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psnet.ahrq.gov/node/46775/psn-pdf
March 07, 2018 - Ten ERs in Colorado tried to curtail opioids and did better
than expected.
March 7, 2018
Daley J. Colorado Public Radio. February 23, 2018.
https://psnet.ahrq.gov/issue/ten-ers-colorado-tried-curtail-opioids-and-did-better-expected
Innovations in the prescribing of opioids in the emergency department are needed to…
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psnet.ahrq.gov/node/867014/psn-pdf
October 23, 2024 - Secondary analysis of hand-offs in internal medicine
using the I-PASS mnemonic.
October 23, 2024
Huber A, Moyano B, Blondon K. Secondary analysis of hand-offs in internal medicine using the I-PASS
mnemonic. BMC Med Educ. 2024;24(1):1046. doi:10.1186/s12909-024-05880-7.
https://psnet.ahrq.gov/issue/secondary-analys…
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psnet.ahrq.gov/node/836749/psn-pdf
March 16, 2022 - Comparison of a focused family cancer history
questionnaire to family history documentation in the
electronic medical record.
March 16, 2022
Clift K, Macklin-Mantia S, Barnhorst M, et al. Comparison of a focused family cancer history questionnaire
to family history documentation in the electronic medical record. J…
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psnet.ahrq.gov/node/46561/psn-pdf
November 22, 2017 - Working with influenza-like illness: presenteeism among
US health care personnel during the 2014–2015 influenza
season.
November 22, 2017
Chiu S, Black CL, Yue X, et al. Working with influenza-like illness: Presenteeism among US health care
personnel during the 2014-2015 influenza season. Am J Infect Control. 2017…
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psnet.ahrq.gov/node/46862/psn-pdf
February 21, 2018 - Considering human factors and developing systems-
thinking behaviours to ensure patient safety.
February 21, 2018
Vosper H; Lim R; Knight C; et al; CIEHF Pharmaceutical Human Factors Special Interest Group. Clinical
Pharmacist. 2018;10(2).
https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-syste…
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psnet.ahrq.gov/node/845639/psn-pdf
March 08, 2023 - Identifying safety practices perceived as low value: an
exploratory survey of healthcare staff in the United
Kingdom and Australia.
March 8, 2023
Halligan D, Janes G, Conner M, et al. Identifying safety practices perceived as low value: an exploratory
survey of healthcare staff in the United Kingdom and Australia.…
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psnet.ahrq.gov/node/867687/psn-pdf
March 05, 2025 - Simulation-debriefing enhanced needs assessment to
address quality markers in health care: an innovation for
prospective hazard analysis.
March 5, 2025
Barker LT, Bond WF, Willemsen-Dunlap AM, et al. Simulation-debriefing enhanced needs assessment to
address quality markers in health care: an innovation for prospe…
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psnet.ahrq.gov/node/34642/psn-pdf
June 24, 2015 - Human factor in cardiac surgery: errors and near misses
in a high technology medical domain.
June 24, 2015
Carthey J, de Leval MR, Reason JT. The human factor in cardiac surgery: errors and near misses in a high
technology medical domain. Ann Thorac Surg. 2001;72(1):300-5.
https://psnet.ahrq.gov/issue/human-factor…
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psnet.ahrq.gov/node/45125/psn-pdf
January 26, 2023 - FDA and ISMP Lists of Look-Alike Drug Names With
Recommended Tall Man Letters.
January 26, 2023
Food and Drug Administration and Institute for Safe Medication Practices. Plymouth Meeting, PA; Institute
for Safe Medication Practices; January 2023.
https://psnet.ahrq.gov/issue/fda-and-ismp-lists-look-alike-drug-name…
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psnet.ahrq.gov/node/61125/psn-pdf
November 11, 2020 - The Anesthesia Patient Safety Foundation Stoelting
Conference 2019: perioperative deterioration--early
recognition, rapid intervention, and the end of failure-to-
rescue.
