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psnet.ahrq.gov/node/47388/psn-pdf
March 13, 2019 - Artificial intelligence systems for complex decision-
making in acute care medicine: a review.
March 13, 2019
Lynn LA. Artificial intelligence systems for complex decision-making in acute care medicine: a review.
Patient Saf Surg. 2019;13:6. doi:10.1186/s13037-019-0188-2.
https://psnet.ahrq.gov/issue/artificial-in…
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psnet.ahrq.gov/node/38491/psn-pdf
January 31, 2011 - Diagnostic errors--The next frontier for patient safety.
January 31, 2011
Newman-Toker DE, Pronovost P. Diagnostic errors--the next frontier for patient safety. JAMA.
2009;301(10):1060-2. doi:10.1001/jama.2009.249.
https://psnet.ahrq.gov/issue/diagnostic-errors-next-frontier-patient-safety
Studies from autopsy dat…
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psnet.ahrq.gov/node/865519/psn-pdf
April 10, 2024 - Differences in donor heart acceptance by race and gender
of patients on the transplant waiting list.
April 10, 2024
Breathett K, Knapp SM, Lewsey SC, et al. Differences in donor heart acceptance by race and gender of
patients on the transplant waiting list. JAMA. 2024;331(16):1379-1386. doi:10.1001/jama.2024.0065.
…
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psnet.ahrq.gov/node/34968/psn-pdf
July 10, 2008 - Effect of antiseptic handwashing vs alcohol sanitizer on
health care-associated infections in neonatal intensive
care units.
July 10, 2008
Larson EL, Cimiotti JP, Haas JP, et al. Effect of antiseptic handwashing vs alcohol sanitizer on health care-
associated infections in neonatal intensive care units. Arch Pedia…
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psnet.ahrq.gov/node/859343/psn-pdf
December 20, 2023 - Reducing retained foreign objects in the operating room:
a quality improvement initiative.
December 20, 2023
Keane OA, Chambers C, Brady CM, et al. Reducing retained foreign objects in the operating room: a
quality improvement initiative. J Am Coll Surg. 2023;237(6):864-872. doi:10.1097/xcs.0000000000000847.
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psnet.ahrq.gov/node/852276/psn-pdf
August 09, 2023 - Parent experiences with the process of sharing inpatient
safety concerns for children with medical complexity: a
qualitative analysis.
August 9, 2023
Kieren MQ, Kelly MM, Garcia MA, et al. Parent experiences with the process of sharing inpatient safety
concerns for children with medical complexity: a qualitative a…
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psnet.ahrq.gov/node/47191/psn-pdf
December 21, 2018 - Barriers and facilitators to implementing a process to
enable parent escalation of care for the deteriorating child
in hospital.
December 21, 2018
Gill FJ, Leslie GD, Marshall AP. Barriers and facilitators to implementing a process to enable parent
escalation of care for the deteriorating child in hospital. Health…
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psnet.ahrq.gov/node/61095/psn-pdf
November 04, 2020 - Assessing adverse events after chiropractic care at a
chiropractic teaching clinic: an active-surveillance pilot
study.
November 4, 2020
Pohlman KA, Funabashi M, Ndetan H, et al. Assessing adverse events after chiropractic care at a
chiropractic teaching clinic: an active-surveillance pilot study. J Manipulative P…
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psnet.ahrq.gov/node/865707/psn-pdf
May 01, 2024 - Department of anesthesiology skilled peer support
program outcomes: second victim perceptions.
May 1, 2024
Bursch B, Ziv K, Marchese S, et al. Department of anesthesiology skilled peer support program outcomes:
second victim perceptions. Jt Comm J Qual Patient Saf. 2024;50(6):442-448.
doi:10.1016/j.jcjq.2024.03.00…
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psnet.ahrq.gov/node/60188/psn-pdf
January 01, 2021 - Uncertain diagnoses in a children's hospital: patient
characteristics and outcomes.
April 1, 2020
Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics
and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058.
https://psnet.ahrq.gov/issue/uncertai…
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psnet.ahrq.gov/node/45452/psn-pdf
August 24, 2016 - What price must we pay for safety? Excessive cost of
EPINEPHrine auto-injectors leads to error-prone use of
ampuls or vials and unprepared consumers.
