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psnet.ahrq.gov/node/865478/psn-pdf
April 03, 2024 - Racial implicit bias and communication among
physicians in a simulated environment.
April 3, 2024
Gonzalez CM, Ark TK, Fisher MR, et al. Racial implicit bias and communication among physicians in a
simulated environment. JAMA Netw Open. 2024;7(3):e242181. doi:10.1001/jamanetworkopen.2024.2181.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/837308/psn-pdf
June 01, 2022 - Delays in diagnosis, treatment, and surgery: root causes,
actions taken, and recommendations for healthcare
improvement.
June 1, 2022
Politi RE, Mills PD, Zubkoff L, et al. Delays in diagnosis, treatment, and surgery: root causes, actions taken,
and recommendations for healthcare improvement. J Patient Saf. 2022;1…
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psnet.ahrq.gov/node/44596/psn-pdf
December 04, 2016 - Health literacy in transitions of care: an innovative
objective structured clinical examination for fourth-year
medical students in an internship preparation course.
December 4, 2016
Bloom-Feshbach K, Casey D, Schulson L, et al. Health Literacy in Transitions of Care: An Innovative
Objective Structured Clinical Ex…
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psnet.ahrq.gov/node/45452/psn-pdf
August 24, 2016 - What price must we pay for safety? Excessive cost of
EPINEPHrine auto-injectors leads to error-prone use of
ampuls or vials and unprepared consumers.
August 24, 2016
ISMP Medication Safety Alert! Acute Care Edition. August 11, 2016;21:1-3.
https://psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-e…
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psnet.ahrq.gov/node/764405/psn-pdf
March 02, 2022 - Evaluation of communication and safety behaviors during
hospital-wide code response simulation.
March 2, 2022
Ren DM, Abrams A, Banigan M, et al. Evaluation of communication and safety behaviors during hospital-
wide code response simulation. Simul Healthc. 2022;17(1):e45-e50. doi:10.1097/sih.0000000000000575.
htt…
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psnet.ahrq.gov/node/45192/psn-pdf
December 04, 2016 - Evidence summary and recommendations for improved
communication during care transitions.
December 4, 2016
Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved
Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj.230.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/47001/psn-pdf
August 17, 2018 - Realist synthesis of intentional rounding in hospital
wards: exploring the evidence of what works, for whom,
in what circumstances and why.
August 17, 2018
Sims S, Leamy M, Davies N, et al. Realist synthesis of intentional rounding in hospital wards: exploring the
evidence of what works, for whom, in what circumst…
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psnet.ahrq.gov/node/866442/psn-pdf
August 07, 2024 - Frequency and characteristics of errors by artificial
intelligence (AI) in reading screening mammography: a
systematic review.
August 7, 2024
Zeng A, Houssami N, Noguchi N, et al. Frequency and characteristics of errors by artificial intelligence (AI)
in reading screening mammography: a systematic review. Breast C…
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psnet.ahrq.gov/node/853063/psn-pdf
August 30, 2023 - Exploring medication safety structures and processes in
nursing homes: a cross-sectional study.
August 30, 2023
Favez L, Zúñiga F, Meyer-Massetti C. Exploring medication safety structures and processes in nursing
homes: a cross-sectional study. Int J Clin Pharm. 2023;45(6):1464-1471. doi:10.1007/s11096-023-01625-6.…
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psnet.ahrq.gov/node/860722/psn-pdf
January 17, 2024 - Ten years of incident reports on in-hospital cardiac arrest
- Are they useful for improvements?
January 17, 2024
Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements?
Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525.
https://psnet.ahrq.gov/issue/ten-y…
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psnet.ahrq.gov/node/47498/psn-pdf
March 05, 2019 - Data omission by physician trainees on ICU rounds.
March 5, 2019
Artis KA, Bordley J, Mohan V, et al. Data Omission by Physician Trainees on ICU Rounds. Crit Care Med.
