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psnet.ahrq.gov/node/33609/psn-pdf
March 15, 2025 - Clinical Decision Support Systems
March 15, 2025
Clinical Decision Support Systems. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/clinical-decision-support-systems
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice…
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psnet.ahrq.gov/node/33566/psn-pdf
September 15, 2024 - Teamwork Training
September 15, 2024
Teamwork Training. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/teamwork-training
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed …
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psnet.ahrq.gov/node/47467/psn-pdf
January 21, 2019 - Application of electronic trigger tools to identify targets
for improving diagnostic safety.
January 21, 2019
Murphy DR, Meyer AN, Sittig DF, et al. Application of electronic trigger tools to identify targets for improving
diagnostic safety. BMJ Qual Saf. 2019;28(2):151-159. doi:10.1136/bmjqs-2018-008086.
https://…
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psnet.ahrq.gov/node/60151/psn-pdf
March 25, 2020 - Opioid guidelines for common dental surgical
procedures: a multidisciplinary panel consensus.
March 25, 2020
Farooqi OA, Bruhn WE, Lecholop MK, et al. Opioid guidelines for common dental surgical procedures: a
multidisciplinary panel consensus. Int J Oral Maxillofac Surg. 2020;49(3):397-402.
doi:10.1016/j.ijom.201…
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psnet.ahrq.gov/node/850169/psn-pdf
June 07, 2023 - Changes in medication safety indicators in England
throughout the covid-19 pandemic using OpenSAFELY:
population based, retrospective cohort study of 57 million
patients using federated analytics.
June 7, 2023
Fisher L, Hopcroft LEM, Rodgers S, et al. Changes in medication safety indicators in England throughout
…
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psnet.ahrq.gov/issue/e-collection-safety-and-error-prevention-health
June 24, 2020 - Journal Article
E-collection: Safety and Error Prevention in Health.
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May 3, 2017
The increasing implementation of health informati…
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psnet.ahrq.gov/issue/african-partnerships-patient-safety
April 30, 2024 - Multi-use Website
African Partnerships for Patient Safety.
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November 11, 2009
This Web site establishes a forum for hospitals in E…
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psnet.ahrq.gov/node/74178/psn-pdf
December 15, 2021 - Strategies to Improve Patient Safety: Final Report to
Congress Required by the Patient Safety and Quality
Improvement Act of 2005.
December 15, 2021
Rockville, MD: Agency for Healthcare Research and Quality; December 2021. AHRQ Publication No. 22-
0009.
https://psnet.ahrq.gov/issue/strategies-improve-patient-safe…
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psnet.ahrq.gov/node/844044/psn-pdf
January 01, 2024 - Effect of contextual factors on the prevalence of
diagnostic errors among patients managed by physicians
of the same specialty: a single-centre retrospective
observational study.
February 8, 2023
Harada Y, Otaka Y, Katsukura S, et al. Effect of contextual factors on the prevalence of diagnostic errors
among patie…
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psnet.ahrq.gov/node/42326/psn-pdf
June 05, 2013 - Patient safety event reporting expectation: does it
influence residents' attitudes and reporting behaviors?
June 5, 2013
Boike JR, Bortman JS, Radosta JM, et al. Patient safety event reporting expectation: does it influence
residents' attitudes and reporting behaviors? J Patient Saf. 2013;9(2):59-67.
doi:10.1097/P…
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psnet.ahrq.gov/node/73707/psn-pdf
September 15, 2021 - Inpatient telemedicine and new models of care during
COVID-19: hospital design strategies to enhance patient
and staff safety.
September 15, 2021
Pilosof NP, Barrett M, Oborn E, et al. Inpatient telemedicine and new models of care during COVID-19:
hospital design strategies to enhance patient and staff safety. Int…
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psnet.ahrq.gov/node/38621/psn-pdf
February 18, 2011 - Process of care failures in breast cancer diagnosis.
February 18, 2011
Weingart SN, Saadeh MG, Simchowitz B, et al. Process of care failures in breast cancer diagnosis. J Gen
Intern Med. 2009;24(6):702-709. doi:10.1007/s11606-009-0982-0.
https://psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis
Di…
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psnet.ahrq.gov/node/37808/psn-pdf
February 22, 2011 - How do hospitalized patients feel about resident work
hours, fatigue, and discontinuity of care?
February 22, 2011
Fletcher KE, Wiest FC, Halasyamani L, et al. How do hospitalized patients feel about resident work hours,
fatigue, and discontinuity of care? J Gen Intern Med. 2008;23(5):623-8. doi:10.1007/s11606-007-…
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psnet.ahrq.gov/node/43514/psn-pdf
April 25, 2016 - A qualitative analysis of physician perspectives on
missed and delayed outpatient diagnosis: the focus on
system-related factors.
April 25, 2016
Sarkar U, Simchowitz B, Bonacum D, et al. A Qualitative Analysis of Physician Perspectives on Missed and
Delayed Outpatient Diagnosis: The Focus on System-Related Factors…
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psnet.ahrq.gov/node/43583/psn-pdf
October 08, 2014 - Emergency hospitalizations for unsupervised prescription
medication ingestions by young children.
October 8, 2014
Lovegrove MC, Mathew J, Hampp C, et al. Emergency hospitalizations for unsupervised prescription
medication ingestions by young children. Pediatrics. 2014;134(4):e1009-16. doi:10.1542/peds.2014-0840.
h…
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psnet.ahrq.gov/node/41795/psn-pdf
September 07, 2016 - Drug shortage-associated increase in catheter-related
blood stream infection in children.
September 7, 2016
Ralls MW, Blackwood A, Arnold MA, et al. Drug shortage-associated increase in catheter-related blood
stream infection in children. Pediatrics. 2012;130(5):e1369-73. doi:10.1542/peds.2011-3894.
https://psnet.…
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psnet.ahrq.gov/node/39777/psn-pdf
November 04, 2012 - The Economic Measurement of Medical Errors.
November 4, 2012
Shreve J, van Den Bos J, Gray T, Halford M, Rustagi K, Ziemkiewicz E. Schaumburg, IL: The Society of
Actuaries; 2010.
https://psnet.ahrq.gov/issue/economic-measurement-medical-errors
Although the Institute of Medicine's estimate of up to 98,000 deaths ye…
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psnet.ahrq.gov/node/42211/psn-pdf
April 24, 2013 - An organizational assessment of disruptive clinician
behavior: findings and implications.
April 24, 2013
Walrath JM, Dang D, Nyberg D. An Organizational Assessment of Disruptive Clinician Behavior. J Nurs
Care Qual. 2012;28(2):110-121. doi:10.1097/ncq.0b013e318270d2ba.
https://psnet.ahrq.gov/issue/organizational-a…
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psnet.ahrq.gov/node/44972/psn-pdf
February 15, 2017 - The effectiveness of electronic differential diagnoses
(DDX) generators: a systematic review and meta-analysis.
February 15, 2017
Riches N, Panagioti M, Alam R, et al. The Effectiveness of Electronic Differential Diagnoses (DDX)
Generators: A Systematic Review and Meta-Analysis. PLoS One. 2016;11(3):e0148991.
doi:…
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psnet.ahrq.gov/node/847544/psn-pdf
April 12, 2023 - A nationwide study of the "July Effect" concerning
postpartum hemorrhage and its risk factors at teaching
hospitals across the United States.
April 12, 2023
Shahin Z, Shah GH, Apenteng BA, et al. A nationwide study of the "July Effect" concerning postpartum
hemorrhage and its risk factors at teaching hospitals acr…