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1141. Error codes at autopsy to study potential biases in diagnostic error. | PSNet
      psnet.ahrq.gov/issue/error-codes-autopsy-study-potential-biases-diagnostic-error
      November 30, 2012 - September 13, 2023 Experimental evidence for structured information-sharing networks

1142. Abbreviation use decreases effective clinical communication and can compromise patient safety. | PSNet
      psnet.ahrq.gov/issue/abbreviation-use-decreases-effective-clinical-communication-and-can-compromise-patient-safety
      October 29, 2017 - September 27, 2023 Global Knowledge Sharing Platform for Patient Safety.

1143. Outcomes of Michigan Medicine's integrated patient safety and communication and resolution program, 2013–2022. | PSNet
      psnet.ahrq.gov/issue/outcomes-michigan-medicines-integrated-patient-safety-and-communication-and-resolution
      April 24, 2018 - March 1, 2023 Why accountability sharing in health care organizational cultures means

1144. Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: a model to spread change. | PSNet
      psnet.ahrq.gov/issue/department-veterans-affairs-chief-resident-quality-and-patient-safety-program-model-spread
      September 05, 2018 - July 16, 2015 Sharing lessons learned to prevent incorrect surgery.

1145. Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training. | PSNet
      psnet.ahrq.gov/issue/predictors-successful-implementation-preoperative-briefings-and-postoperative-debriefings
      December 21, 2014 - July 16, 2015 Sharing lessons learned to prevent incorrect surgery.

1146. Effectiveness of the surgical safety checklist in correcting errors: a literature review applying Reason's Swiss cheese model. | PSNet
      psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklist-correcting-errors-literature-review-applying-reasons
      January 10, 2018 - December 13, 2023 Clinical data sharing improves quality measurement and patient safety

1147. FDA Drug Safety Communication: FDA requires labeling changes for prescription opioid cough and cold medicines to limit their use to adults 18 years and older. | PSNet
      psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-requires-labeling-changes-prescription-opioid-cough-and
      January 25, 2017 - May 24, 2015 FDA requires label warnings to prohibit sharing of multi-dose diabetes pen

1148. Interprofessional education in team communication: working together to improve patient safety. | PSNet
      psnet.ahrq.gov/issue/interprofessional-education-team-communication-working-together-improve-patient-safety
      April 24, 2018 - January 17, 2024 Social capital and knowledge sharing: effects on patient safety.

1149. Information overload and missed test results in electronic health record–based settings. | PSNet
      psnet.ahrq.gov/issue/information-overload-and-missed-test-results-electronic-health-record-based-settings
      April 14, 2011 - May 31, 2023 Electronic health records, communication, and data sharing: challenges and

1150. Trends in opioid use in commercially insured and Medicare Advantage populations in 2007–16: retrospective cohort study. | PSNet
      psnet.ahrq.gov/issue/trends-opioid-use-commercially-insured-and-medicare-advantage-populations-2007-16
      March 13, 2018 - June 3, 2020 Patient centred diagnosis: sharing diagnostic decisions with patients in

1151. Development of an instrument to measure the unintended consequences of EHRs. | PSNet
      psnet.ahrq.gov/issue/development-instrument-measure-unintended-consequences-ehrs
      June 22, 2011 - June 24, 2020 Empowering patients and reducing inequities: is there potential in sharing

1152. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853445/psn-pdf
      December 15, 2022 - Jake Tapper shares harrowing story of daughter's near- fatal misdiagnosis. December 15, 2022 CNN. December 15, 2022. https://psnet.ahrq.gov/issue/jake-tapper-shares-harrowing-story-daughters-near-fatal-misdiagnosis Diagnostic errors are a recognized cause of preventable patient harm.  This video highlights a teen’…

1153. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42981/psn-pdf
      March 19, 2014 - Recognizing and managing errors of cognitive underspecification. March 19, 2014 Duthie EA. Recognizing and managing errors of cognitive underspecification. J Patient Saf. 2014;10(1):1-5. doi:10.1097/PTS.0b013e3182a5f6e1. https://psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification Inc…

1154. Stories from the sharp end: case studies in safety improvement. | PSNet
      psnet.ahrq.gov/issue/stories-sharp-end-case-studies-safety-improvement
      October 07, 2008 - Study Stories from the sharp end: case studies in safety improvement. Citation Text: Stories from the sharp end: case studies in safety improvement. McCarthy D; Blumenthal D. Milbank Q. 2006;84(1):165-200 Copy Citation Save Save to your library Print Dow…

1155. The role of South--North partnerships in promoting shared learning and knowledge transfer. | PSNet
      psnet.ahrq.gov/issue/role-south-north-partnerships-promoting-shared-learning-and-knowledge-transfer
      July 29, 2020 - Commentary The role of South--North partnerships in promoting shared learning and knowledge transfer. Citation Text: Basu L, Pronovost P, Molello NE, et al. The role of South-North partnerships in promoting shared learning and knowledge transfer. Global Health. 2017;13(1):64. doi:10.1186…

1156. High-alert medications: shared accountability for risk identification and error prevention. | PSNet
      psnet.ahrq.gov/issue/high-alert-medications-shared-accountability-risk-identification-and-error-prevention
      September 24, 2010 - Commentary High-alert medications: shared accountability for risk identification and error prevention. Citation Text: Paparella S. High-alert medications: shared accountability for risk identification and error prevention. Journal of emergency nursing: JEN : official publication of the …

1157. WebM&M: Case Studies | PSNet
      psnet.ahrq.gov/webmm-case-studies
      March 25, 2025 - WebM&M: Case Studies WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of medical errors reported anonymously by our readers. Spotlight Cases include interactive learning modules available for CME/CPE . Commentaries are written by patient safety experts and published monthly. Have you encou…

1158. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50827/psn-pdf
      January 22, 2020 - Becoming a high-reliability organization through shared learning of safety events January 22, 2020 Klenklen J. Patient Saf Qual HCare. December 19, 2019. https://psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events High reliability organizations consistently examine wha…

1159. Anatomic pathology databases and patient safety. | PSNet
      psnet.ahrq.gov/issue/anatomic-pathology-databases-and-patient-safety
      April 08, 2008 - Study Anatomic pathology databases and patient safety. Citation Text: Raab SS, Grzybicki DM, Zarbo RJ, et al. Anatomic pathology databases and patient safety. Arch Pathol Lab Med. 2005;129(10):1246-1251. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

1160. Improving shared situation awareness for high-risk therapies in hospitalized children. | PSNet
      psnet.ahrq.gov/issue/improving-shared-situation-awareness-high-risk-therapies-hospitalized-children
      October 20, 2021 - Study Improving shared situation awareness for high-risk therapies in hospitalized children. Citation Text: Sosa T, Mayer B, Chakkalakkal B, et al. Improving shared situation awareness for high-risk therapies in hospitalized children. Hosp Pediatr. 2022;12(1):37-46. doi:10.1542/hpeds.202…