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psnet.ahrq.gov/node/44688/psn-pdf
February 23, 2018 - Improving diagnosis in health care—the next imperative
for patient safety.
February 23, 2018
Singh H, Graber ML. Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. New
Engl J Med. 2015;373(26):2493-2495. doi:10.1056/NEJMp1512241.
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July 24, 2024 - Medication Without Harm - How Digital Healthcare Tools
Can Support Providers and Improve Patient Safety.
June 26, 2024
Agency for Healthcare Research and Quality. July 24, 2024.
https://psnet.ahrq.gov/issue/medication-without-harm-how-digital-healthcare-tools-can-support-providers-
and-improve
Medication errors a…
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February 28, 2024 - Physician and nurse well-being, patient safety and
recommendations for interventions: cross-sectional
survey in hospitals in six European countries.
February 28, 2024
Aiken LH, Sermeus W, McKee M, et al. BMJ Open. 2024;14(2):e079931.
https://psnet.ahrq.gov/issue/physician-and-nurse-well-being-patient-safety-and-re…
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June 30, 2021 - Assessment of patient-preferred language to achieve
goal-aligned deprescribing in older adults.
June 30, 2021
Green AR, Aschmann H, Boyd CM, et al. Assessment of patient-preferred language to achieve goal-
aligned deprescribing in older adults. JAMA Netw Open. 2021;4(4):e212633.
doi:10.1001/jamanetworkopen.2021.26…
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psnet.ahrq.gov/node/74695/psn-pdf
January 26, 2022 - Impact of teamwork and communication training
interventions on safety culture and patient safety in
emergency departments: a systematic review.
January 26, 2022
Alsabri M, Boudi Z, Lauque D, et al. Impact of teamwork and communication training interventions on
safety culture and patient safety in emergency departm…
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psnet.ahrq.gov/node/45247/psn-pdf
August 15, 2016 - Physician transition of care: benefits of I-PASS and an
electronic handoff system in a community pediatric
residency program.
August 15, 2016
Walia J, Qayumi Z, Khawar N, et al. Physician Transition of Care: Benefits of I-PASS and an Electronic
Handoff System in a Community Pediatric Residency Program. Acad Pediat…
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psnet.ahrq.gov/node/60849/psn-pdf
January 01, 2021 - Associations between double-checking and medication
administration errors: a direct observational study of
paediatric inpatients.
August 26, 2020
Westbrook JI, Li L, Raban MZ, et al. Associations between double-checking and medication administration
errors: a direct observational study of paediatric inpatients. BM…
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psnet.ahrq.gov/node/43416/psn-pdf
August 13, 2014 - Compliance with a time-out procedure intended to
prevent wrong surgery in hospitals: results of a national
patient safety programme in the Netherlands.
August 13, 2014
van Schoten SM, Kop V, de Blok C, et al. Compliance with a time-out procedure intended to prevent wrong
surgery in hospitals: results of a national…
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psnet.ahrq.gov/node/47034/psn-pdf
May 16, 2018 - Disruptive physician behavior: the importance of
recognition and intervention and its impact on patient
safety.
May 16, 2018
John PR, Heitt MC. Disruptive Physician Behavior: The Importance of Recognition and Intervention and Its
Impact on Patient Safety. J Hosp Med. 2018;13(3):210-212. doi:10.12788/jhm.2945.
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psnet.ahrq.gov/node/851645/psn-pdf
July 26, 2023 - Anticoagulation-associated adverse drug events in
hospitalized patients across two time periods.
July 26, 2023
Fanikos J, Tawfik Y, Almheiri D, et al. Anticoagulation-associated adverse drug events in hospitalized
patients across two time periods. Am J Med. 2023;136(9):927-936. doi:10.1016/j.amjmed.2023.05.013.
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March 18, 2020 - Zero harm in health care.