November 11, 2020
Lin D, Peden CJ, Langness SM, et al. The Anesthesia Patient Safety Foundation Stoelting Conference
2019: perioperative deteri…
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psnet.ahrq.gov/node/42503/psn-pdf
September 18, 2013 - The patient is in: patient involvement strategies for
diagnostic error mitigation.
September 18, 2013
McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error
mitigation. BMJ Qual Saf. 2013;22 Suppl 2:ii33-ii39. doi:10.1136/bmjqs-2012-001623.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/60304/psn-pdf
January 01, 2021 - Patients' perspectives of diagnostic error: a qualitative
study.
May 6, 2020
Sacco AY, Self QR, Worswick EL, et al. Patients' perspectives of diagnostic error: a qualitative study. J
Patient Saf. 2021;17(8):e1759-e1773. doi:10.1097/pts.0000000000000642.
https://psnet.ahrq.gov/issue/patients-perspectives-diagnostic…
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psnet.ahrq.gov/node/865928/psn-pdf
May 22, 2024 - Teamwork climate, safety climate, and physician burnout:
a national, cross-sectional study.
May 22, 2024
Rotenstein L, Wang H, West CP, et al. Teamwork climate, safety climate, and physician burnout: a
national, cross-sectional study. Jt Comm J Qual Patient Saf. 2024;50(6):458-462.
doi:10.1016/j.jcjq.2024.03.007.
…
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psnet.ahrq.gov/node/47883/psn-pdf
May 29, 2019 - Patient Safety in Obstetrics and Gynecology.
May 29, 2019
Gluck PA, ed. Obstet Gynecol Clin North Am. 2019;46:H1-H8, 199-398.
https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-gynecology
Obstetrics is a high-risk practice that concurrently manages the safety of mothers and newborns. Articles in
this speci…
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psnet.ahrq.gov/node/47026/psn-pdf
January 23, 2019 - Charter on Physician Well-being.
January 23, 2019
Thomas LR, Ripp JA, West CP. Charter on Physician Well-being. JAMA. 2018;319(15):1541-1542.
doi:10.1001/jama.2018.1331.
https://psnet.ahrq.gov/issue/charter-physician-well-being
Clinician burnout is a growing concern with known patient safety implications. This com…
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psnet.ahrq.gov/node/857445/psn-pdf
January 01, 2024 - The racial disparities in maternal mortality and impact of
structural racism and implicit racial bias on pregnant
Black women: a review of the literature.
December 6, 2023
Montalmant KE, Ettinger AK. The racial disparities in maternal mortality and impact of structural racism and
implicit racial bias on pregnant b…
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psnet.ahrq.gov/node/50892/psn-pdf
February 12, 2020 - Association of open communication and the emotional
and behavioural impact of medical error on patients and
families: state-wide cross-sectional survey.
February 12, 2020
Prentice JC, Bell SK, Thomas EJ, et al. Association of open communication and the emotional and
behavioural impact of medical error on patients …
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psnet.ahrq.gov/node/73655/psn-pdf
September 01, 2021 - Influence of organizational climate and clinician morale
on seclusion and physical restraint use in inpatient
psychiatric units.
September 1, 2021
Anderson E, Mohr DC, Regenbogen I, et al. Influence of organizational climate and clinician morale on
seclusion and physical restraint use in inpatient psychiatric unit…
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psnet.ahrq.gov/node/74863/psn-pdf
February 23, 2022 - Factors associated with missed nursing care and nurse-
assessed quality of care during the COVID-19 pandemic.
February 23, 2022
Labrague LJ, Santos JAA, Fronda DC. Factors associated with missed nursing care and nurse?assessed
quality of care during the COVID?19 pandemic. J Nurs Manag. 2022;30(1):62-70. doi:10.1111…
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psnet.ahrq.gov/node/47273/psn-pdf
September 05, 2018 - Natural language processing and its implications for the
future of medication safety: a narrative review of recent
advances and challenges.
September 5, 2018
Wong A, Plasek JM, Montecalvo SP, et al. Natural Language Processing and Its Implications for the Future
of Medication Safety: A Narrative Review of Recent A…