2019;47(3):403-409. doi:10.1097/CCM.0000000000003557.
https://psnet.ahrq.gov/issue/data-omission-physician-trainees-icu-rounds
Reporting complete p…
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psnet.ahrq.gov/node/73560/psn-pdf
August 04, 2021 - Barcode medication administration technology use in
hospital practice: a mixed-methods observational study
of policy deviations.
August 4, 2021
Mulac A, Mathiesen L, Taxis K, et al. Barcode medication administration technology use in hospital
practice: a mixed-methods observational study of policy deviations. BMJ …
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psnet.ahrq.gov/node/866695/psn-pdf
September 11, 2024 - Reducing ambulatory central line-associated bloodstream
infections: a family-centered approach.
September 11, 2024
Wong CI, Ilowite M, Yan A, et al. Reducing ambulatory central line?associated bloodstream infections: a
family?centered approach. Pediatr Blood Cancer. 2024;71(8):e31064. doi:10.1002/pbc.31064.
https:…
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psnet.ahrq.gov/node/44390/psn-pdf
July 18, 2016 - Should medical errors be disclosed to pediatric patients?
Pediatricians' attitudes toward error disclosure.
July 18, 2016
Kolaitis IN, Schinasi DA, Ross LF. Should Medical Errors Be Disclosed to Pediatric Patients? Pediatricians'
Attitudes Toward Error Disclosure. Acad Pediatr. 2016;16(5):482-488. doi:10.1016/j.aca…
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psnet.ahrq.gov/node/46429/psn-pdf
October 04, 2017 - Clinician perspectives on the management of abnormal
subcritical tests in an urban academic safety-net health
care system.
October 4, 2017
Clarity C, Sarkar U, Lee J, et al. Clinician Perspectives on the Management of Abnormal Subcritical Tests
in an Urban Academic Safety-Net Health Care System. Jt Comm J Qual Pat…
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psnet.ahrq.gov/node/837420/psn-pdf
June 15, 2022 - The electronic prescribing of subcutaneous infusions: a
before-and-after study assessing the impact upon patient
safety and service efficiency.
June 15, 2022
Hindmarsh J, Holden K. The electronic prescribing of subcutaneous infusions: a before-and-after study
assessing the impact upon patient safety and service ef…
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psnet.ahrq.gov/node/854385/psn-pdf
October 11, 2023 - Perioperative team-based morbidity and mortality
conferences: a systematic review of the literature.
October 11, 2023
Samost-Williams A, Rosen R, Hannenberg A, et al. Perioperative team-based morbidity and mortality
conferences: a systematic review of the literature. Ann Surg Open. 2023;4(3):e321.
doi:10.1097/as9.…
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psnet.ahrq.gov/node/40025/psn-pdf
December 21, 2014 - Evaluating an evidence-based bundle for preventing
surgical site infection.
December 21, 2014
Anthony T, Murray BW, Sum-Ping JT, et al. Evaluating an evidence-based bundle for preventing surgical
site infection: a randomized trial. Arch Surg. 2011;146(3):263-9. doi:10.1001/archsurg.2010.249.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/41591/psn-pdf
November 26, 2014 - "Did I do as best as the system would let me?" Healthcare
professional views on hospital to home care transitions.
November 26, 2014
Davis MM, Devoe M, Kansagara D, et al. "Did I do as best as the system would let me?" Healthcare
professional views on hospital to home care transitions. J Gen Intern Med. 2012;27(12)…
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psnet.ahrq.gov/node/44216/psn-pdf
April 25, 2016 - Improving medication safety during hospital-based
transitions of care.
April 25, 2016
Sponsler KC, Neal EB, Kripalani S. Improving medication safety during hospital-based transitions of care.
Cleve Clin J Med. 2015;82(6):351-360. doi:10.3949/ccjm.82a.14025.
https://psnet.ahrq.gov/issue/improving-medication-safety-…