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psnet.ahrq.gov/node/42051/psn-pdf
October 08, 2013 - A closer look at associations between hospital leadership
walkrounds and patient safety climate and risk reduction:
a cross-sectional study.
October 8, 2013
Schwendimann R, Milne J, Frush K, et al. A closer look at associations between hospital leadership
walkrounds and patient safety climate and risk reduction: a…
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psnet.ahrq.gov/node/41497/psn-pdf
April 05, 2013 - Avoiding handover fumbles: a controlled trial of a
structured handover tool versus traditional handover
methods.
April 5, 2013
Payne CE, Stein JM, Leong T, et al. Avoiding handover fumbles: a controlled trial of a structured handover
tool versus traditional handover methods. BMJ Qual Saf. 2012;21(11):925-32. doi:1…
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psnet.ahrq.gov/node/36975/psn-pdf
March 24, 2011 - Safety of telephone triage in general practitioner
cooperatives: do triage nurses correctly estimate
urgency?
March 24, 2011
Giesen P, Ferwerda R, Tijssen R, et al. Safety of telephone triage in general practitioner cooperatives: do
triage nurses correctly estimate urgency? Qual Saf Health Care. 2007;16(3):181-4.
…
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psnet.ahrq.gov/node/41732/psn-pdf
October 03, 2012 - Double checking the administration of medicines: what is
the evidence? A systematic review.
October 3, 2012
Alsulami Z, Conroy S, Choonara I. Double checking the administration of medicines: what is the evidence?
A systematic review. Arch Dis Child. 2012;97(9):833-7. doi:10.1136/archdischild-2011-301093.
https://p…
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psnet.ahrq.gov/node/43965/psn-pdf
July 16, 2015 - Decision making in trauma settings: simulation to
improve diagnostic skills.
July 16, 2015
Murray DJ, Freeman BD, Boulet JR, et al. Decision making in trauma settings: simulation to improve
diagnostic skills. Simul Healthc. 2015;10(3):139-145. doi:10.1097/SIH.0000000000000073.
https://psnet.ahrq.gov/issue/decision…
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psnet.ahrq.gov/node/841149/psn-pdf
December 07, 2022 - A structured approach to EHR surveillance of diagnostic
error in acute care: an exploratory analysis of two
institutionally-defined case cohorts.
December 7, 2022
Malik MA, Motta-Calderon D, Piniella N, et al. A structured approach to EHR surveillance of diagnostic
error in acute care: an exploratory analysis of t…
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psnet.ahrq.gov/node/41437/psn-pdf
January 03, 2017 - Making the transition to nursing bedside shift reports.
January 3, 2017
Wakefield DS, Ragan R, Brandt J, et al. Making the transition to nursing bedside shift reports. Jt Comm J
Qual Patient Saf. 2012;38(6):243-53.
https://psnet.ahrq.gov/issue/making-transition-nursing-bedside-shift-reports
Efforts to improve comm…
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psnet.ahrq.gov/node/866901/psn-pdf
October 09, 2024 - Reader bias in breast cancer screening related to cancer
prevalence and artificial intelligence decision support-a
reader study.
October 9, 2024
Al-Bazzaz H, Janicijevic M, Strand F. Reader bias in breast cancer screening related to cancer prevalence
and artificial intelligence decision support—a reader study. Eur…
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psnet.ahrq.gov/node/838912/psn-pdf
December 01, 2005 - Discrepancies between clinical and autopsy diagnosis
and the value of post mortem histology: a meta-analysis
and review.
December 1, 2005
Roulson J, Benbow EW, Hasleton PS. Discrepancies between clinical and autopsy diagnosis and the value
of post mortem histology; a meta-analysis and review. Histopathology. 2005;…
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psnet.ahrq.gov/node/50711/psn-pdf
January 01, 2020 - Unscheduled return visits to the emergency department
with ICU admission: a trigger tool for diagnostic error.
