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psnet.ahrq.gov/node/44336/psn-pdf
November 03, 2015 - Reasons why physicians and advanced practice
clinicians work while sick: a mixed-methods analysis.
November 3, 2015
Szymczak JE, Smathers S, Hoegg C, et al. Reasons Why Physicians and Advanced Practice Clinicians
Work While Sick: A Mixed-Methods Analysis. JAMA Pediatr. 2015;169(9):815-821.
doi:10.1001/jamapediatri…
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psnet.ahrq.gov/node/46197/psn-pdf
September 24, 2017 - Implementation and evaluation of a prototype consumer
reporting system for patient safety events.
September 24, 2017
Weingart SN, Weissman JS, Zimmer KP, et al. Implementation and evaluation of a prototype consumer
reporting system for patient safety events. Int J Qual Health Care. 2017;29(4):521-526.
doi:10.1093/…
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psnet.ahrq.gov/node/865879/psn-pdf
May 15, 2024 - Strategies that facilitate the delivery of exceptionally good
patient care in general practice: a qualitative study with
patients and primary care professionals.
May 15, 2024
O’Malley R, O’Connor P, Lydon S. Strategies that facilitate the delivery of exceptionally good patient care in
general practice: a qualitati…
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psnet.ahrq.gov/node/37478/psn-pdf
February 22, 2011 - Programmable infusion pumps in ICUs: an analysis of
corresponding adverse drug events.
February 22, 2011
Nuckols TK, Bower AG, Paddock SM, et al. Programmable infusion pumps in ICUs: an analysis of
corresponding adverse drug events. J Gen Intern Med. 2008;23 Suppl 1:41-5. doi:10.1007/s11606-007-
0414-y.
https://p…
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psnet.ahrq.gov/node/46529/psn-pdf
November 08, 2017 - Automatable algorithms to identify nonmedical opioid use
using electronic data: a systematic review.
November 8, 2017
Canan C, Polinski JM, Alexander C, et al. Automatable algorithms to identify nonmedical opioid use using
electronic data: a systematic review. J Am Med Inform Assoc. 2017;24(6):1204-1210.
doi:10.10…
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psnet.ahrq.gov/node/850162/psn-pdf
June 07, 2023 - Understanding medication safety involving patient
transfer from intensive care to hospital ward: a qualitative
sociotechnical factor study.
June 7, 2023
Bourne RS, Jeffries M, Phipps DL, et al. Understanding medication safety involving patient transfer from
intensive care to hospital ward: a qualitative sociotechn…
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psnet.ahrq.gov/node/45535/psn-pdf
January 23, 2017 - Surgical specimen management: a descriptive study of
648 adverse events and near misses.
January 23, 2017
Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648
adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/865973/psn-pdf
May 29, 2024 - Physician antipsychotic overprescribing letters and
cognitive, behavioral, and physical health outcomes
among people with dementia: a secondary analysis of a
randomized clinical trial.
May 29, 2024
Harnisch M, Barnett ML, Coussens S, et al. Physician antipsychotic overprescribing letters and cognitive,
behavioral…
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psnet.ahrq.gov/node/41993/psn-pdf
April 21, 2015 - Simulation-based trial of surgical-crisis checklists.
April 21, 2015
Arriaga AF, Bader AM, Wong JM, et al. Simulation-based trial of surgical-crisis checklists. N Engl J Med.
2013;368(3):246-53. doi:10.1056/NEJMsa1204720.
https://psnet.ahrq.gov/issue/simulation-based-trial-surgical-crisis-checklists
Surgical check…
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psnet.ahrq.gov/node/850161/psn-pdf
June 07, 2023 - Analysis of the nature and contributory factors of
medication safety incidents following hospital discharge
using National Reporting and Learning System (NRLS)
data from England and Wales: a multi-method study.
June 7, 2023
Alqenae FA, Steinke DT, Carson-Stevens A, et al. Analysis of the nature and contributory fa…
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psnet.ahrq.gov/node/47178/psn-pdf
July 10, 2018 - Defining, estimating, and communicating overdiagnosis
in cancer screening.
