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psnet.ahrq.gov/node/38982/psn-pdf
February 03, 2011 - Association of resident fatigue and distress with
perceived medical errors.
February 3, 2011
West CP, Tan AD, Habermann TM, et al. Association of resident fatigue and distress with perceived
medical errors. JAMA. 2009;302(12):1294-300. doi:10.1001/jama.2009.1389.
https://psnet.ahrq.gov/issue/association-resident-f…
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psnet.ahrq.gov/node/36256/psn-pdf
February 02, 2011 - Association of perceived medical errors with resident
distress and empathy: a prospective longitudinal study.
February 2, 2011
West CP, Huschka MM, Novotny PJ, et al. Association of perceived medical errors with resident distress
and empathy: a prospective longitudinal study. JAMA. 2006;296(9):1071-8.
https://psne…
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psnet.ahrq.gov/node/35858/psn-pdf
July 22, 2010 - How long and how much are nurses now working?
July 22, 2010
Trinkoff AM, Geiger-Brown J, Brady B, et al. How long and how much are nurses now working? Am J Nurs.
2006;106(4):60-72.
https://psnet.ahrq.gov/issue/how-long-and-how-much-are-nurses-now-working
The authors analyzed results from a national survey and foun…
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psnet.ahrq.gov/node/35595/psn-pdf
January 04, 2009 - Patient Safety: Achieving a New Standard of Care.
January 4, 2009
Institute of Medicine (US) Committee on Data Standards for Patient Safety, Aspden P, Corrigan JM,
Wolcott J, Erickson SM, eds. Washington (DC): National Academies Press (US); 2004.
https://psnet.ahrq.gov/issue/patient-safety-achieving-new-standa…
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psnet.ahrq.gov/node/42537/psn-pdf
October 02, 2013 - The use of a checklist in a pediatric oncology clinic.
October 2, 2013
McLean TW, White GM, Bagliani AF, et al. The use of a checklist in a pediatric oncology clinic. Pediatr
Blood Cancer. 2013;60(11):1855-9. doi:10.1002/pbc.24657.
https://psnet.ahrq.gov/issue/use-checklist-pediatric-oncology-clinic
An Institute o…
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psnet.ahrq.gov/node/42025/psn-pdf
February 06, 2013 - Medical malpractice: why is it so hard for doctors to
apologize?
February 6, 2013
Sanghavi D.
https://psnet.ahrq.gov/issue/medical-malpractice-why-it-so-hard-doctors-apologize
Discussing barriers to physician error disclosure, this article details how an apology-and-offer approach and
analyzing claims data can im…
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psnet.ahrq.gov/node/40771/psn-pdf
June 15, 2012 - Medication prescribing errors in the prehospital setting
and in the ED.
June 15, 2012
Lifshitz AE, Goldstein LH, Sharist M, et al. Medication prescribing errors in the prehospital setting and in
the ED. Am J Emerg Med. 2012;30(5):726-31. doi:10.1016/j.ajem.2011.04.023.
https://psnet.ahrq.gov/issue/medication-presc…
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psnet.ahrq.gov/node/43411/psn-pdf
October 01, 2014 - Analysis of medication errors in simulated pediatric
resuscitation by residents.
October 1, 2014
Porter E, Barcega B, Kim TY. Analysis of medication errors in simulated pediatric resuscitation by
residents. West J Emerg Med. 2014;15(4):486-90. doi:10.5811/westjem.2014.2.17922.
https://psnet.ahrq.gov/issue/analysis…
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psnet.ahrq.gov/node/60358/psn-pdf
May 20, 2020 - 2019 John M. Eisenberg Patient Safety and Quality Award
Recipients.
May 20, 2020
Oakbrook Terrace, IL; Joint Commission: May 13 2020.
https://psnet.ahrq.gov/issue/2019-john-m-eisenberg-patient-safety-and-quality-award-recipients
The Eisenberg Award honors individuals and organizations who have made vital accomplis…
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psnet.ahrq.gov/node/60563/psn-pdf
June 03, 2020 - ‘Last responders’ seek to expand postmortem COVID
testing In unexplained deaths.
