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psnet.ahrq.gov/node/867475/psn-pdf
February 26, 2025 - From Pain Relief to Risk: A Case of Suspected Opioid
Overdose in a Pediatric Patient
February 26, 2025
Markham K, Usui M, Smith C. From Pain Relief to Risk: A Case of Suspected Opioid Overdose in a
Pediatric Patient. PSNet [internet]. 2025.
https://psnet.ahrq.gov/web-mm/pain-relief-risk-case-suspected-opioid-overd…
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psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
October 13, 2018 - Slow Down: Right Drug, Wrong Formulation
Citation Text:
Amato MG, Schiff G. Slow Down: Right Drug, Wrong Formulation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
December 15, 2024 - Deprescribing as a Patient Safety Strategy
Citation Text:
Takhar S, Nelson N. Deprescribing as a Patient Safety Strategy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
February 26, 2025 - Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists
Citation Text:
Shi L, Noren E. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Se…
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psnet.ahrq.gov/node/39795/psn-pdf
June 06, 2018 - The elephant of patient safety: what you see depends on
how you look.
June 6, 2018
Shojania KG. The elephant of patient safety: what you see depends on how you look. Jt Comm J Qual
Patient Saf. 2010;36(9):399-401.
https://psnet.ahrq.gov/issue/elephant-patient-safety-what-you-see-depends-how-you-look
Health care i…
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psnet.ahrq.gov/node/867534/psn-pdf
March 10, 2025 - Pulse oximeters for medical purposes - non-clinical and
clinical performance testing, labeling, and premarket
submission recommendations.
January 15, 2025
Pulse oximeters for medical purposes - non-clinical and clinical performance testing, labeling, and
premarket submission recommendations. Food and Drug Administ…
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psnet.ahrq.gov/node/43614/psn-pdf
October 22, 2014 - Hardwiring patient blood management: harnessing
information technology to optimize transfusion practice.
October 22, 2014
Dunbar NM, Szczepiorkowski ZM. Hardwiring patient blood management: harnessing information
technology to optimize transfusion practice. Curr Opin Hematol. 2014;21(6):515-20.
doi:10.1097/MOH.000…
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psnet.ahrq.gov/node/34649/psn-pdf
June 11, 2014 - On error management: lessons from aviation.
June 11, 2014
Helmreich RL. On error management: lessons from aviation. BMJ . 2000;320(7237):781-785.
https://psnet.ahrq.gov/issue/error-management-lessons-aviation
In this perspective, the author draws on analogies from aviation to frame the issues of patient safety and
…
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psnet.ahrq.gov/node/40381/psn-pdf
May 25, 2011 - Medication errors in the homes of children with chronic
conditions.
May 25, 2011
Walsh KE, Mazor KM, Stille CJ, et al. Medication errors in the homes of children with chronic conditions.
Arch Dis Child. 2011;96(6):581-6. doi:10.1136/adc.2010.204479.
https://psnet.ahrq.gov/issue/medication-errors-homes-children-chr…
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psnet.ahrq.gov/node/843089/psn-pdf
May 01, 2020 - Direct observation of depression screening: identifying
diagnostic error and improving accuracy through
unannounced standardized patients.
May 1, 2020
Schwartz A, Peskin S, Spiro A, et al. Direct observation of depression screening: identifying diagnostic
error and improving accuracy through unannounced standardiz…
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psnet.ahrq.gov/node/862152/psn-pdf
February 07, 2024 - Risk identification and prediction of complaints and
misconduct against health practitioners: a scoping
review.
February 7, 2024
Wang Y, Ram SS, Scahill S. Risk identification and prediction of complaints and misconduct against health
practitioners: a scoping review. Int J Qual Health Care. 2024;36(1):mzad114. doi…
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psnet.ahrq.gov/node/45650/psn-pdf
December 14, 2016 - Are physicians safely prescribing opioids for chronic
noncancer pain? A systematic review of current evidence.
December 14, 2016
Tournebize J, Gibaja V, Muszczak A, et al. Are Physicians Safely Prescribing Opioids for Chronic
Noncancer Pain? A Systematic Review of Current Evidence. Pain Pract. 2016;16(3):370-83.
d…
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psnet.ahrq.gov/node/47782/psn-pdf
June 14, 2019 - Testing and improving the acceptability of a web-based
platform for collective intelligence to improve diagnostic
accuracy in primary care clinics.
June 14, 2019
Fontil V, Radcliffe K, Lyson HC, et al. Testing and improving the acceptability of a web-based platform for
collective intelligence to improve diagnostic…
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psnet.ahrq.gov/node/73681/psn-pdf
September 08, 2021 - Medical errors during training: how do residents cope?: a
descriptive study.
September 8, 2021
Fatima S, Soria S, Esteban- Cruciani N. Medical errors during training: how do residents cope?: a
descriptive study. BMC Med Educ. 2021;21(1):408. doi:10.1186/s12909-021-02850-1.
https://psnet.ahrq.gov/issue/medical-erro…
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psnet.ahrq.gov/node/837058/psn-pdf
May 11, 2022 - Establishing psychological safety in clinical supervision:
multi-professional perspectives.
May 11, 2022
Lee EH, Pitts S, Pignataro S, et al. Establishing psychological safety in clinical supervision: multi?
professional perspectives. Clin Teach. 2022;19(2):71-78. doi:10.1111/tct.13451.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/43909/psn-pdf
March 11, 2015 - Summary and frequency of barriers to adoption of CPOE
in the US.
March 11, 2015
Kruse CS, Goetz K. Summary and frequency of barriers to adoption of CPOE in the U.S. J Med Syst.
2015;39(2):15. doi:10.1007/s10916-015-0198-2.
https://psnet.ahrq.gov/issue/summary-and-frequency-barriers-adoption-cpoe-us
Although compu…
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psnet.ahrq.gov/node/73625/psn-pdf
August 25, 2021 - Barriers and facilitators to patient engagement in patient
safety from patients and healthcare professionals'
perspectives: a systematic review and meta-synthesis.
August 25, 2021
Chegini Z, Arab?Zozani M, Shariful Islam SM, et al. Barriers and facilitators to patient engagement in
patient safety from patients and…
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psnet.ahrq.gov/node/841146/psn-pdf
December 07, 2022 - Exploring the intersection of structural racism and
ageism in healthcare.
December 7, 2022
Farrell TW, Hung WW, Unroe KT, et al. Exploring the intersection of structural racism and ageism in
healthcare. J Am Geriatr Soc. 2022;70(12):3366-3377. doi:10.1111/jgs.18105.
https://psnet.ahrq.gov/issue/exploring-intersect…
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psnet.ahrq.gov/node/838918/psn-pdf
October 26, 2022 - ‘I am not the doctor for you’: physicians’ attitudes about
caring for people with disabilities.
October 26, 2022
Lagu T, Haywood C, Reimold KE, et al. ‘I am not the doctor for you’: physicians’ attitudes about caring for
people with disabilities. Health Aff (Millwood). 2022;41(10):1387-1395. doi:10.1377/hlthaff.202…
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psnet.ahrq.gov/node/851356/psn-pdf
July 12, 2023 - Leveraging the science of teamwork to sustain handoff
improvements in cardiovascular surgery.
July 12, 2023
Keebler JR, Lynch I, Ngo F, et al. Leveraging the science of teamwork to sustain handoff improvements in
cardiovascular surgery. Jt Comm J Qual Patient Saf. 2023;49(8):373-383. doi:10.1016/j.jcjq.2023.05.006.…