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April 13, 2022 - Error and cognitive bias in diagnostic radiology.
April 13, 2022
Tee QX, Nambiar M, Stuckey S. Error and cognitive bias in diagnostic radiology. J Med Imaging Radiat
Oncol. 2022;66(2):202-207. doi:10.1111/1754-9485.13320.
https://psnet.ahrq.gov/issue/error-and-cognitive-bias-diagnostic-radiology
Diagnostic errors …
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October 29, 2017 - Public reporting of surgical outcomes: surgeons,
hospitals, or both?
October 29, 2017
Jha AK. Public Reporting of Surgical Outcomes: Surgeons, Hospitals, or Both? JAMA. 2017;318(15):1429-
1430. doi:10.1001/jama.2017.13815.
https://psnet.ahrq.gov/issue/public-reporting-surgical-outcomes-surgeons-hospitals-or-both
…
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psnet.ahrq.gov/node/44722/psn-pdf
March 15, 2016 - Patient safety's missing link: using clinical expertise to
recognize, respond to and reduce risks at a population
level.
March 15, 2016
Hibbert PD, Healey F, Lamont T, et al. Patient safety's missing link: using clinical expertise to recognize,
respond to and reduce risks at a population level. Int J Qual Health C…
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January 24, 2024 - COVID-19 and patient safety- lessons from 2 efforts to
keep people safe.
January 24, 2024
Wachter RM. COVID-19 and patient safety- lessons from 2 efforts to keep people safe. JAMA Intern Med.
2024;184(2):127-128. doi:10.1001/jamainternmed.2023.7527.
https://psnet.ahrq.gov/issue/covid-19-and-patient-safety-lessons-…
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June 14, 2006 - Medical errors and quality of care: from control to
commitment.
June 14, 2006
Khatri N, Baveja A, Boren SA, et al. Medical Errors and Quality of Care: From Control to Commitment.
California Manage Review. 2006;48(3):115-141. doi:10.2307/41166353.
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October 28, 2020 - The radiology impact of healthcare errors during shift
work.
October 28, 2020
Elliott J, Williamson K. The radiology impact of healthcare errors during shift work. Radiography.
2020;26(3):248-253. doi:10.1016/j.radi.2019.12.007.
https://psnet.ahrq.gov/issue/radiology-impact-healthcare-errors-during-shift-work
Ext…
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February 10, 2021 - Risk of misdiagnosis and delayed diagnosis with COVID-
19: a syndemic approach.
February 10, 2021
Muhrer JC. Risk of misdiagnosis and delayed diagnosis with COVID-19. Nurs Pract. 2021;46(2):44-49.
doi:10.1097/01.npr.0000731572.91985.98.
https://psnet.ahrq.gov/issue/risk-misdiagnosis-and-delayed-diagnosis-covid-19-…
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psnet.ahrq.gov/node/862995/psn-pdf
February 21, 2024 - Predictors of perceived discrimination in medical settings
among Muslim women in the USA.
February 21, 2024
Murrar S, Baqai B, Padela AI. Predictors of perceived discrimination in medical settings among Muslim
women in the USA. J Racial Ethn Health Disparities. 2024;11(1):150-156. doi:10.1007/s40615-022-01506-
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November 13, 2024 - Detecting clinical medication errors with AI enabled
wearable cameras.
November 13, 2024
Chan J, Nsumba S, Wortsman M, et al. Detecting clinical medication errors with AI enabled wearable
cameras. NPJ Dig Med. 2024;7(1):287. doi:10.1038/s41746-024-01295-2.
https://psnet.ahrq.gov/issue/detecting-clinical-medication…
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psnet.ahrq.gov/node/50571/psn-pdf
October 23, 2019 - Medication errors in the context of hematopoietic stem
cell transplantation: a systematic review.
October 23, 2019
Lermontov SP, Brasil SC, de Carvalho MR. Medication Errors in the Context of Hematopoietic Stem Cell
Transplantation: A Systematic Review. Cancer Nurs. 2019;42(5):365-372.
doi:10.1097/NCC.000000000000…
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April 24, 2019 - The impact of errors on healthcare professionals in the
critical care setting.
April 24, 2019
Kaur AP, Levinson AT, Monteiro JFG, et al. The impact of errors on healthcare professionals in the critical
care setting. J Crit Care. 2019;52:16-21. doi:10.1016/j.jcrc.2019.03.001.
https://psnet.ahrq.gov/issue/impact-err…
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psnet.ahrq.gov/node/43990/psn-pdf
April 22, 2015 - Fix and forget or fix and report: a qualitative study of
tensions at the front line of incident reporting.
April 22, 2015
Hewitt TA, Chreim S. Fix and forget or fix and report: a qualitative study of tensions at the front line of
incident reporting. BMJ Qual Saf. 2015;24(5):303-10. doi:10.1136/bmjqs-2014-003279.
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February 10, 2021 - The impact of critical incidents on nurses and midwives:
a systematic review.
February 10, 2021
Buhlmann M, Ewens B, Rashidi A. The impact of critical incidents on nurses and midwives: A systematic
review. J Clin Nurs. 2020;30(9-10):1195-1205. doi:10.1111/jocn.15608.
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psnet.ahrq.gov/node/72699/psn-pdf
February 03, 2021 - RISE: exploring volunteer retention and sustainability of a
second victim support program.
February 3, 2021
Connors C, Dukhanin V, Norvell M, et al. RISE: Exploring Volunteer Retention and Sustainability of a
Second Victim Support Program. J Healthc Manag. 2021;66(1):19-32. doi:10.1097/jhm-d-19-00264.
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September 08, 2021 - Why and how to approach user experience in safety-
critical domains: the example of health care.
September 8, 2021
Grundgeiger T, Hurtienne J, Happel O. Why and how to approach user experience in safety-critical
domains: the example of health care. Hum Factors. 2020;63(5):821-832. doi:10.1177/0018720819887575.
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October 10, 2012 - Latency of ECG displays of hospital telemetry systems: a
science advisory from the American Heart Association.
October 10, 2012
Turakhia MP, Estes NAM, Drew BJ, et al. Latency of ECG displays of hospital telemetry systems: a science
advisory from the American Heart Association. Circulation. 2012;126(13):1665-9.
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February 02, 2022 - Hospital at Home: setting a regulatory course to ensure
safe, high-quality care.
February 2, 2022
DeCherrie LV, Leff B, Levine DM, et al. Hospital at Home: setting a regulatory course to ensure safe, high-
quality care. Jt Comm J Qual Patient Saf. 2022;48(3):180-184. doi:10.1016/j.jcjq.2021.12.003.
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January 07, 2015 - Building a community engagement approach for patient
safety improvement.
January 7, 2015
Gooden R, Syed SB, Rutter P, et al. Building a community engagement approach for patient safety
improvement. Community Dev J. 2013;49(4). doi:10.1093/cdj/bst044.
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psnet.ahrq.gov/node/36558/psn-pdf
May 27, 2011 - The National Quality Forum safe practice standard for
computerized physician order entry: updating a critical
patient safety practice.
May 27, 2011
Kilbridge PM, Classen D, Bates DW, et al. The National Quality Forum Safe Practice Standard for
Computerized Physician Order Entry. J Patient Saf. 2008;2(4). doi:10.10…
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March 05, 2008 - The critical incident technique.
March 5, 2008
FLANAGAN JC. The critical incident technique. Psychol Bull. 1954;51(4):327-358.
https://psnet.ahrq.gov/issue/critical-incident-technique
This review details the background of a methodology aimed to record specific behaviors, rather than
opinions or estimates, in evalu…