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psnet.ahrq.gov/node/842434/psn-pdf
June 01, 2024 - AHRQ Safety Program for Telemedicine.
January 22, 2024
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/ahrq-safety-program-telemedicine
Telemedicine efforts harbor both risk and reward to patients and clinicians. The AHRQ Safety Program for
Telemedicine is a national effort to develop and …
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psnet.ahrq.gov/node/42397/psn-pdf
September 05, 2013 - Impact of the World Health Organization's Surgical Safety
Checklist on safety culture in the operating theatre: a
controlled intervention study.
September 5, 2013
Haugen AS, Søfteland E, Eide GE, et al. Impact of the World Health Organization's Surgical Safety
Checklist on safety culture in the operating theatre: …
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psnet.ahrq.gov/node/849133/psn-pdf
May 17, 2023 - The association between patient safety culture and
adverse events - a scoping review.
May 17, 2023
Vikan M, Haugen AS, Bjørnnes AK, et al. The association between patient safety culture and adverse
events – a scoping review. BMC Health Serv Res. 2023;23(1):300. doi:10.1186/s12913-023-09332-8.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/853058/psn-pdf
August 30, 2023 - Diagnostic reliability in teledermatology: a systematic
review and a meta-analysis.
August 30, 2023
Bourkas AN, Barone N, Bourkas MEC, et al. Diagnostic reliability in teledermatology: a systematic review
and a meta-analysis. BMJ Open. 2023;13(8):e068207. doi:10.1136/bmjopen-2022-068207.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/47881/psn-pdf
July 10, 2019 - Cognitive Errors and Diagnostic Mistakes: A Case-Based
Guide to Critical Thinking in Medicine.
July 10, 2019
Howard J. Cham, Switzerland: Springer Nature Switzerland; 2019. ISBN: 9783319932231.
https://psnet.ahrq.gov/issue/cognitive-errors-and-diagnostic-mistakes-case-based-guide-critical-thinking-
medicine
Cogni…
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psnet.ahrq.gov/node/849336/psn-pdf
May 24, 2023 - AI may be on its way to your doctor’s office, but it’s not
ready to see patients.
May 24, 2023
Tahir D. KFF Health News. May 12, 2023.
https://psnet.ahrq.gov/issue/ai-may-be-its-way-your-doctors-office-its-not-ready-see-patients
Real-time use of artificial intelligence (AI) in health care settings continues to cau…
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psnet.ahrq.gov/node/74070/psn-pdf
November 10, 2021 - ERs are swamped with seriously ill patients, although
many don’t have Covid.
November 10, 2021
Wells K. Health Shots. National Public Radio. October 29, 2021.
https://psnet.ahrq.gov/issue/ers-are-swamped-seriously-ill-patients-although-many-dont-have-covid
Emergency department (ED) crowding stemming from treatment…
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psnet.ahrq.gov/node/45440/psn-pdf
November 09, 2016 - Safety lessons from the NIH Clinical Center.
November 9, 2016
Gandhi TK. Safety Lessons from the NIH Clinical Center. N Engl J Med. 2016;375(18):1705-1707.
https://psnet.ahrq.gov/issue/safety-lessons-nih-clinical-center
System failures can remain undetected over time in large organizations. This perspective describ…
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psnet.ahrq.gov/node/44724/psn-pdf
November 25, 2015 - What's in your kit? A safety checkup may be in order.
November 25, 2015
Paparella S. What's In Your Kit? A Safety Checkup May Be In Order. Journal of emergency nursing: JEN :
official publication of the Emergency Department Nurses Association. 2015;41(6):513-5.
doi:10.1016/j.jen.2015.07.001.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/850349/psn-pdf
June 14, 2023 - Cognitive biases in internal medicine: a scoping review.
June 14, 2023
Loncharich MF, Robbins RC, Durning SJ, et al. Cognitive biases in internal medicine: a scoping review.
Diagnosis (Berl). 2023;10(3):205-214. doi:10.1515/dx-2022-0120.
https://psnet.ahrq.gov/issue/cognitive-biases-internal-medicine-scoping-review…
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psnet.ahrq.gov/node/852803/psn-pdf
August 23, 2023 - Sentinel Event Alert 67: Preserving Patient Safety After a
Cyberattack.
