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psnet.ahrq.gov/node/46862/psn-pdf
February 21, 2018 - Considering human factors and developing systems-
thinking behaviours to ensure patient safety.
February 21, 2018
Vosper H; Lim R; Knight C; et al; CIEHF Pharmaceutical Human Factors Special Interest Group. Clinical
Pharmacist. 2018;10(2).
https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-syste…
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psnet.ahrq.gov/node/36294/psn-pdf
July 14, 2010 - Care management implementation and patient safety.
July 14, 2010
Alexander JA; Weiner BJ; Baker LC; et al. J Patient Saf. 2006;2(2):83-96.
https://psnet.ahrq.gov/issue/care-management-implementation-and-patient-safety
The Institute of Medicine's Crossing the Quality Chasm report endorsed care management, defined as…
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psnet.ahrq.gov/node/45335/psn-pdf
August 10, 2016 - The Feasibility of Determining the Effectiveness and Cost-
effectiveness of Medication Organisation Devices
Compared with Usual Care for Older People in a
Community Setting: Systematic Review, Stakeholder
Focus Groups and Feasibility RCT.
August 10, 2016
Bhattacharya D, Aldus CF, Barton G, et al. Health Tech…
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psnet.ahrq.gov/node/60939/psn-pdf
September 23, 2020 - Does increased schedule flexibility lead to change? A
national survey of program directors on 2017 work hours
requirements.
September 23, 2020
Finn KM, Halvorsen AJ, Chaudhry S, et al. Does increased schedule flexibility lead to change? A national
survey of program directors on 2017 work hours requirements. J Gen …
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psnet.ahrq.gov/node/37348/psn-pdf
March 28, 2012 - Impact of duty hours restrictions on quality of care and
clinical outcomes.
March 28, 2012
Bhavsar J, Montgomery D, Li J, et al. Impact of duty hours restrictions on quality of care and clinical
outcomes. Am J Med. 2007;120(11):968-74.
https://psnet.ahrq.gov/issue/impact-duty-hours-restrictions-quality-care-and-cl…
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psnet.ahrq.gov/issue/affordable-health-care-floridians-act
January 15, 2025 - Legislation/Regulation
Affordable Health Care for Floridians Act.
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August 27, 2008
Established the patient safety center in the st…
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psnet.ahrq.gov/node/46014/psn-pdf
April 05, 2017 - Immersive high fidelity simulation of critically ill patients
to study cognitive errors: a pilot study.
April 5, 2017
Prakash S, Bihari S, Need P, et al. Immersive high fidelity simulation of critically ill patients to study
cognitive errors: a pilot study. BMC Med Educ. 2017;17(1):36. doi:10.1186/s12909-017-0871-x…
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psnet.ahrq.gov/node/44688/psn-pdf
February 23, 2018 - Improving diagnosis in health care—the next imperative
for patient safety.
February 23, 2018
Singh H, Graber ML. Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. New
Engl J Med. 2015;373(26):2493-2495. doi:10.1056/NEJMp1512241.
https://psnet.ahrq.gov/issue/improving-diagnosis-health-care…
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psnet.ahrq.gov/node/73709/psn-pdf
September 15, 2021 - Crisis management for surgical teams and their leaders,
lessons from the COVID-19 pandemic; a structured
approach to developing resilience or natural
organisational responses.
September 15, 2021
Pring ET, Malietzis G, Kendall SWH, et al. Crisis management for surgical teams and their leaders, lessons
from the COV…
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psnet.ahrq.gov/node/853431/psn-pdf
September 13, 2023 - Diagnostic errors in uncommon conditions: a systematic
review of case reports of diagnostic errors.
September 13, 2023
Harada Y, Watari T, Nagano H, et al. Diagnostic errors in uncommon conditions: a systematic review of
case reports of diagnostic errors. Diagnosis (Berl). 2023;10(4):329-336. doi:10.1515/dx-2023-00…
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psnet.ahrq.gov/node/47374/psn-pdf
April 07, 2019 - Developing a conceptual framework for patient safety
culture in emergency department: a review of the
literature.