July 10, 2018
Davies L, Petitti DB, Martin L, et al. Defining, estimating, and communicating overdiagnosis in cancer
screening. Ann Intern Med. 2018;169(1):36-43. doi:10.7326/M18-0694.
https://psnet.ahrq.gov/issue/defining-estimating-and-co…
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psnet.ahrq.gov/node/858163/psn-pdf
December 13, 2023 - Blackbox error management: how do practices deal with
critical incidents in everyday practice? A qualitative
interview study.
December 13, 2023
Bodek A, Pommée M, Berger A, et al. Blackbox error management: how do practices deal with critical
incidents in everyday practice? A qualitative interview study. BMC Prim …
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psnet.ahrq.gov/node/46119/psn-pdf
August 15, 2018 - Incidence and predictors of opioid prescription at
discharge after traumatic injury.
August 15, 2018
Chaudhary MA, Schoenfeld AJ, Harlow AF, et al. Incidence and Predictors of Opioid Prescription at
Discharge After Traumatic Injury. JAMA Surg. 2017;152(10):930-936. doi:10.1001/jamasurg.2017.1685.
https://psnet.ahr…
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psnet.ahrq.gov/node/37923/psn-pdf
July 23, 2008 - Unit-based clinical pharmacists' prevention of serious
medication errors in pediatric inpatients.
July 23, 2008
Kaushal R, Bates DW, Abramson EL, et al. Unit-based clinical pharmacists' prevention of serious
medication errors in pediatric inpatients. Am J Health-Syst Pharm. 2008;65(13):1254-1260.
doi:10.2146/ajhp0…
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psnet.ahrq.gov/node/40405/psn-pdf
February 10, 2015 - The social cost of adverse medical events, and what we
can do about it.
February 10, 2015
Goodman JC, Villarreal P, Jones B. The social cost of adverse medical events, and what we can do about
it. Health Aff (Millwood). 2011;30(4):590-595. doi:10.1377/hlthaff.2010.1256.
https://psnet.ahrq.gov/issue/social-cost-adv…
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psnet.ahrq.gov/node/47704/psn-pdf
April 03, 2019 - Changes in practice among physicians with malpractice
claims.
April 3, 2019
Studdert DM, Spittal MJ, Zhang Y, et al. Changes in Practice among Physicians with Malpractice Claims. N
Engl J Med. 2019;380(13):1247-1255. doi:10.1056/NEJMsa1809981.
https://psnet.ahrq.gov/issue/changes-practice-among-physicians-malpract…
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psnet.ahrq.gov/node/37386/psn-pdf
January 06, 2017 - Medication reconciliation in ambulatory oncology.
January 6, 2017
Weingart SN, Cleary A, Seger AC, et al. Medication reconciliation in ambulatory oncology. Jt Comm J Qual
Patient Saf. 2007;33(12):750-7.
https://psnet.ahrq.gov/issue/medication-reconciliation-ambulatory-oncology
The Joint Commission mandates systems…
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psnet.ahrq.gov/node/38639/psn-pdf
May 20, 2009 - Eight CT lessons that we learned the hard way: an
analysis of current patterns of radiological error and
discrepancy with particular emphasis on CT.
May 20, 2009
McCreadie G, Oliver TB. Eight CT lessons that we learned the hard way: an analysis of current patterns of
radiological error and discrepancy with particu…
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psnet.ahrq.gov/node/36279/psn-pdf
May 27, 2011 - Evaluation of laboratory monitoring alerts within a
computerized physician order entry system for
medication orders.
May 27, 2011
Palen TE, Raebel MA, Lyons E, et al. Evaluation of laboratory monitoring alerts within a computerized
physician order entry system for medication orders. Am J Manag Care. 2006;12(7):389…
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psnet.ahrq.gov/node/43447/psn-pdf
November 20, 2015 - Evaluating the effect of safety culture on error reporting:
a comparison of managerial and staff perspectives.
November 20, 2015
Richter J, McAlearney AS, Pennell ML. Evaluating the effect of safety culture on error reporting: a
comparison of managerial and staff perspectives. Am J Med Qual. 2015;30(6):550-8.
doi:…