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psnet.ahrq.gov/issue/survey-suggests-disrespectful-behaviors-persist-healthcare-practitioners-speak-yet-again
February 23, 2022 - Newspaper/Magazine Article
Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II.
Citation Text:
Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II. ISMP Medicatio…
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psnet.ahrq.gov/node/867805/psn-pdf
February 26, 2025 - We should be reinforcing the use of safety tools with electronic health
records, making specific suggestions
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psnet.ahrq.gov/node/45041/psn-pdf
September 28, 2016 - Structure and outcomes of interdisciplinary rounds in
hospitalized medicine patients: a systematic review and
suggested taxonomy.
September 28, 2016
Bhamidipati S, Elliott DJ, Justice EM, et al. Structure and outcomes of interdisciplinary rounds in
hospitalized medicine patients: A systematic review and suggested …
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psnet.ahrq.gov/node/43353/psn-pdf
July 16, 2014 - Survey suggests possible downward trend in identifying
key drugs/drug classes as high-alert medications.
July 16, 2014
ISMP Medication Safety Alert! Acute care edition. July 3, 2014;19:1-3,5-6.
https://psnet.ahrq.gov/issue/survey-suggests-possible-downward-trend-identifying-key-drugsdrug-classes-
high-alert
This …
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psnet.ahrq.gov/print/pdf/node/845971
January 01, 2024 - Value assessment of deprescribing interventions: suggestions for improvement. … safety-preservation-value
https://psnet.ahrq.gov/issue/value-assessment-deprescribing-interventions-suggestions-improvement
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psnet.ahrq.gov/node/49519/psn-pdf
September 01, 2006 - Communication failures in patient sign-out
and suggestions for improvement: a critical incident analysis … Residents' suggestions for reducing errors in teaching hospitals. N Engl J Med.
2003;348:851-855.
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psnet.ahrq.gov/web-mm/triple-handoff
March 01, 2004 - Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis … Residents' suggestions for reducing errors in teaching hospitals. N Engl J Med. 2003;348:851-855.
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psnet.ahrq.gov/node/49496/psn-pdf
December 01, 2005 - Improving health care experiences of persons who are blind or low
vision: suggestions from focus groups
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psnet.ahrq.gov/node/865345/psn-pdf
March 27, 2024 - The limits of clinician vigilance as an AI safety bulwark.
March 27, 2024
Adler-Milstein J, Redelmeier DA, Wachter RM. The limits of clinician vigilance as an AI safety bulwark.
JAMA. 2024;331(14):1173-1174. doi:10.1001/jama.2024.3620.
https://psnet.ahrq.gov/issue/limits-clinician-vigilance-ai-safety-bulwark
Human…
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psnet.ahrq.gov/node/867436/psn-pdf
January 08, 2025 - diagnostic errors and combining AI with clinician expertise, with the ultimate
decision to follow AI’s suggestion
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psnet.ahrq.gov/primer/alert-fatigue
March 15, 2025 - A WebM&M provided several additional suggestions on how to minimize alert fatigue in CPOE systems:
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psnet.ahrq.gov/node/867637/psn-pdf
February 26, 2025 - Patient safety incident reporting and learning guidelines
implemented by health care professionals in specialized
care units: scoping review.
February 26, 2025
Gqaleni TM, Mkhize SW, Chironda G. Patient safety incident reporting and learning guidelines
implemented by health care professionals in specialized care u…
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psnet.ahrq.gov/node/854381/psn-pdf
October 11, 2023 - Addressing bias in acute postoperative pain
management.
October 11, 2023
Harbell MW, Maloney J, Anderson MA, et al. Addressing bias in acute postoperative pain management.
Curr Pain Headache Rep. 2023;27(9):407-415. doi:10.1007/s11916-023-01135-0.
https://psnet.ahrq.gov/issue/addressing-bias-acute-postoperative-pa…
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psnet.ahrq.gov/issue/survey-suggests-possible-downward-trend-identifying-key-drugsdrug-classes-high-alert
July 30, 2014 - Newspaper/Magazine Article
Survey suggests possible downward trend in identifying key drugs/drug classes as high-alert medications.
Citation Text:
Survey suggests possible downward trend in identifying key drugs/drug classes as high-alert medications. ISMP Medication Safety Alert! Acute …
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psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
February 26, 2025 - We should be reinforcing the use of safety tools with electronic health records, making specific suggestions
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psnet.ahrq.gov/perspective/are-we-safer-today
February 26, 2025 - We should be reinforcing the use of safety tools with electronic health records, making specific suggestions
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psnet.ahrq.gov/node/60064/psn-pdf
March 18, 2020 - Providing Safe, High-Quality Maternity Care in Rural US
Hospitals. IHI Innovation Report.
March 18, 2020
Laderman M, Renton M. Boston, MA: Institute for Healthcare Improvement; 2020.
https://psnet.ahrq.gov/issue/providing-safe-high-quality-maternity-care-rural-us-hospitals-ihi-innovation-
report
Maternal care saf…
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psnet.ahrq.gov/node/838135/psn-pdf
January 01, 2023 - The fallacy of a single diagnosis.
September 21, 2022
Redelmeier DA, Shafir E. The fallacy of a single diagnosis. Med Decis Making. 2023;43(2):183-190.
doi:10.1177/0272989x221121343.
https://psnet.ahrq.gov/issue/fallacy-single-diagnosis
Premature closure occurs when clinicians accept a diagnosis before it has been…
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psnet.ahrq.gov/node/74097/psn-pdf
November 24, 2021 - Inattentional blindness in anesthesiology: a gorilla is
worth one thousand words.
November 24, 2021
De Cassai A, Negro S, Geraldini F, et al. Inattentional blindness in anesthesiology: a gorilla is worth one
thousand words. PLoS One. 2021;16(9):e0257508. doi:10.1371/journal.pone.0257508.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/issue/spike-people-dying-home-suggests-coronavirus-deaths-houston-may-be-higher-reported
January 30, 2019 - Newspaper/Magazine Article
A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported.
Citation Text:
Ornstein C, Hixenbaugh M. A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported. ProPublica and NBC N…