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psnet.ahrq.gov/web-mm/too-much-too-fast
June 14, 2019 - Too Much, Too Fast
Citation Text:
Tuot D. Too Much, Too Fast. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/periodic-issue/periodic-issue-470
December 31, 2024 - January 15, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, report…
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psnet.ahrq.gov/print/pdf/node/865864
January 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Diagnostic Error
Curated Library
Incidence of Diagnostic Errors
25-Year summary of US malpractice claims for diagnostic errors 1986–2010: an analysis from the
National Practitioner Data Bank.
Tehrani ASS, Lee HW, Mathews SC, et al. BMJ Qua…
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psnet.ahrq.gov/web-mm/real-heartache
October 01, 2018 - A Real Heartache
Citation Text:
Polevoi SK. A Real Heartache. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/issue/improving-patient-safety-through-simulation-research
January 09, 2024 - Government Resource
Improving Patient Safety Through Simulation Research.
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February 10, 2015
This announcement describes the 19 pro…
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psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety
January 09, 2024 - Multi-use Website
Childrens' Hospitals' Solutions for Patient Safety.
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July 30, 2015
This Web site provides resources related to a …
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psnet.ahrq.gov/node/867442/psn-pdf
January 08, 2025 - Moving towards a core measures set for patient safety in
perioperative care: an e-Delphi consensus study.
January 8, 2025
Dinis-Teixeira JP, Nunes AB, Leite A, et al. Moving towards a core measures set for patient safety in
perioperative care: an e-Delphi consensus study. PLoS ONE. 2024;19(10):e0311896.
doi:10.137…
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psnet.ahrq.gov/node/44247/psn-pdf
November 03, 2015 - Effects of interdisciplinary team care interventions on
general medical wards: a systematic review.
November 3, 2015
Pannick S, Davis R, Ashrafian H, et al. Effects of Interdisciplinary Team Care Interventions on General
Medical Wards: A Systematic Review. JAMA Intern Med. 2015;175(8):1288-98.
doi:10.1001/jamainte…
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psnet.ahrq.gov/node/867638/psn-pdf
February 26, 2025 - Artificial intelligence related safety issues associated with
FDA medical device reports.
February 26, 2025
Handley JL, Krevat SA, Fong A, et al. Artificial intelligence related safety issues associated with FDA
medical device reports. NPJ Digit Med. 2024;7(1):351. doi:10.1038/s41746-024-01357-5.
https://psnet.ahr…
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psnet.ahrq.gov/node/60057/psn-pdf
March 18, 2020 - How does the WHO Surgical Safety Checklist fit with
existing perioperative risk management strategies? An
ethnographic study across surgical specialties.
March 18, 2020
Wæhle HV, Haugen AS, Wiig S, et al. How does the WHO Surgical Safety Checklist fit with existing
perioperative risk management strategies? An ethn…
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psnet.ahrq.gov/node/837141/psn-pdf
May 18, 2022 - The effects of leadership curricula with and without
implicit bias training on graduate medical education: a
multicenter randomized trial.
May 18, 2022
Hansen M, Harrod T, Bahr N, et al. The effects of leadership curricula with and without implicit bias training
on graduate medical education: a multicenter randomi…
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psnet.ahrq.gov/node/61117/psn-pdf
November 11, 2020 - Impact of the COVID-19 pandemic on cancer care: a
global collaborative study.
November 11, 2020
Jazieh AR, Akbulut H, Curigliano G, et al. Impact of the COVID-19 pandemic on cancer care: a global
collaborative study. JCO Glob Oncol. 2020;6)(6):1428-1438. doi:10.1200/go.20.00351.
https://psnet.ahrq.gov/issue/impact…
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psnet.ahrq.gov/node/838176/psn-pdf
September 28, 2022 - Challenges and strategies for patient safety in primary
care: a qualitative study.
September 28, 2022
Yuan CT, Dy SM, Yuanhong Lai A, et al. Challenges and strategies for patient safety in primary care: a
qualitative study. Am J Med Qual. 2022;37(5):379-387. doi:10.1097/jmq.0000000000000054.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/47225/psn-pdf
November 02, 2018 - Preventable adverse drug events among inpatients: a
systematic review.
November 2, 2018
Gates PJ, Meyerson SA, Baysari M, et al. Preventable Adverse Drug Events Among Inpatients: A
Systematic Review. Pediatrics. 2018;142(3):e20180805. doi:10.1542/peds.2018-0805.
https://psnet.ahrq.gov/issue/preventable-adverse-dru…
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psnet.ahrq.gov/node/43594/psn-pdf
May 01, 2015 - Impact of introducing an electronic physiological
surveillance system on hospital mortality.
May 1, 2015
Schmidt PE, Meredith P, Prytherch DR, et al. Impact of introducing an electronic physiological surveillance
system on hospital mortality. BMJ Qual Saf. 2015;24(1):10-20. doi:10.1136/bmjqs-2014-003073.
https://p…
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psnet.ahrq.gov/node/41370/psn-pdf
September 01, 2016 - Evaluating alert fatigue over time to EHR-based clinical
trial alerts: findings from a randomized controlled study.
September 1, 2016
Embi P, Leonard AC. Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a
randomized controlled study. J Am Med Inform Assoc. 2012;19(e1):e145-8.
ht…
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psnet.ahrq.gov/node/34689/psn-pdf
February 10, 2011 - Incidence of adverse drug events and potential adverse
drug events: implications for prevention.
February 10, 2011
Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential adverse drug events.
Implications for prevention. ADE Prevention Study Group. JAMA. 1995;274(1):29-34.
https://psnet…
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psnet.ahrq.gov/node/37368/psn-pdf
January 10, 2017 - Effective implementation of work-hour limits and
systemic improvements.
January 10, 2017
Landrigan CP, Czeisler CA, Barger LK, et al. Effective implementation of work-hour limits and systemic
improvements. Jt Comm J Qual Patient Saf. 2007;33(11 Suppl):19-29.
https://psnet.ahrq.gov/issue/effective-implementation-wo…
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psnet.ahrq.gov/node/43446/psn-pdf
May 06, 2015 - A qualitative evaluation of the barriers and facilitators
toward implementation of the WHO surgical safety
checklist across hospitals in England: lessons from the
"Surgical Checklist Implementation Project."
May 6, 2015
Russ SJ, Sevdalis N, Moorthy K, et al. A qualitative evaluation of the barriers and facilitator…
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psnet.ahrq.gov/node/72755/psn-pdf
February 17, 2021 - Renal medication-related clinical decision support (CDS)
alerts and overrides in the inpatient setting following
implementation of a commercial electronic health record:
implications for designing more effective alerts.
February 17, 2021
Shah SN, Amato MG, Garlo KG, et al. Renal medication-related clinical decisio…