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psnet.ahrq.gov/node/38091/psn-pdf
February 18, 2011 - Questionable hospital chart documentation practices by
physicians.
February 18, 2011
Sharma R, Kostis WJ, Wilson AC, et al. Questionable hospital chart documentation practices by
physicians. J Gen Intern Med. 2008;23(11):1865-70. doi:10.1007/s11606-008-0750-6.
https://psnet.ahrq.gov/issue/questionable-hospital-cha…
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psnet.ahrq.gov/node/34810/psn-pdf
February 18, 2011 - Should operations be regionalized? The empirical relation
between surgical volume and mortality.
February 18, 2011
Luft HS, Bunker JP, Enthoven AC. Should operations be regionalized? The empirical relation between
surgical volume and mortality. N Engl J Med. 1979;301(25):1364-9.
https://psnet.ahrq.gov/issue/should…
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psnet.ahrq.gov/node/842415/psn-pdf
January 11, 2023 - Accuracy of spinal anesthesia drug concentrations in
mixtures prepared by anesthetists.
January 11, 2023
Heesen M, Steuer C, Wiedemeier P, et al. Accuracy of spinal anesthesia drug concentrations in mixtures
prepared by anesthetists. J Patient Saf. 2022;18(8):e1226-e1230. doi:10.1097/pts.0000000000001061.
https://…
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psnet.ahrq.gov/node/844770/psn-pdf
September 11, 2019 - Use of "Doctor" badges for physician role identification
during clinical training.
September 11, 2019
Foote MB, DeFilippis EM, Rome BN, et al. Use of "Doctor" Badges for Physician Role Identification During
Clinical Training. JAMA Intern Med. 2019. doi:10.1001/jamainternmed.2019.2416.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/74211/psn-pdf
December 22, 2021 - Filling the gaps on the Institute for Safe Medication
Practices (ISMP) Do Not Crush List for Immediate-release
Products
December 22, 2021
Uttaro E, Zhao F, Schweighardt A. Int J Pharm Compd. 2021;25(5):364-371.
https://psnet.ahrq.gov/issue/filling-gaps-institute-safe-medication-practices-ismp-do-not-crush-li…
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psnet.ahrq.gov/node/43867/psn-pdf
March 11, 2015 - Applying fault tree analysis to the prevention of wrong-
site surgery.
March 11, 2015
Abecassis ZA, McElroy LM, Patel RM, et al. Applying fault tree analysis to the prevention of wrong-site
surgery. J Surg Res. 2015;193(1):88-94. doi:10.1016/j.jss.2014.08.062.
https://psnet.ahrq.gov/issue/applying-fault-tree-analy…
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psnet.ahrq.gov/node/838920/psn-pdf
October 26, 2022 - Investigation of mental and physical health of nurses
associated with errors in clinical practice.
October 26, 2022
Pappa D, Koutelekos I, Evangelou E, et al. Investigation of mental and physical health of nurses associated
with errors in clinical practice. Healthcare (Basel). 2022;10(9):1803. doi:10.3390/healthcar…
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psnet.ahrq.gov/node/50448/psn-pdf
October 09, 2019 - Diagnostic errors reported in primary healthcare and
emergency departments: a retrospective and descriptive
cohort study of 4830 reported cases of preventable harm
in Sweden.
October 9, 2019
Fernholm R, Pukk Härenstam K, Wachtler C, et al. Diagnostic errors reported in primary healthcare and
emergency departments…
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psnet.ahrq.gov/node/837664/psn-pdf
July 13, 2022 - Cognitive and implicit biases in nurses' judgment and
decision-making: a scoping review.
July 13, 2022
Thirsk LM, Panchuk JT, Stahlke S, et al. Cognitive and implicit biases in nurses' judgment and decision-
making: a scoping review. Int J Nurs Stud. 2022;133:104284. doi:10.1016/j.ijnurstu.2022.104284.
https://psn…
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psnet.ahrq.gov/node/856631/psn-pdf
November 29, 2023 - Experiences and perceptions of healthcare stakeholders
in disclosing errors and adverse events to historically
marginalized patients.
