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psnet.ahrq.gov/node/49722/psn-pdf
December 01, 2014 - markets.(12) In other words,
the medical device industry has an inadequate proactive surveillance mechanism … efficient knowledge market is needed in health care, which should include a
systematic, organized mechanism
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psnet.ahrq.gov/node/49683/psn-pdf
April 01, 2013 - antipsychotics were developed, most with greater potency (including
haloperidol), each with the presumed mechanism … Antidepressant discontinuation has been associated with higher
rates of suicide, presumably via a serotonergic mechanism
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psnet.ahrq.gov/issue/i-readi-quality-and-safety-framework-health-systems-response-airway-complications
June 09, 2021 - Commentary
The I-READI quality and safety framework: a health system’s response to airway complications in mechanically ventilated patients with Covid-19.
Citation Text:
Ginestra JC, Atkins JH, Mikkelsen ME, et al. The I-READI Quality and Safety Framework: a health system’s response to a…
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psnet.ahrq.gov/issue/room-resilience-qualitative-study-about-accountability-mechanisms-relation-between-work-done
August 31, 2022 - Study
Room for resilience: a qualitative study about accountability mechanisms in the relation between work-as-done (WAD) and work-as-imagined (WAI) in hospitals.
Citation Text:
Weenink J-W, Tresfon J, van de Voort I, et al. Room for resilience: a qualitative study about accountability m…
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psnet.ahrq.gov/node/60198/psn-pdf
April 08, 2020 - Hierarchy and medical error: speaking up when
witnessing an error.
April 8, 2020
Peadon R (R), Hurley J, Hutchinson M. Hierarchy and medical error: speaking up when witnessing an
error. Safety Sci. 2020;125:104648. doi:10.1016/j.ssci.2020.104648.
https://psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-wh…
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psnet.ahrq.gov/node/47688/psn-pdf
March 19, 2019 - Evaluation of an electronic health record structured
discharge summary to provide real time adverse event
reporting in thoracic surgery.
March 19, 2019
Graham AJ, Ocampo W, Southern DA, et al. Evaluation of an electronic health record structured discharge
summary to provide real time adverse event reporting in tho…
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psnet.ahrq.gov/node/33575/psn-pdf
March 15, 2025 - received, and recent
research has examined whether patient surveys may be used as an error detection mechanism
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psnet.ahrq.gov/issue/exploring-role-salient-distracting-clinical-features-emergence-diagnostic-errors-and
July 03, 2014 - Study
Exploring the role of salient distracting clinical features in the emergence of diagnostic errors and the mechanisms through which reflection counteracts mistakes.
Citation Text:
Mamede S, Splinter TAW, Van Gog T, et al. Exploring the role of salient distracting clinical features…
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psnet.ahrq.gov/issue/levels-reflective-thinking-and-patient-safety-investigation-mechanisms-impact-student
January 30, 2013 - Study
Levels of reflective thinking and patient safety: an investigation of the mechanisms that impact on student learning in a single cohort over a 5 year curriculum.
Citation Text:
Ambrose LJ, Ker J. Levels of reflective thinking and patient safety: an investigation of the mechanisms t…
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psnet.ahrq.gov/node/73180/psn-pdf
April 28, 2021 - Accuracy and safety of medication histories obtained at
the time of intensive care unit admission of delirious or
mechanically ventilated patients.
April 28, 2021
Cicci CD, Fudzie SS, Campbell-Bright S, et al. Accuracy and safety of medication histories obtained at the
time of intensive care unit admission of deli…
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psnet.ahrq.gov/node/40556/psn-pdf
June 29, 2011 - A review of medical error taxonomies: a human factors
perspective.
June 29, 2011
Taib IA, McIntosh AS, Caponecchia C, et al. A review of medical error taxonomies: A human factors
perspective. Saf Sci. 2011;49(5):607-615. doi:10.1016/j.ssci.2010.12.014.
https://psnet.ahrq.gov/issue/review-medical-error-taxonomies-h…
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psnet.ahrq.gov/node/33851/psn-pdf
January 01, 2017 - The Weekend Effect
January 1, 2017
Ranji SR. The Weekend Effect. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/weekend-effect
Annual Perspective 2017
Introduction
Anyone who has spent time in a hospital as a patient or staff member may recognize that the availability of
services and personnel can va…
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psnet.ahrq.gov/node/72741/psn-pdf
February 17, 2021 - The I-READI quality and safety framework: a health
system’s response to airway complications in
mechanically ventilated patients with Covid-19.
February 17, 2021
Ginestra JC, Atkins JH, Mikkelsen ME, et al. The I-READI Quality and Safety Framework: a health
system’s response to airway complications in mechanically…
-
psnet.ahrq.gov/issue/six-habits-enhance-met-performance-under-stress-discussion-paper-reviewing-team-mechanisms
December 12, 2018 - Commentary
Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes.
Citation Text:
Fein EC, Mackie B, Chernyak-Hai L, et al. Six habits to enhance MET performance under stress: A discussion paper reviewing team mechan…
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psnet.ahrq.gov/node/41224/psn-pdf
March 24, 2012 - Exploring the role of salient distracting clinical features in
the emergence of diagnostic errors and the mechanisms
through which reflection counteracts mistakes.
March 24, 2012
Mamede S, Splinter TAW, Van Gog T, et al. Exploring the role of salient distracting clinical features in the
emergence of diagnostic err…
-
psnet.ahrq.gov/issue/review-medical-error-taxonomies-human-factors-perspective
July 25, 2012 - Review
A review of medical error taxonomies: a human factors perspective.
Citation Text:
Taib IA, McIntosh AS, Caponecchia C, et al. A review of medical error taxonomies: A human factors perspective. Saf Sci. 2011;49(5):607-615. doi:10.1016/j.ssci.2010.12.014.
Copy Citation
Forma…
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psnet.ahrq.gov/node/34682/psn-pdf
February 10, 2011 - Avoiding the unintended consequences of growth in
medical care: how might more be worse?
February 10, 2011
Fisher ES, Welch HG. Avoiding the unintended consequences of growth in medical care: how might more
be worse? JAMA. 1999;281(5):446-53.
https://psnet.ahrq.gov/issue/avoiding-unintended-consequences-growth-med…
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psnet.ahrq.gov/node/44926/psn-pdf
January 23, 2017 - How might health services capture patient-reported safety
concerns in a hospital setting? An exploratory pilot study
of three mechanisms.
January 23, 2017
O'Hara JK, Armitage G, Reynolds C, et al. How might health services capture patient-reported safety
concerns in a hospital setting? An exploratory pilot study o…
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psnet.ahrq.gov/web-mm/medical-devices-wild
March 27, 2024 - markets.( 12 ) In other words, the medical device industry has an inadequate proactive surveillance mechanism … and efficient knowledge market is needed in health care, which should include a systematic, organized mechanism
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psnet.ahrq.gov/issue/how-might-health-services-capture-patient-reported-safety-concerns-hospital-setting
July 21, 2017 - Study
How might health services capture patient-reported safety concerns in a hospital setting? An exploratory pilot study of three mechanisms.
Citation Text:
O'Hara JK, Armitage G, Reynolds C, et al. How might health services capture patient-reported safety concerns in a hospital settin…