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psnet.ahrq.gov/node/837791/psn-pdf
August 05, 2022 - yield false negatives for a variety
of reasons, such as testing too soon after exposure or inadequate sampling
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psnet.ahrq.gov/node/60665/psn-pdf
July 08, 2020 - Response of practicing chiropractors during the early
phase of the COVID-19 pandemic: a descriptive report.
July 8, 2020
Johnson CD, Green BN, Konarski-Hart KK, et al. Response of Practicing Chiropractors during the Early
Phase of the COVID-19 Pandemic: A Descriptive Report. J Manipulative Physiol Ther. 2020;43(5):…
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psnet.ahrq.gov/node/35241/psn-pdf
September 11, 2018 - Team communication in the operating room.
September 11, 2018
Davies JM. Team communication in the operating room. Acta Anaesthesiol Scand. 2005;49(7):898-901.
https://psnet.ahrq.gov/issue/team-communication-operating-room
The author presents sample cases from aviation to illustrate failures in team communication an…
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psnet.ahrq.gov/node/36253/psn-pdf
November 28, 2018 - Medication Reconciliation Handbook, 2nd edition.
November 28, 2018
American Society of Health-System Pharmacists, Joint Commission on Accreditation of Healthcare
Organizations. Oakbrook Terrace IL; Joint Commission Resources: 2009. ISBN 9781599403090.
https://psnet.ahrq.gov/issue/medication-reconciliation-handbook-…
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psnet.ahrq.gov/node/36514/psn-pdf
May 11, 2014 - Medication reconciliation physician order form.
May 11, 2014
Lacy JL, Wilkinson ST. Medication Reconciliation Physician Order Form. Hosp Pharm. 2010;41(11):1117-
1119. doi:10.1310/hpj4111-1117.
https://psnet.ahrq.gov/issue/medication-reconciliation-physician-order-form
The authors discuss background on one hospita…
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psnet.ahrq.gov/node/74841/psn-pdf
February 16, 2022 - Eliciting willingness-to-pay to prevent hospital medication
administration errors in the UK: a contingent valuation
survey.
February 16, 2022
Hill SR, Bhattarai N, Tolley CL, et al. Eliciting willingness-to-pay to prevent hospital medication
administration errors in the UK: a contingent valuation survey. BMJ Open.…
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psnet.ahrq.gov/node/849604/psn-pdf
May 31, 2023 - Reducing errors resulting from commonly missed chest
radiography findings.
May 31, 2023
Gefter WB, Hatabu H. Reducing errors resulting from commonly missed chest radiography findings. Chest.
2023;163(3):634-649. doi:10.1016/j.chest.2022.12.003.
https://psnet.ahrq.gov/issue/reducing-errors-resulting-commonly-missed…
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psnet.ahrq.gov/node/41562/psn-pdf
August 01, 2012 - The Final Check: Say it Out Loud.
August 1, 2012
https://psnet.ahrq.gov/issue/final-check-say-it-out-loud
This Web site provides resources to help reduce incidence of mislabeled blood specimens based on just
culture concepts.
https://psnet.ahrq.gov/issue/final-check-say-it-out-loud
https://psnet.ahrq.gov/web-mm/ri…
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psnet.ahrq.gov/node/866735/psn-pdf
September 18, 2024 - Achieving diagnostic excellence: roadmaps to develop
and use patient-reported measures with an equity lens.
September 18, 2024
McDonald KM, Gleason KT, Jajodia A, et al. Achieving diagnostic excellence: roadmaps to develop and
use patient-reported measures with an equity lens. Int J Health Policy Manag. 2024;13:804…
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psnet.ahrq.gov/node/867589/psn-pdf
January 22, 2025 - A machine learning-based clinical predictive tool to
identify patients at high risk of medication errors.
January 22, 2025
Abdo A, Gallay L, Vallecillo T, et al. A machine learning-based clinical predictive tool to identify patients at
high risk of medication errors. Sci Rep. 2024;14(1):32022. doi:10.1038/s41598-02…
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psnet.ahrq.gov/node/73870/psn-pdf
September 22, 2021 - Society for Maternal-Fetal Medicine Special Statement:
Surgical safety checklists for cesarean delivery.
