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psnet.ahrq.gov/node/46873/psn-pdf
June 27, 2018 - Diagnostic errors and the bedside clinical examination.
June 27, 2018
Clark BW, Derakhshan A, Desai S. Diagnostic Errors and the Bedside Clinical Examination. Med Clin North
Am. 2018;102(3):453-464. doi:10.1016/j.mcna.2017.12.007.
https://psnet.ahrq.gov/issue/diagnostic-errors-and-bedside-clinical-examination
Diag…
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psnet.ahrq.gov/node/867685/psn-pdf
March 05, 2025 - Understanding factors influencing safety and team
functionality at operative vaginal birth through
multidisciplinary perspectives: a mixed methods study.
March 5, 2025
Skinner SM, Kippen E, Rolnik DL, et al. Understanding factors influencing safety and team functionality at
operative vaginal birth through multidis…
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psnet.ahrq.gov/node/73571/psn-pdf
August 04, 2021 - "My whole room went into chaos because of that thing in
the corner": unintended consequences of a central fetal
monitoring system.
August 4, 2021
Small K, Sidebotham M, Gamble J, et al. “My whole room went into chaos because of that thing in the
corner”: unintended consequences of a central fetal monitoring system…
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psnet.ahrq.gov/node/858172/psn-pdf
January 01, 2024 - Quality and reporting of large-scale improvement
programmes: a review of maternity initiatives in the
English NHS, 2010–2023.
December 13, 2023
McGowan JE, Attal B, Kuhn I, et al. Quality and reporting of large-scale improvement programmes: a
review of maternity initiatives in the English NHS, 2010–2023. BMJ Qual …
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psnet.ahrq.gov/node/866808/psn-pdf
September 25, 2024 - What is safety leadership? A systematic review of
definitions.
September 25, 2024
Adra I, Giga S, Hardy C, et al. What is safety leadership? A systematic review of definitions. J Safety Res.
2024;90:181-191. doi:10.1016/j.jsr.2024.04.001.
https://psnet.ahrq.gov/issue/what-safety-leadership-systematic-review-defini…
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psnet.ahrq.gov/node/44741/psn-pdf
January 20, 2016 - System hazards in managing laboratory test requests and
results in primary care: medical protection database
analysis and conceptual model.
January 20, 2016
Bowie P, Price J, Hepworth N, et al. System hazards in managing laboratory test requests and results in
primary care: medical protection database analysis and…
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psnet.ahrq.gov/node/45928/psn-pdf
April 24, 2018 - Comparing VA and Non-VA quality of care: a systematic
review.
April 24, 2018
O'Hanlon C, Huang C, Sloss E, et al. Comparing VA and Non-VA Quality of Care: A Systematic Review. J
Gen Intern Med. 2017;32(1):105-121. doi:10.1007/s11606-016-3775-2.
https://psnet.ahrq.gov/issue/comparing-va-and-non-va-quality-care-syst…
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psnet.ahrq.gov/node/45851/psn-pdf
February 22, 2017 - Eight years of decreased methicillin-resistant
Staphylococcus aureus health care–associated infections
associated with a Veterans Affairs prevention initiative.
February 22, 2017
Evans ME, Kralovic SM, Simbartl LA, et al. Eight years of decreased methicillin-resistant Staphylococcus
aureus health care-associated i…
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psnet.ahrq.gov/node/867388/psn-pdf
December 18, 2024 - Secure messaging use and wrong-patient ordering errors
among inpatient clinicians.
December 18, 2024
Lou SS, Lew D, Xia L, et al. Secure messaging use and wrong-patient ordering errors among inpatient
clinicians. JAMA Netw Open. 2024;7(12):e2447797. doi:10.1001/jamanetworkopen.2024.47797.
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March 20, 2019 - Use of a public health law framework to improve
medication safety by anesthesia providers.
March 20, 2019
Litman RS. Use of a public health law framework to improve medication safety by anesthesia providers. J
Patient Saf Risk Manag. 2019;24(4):158-165. doi:10.1177/2516043518825383.
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June 28, 2010 - Quality improvement implementation and hospital
performance on patient safety indicators.
June 28, 2010
Weiner BJ, Alexander JA, Baker LC, et al. Quality improvement implementation and hospital performance
on patient safety indicators. Med Care Res Rev. 2006;63(1):29-57.
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psnet.ahrq.gov/node/43085/psn-pdf
March 26, 2014 - A prospective study to evaluate awareness about
medication errors amongst health-care personnel
representing North, East, West Regions of India.
March 26, 2014
Sewal RK, Singh PK, Prakash A, et al. A prospective study to evaluate awareness about medication errors
amongst health-care personnel representing North, E…
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April 06, 2016 - Scandal as a sentinel event—recognizing hidden
cost–quality trade-offs.
April 6, 2016
Bloche G. Scandal as a Sentinel Event--Recognizing Hidden Cost-Quality Trade-offs. N Engl J Med.
2016;374(11):1001-3. doi:10.1056/NEJMp1502629.
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August 21, 2024 - Leadership and the high reliability transformation: a
qualitative study at Truman VA medical center.
August 21, 2024
Leonard C, Gilmartin HM, Starr LM, et al. Leadership and the high reliability transformation: a qualitative
study at Truman VA medical center. J Healthc Risk Manag. 2024;44(1):17-23. doi:10.1002/jhrm…
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May 15, 2019 - Using near-miss events to improve MRI safety in a large
academic centre.
May 15, 2019
Goolsarran N, Martinez J, Garcia C. Using near-miss events to improve MRI safety in a large academic
centre. BMJ Open Qual. 2019;8(2):e000593. doi:10.1136/bmjoq-2018-000593.
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psnet.ahrq.gov/node/865338/psn-pdf
March 27, 2024 - Analysis of intervention employability in pharmacy-
related medication safety reports at a tertiary medical
center.
March 27, 2024
Crozier N, Robinson E, Murtagh NC, et al. Analysis of intervention employability in pharmacy-related
medication safety reports at a tertiary medical center. Hosp Pharm. 2024;59(2):210-…
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psnet.ahrq.gov/node/865518/psn-pdf
April 10, 2024 - Decreasing prescribing errors in antimicrobial
stewardship program-restricted medications.
April 10, 2024
Tang KM, Lee P, Anosike BI, et al. Decreasing prescribing errors in antimicrobial stewardship program-
restricted medications. Hosp Pediatr. 2024;14(4):281-290. doi:10.1542/hpeds.2023-007548.
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February 05, 2020 - Effectiveness of acute care remote triage systems: a
systematic review.
February 5, 2020
Boggan JC, Shoup JP, Whited JD, et al. Effectiveness of acute care remote triage systems: a systematic
review. J Gen Intern Med. 2020;35(7):2136-2145. doi:10.1007/s11606-019-05585-4.
https://psnet.ahrq.gov/issue/effectiveness-…
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psnet.ahrq.gov/information
September 01, 2015 - About
AHRQ Patient Safety Network (PSNet) is a national web-based resource featuring the latest news and essential resources on patient safety. The site offers weekly updates of patient safety literature, news, tools, and meetings ("Current Issue"), and a vast set of carefully annotated links to important research an…
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psnet.ahrq.gov/issue/top-10-drug-errors-and-how-prevent-them
April 15, 2015 - Meeting/Conference Proceedings
The "top 10" drug errors and how to prevent them.
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June 6, 2007
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