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psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
July 01, 2012 - EMR Entry Error: Not So Benign
Citation Text:
Koppel R. EMR Entry Error: Not So Benign. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/web-mm/failure-report
July 01, 2008 - SPOTLIGHT CASE
Failure to Report
Citation Text:
Spath P. Failure to Report. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - Delay in Malignancy Diagnosis Reflects Systemic Failures
Citation Text:
Mieu H, Olson KA. Delay in Malignancy Diagnosis Reflects Systemic Failures. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/node/867132/psn-pdf
November 13, 2024 - Large language model influence on diagnostic reasoning:
a randomized clinical trial.
November 13, 2024
Goh E, Gallo R, Hom J, et al. Large language model influence on diagnostic reasoning: a randomized
clinical trial. JAMA Netw Open. 2024;7(10):e2440969. doi:10.1001/jamanetworkopen.2024.40969.
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February 19, 2020 - Psychological safety and infection prevention practices:
results from a national survey.
February 19, 2020
Greene MT, Gilmartin HM, Saint S. Psychological safety and infection prevention practices: results from a
national survey. Am J Infect Control. 2020;48(1):2-6. doi:10.1016/j.ajic.2019.09.027.
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psnet.ahrq.gov/node/73247/psn-pdf
May 12, 2021 - Emergency physician perceptions of electronic health
record usability and safety.
May 12, 2021
Pruitt ZM, Howe JL, Hettinger AZ, et al. Emergency physician perceptions of electronic health record
usability and safety. J Patient Saf. 2021;17(8):e983-e987. doi:10.1097/pts.0000000000000849.
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psnet.ahrq.gov/node/840165/psn-pdf
November 16, 2022 - Evaluation of Quality, Safety and Value in Veterans Health
Administration Facilities, Fiscal 2021.
November 16, 2022
Washington, DC: Veterans Affairs Office of Inspector General; 2022. Report No. 22-00818-03.
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psnet.ahrq.gov/node/867447/psn-pdf
January 08, 2025 - The influence of hospital physician integration on culture
of patient safety.
January 8, 2025
Upadhyay S, Chien L-C. The influence of hospital physician integration on culture of patient safety. J
Patient Saf. 2024;20(8):542-548. doi:10.1097/pts.0000000000001280.
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psnet.ahrq.gov/node/50676/psn-pdf
November 20, 2019 - Peer support for nurses as second victims: resilience,
burnout, and job satisfaction.
November 20, 2019
Connors C, Dukhanin V, March AL, et al. Peer support for nurses as second victims: Resilience, burnout,
and job satisfaction. J Patient Saf Risk Manag. 2019;25(1):22-28. doi:10.1177/2516043519882517.
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psnet.ahrq.gov/node/837335/psn-pdf
June 08, 2022 - Root cause analysis using the prevention and recovery
information system for monitoring and analysis method in
healthcare facilities: a systematic literature review.
June 8, 2022
Driesen BEJM, Baartmans M, Merten H, et al. Root cause analysis using the prevention and recovery
information system for monitoring and …
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psnet.ahrq.gov/node/853438/psn-pdf
September 13, 2023 - In search of an international multidimensional action plan
for second victim support: a narrative review.
September 13, 2023
Seys D, Panella M, Russotto S, et al. In search of an international multidimensional action plan for second
victim support: a narrative review. BMC Health Serv Res. 2023;23(1):816. doi:10.118…
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psnet.ahrq.gov/node/841486/psn-pdf
January 26, 2018 - Do words matter? Stigmatizing language and the
transmission of bias in the medical record.
January 26, 2018
P. Goddu A, O’Conor KJ, Lanzkron S, et al. Do words matter? Stigmatizing language and the transmission
of bias in the medical record. J Gen Intern Med. 2018;33(5):685-691. doi:10.1007/s11606-017-4289-2.
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psnet.ahrq.gov/node/61068/psn-pdf
October 28, 2020 - Are dental patients concerned about safety? An
exploratory study.
October 28, 2020
Obadan-Udoh E, Panwar S, Yansane A-I, et al. Are dental patients concerned about safety? An exploratory
study. J Evid Based Dent Pract. 2020;20(3):101424. doi:10.1016/j.jebdp.2020.101424.
https://psnet.ahrq.gov/issue/are-dental-pati…
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psnet.ahrq.gov/node/43713/psn-pdf
December 03, 2014 - Laboratory medicine handoff gaps experienced by
primary care practices: a report from the Shared
Networks of Collaborative Ambulatory Practices and
Partners (SNOCAP).
December 3, 2014
West DR, James KA, Fernald DH, et al. Laboratory medicine handoff gaps experienced by primary care
practices: A report from the sh…
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psnet.ahrq.gov/node/35716/psn-pdf
July 10, 2008 - Adherence to black box warnings for prescription
medications in outpatients.
July 10, 2008
Lasser KE, Seger DL, Yu T, et al. Adherence to black box warnings for prescription medications in
outpatients. Arch Intern Med. 2006;166(3):338-44.
https://psnet.ahrq.gov/issue/adherence-black-box-warnings-prescription-medic…
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psnet.ahrq.gov/node/838316/psn-pdf
October 12, 2022 - The Lancet Commission on lessons for the future from
the COVID-19 pandemic.
October 12, 2022
Sachs JD, Karim SSA, Aknin L, et al. The Lancet Commission on lessons for the future from the COVID-19
pandemic. Lancet. 2022;400(10359):1224-1280. doi:10.1016/s0140-6736(22)01585-9.
https://psnet.ahrq.gov/issue/lancet-com…
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psnet.ahrq.gov/node/836851/psn-pdf
April 06, 2022 - Surveys on Patient Safety Culture (SOPS) Medical Office
Survey: 2022 User Database Report.
April 6, 2022
Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality;
March 2022. AHRQ Publication No. 22-0017.
https://psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-med…
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psnet.ahrq.gov/node/46207/psn-pdf
July 19, 2017 - Burnout Among Health Care Professionals. A Call to
Explore and Address This Underrecognized Threat to
Safe, High-Quality Care.
July 19, 2017
Dyrbye LN, Shanafelt TD, Sinsky CA, et al. Washington, DC: National Academy of Medicine; July 5, 2017.
https://psnet.ahrq.gov/issue/burnout-among-health-care-professionals-ca…
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psnet.ahrq.gov/node/72479/psn-pdf
November 18, 2020 - Lifetime prevalence and correlates of patient-perceived
medical errors experienced in the U.S. ambulatory
setting: a population-based study.
November 18, 2020
Sundwall DN, Munger MA, Tak CR, et al. Lifetime prevalence and correlates of patient-perceived medical
errors experienced in the U.S. ambulatory setting: a …
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psnet.ahrq.gov/node/47455/psn-pdf
October 31, 2018 - Assessment of opioid prescribing practices before and
after implementation of a health system intervention to
reduce opioid overprescribing.
October 31, 2018
Meisenberg BR, Grover J, Campbell C, et al. Assessment of Opioid Prescribing Practices Before and After
Implementation of a Health System Intervention to Red…