December 4, 2019
Aaronson E, Jansson P, Wittbold K, et al. Unscheduled return visits to the emergency department with ICU
admission: A trigger tool for diagnostic error. Am J Emerg Med. 2020;38(8):1584-158…
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psnet.ahrq.gov/node/38538/psn-pdf
January 02, 2017 - Rating recommendations for consumers about patient
safety: sense, common sense, or nonsense?
January 2, 2017
Weingart SN, Morway L, Brouillard D, et al. Rating recommendations for consumers about patient safety:
sense, common sense, or nonsense? Jt Comm J Qual Patient Saf. 2009;35(4):206-15.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/38366/psn-pdf
January 28, 2009 - Benchmarking surgical incident reports using a database
and a triage system to reduce adverse outcomes.
January 28, 2009
Antonacci AC, Lam S, Lavarias V, et al. Benchmarking surgical incident reports using a database and a
triage system to reduce adverse outcomes. Arch Surg. 2008;143(12):1192-7.
doi:10.1001/archsu…
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psnet.ahrq.gov/node/866643/psn-pdf
September 04, 2024 - Three scans are better than two for follow-up: an
automatic method for finding missed and misidentified
lesions in cross-sectional follow-up of oncology patients.
September 4, 2024
Joskowicz L, Di Veroli B, Lederman R, et al. Three scans are better than two for follow-up: an automatic
method for finding missed and…
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psnet.ahrq.gov/node/72670/psn-pdf
January 27, 2021 - System issues leading to "found-on-floor" incidents: a
multi-incident analysis.
January 27, 2021
Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi-
Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294.
https://psnet.ahrq.gov/issue/sys…
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psnet.ahrq.gov/node/42835/psn-pdf
April 21, 2015 - Hospital board oversight of quality and patient safety: a
narrative review and synthesis of recent empirical
research.
April 21, 2015
Millar R, Mannion R, Freeman T, et al. Hospital board oversight of quality and patient safety: a narrative
review and synthesis of recent empirical research. Milbank Q. 2013;91(4):7…
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psnet.ahrq.gov/node/39729/psn-pdf
September 20, 2011 - Contextual errors and failures in individualizing patient
care: a multicenter study.
September 20, 2011
Weiner SJ, Schwartz A, Weaver FM, et al. Contextual errors and failures in individualizing patient care: a
multicenter study. Ann Intern Med. 2010;153(2):69-75. doi:10.7326/0003-4819-153-2-201007200-00002.
https…
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psnet.ahrq.gov/node/38205/psn-pdf
November 12, 2008 - Characteristics of medication errors and adverse drug
events in hospitals participating in the California Pediatric
Patient Safety Initiative.
November 12, 2008
Takata GS, Taketomo CK, Waite S, et al. Characteristics of medication errors and adverse drug events in
hospitals participating in the California Pediatri…
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psnet.ahrq.gov/node/39748/psn-pdf
August 11, 2010 - Information transfer and communication in surgery: a
systematic review.
August 11, 2010
Nagpal K, Vats A, Lamb B, et al. Information transfer and communication in surgery: a systematic review.
Ann Surg. 2010;252(2):225-39. doi:10.1097/SLA.0b013e3181e495c2.
https://psnet.ahrq.gov/issue/information-transfer-and-comm…
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psnet.ahrq.gov/node/39570/psn-pdf
September 20, 2011 - Effect of a 19-item surgical safety checklist during urgent
operations in a global patient population.
September 20, 2011
Weiser TG, Haynes AB, Dziekan G, et al. Effect of A 19-Item Surgical Safety Checklist During Urgent
Operations in A Global Patient Population. Ann Surg. 2010;251(5). doi:10.1097/sla.0b013e3181d9…
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psnet.ahrq.gov/node/45535/psn-pdf
January 23, 2017 - Surgical specimen management: a descriptive study of
648 adverse events and near misses.
January 23, 2017
Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648
adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396.
https://psnet.ahrq.gov/issue/…