March 18, 2020
Gandhi TK, Feeley D, Schummers D. Zero Harm in Health Care. NEJM Catal Innov Care Deliv. 2020;1(2).
doi:10.1056/cat.19.1137.
https://psnet.ahrq.gov/issue/zero-harm-health-care
Health systems are encouraged to strive for zero preventable harm, but achieving this goal require…
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psnet.ahrq.gov/node/61026/psn-pdf
October 14, 2020 - A blinded, prospective study of error detection during
physician chart rounds in radiation oncology.
October 14, 2020
Talcott WJ, Lincoln H, Kelly JR, et al. A blinded, prospective study of error detection during physician chart
rounds in radiation oncology. Pract Radiat Oncol. 2020;10(5):312-320. doi:10.1016/j.prr…
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psnet.ahrq.gov/node/851070/psn-pdf
June 28, 2023 - Diagnostic Safety Across Transitions of Care Throughout
the Healthcare System: Current State and a Call to Action.
June 28, 2023
Santhosh L, Cornell E, Rojas JC, et al. Rockville, MD: Agency for Healthcare Research and Quality; June
2023. AHRQ Publication No. 23-0040-1-EF.
https://psnet.ahrq.gov/issue/diagnostic-s…
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psnet.ahrq.gov/node/41719/psn-pdf
November 27, 2012 - A systematic review of the effectiveness, compliance, and
critical factors for implementation of safety checklists in
surgery.
November 27, 2012
Borchard A, Schwappach DLB, Barbir A, et al. A systematic review of the effectiveness, compliance, and
critical factors for implementation of safety checklists in surgery…
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psnet.ahrq.gov/node/50889/psn-pdf
February 12, 2020 - Unscheduled radiologic examination orders in the
electronic health record: a novel resource for targeting
ambulatory diagnostic errors in radiology.
February 12, 2020
Lacson R, Healey MJ, Cochon LR, et al. Unscheduled Radiologic Examination Orders in the Electronic
Health Record: A Novel Resource for Targeting Amb…
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psnet.ahrq.gov/node/867192/psn-pdf
November 20, 2024 - 2024 Network of Patient Safety Databases Chartbook:
Medication and Other Substance Events.
November 20, 2024
2024 Network Of Patient Safety Databases Chartbook: Medication And Other Substance Events. Rockville,
MD: Agency for Healthcare Research and Quality; 2024. AHRQ Pub. No. 24-0088
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/850910/psn-pdf
June 21, 2023 - Developing electronic clinical quality measures to assess
the cancer diagnostic process.
June 21, 2023
Murphy DR, Zimolzak AJ, Upadhyay DK, et al. Developing electronic clinical quality measures to assess
the cancer diagnostic process. J Am Med Inform Assoc. 2023;30(9):1526-1531.
doi:10.1093/jamia/ocad089.
https:…
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psnet.ahrq.gov/node/60679/psn-pdf
July 15, 2020 - Effect on patient safety of a resident physician schedule
without 24-hour shifts.
July 15, 2020
Landrigan CP, Rahman SA, Sullivan JP, et al. Effect on patient safety of a resident physician schedule
without 24-hour shifts. N Engl J Med. 2020;382(26):2514-2523. doi:10.1056/nejmoa1900669.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/34916/psn-pdf
March 09, 2009 - Using a claims data-based sentinel system to improve
compliance with clinical guidelines: results of a
randomized prospective study.
March 9, 2009
Javitt JC, Steinberg G, Locke T, et al. Using a claims data-based sentinel system to improve compliance
with clinical guidelines: results of a randomized prospective st…
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psnet.ahrq.gov/node/847534/psn-pdf
April 12, 2023 - Prevalence and causes of diagnostic errors in
hospitalized patients under investigation for COVID-19.
April 12, 2023
Auerbach AD, Astik GJ, O’Leary KJ, et al. Prevalence and causes of diagnostic errors in hospitalized
patients under investigation for COVID-19. J Gen Intern Med. 2023;38(8):1902-1910. doi:10.1007/s11…