10.1001/jamanetworkopen.2023.7621…
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psnet.ahrq.gov/node/40940/psn-pdf
December 31, 2011 - New 2011 survey of patients with complex care needs in
eleven countries finds that care is often poorly
coordinated.
December 31, 2011
Schoen C, Osborn R, Squires D, et al. New 2011 survey of patients with complex care needs in eleven
countries finds that care is often poorly coordinated. Health Aff (Millwood). 20…