June 3, 2020
Andrews M. Kaiser News Network. May 19, 2020.
https://psnet.ahrq.gov/issue/last-responders-seek-expand-postmortem-covid-testing-unexplained-deaths
Post-mortem examination is an important tool for determining if misdiagnos…
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psnet.ahrq.gov/node/44880/psn-pdf
September 06, 2016 - Drug shortages forcing hard decisions on rationing
treatments.
September 6, 2016
Fink S. New York Times. January 29, 2016.
https://psnet.ahrq.gov/issue/drug-shortages-forcing-hard-decisions-rationing-treatments
Drug shortages have become a routine challenge in medicine. Reporting on the impact of medication
short…
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psnet.ahrq.gov/node/44492/psn-pdf
September 23, 2015 - Teamwork in Healthcare.
September 23, 2015
Fam Syst Health. 2015;33(3):175-269.
https://psnet.ahrq.gov/issue/teamwork-healthcare
Teamwork is a key element of patient-centered care, but evidence regarding its use in the primary care
environment is limited. Articles in this special issue examine the reasons for this…
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psnet.ahrq.gov/node/61055/psn-pdf
October 21, 2020 - How administrative burdens can harm health.
October 21, 2020
Herd P, Moynihan D. Health Affairs Health Policy Brief. October 2, 2020.
https://psnet.ahrq.gov/issue/how-administrative-burdens-can-harm-health
The crossover of health equity concepts to patient safety has emerged as a consideration for
improvement. Thi…
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psnet.ahrq.gov/node/41856/psn-pdf
November 21, 2012 - Electronic health records and National Patient-Safety
Goals.
November 21, 2012
Sittig DF, Singh H. Electronic Health Records and National Patient-Safety Goals. New England Journal of
Medicine. 2012;367(19). doi:10.1056/nejmsb1205420.
https://psnet.ahrq.gov/issue/electronic-health-records-and-national-patient-safet…
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psnet.ahrq.gov/node/44526/psn-pdf
October 07, 2015 - The evolution of a safety culture.
October 7, 2015
Patton BS, Donovan KJ. The Evolution of a Safety Culture. Air Med J. 2015;34(5):264-8.
doi:10.1016/j.amj.2015.05.012.
https://psnet.ahrq.gov/issue/evolution-safety-culture
This commentary describes how an air transport unit at one hospital developed a safety cultu…
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psnet.ahrq.gov/node/841789/psn-pdf
July 01, 2022 - The REPAIR Project.
July 1, 2022
University of California San Francisco, San Francisco, CA.
https://psnet.ahrq.gov/issue/repair-project
Systemic racism reduces the effectiveness and safety of the care people of color receive. The REPAIR (
REParations and Anti-Institutional Racism) Project is examining the impact o…
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psnet.ahrq.gov/node/36610/psn-pdf
January 14, 2011 - Prevent medication errors: a New Year's resolution:
teaching patients about their medications.
January 14, 2011
Polzien G. Prevent medication errors: A New Year's resolution: teaching patients about their medications.
Home Healthc Nurse. 2007;25(1):59-62.
https://psnet.ahrq.gov/issue/prevent-medication-errors-new-…
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psnet.ahrq.gov/node/35563/psn-pdf
June 08, 2010 - A comprehensive collaborative patient safety residency
curriculum to address the ACGME core competencies.
June 8, 2010
Singh R, Naughton B, Taylor JS, et al. A comprehensive collaborative patient safety residency curriculum
to address the ACGME core competencies. Med Educ. 2005;39(12):1195-204.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/45742/psn-pdf
January 18, 2017 - War games and diagnostic errors.
January 18, 2017
Vaughn VM, Chopra V, Howell JD. War games and diagnostic errors. BMJ. 2016;355:i6342.
doi:10.1136/bmj.i6342.
https://psnet.ahrq.gov/issue/war-games-and-diagnostic-errors
This commentary draws parallels between a misinterpreted military training exercise with diagno…
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psnet.ahrq.gov/node/36882/psn-pdf
February 24, 2011 - Resident perceptions of the impact of work hour
limitations.
February 24, 2011
Lin GA, Beck DC, Stewart AL, et al. Resident perceptions of the impact of work hour limitations. J Gen
Intern Med. 2007;22(7):969-75.
https://psnet.ahrq.gov/issue/resident-perceptions-impact-work-hour-limitations
The investigators surv…