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psnet.ahrq.gov/node/865660/psn-pdf
April 24, 2024 - Comparing hospital leadership and front-line workers'
perceptions of patient safety culture: an unbalanced
panel study.
April 24, 2024
Forbes J, Arrieta A. Comparing hospital leadership and front-line workers’ perceptions of patient safety
culture: an unbalanced panel study. BMJ Lead. 2024;8(8):335-339. doi:10.113…
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psnet.ahrq.gov/node/46419/psn-pdf
April 12, 2019 - Medical malpractice lawsuits involving surgical residents.
April 12, 2019
Thiels CA, Choudhry AJ, Ray-Zack MD, et al. Medical Malpractice Lawsuits Involving Surgical Residents.
JAMA Surg. 2017;153(1). doi:10.1001/jamasurg.2017.2979.
https://psnet.ahrq.gov/issue/medical-malpractice-lawsuits-involving-surgical-reside…
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psnet.ahrq.gov/node/46832/psn-pdf
February 07, 2018 - FDA Drug Safety Communication: FDA requires labeling
changes for prescription opioid cough and cold
medicines to limit their use to adults 18 years and older.
February 7, 2018
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; January 11, 2018.
https://psnet.ahrq.gov/issue/fda-drug-safety-c…
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psnet.ahrq.gov/node/48100/psn-pdf
July 24, 2019 - The prescription opioid crisis: role of the
anaesthesiologist in reducing opioid use and misuse.
July 24, 2019
Soffin EM, Lee BH, Kumar KK, et al. The prescription opioid crisis: role of the anaesthesiologist in reducing
opioid use and misuse. Br J Anaesth. 2019;122(6):e198-e208. doi:10.1016/j.bja.2018.11.019.
htt…
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psnet.ahrq.gov/node/865870/psn-pdf
May 15, 2024 - Leading quality and safety on the frontline - a case study
of department leaders in nursing homes.
May 15, 2024
Magerøy M, Braut GS, Macrae C, et al. Leading quality and safety on the frontline - a case study of
department leaders in nursing homes. J Healthc Leadersh. 2024;16:193-208. doi:10.2147/jhl.s454109.
http…
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psnet.ahrq.gov/node/838319/psn-pdf
October 12, 2022 - Training in safe opioid prescribing and treatment of
opioid use disorder in internal medicine residencies: a
national survey of program directors.
October 12, 2022
Windish DM, Catalanotti JS, Zaas A, et al. Training in safe opioid prescribing and treatment of opioid use
disorder in internal medicine residencies: a…
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psnet.ahrq.gov/node/74175/psn-pdf
December 15, 2021 - The reduction of race and gender bias in clinical
treatment recommendations using clinician peer
networks in an experimental setting.
December 15, 2021
Centola D, Guilbeault D, Sarkar U, et al. The reduction of race and gender bias in clinical treatment
recommendations using clinician peer networks in an experimen…
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psnet.ahrq.gov/node/837033/psn-pdf
May 04, 2022 - Adherence to national guidelines for timeliness of test
results communication to patients in the Veterans Affairs
health care system.
May 4, 2022
Meyer AND, Scott TMT, Singh H. Adherence to national guidelines for timeliness of test results
communication to patients in the Veterans Affairs health care system. JAMA…
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psnet.ahrq.gov/node/837795/psn-pdf
August 10, 2022 - Role of the regulator in enabling a just culture: a
qualitative study in mental health and hospital care.
August 10, 2022
Weenink J-W, Wallenburg I, Hartman L, et al. Role of the regulator in enabling a just culture: a qualitative
study in mental health and hospital care. BMJ Open. 2022;12(7):e061321. doi:10.1136/b…
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psnet.ahrq.gov/node/845301/psn-pdf
March 01, 2023 - Evaluation of effectiveness and safety of pharmacist
independent prescribers in care homes: cluster
randomised controlled trial.
March 1, 2023
Holland R, Bond CM, Alldred DP, et al. Evaluation of effectiveness and safety of pharmacist independent
prescribers in care homes: cluster randomised controlled trial. BMJ.…
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psnet.ahrq.gov/node/43651/psn-pdf
November 18, 2016 - Ebola US Patient Zero: lessons on misdiagnosis and
effective use of electronic health records.