September 22, 2021
Combs CA, Einerson BD, Toner LE. Society for Maternal-Fetal Medicine Special Statement: Surgical safety
checklists for cesarean delivery. Am J Obstet Gynecol. 2021;225(5):b43-b49.
doi:10.1016…
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psnet.ahrq.gov/node/73487/psn-pdf
July 14, 2021 - The July Effect in podiatric medicine and surgery
residency.
July 14, 2021
Casciato DJ, Thompson J, Law R, et al. The July Effect in podiatric medicine and surgery residency. J Foot
Ankle Surg. 2021;60(6):1152-1157. doi:10.1053/j.jfas.2021.04.020.
https://psnet.ahrq.gov/issue/july-effect-podiatric-medicine-and-sur…
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psnet.ahrq.gov/node/47903/psn-pdf
January 01, 2021 - A qualitative analysis of outpatient medication use in
community settings: observed safety vulnerabilities and
recommendations for improved patient safety.
April 17, 2019
Lyson HC, Sharma AE, Cherian R, et al. A Qualitative Analysis of Outpatient Medication Use in Community
Settings: Observed Safety Vulnerabilitie…
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psnet.ahrq.gov/node/837806/psn-pdf
August 10, 2022 - Do patient engagement IT functionalities influence patient
safety outcomes? A study of US hospitals.
August 10, 2022
Upadhyay S, Opoku-Agyeman W, Choi S, et al. Do patient engagement IT functionalities influence patient
safety outcomes? A study of US hospitals. J Public Health Manag Pract. 2022;28(5):505-512.
doi:…
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psnet.ahrq.gov/node/60919/psn-pdf
September 16, 2020 - Risk of medication errors and nurses' quality of sleep: a
national cross-sectional web survey study.
September 16, 2020
Di Simone E, Fabbian F, Giannetta N, et al. Risk of medication errors and nurses' quality of sleep: a
national cross-sectional web survey study. Eur Rev Med Pharmacol Sci. 2020;24(12):7058-7062.
…
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psnet.ahrq.gov/node/39418/psn-pdf
March 31, 2010 - Take Charge of Your Hospital Stay to Avoid Medical
Mistakes.
March 31, 2010
Clarke S, Savard M. Good Morning America. ABC News. March 22, 2010.
https://psnet.ahrq.gov/issue/take-charge-your-hospital-stay-avoid-medical-mistakes
This television interview offers recommendations for patients to keep themselves safe wh…
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psnet.ahrq.gov/node/35773/psn-pdf
March 15, 2006 - The association between hospital characteristics and
rates of preventable complications and adverse events.
March 15, 2006
Thornlow DK; Stukenborg GJ.
https://psnet.ahrq.gov/issue/association-between-hospital-characteristics-and-rates-preventable-
complications-and-adverse
Using the Agency for Healthcare Research…
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psnet.ahrq.gov/node/36950/psn-pdf
September 09, 2011 - Integrating quality and safety content into clinical
teaching in the acute care setting.
September 9, 2011
Day L, Smith EL. Integrating quality and safety content into clinical teaching in the acute care setting. Nurs
Outlook. 2007;55(3). doi:10.1016/j.outlook.2007.03.002.
https://psnet.ahrq.gov/issue/integrating-…
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psnet.ahrq.gov/node/41150/psn-pdf
February 22, 2012 - Diagnostic errors in primary care: lessons learned.
February 22, 2012
Ely JW, Kaldjian LC, D'Alessandro DM. Diagnostic errors in primary care: lessons learned. J Am Board
Fam Med. 2012;25(1):87-97. doi:10.3122/jabfm.2012.01.110174.
https://psnet.ahrq.gov/issue/diagnostic-errors-primary-care-lessons-learned
This st…
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psnet.ahrq.gov/issue/missed-diagnoses-acute-myocardial-infarction-emergency-department-variation-patient-and
April 08, 2018 - Study
Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and facility characteristics.
Citation Text:
Moy E, Barrett M, Coffey R, et al. Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and fa…