April 7, 2019
Alshyyab MA, FitzGerald G, Dingle K, et al. Developing a conceptual framework for patient safety culture in
emergency department: A review of the literature. Int J Health Plann Manage. 20…
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psnet.ahrq.gov/node/73073/psn-pdf
January 01, 2022 - Crossing academic boundaries for diagnostic safety: 10
complex challenges and potential solutions from clinical
perspectives and high-reliability organizing principles.
March 24, 2021
Yousef EA, Sutcliffe KM, McDonald KM, et al. Crossing academic boundaries for diagnostic safety: 10
complex challenges and potentia…
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psnet.ahrq.gov/node/61118/psn-pdf
January 01, 2021 - Bracing for the storm: one health care system's planning
for the COVID-19 surge.
November 11, 2020
Kim CS, Meo N, Little D, et al. Bracing for the storm: one health care system's planning for the COVID-19
surge. Jt Comm J Qual Patient Saf. 2021;47(1):60-68. doi:10.1016/j.jcjq.2020.09.007.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/865513/psn-pdf
April 10, 2024 - Crowdsourcing a diagnosis? Exploring the accuracy of
the size and type of group diagnosis: an experimental
study.
April 10, 2024
Sherbino J, Sibbald M, Norman GR, et al. Crowdsourcing a diagnosis? Exploring the accuracy of the size
and type of group diagnosis: an experimental study. BMJ Qual Saf. 2024;33(12):790-7…
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psnet.ahrq.gov/node/44642/psn-pdf
September 29, 2017 - 2015 Rosenthal Symposium: Protecting Patients:
Advances and Future Directions in Patient Safety.
September 29, 2017
National Academy of Sciences; National Academy of Medicine; IOM; NAS.
https://psnet.ahrq.gov/issue/2015-rosenthal-symposium-protecting-patients-advances-and-future-
directions-patient-safety
In reco…
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psnet.ahrq.gov/node/50851/psn-pdf
January 29, 2020 - International evaluation of an AI system for breast cancer
screening.
January 29, 2020
McKinney SM, Sieniek M, Godbole V, et al. International evaluation of an AI system for breast cancer
screening. Nature. 2020;577(7788):89-94. doi:10.1038/s41586-019-1799-6.
https://psnet.ahrq.gov/issue/international-evaluation-a…
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psnet.ahrq.gov/node/48066/psn-pdf
July 24, 2019 - What interventions could reduce diagnostic error in
emergency departments? A review of evidence, practice
and consumer perspectives.
July 24, 2019
Wright B, Faulkner N, Bragge P, et al. What interventions could reduce diagnostic error in emergency
departments? A review of evidence, practice and consumer perspectiv…
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psnet.ahrq.gov/issue/centre-patient-safety-and-service-quality
August 01, 2024 - Multi-use Website
Centre for Patient Safety and Service Quality.
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February 17, 2009
This research program was established to explo…
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psnet.ahrq.gov/node/866905/psn-pdf
October 09, 2024 - Dual process models of clinical reasoning: the central
role of knowledge in diagnostic expertise.
October 9, 2024
Norman G, Pelaccia T, Wyer P, et al. Dual process models of clinical reasoning: the central role of
knowledge in diagnostic expertise. J Eval Clin Pract. 2024;30(5):788-796. doi:10.1111/jep.13998.
http…
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psnet.ahrq.gov/node/850932/psn-pdf
June 21, 2023 - Evaluation of detected medication errors within the
operating room at an academic medical center.
June 21, 2023
Wolf M, Rolf J, Nelson D, et al. Evaluation of detected medication errors within the operating room at an
academic medical center. Hosp Pharm. 2023;58(3):309-314. doi:10.1177/00185787221145110.
https://p…