November 18, 2016
Upadhyay DK, Sittig DF, Singh H. Ebola US Patient Zero: lessons on misdiagnosis and effective use of
electronic health records. Diagnosis (Berl). 2014;1(4):283-287. doi:10.1515/dx-2014-0064.
https://psn…
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psnet.ahrq.gov/node/841140/psn-pdf
December 07, 2022 - Association of measured quality and future financial
performance among hospitals performing cardiac
surgery.
December 7, 2022
Enumah SJ, Sundt TM, Chang DC. Association of measured quality and future financial performance
among hospitals performing cardiac surgery. J Healthc Manag. 2022;67(5):367-379. doi:10.1097/…
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psnet.ahrq.gov/node/854985/psn-pdf
November 01, 2023 - A systematic narrative review of coroners’ Prevention of
Future Deaths reports (PFDs): a tool for patient safety in
hospitals.
November 1, 2023
Bremner BT, Heneghan CJ, Aronson JK, et al. A systematic narrative review of coroners’ Prevention of
Future Deaths reports (PFDs): a tool for patient safety in hospitals. …
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psnet.ahrq.gov/node/48015/psn-pdf
June 15, 2019 - Knowledge retention after simulated crisis: importance of
independent practice and simulated mortality.
June 15, 2019
Burnett G, Goldberg A, DeMaria S, et al. Knowledge retention after simulated crisis: importance of
independent practice and simulated mortality. Br J Anaesth. 2019;123(1):81-87.
doi:10.1016/j.bja.2…
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psnet.ahrq.gov/node/847055/psn-pdf
January 04, 2021 - Racial and ethnic differences in emergency department
diagnostic imaging at US Children's Hospitals, 2016-2019.
January 4, 2021
Marin JR, Rodean J, Hall M, et al. Racial and ethnic differences in emergency department diagnostic
imaging at US Children's Hospitals, 2016-2019. JAMA Netw Open. 2021;4(1):e2033710.
doi:…
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psnet.ahrq.gov/node/836724/psn-pdf
March 09, 2022 - When no news is bad news: improving diagnostic testing
communication through patient engagement.
March 9, 2022
Zomerlei T, Carraher A, Chao A, et al. When no news is bad news: improving diagnostic testing
communication through patient engagement. J Patient Saf Risk Manage. 2021;26(5):221-224.
doi:10.1177/251604352…
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psnet.ahrq.gov/node/60623/psn-pdf
June 24, 2020 - Communication with health care workers regarding health
care-associated exposure to coronavirus 2019: a
checklist to facilitate disclosure.
June 24, 2020
Wickner PG, Hartley T, Salmasian H, et al. Communication with health care workers regarding health care-
associated exposure to coronavirus 2019: a checklist to …
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psnet.ahrq.gov/node/43173/psn-pdf
June 04, 2014 - Barriers to the implementation of checklists in the office-
based procedural setting.
June 4, 2014
Shapiro FE, Fernando RJ, Urman RD. Barriers to the implementation of checklists in the office-based
procedural setting. J Healthc Risk Manag. 2014;33(4):35-43. doi:10.1002/jhrm.21141.
https://psnet.ahrq.gov/issue/bar…
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psnet.ahrq.gov/node/47234/psn-pdf
October 17, 2018 - Serious adverse drug events reported to the FDA:
analysis of the FDA Adverse Event Reporting System
2006–2014 database.
October 17, 2018
Sonawane KB, Cheng N, Hansen RA. Serious Adverse Drug Events Reported to the FDA: Analysis of the
FDA Adverse Event Reporting System 2006-2014 Database. J Manag Care Spec Pharm. …
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psnet.ahrq.gov/node/851200/psn-pdf
July 05, 2023 - Deficient Care of a Patient Who Died by Suicide and
Facility Leaders' Response at the Charlie Norwood VA
Medical Center in Augusta, Georgia.
July 5, 2023
Washington DC: Department of Veterans Affairs, Office of Inspector General; May 10, 2023.
Report no. 22-01116-110.
https://psnet.ahrq.gov/issue/defi…