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psnet.ahrq.gov/node/866524/psn-pdf
August 14, 2024 - Generative artificial intelligence, patient safety and
healthcare quality: a review.
August 14, 2024
Howell MD. Generative artificial intelligence, patient safety and healthcare quality: a review. BMJ Qual Saf.
2024;33(11):748-754. doi:10.1136/bmjqs-2023-016690.
https://psnet.ahrq.gov/issue/generative-artificial-i…
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psnet.ahrq.gov/node/74057/psn-pdf
November 10, 2021 - Patient and clinician experiences of uncertainty in the
diagnostic process: current understanding and future
directions.
November 10, 2021
Meyer AND, Giardina TD, Khawaja L, et al. Patient and clinician experiences of uncertainty in the
diagnostic process: current understanding and future directions. Patient Educ …
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psnet.ahrq.gov/node/43043/psn-pdf
September 19, 2016 - "Second victim" casualties and how physician leaders
can help.
September 19, 2016
MacLeod L. "Second victim" casualties and how physician leaders can help. Physician Exect. 2014;40(1):8-
12.
https://psnet.ahrq.gov/issue/second-victim-casualties-and-how-physician-leaders-can-help
Second victims are clinicians who …
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psnet.ahrq.gov/node/46160/psn-pdf
June 07, 2017 - ISMP Guidelines for Optimizing Safe Subcutaneous
Insulin Use in Adults.
June 7, 2017
Horsham, PA: Institute for Safe Medication Practices; May 2017.
https://psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-subcutaneous-insulin-use-adults
Insulin is a widely used medication that can contribute to serious patien…
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psnet.ahrq.gov/node/74215/psn-pdf
October 25, 2011 - Race and the clinical diagnosis of depression in new
primary care patients.
October 25, 2011
Lukachko A, Olfson M. Race and the clinical diagnosis of depression in new primary care patients. Gen
Hosp Psychiatry. 2011;34(1):98-100. doi:10.1016/j.genhosppsych.2011.09.008.
https://psnet.ahrq.gov/issue/race-and-clinic…
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psnet.ahrq.gov/node/41780/psn-pdf
April 10, 2019 - Health care professionals as second victims after adverse
events: a systematic review.
April 10, 2019
Seys D, Wu AW, Gerven EV, et al. Health Care Professionals as Second Victims after Adverse Events.
Eval Health Prof. 2012;36(2). doi:10.1177/0163278712458918.
https://psnet.ahrq.gov/issue/health-care-professionals…
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psnet.ahrq.gov/node/43820/psn-pdf
February 18, 2015 - Care of the clinician after an adverse event.
February 18, 2015
Pratt SD, Jachna BR. Care of the clinician after an adverse event. Int J Obstet Anesth. 2014;24(1):54-63.
doi:10.1016/j.ijoa.2014.10.001.
https://psnet.ahrq.gov/issue/care-clinician-after-adverse-event
Spotlighting the emotional impact adverse events …
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psnet.ahrq.gov/node/34778/psn-pdf
December 23, 2008 - Anesthetic mishaps: breaking the chain of accident
evolution.
December 23, 2008
Gaba DM, Maxwell M, DeAnda A. Anesthetic mishaps: breaking the chain of accident evolution.
Anesthesiology. 1987;66(5):670-6.
https://psnet.ahrq.gov/issue/anesthetic-mishaps-breaking-chain-accident-evolution
A review of anesthesia saf…
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psnet.ahrq.gov/node/73680/psn-pdf
January 01, 2022 - Interventions targeted at reducing diagnostic error:
systematic review.
September 8, 2021
Dave N, Bui S, Morgan C, et al. Interventions targeted at reducing diagnostic error: systematic review. BMJ
Qual Saf. 2022;31(4):297-307. doi:10.1136/bmjqs-2020-012704.
https://psnet.ahrq.gov/issue/interventions-targeted-redu…
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psnet.ahrq.gov/node/47229/psn-pdf
August 01, 2018 - The practice of respect in the ICU.
August 1, 2018
Brown SM, Azoulay E, Benoit D, et al. The Practice of Respect in the ICU. Am J Respir Crit Care Med.
2018;197(11):1389-1395. doi:10.1164/rccm.201708-1676CP.
https://psnet.ahrq.gov/issue/practice-respect-icu
This commentary explores the results of a multidisciplina…
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psnet.ahrq.gov/node/44885/psn-pdf
April 22, 2016 - Changing the "working while sick" culture.
