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psnet.ahrq.gov/node/38414/psn-pdf
March 31, 2009 - Patient safety incidents associated with airway devices in
critical care: a review of reports to the UK National Patient
Safety Agency.
March 31, 2009
Thomas AN, McGrath BA. Patient safety incidents associated with airway devices in critical care: a review
of reports to the UK National Patient Safety Agency. Anaes…
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psnet.ahrq.gov/node/47216/psn-pdf
July 11, 2018 - Progress Made Towards Improving Opioid Safety, But
Further Efforts to Assess Progress and Reduce Risk Are
Needed.
July 11, 2018
Washington, DC: United States Government Accountability Office; May 2018. Publication GAO-18-380.
https://psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-effort…
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psnet.ahrq.gov/node/866582/psn-pdf
August 28, 2024 - The relationship between hospital patient safety culture
and performance on Centers for Medicare & Medicaid
Services value-based purchasing metrics.
August 28, 2024
Noghrehchi P, Hefner JL, Walker DM. The relationship between hospital patient safety culture and
performance on Centers for Medicare & Medicaid Servic…
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psnet.ahrq.gov/node/47692/psn-pdf
May 29, 2019 - Classifying safety events related to diagnostic imaging
from a safety reporting system using a human factors
framework.
May 29, 2019
Lacson R, Cochon L, Ip I, et al. Classifying Safety Events Related to Diagnostic Imaging From a Safety
Reporting System Using a Human Factors Framework. J Am Coll Radiol. 2019;16(3):…
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psnet.ahrq.gov/node/74184/psn-pdf
May 05, 2017 - Systematic review of the impact of physician implicit
racial bias on clinical decision making.
May 5, 2017
Dehon E, Weiss N, Jones J, et al. Systematic review of the impact of physician implicit racial bias on
clinical decision making. Acad Emerg Med. 2017;24(8):895-904. doi:10.1111/acem.13214.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/867382/psn-pdf
December 18, 2024 - Pharmacists’ perceptions of error reporting systems.
December 18, 2024
Hartt CM, Weigand H, MacDonald AJ, et al. Pharmacists’ perceptions of error reporting systems. J Patient
Saf Risk Manag. 2024;29(6):268-273. doi:10.1177/25160435241288287.
https://psnet.ahrq.gov/issue/pharmacists-perceptions-error-reporting-syst…
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psnet.ahrq.gov/node/858174/psn-pdf
December 13, 2023 - Anaesthesia clinicians' perception of safety, workload,
anxiety, and stress in a remote hybrid suite compared
with the operating room.
December 13, 2023
Schroeck H, Whitty MA, Martinez-Camblor P, et al. Anaesthesia clinicians' perception of safety, workload,
anxiety, and stress in a remote hybrid suite compared wi…
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psnet.ahrq.gov/node/851925/psn-pdf
August 02, 2023 - Deficiencies in Emergency Department Care for a Patient
Who Died by Suicide at the John Cochran Division of the
VA St. Louis Health Care System in Missouri.
August 2, 2023
Washington DC: Department of Veterans Affairs, Office of Inspector General; June 29, 2023. Report no.
22-01540-146.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/847730/psn-pdf
February 26, 2018 - “Brave men” and “emotional women”: a theory-guided
literature review on gender bias in health care and
gendered norms towards patients with chronic pain.
February 26, 2018
Samulowitz A, Gremyr I, Eriksson E, et al. “Brave men” and “emotional women”: a theory-guided literature
review on gender bias in health care a…
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psnet.ahrq.gov/node/73163/psn-pdf
April 21, 2021 - Implicit bias in healthcare: clinical practice, research and
decision making.
April 21, 2021
Gopal DP, Chetty U, O'Donnell P, et al. Implicit bias in healthcare: clinical practice, research and decision
making. Future Healthc J. 2021;8(1):40-48. doi:10.7861/fhj.2020-0233.
https://psnet.ahrq.gov/issue/implicit-bias…
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psnet.ahrq.gov/node/48110/psn-pdf
August 14, 2019 - The courage to speak out: a study describing nurses'
attitudes to report unsafe practices in patient care.
August 14, 2019
Cole DA, Bersick E, Skarbek A, et al. The courage to speak out: A study describing nurses' attitudes to
report unsafe practices in patient care. J Nurs Manag. 2019;27(6):1176-1181. doi:10.1111/…
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psnet.ahrq.gov/issue/hospitals-bid-heal-selves-saves-thousands
February 26, 2025 - Newspaper/Magazine Article
Hospitals' bid to heal selves saves thousands.
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June 28, 2006
This article article reports on the resul…
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psnet.ahrq.gov/node/47853/psn-pdf
April 10, 2019 - Does a unit shift report "blackout" period improve patient
safety?
April 10, 2019
Olmstead J. Does a unit shift report "blackout" period improve patient safety? Nurs Manage. 2019;50(3):8-
10. doi:10.1097/01.NUMA.0000553500.85897.51.
https://psnet.ahrq.gov/issue/does-unit-shift-report-blackout-period-improve-patien…
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psnet.ahrq.gov/node/859301/psn-pdf
January 01, 2024 - Parents' understanding of medication at discharge and
potential harm in children with medical complexity.
December 20, 2023
Selzer A, Eibensteiner F, Kaltenegger L, et al. Parents’ understanding of medication at discharge and
potential harm in children with medical complexity. Arch Dis Child. 2024;109(3):215-221.
…
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psnet.ahrq.gov/node/36280/psn-pdf
May 27, 2011 - Types of unintended consequences related to
computerized provider order entry.
May 27, 2011
Campbell EM, Sittig DF, Ash JS, et al. Types of unintended consequences related to computerized
provider order entry. J Am Med Inform Assoc. 2006;13(5):547-56.
https://psnet.ahrq.gov/issue/types-unintended-consequences-rela…
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psnet.ahrq.gov/node/836998/psn-pdf
April 27, 2022 - How will state medical boards handle cases involving
disclosure and apology for medical errors?
April 27, 2022
Wojcieszak D. How will state medical boards handle cases involving disclosure and apology for medical
errors? J Patient Saf Risk Manag. 2022;27(1):15-20. doi:10.1177/25160435211070096.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/851057/psn-pdf
June 28, 2023 - The burden of peri-operative work at night as perceived
by anaesthesiologists: an international survey.
June 28, 2023
Cortegiani A, Ippolito M, Lakbar I, et al. The burden of peri-operative work at night as perceived by
anaesthesiologists: an international survey. Eur J Anaesthesiol. 2023;40(5):326-333.
doi:10.109…
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psnet.ahrq.gov/node/845636/psn-pdf
March 08, 2023 - The effects of leadership for self-worth, inclusion, trust,
and psychological safety on medical error reporting.
March 8, 2023
Brimhall KC, Tsai C-Y, Eckardt R, et al. The effects of leadership for self-worth, inclusion, trust, and
psychological safety on medical error reporting. Health Care Manage Rev. 2023;48(2):…
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psnet.ahrq.gov/issue/sorry-works
November 15, 2024 - Multi-use Website
Sorry Works!
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March 17, 2011
Sorry Works! supports a full-disclosure approach to medical errors. They encourage…
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psnet.ahrq.gov/node/43581/psn-pdf
December 26, 2014 - Moving beyond misuse and diversion: the urgent need to
consider the role of iatrogenic addiction in the current
opioid epidemic.
December 26, 2014
Beauchamp GA, Winstanley EL, Ryan SA, et al. Moving beyond misuse and diversion: the urgent need to
consider the role of iatrogenic addiction in the current opioid epid…