November 29, 2023
Olazo K, Gallagher TH, Sarkar U. Experiences and perceptions of healthcare stakeholders in disclosing
errors and adverse events to historically marginalized patien…
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psnet.ahrq.gov/node/44292/psn-pdf
September 01, 2016 - Recommendations to improve the usability of drug–drug
interaction clinical decision support alerts.
September 1, 2016
Payne TH, Hines LE, Chan RC, et al. Recommendations to improve the usability of drug-drug interaction
clinical decision support alerts. J Am Med Inform Assoc. 2015;22(6):1243-50. doi:10.1093/jamia/o…
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psnet.ahrq.gov/node/44726/psn-pdf
January 07, 2016 - The impact of resident duty hour and supervision
changes: a review.
January 7, 2016
Greenberg WE, Borus JF. The Impact of Resident Duty Hour and Supervision Changes: A Review. Harv
Rev Psychiatry. 2016;24(1):69-76. doi:10.1097/HRP.0000000000000061.
https://psnet.ahrq.gov/issue/impact-resident-duty-hour-and-supervi…
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psnet.ahrq.gov/node/47833/psn-pdf
March 20, 2019 - Americans' growing exposure to clinician quality
information: insights and implications.
March 20, 2019
Schlesinger MJ, Rybowski L, Shaller D, et al. Americans' Growing Exposure To Clinician Quality
Information: Insights And Implications. Health Aff (Millwood). 2019;38(3):374-382.
doi:10.1377/hlthaff.2018.05006.
…
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psnet.ahrq.gov/node/73714/psn-pdf
September 15, 2021 - Evaluation of Quality, Safety, and Value in Veterans
Health Administration Facilities, FY 2020.
September 15, 2021
Washington, DC: Veterans Affairs Office of Inspector General; August 26, 2021. Report No. 21-01502-240.
https://psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-f…
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psnet.ahrq.gov/node/850914/psn-pdf
June 21, 2023 - A call for safety: anticipating and mitigating risk across
an obstetrics and gynecology service line.
June 21, 2023
Combs A, Klein VR. A call for safety: anticipating and mitigating risk across an obstetrics and gynecology
service line. J Healthc Risk Manag. 2023;43(1):38-42. doi:10.1002/jhrm.21538.
https://psnet.…
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psnet.ahrq.gov/node/34645/psn-pdf
December 23, 2008 - How do patients want physicians to handle mistakes? A
survey of internal medicine patients in an academic
setting.
December 23, 2008
Witman AB, Park DM, Hardin SB. How do patients want physicians to handle mistakes? A survey of
internal medicine patients in an academic setting. Arch Intern Med. 1996;156(22):2565-9…
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psnet.ahrq.gov/node/865479/psn-pdf
April 03, 2024 - Characteristics and contributing factors of diagnostic
error in surgery: analysis of closed medico-legal cases
and complaints in Canada.
April 3, 2024
Kwan JL, Calder LA, Bowman CL, et al. Characteristics and contributing factors of diagnostic error in
surgery: analysis of closed medico-legal cases and complaints …
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psnet.ahrq.gov/node/47263/psn-pdf
January 01, 2021 - Dissecting communication barriers in healthcare: a path
to enhancing communication resiliency, reliability, and
patient safety.
November 28, 2018
Guttman OT, Lazzara EH, Keebler JR, et al. Dissecting Communication Barriers in Healthcare: A Path to
Enhancing Communication Resiliency, Reliability, and Patient Safety…
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psnet.ahrq.gov/node/45346/psn-pdf
November 18, 2016 - How do simulated error experiences impact attitudes
related to error prevention?
November 18, 2016
Breitkreuz KR, Dougal RL, Wright MC. How Do Simulated Error Experiences Impact Attitudes Related to
Error Prevention? Simul Healthc. 2016;11(5):323-333.
https://psnet.ahrq.gov/issue/how-do-simulated-error-experiences…
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psnet.ahrq.gov/node/45653/psn-pdf
January 25, 2017 - Opioid prescribing after surgical extraction of teeth in
Medicaid patients, 2000–2010.
January 25, 2017
Baker JA, Avorn J, Levin R, et al. Opioid Prescribing After Surgical Extraction of Teeth in Medicaid
Patients, 2000-2010. JAMA. 2016;315(15):1653-4. doi:10.1001/jama.2015.19058.
https://psnet.ahrq.gov/issue/opio…