April 22, 2016
Tanksley AL, Wolfson RK, Arora V. Changing the "Working While Sick" Culture: Promoting Fitness for Duty
in Health Care. JAMA. 2016;315(6):603-4. doi:10.1001/jama.2016.0094.
https://psnet.ahrq.gov/issue/changing-working-while-sick-culture
Clinicians often fe…
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psnet.ahrq.gov/node/45321/psn-pdf
August 01, 2017 - Peer support for clinicians: a programmatic approach.
August 1, 2017
Shapiro J, Galowitz P. Peer Support for Clinicians: A Programmatic Approach. Acad Med.
2016;91(9):1200-4. doi:10.1097/ACM.0000000000001297.
https://psnet.ahrq.gov/issue/peer-support-clinicians-programmatic-approach
Peer support programs can help …
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psnet.ahrq.gov/node/850343/psn-pdf
December 12, 2023 - Challenge Competition: Impact of Patient Safety Tools.
December 12, 2023
Rockville, MD: Agency for Healthcare Research and Quality; 2023.
https://psnet.ahrq.gov/issue/challenge-competition-impact-patient-safety-tools
The Agency for Healthcare Research and Quality (AHRQ) offers many practical tools and resource…
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psnet.ahrq.gov/node/45372/psn-pdf
November 18, 2016 - Determinants of patient–oncologist prognostic
discordance in advanced cancer.
November 18, 2016
Gramling R, Fiscella K, Xing G, et al. Determinants of Patient-Oncologist Prognostic Discordance in
Advanced Cancer. JAMA Oncol. 2016;2(11):1421-1426. doi:10.1001/jamaoncol.2016.1861.
https://psnet.ahrq.gov/issue/determ…
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psnet.ahrq.gov/node/42019/psn-pdf
December 29, 2014 - Can incident reporting improve safety? Healthcare
practitioners' views of the effectiveness of incident
reporting.
December 29, 2014
Anderson JE, Kodate N, Walters R, et al. Can incident reporting improve safety? Healthcare practitioners'
views of the effectiveness of incident reporting. Int J Qual Health Care. 20…
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psnet.ahrq.gov/node/33927/psn-pdf
June 23, 2015 - Errors, incidents and accidents in anaesthetic practice.
June 23, 2015
Runciman WB, Sellen A, Webb RK, et al. The Australian Incident Monitoring Study. Errors, incidents and
accidents in anaesthetic practice. Anaesth Intensive Care. 1993;21(5):506-19.
https://psnet.ahrq.gov/issue/errors-incidents-and-accidents-anae…
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psnet.ahrq.gov/node/47960/psn-pdf
May 15, 2019 - A systematic review of clinical decision support systems
for clinical oncology practice.
May 15, 2019
Pawloski PA, Brooks GA, Nielsen ME, et al. A Systematic Review of Clinical Decision Support Systems for
Clinical Oncology Practice. J Natl Compr Canc Netw. 2019;17(4):331-338. doi:10.6004/jnccn.2018.7104.
https://…
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psnet.ahrq.gov/node/43761/psn-pdf
July 01, 2016 - An electronic checklist improves transfer and retention of
critical information at intraoperative handoff of care.
July 1, 2016
Agarwala A, Firth PG, Albrecht MA, et al. An electronic checklist improves transfer and retention of critical
information at intraoperative handoff of care. Anesth Analg. 2015;120(1):96-10…
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psnet.ahrq.gov/node/34648/psn-pdf
April 21, 2015 - Gaps in the continuity of care and progress on patient
safety.
April 21, 2015
Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. BMJ.
2000;320(7237):791-4.
https://psnet.ahrq.gov/issue/gaps-continuity-care-and-progress-patient-safety
This commentary discusses the concept o…
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psnet.ahrq.gov/node/39086/psn-pdf
May 24, 2015 - Psychiatry morbidity and mortality rounds:
implementation and impact.
May 24, 2015
Goldman S, Demaso DR, Kemler B. Psychiatry morbidity and mortality rounds: implementation and impact.
Acad Psychiatry. 2009;33(5):383-8. doi:10.1176/appi.ap.33.5.383.
https://psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-r…