August 24, 2016
ISMP Medication Safety Alert! Acute Care Edition. August 11, 2016;21:1-3.
https://psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-e…
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psnet.ahrq.gov/node/45235/psn-pdf
September 19, 2016 - Patient safety culture and the second victim
phenomenon: connecting culture to staff distress in
nurses.
September 19, 2016
Quillivan RR, Burlison JD, Browne EK, et al. Patient Safety Culture and the Second Victim Phenomenon:
Connecting Culture to Staff Distress in Nurses. Jt Comm J Qual Patient Saf. 2016;42(8):37…
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psnet.ahrq.gov/node/851055/psn-pdf
June 28, 2023 - How do we learn about error? A cross-sectional study of
urology trainees.
June 28, 2023
Browne C, Crone L, O'Connor E. How do we learn about error? A cross-sectional study of urology trainees.
J Surg Educ. 2023;80(6):864-872. doi:10.1016/j.jsurg.2023.03.007.
https://psnet.ahrq.gov/issue/how-do-we-learn-about-error…
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psnet.ahrq.gov/node/866695/psn-pdf
September 11, 2024 - Reducing ambulatory central line-associated bloodstream
infections: a family-centered approach.
September 11, 2024
Wong CI, Ilowite M, Yan A, et al. Reducing ambulatory central line?associated bloodstream infections: a
family?centered approach. Pediatr Blood Cancer. 2024;71(8):e31064. doi:10.1002/pbc.31064.
https:…
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psnet.ahrq.gov/node/39322/psn-pdf
February 24, 2010 - Complications and death at the start of the new academic
year: is there a July phenomenon?
February 24, 2010
Inaba K, Recinos G, Teixeira PGR, et al. Complications and death at the start of the new academic year: is
there a July phenomenon? J Trauma. 2010;68(1):19-22. doi:10.1097/TA.0b013e3181b88dfe.
https://psnet…
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psnet.ahrq.gov/node/35471/psn-pdf
September 21, 2009 - Medication safety in the ambulatory chemotherapy
setting.
September 21, 2009
Gandhi TK, Bartel SB, Shulman LN, et al. Medication safety in the ambulatory chemotherapy setting.
Cancer. 2005;104(11). doi:10.1002/cncr.21442.
https://psnet.ahrq.gov/issue/medication-safety-ambulatory-chemotherapy-setting
Chemotherapeu…
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psnet.ahrq.gov/node/39387/psn-pdf
July 23, 2014 - Medication errors involving oral chemotherapy.
July 23, 2014
Weingart SN, Toro J, Spencer J, et al. Medication errors involving oral chemotherapy. Cancer.
2010;116(10):2455-2464. doi:10.1002/cncr.25027.
https://psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy
Widely publicized errors associated w…
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psnet.ahrq.gov/node/73533/psn-pdf
July 28, 2021 - Clinical diagnoses vs. autopsy findings in early deceased
septic patients in the intensive care: a retrospective
cohort study.
July 28, 2021
Driessen RGH, Latten BGH, Bergmans DCJJ, et al. Clinical diagnoses vs. autopsy findings in early
deceased septic patients in the intensive care: a retrospective cohort study.…
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psnet.ahrq.gov/node/50732/psn-pdf
December 11, 2019 - Association between physician depressive symptoms and
medical errors: A systematic review and meta-analysis
December 11, 2019
Pereira-Lima K, Mata DA, Loureiro SR, et al. Association Between Physician Depressive Symptoms and
Medical Errors: A Systematic Review and Meta-analysis. JAMA Netw Open. 2019;2(11):e1916097.…
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psnet.ahrq.gov/node/47673/psn-pdf
January 09, 2019 - Diagnostic decision-making in the emergency
department.
January 9, 2019
Medford-Davis LN, Singh H, Mahajan P. Diagnostic decision-making in the emergency department. Pediatr
Clin North Am. 2018;65(6):1097-1105. doi:10.1016/j.pcl.2018.07.003.
https://psnet.ahrq.gov/issue/diagnostic-decision-making-emergency-departm…