August 23, 2023
Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack. Jt Comm J Qual Patient Saf.
2023;49(12):724-729. doi:10.1016/j.jcjq.2023.07.006.
https://psnet.ahrq.gov/issue/sentinel-event-alert-67-preserving-patient-sa…
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psnet.ahrq.gov/node/837040/psn-pdf
May 04, 2022 - Use duodenoscopes with innovative designs to enhance
safety: FDA Safety Communication.
May 4, 2022
Silver Spring, MD: US Food and Drug Administration; April 5, 2022.
https://psnet.ahrq.gov/issue/use-duodenoscopes-innovative-designs-enhance-safety-fda-safety-
communication
The challenge of medical device steriliza…
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psnet.ahrq.gov/node/38774/psn-pdf
July 08, 2009 - Evaluation of causes and frequency of medication errors
during information technology downtime.
July 8, 2009
Hanuscak TL, Szeinbach SL, Seoane-Vazquez E, et al. Evaluation of causes and frequency of medication
errors during information technology downtime. Am J Health Syst Pharm. 2009;66(12):1119-24.
doi:10.2146/a…
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psnet.ahrq.gov/node/47055/psn-pdf
May 23, 2018 - Surgical checklists save lives—but once in a while, they
don't. Why?
May 23, 2018
Mukherjee S. New York Times Magazine. May 9, 2018.
https://psnet.ahrq.gov/issue/surgical-checklists-save-lives-once-while-they-dont-why
Checklists can coordinate action and communication to augment safety, but human and system factor…
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psnet.ahrq.gov/node/45530/psn-pdf
October 19, 2016 - As a critical behavior to improve quality and patient
safety in health care: speaking up!
October 19, 2016
Nacioglu A. As a critical behavior to improve quality and patient safety in health care: speaking up!. Safety
in Health. 2016;2(1). doi:10.1186/s40886-016-0021-x.
https://psnet.ahrq.gov/issue/critical-behavio…
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psnet.ahrq.gov/node/47165/psn-pdf
June 13, 2018 - Changing how we think about healthcare improvement.
June 13, 2018
Braithwaite J. Changing how we think about healthcare improvement. BMJ. 2018;361:k2014.
doi:10.1136/bmj.k2014.
https://psnet.ahrq.gov/issue/changing-how-we-think-about-healthcare-improvement
In learning organizations, leadership behavior creates a s…
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psnet.ahrq.gov/node/45866/psn-pdf
March 08, 2017 - Medication safety in the neonatal intensive care unit: big
measures for our smallest patients.
March 8, 2017
Rostas SE. Medication Safety in the Neonatal Intensive Care Unit: Big Measures for Our Smallest Patients.
J Perinat Neonatal Nurs. 2017;31(1):15-19. doi:10.1097/JPN.0000000000000230.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/43164/psn-pdf
May 03, 2016 - Patient safety in the era of healthcare reform.
May 3, 2016
Leape L. Patient safety in the era of healthcare reform. Clin Orthop Relat Res. 2015;473(5):1568-73.
doi:10.1007/s11999-014-3598-6.
https://psnet.ahrq.gov/issue/patient-safety-era-healthcare-reform
The publication of To Err Is Human spurred efforts to imp…
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psnet.ahrq.gov/node/40281/psn-pdf
August 25, 2011 - Effects of a clinical pharmacist service on health-related
quality of life and prescribing of drugs: a randomised
controlled trial.
August 25, 2011
Bladh L, Ottosson E, Karlsson J, et al. Effects of a clinical pharmacist service on health-related quality of
life and prescribing of drugs: a randomised controlled tr…
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psnet.ahrq.gov/node/866318/psn-pdf
July 17, 2024 - Methods to increase reliability in quality improvement
projects.
July 17, 2024
Lenk MA, LaMantia S, Oehler J, et al. Methods to increase reliability in quality improvement projects. Hosp
Pediatr. 2024;14(8):e372-e377. doi:10.1542/hpeds.2023-007340.
https://psnet.ahrq.gov/issue/methods-increase-reliability-quality-…