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psnet.ahrq.gov/node/49603/psn-pdf
June 01, 2010 - People closest to the mishap often feel responsible and eager to help with
suggestions for improvement
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psnet.ahrq.gov/node/74863/psn-pdf
February 23, 2022 - Factors associated with missed nursing care and nurse-
assessed quality of care during the COVID-19 pandemic.
February 23, 2022
Labrague LJ, Santos JAA, Fronda DC. Factors associated with missed nursing care and nurse?assessed
quality of care during the COVID?19 pandemic. J Nurs Manag. 2022;30(1):62-70. doi:10.1111…
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psnet.ahrq.gov/node/60325/psn-pdf
May 13, 2020 - Impacts of operational failures on primary care
physicians' work: a critical interpretive synthesis of the
literature.
May 13, 2020
Sinnott C, Georgiadis A, Park J, et al. Impacts of operational failures on primary care physicians' work: a
critical interpretive synthesis of the literature. Ann Fam Med. 2020;18(2):…
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psnet.ahrq.gov/node/842772/psn-pdf
January 18, 2023 - Short- and long-term effects of an electronic medication
management system on paediatric prescribing errors.
January 18, 2023
Westbrook JI, Li L, Raban MZ, et al. Short- and long-term effects of an electronic medication management
system on paediatric prescribing errors. NPJ Digit Med. 2022;5(1):179. doi:10.1038/s4…
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psnet.ahrq.gov/node/836745/psn-pdf
March 16, 2022 - Estimation of breast cancer overdiagnosis in a U.S. breast
screening cohort.
March 16, 2022
Ryser MD, Lange J, Inoue LYT, et al. Estimation of breast cancer overdiagnosis in a U.S. breast screening
cohort. Ann Intern Med. 2022;175(4):471-478. doi:10.7326/m21-3577.
https://psnet.ahrq.gov/issue/estimation-breast-can…
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psnet.ahrq.gov/node/840147/psn-pdf
November 16, 2022 - Electronic diagnostic support in emergency physician
triage: qualitative study with thematic analysis of
interviews.
November 16, 2022
Sibbald M, Abdulla B, Keuhl A, et al. Electronic diagnostic support in emergency physician triage:
qualitative study with thematic analysis of interviews. JMIR Hum Factors. 2022;9(…
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psnet.ahrq.gov/issue/patient-safety-incident-reporting-and-learning-guidelines-implemented-health-care
January 08, 2025 - Review
Patient safety incident reporting and learning guidelines implemented by health care professionals in specialized care units: scoping review.
Citation Text:
Gqaleni TM, Mkhize SW, Chironda G. Patient safety incident reporting and learning guidelines implemented by health care prof…
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psnet.ahrq.gov/node/866265/psn-pdf
July 31, 2024 - may have valuable ideas for improving accuracy and efficiency and should be
engaged regularly for suggestions
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psnet.ahrq.gov/node/857061/psn-pdf
November 27, 2023 - Can you speak to potential causes for that and any
suggestions that could mediate or alleviate that … situations in a safe, simulated environment, followed by debriefing and
with positive reinforcement and suggestions
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psnet.ahrq.gov/node/48173/psn-pdf
August 28, 2019 - Does learning from mistakes have to be painful? Analysis
of 5 years' experience from the Leeds radiology
educational cases meetings identifies common repetitive
reporting errors and suggests acknowledging and
celebrating excellence (ACE) as a more positive way of
teaching the same lessons.
August 28, 2019
Koo A,…
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psnet.ahrq.gov/node/866846/psn-pdf
September 24, 2024 - Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement
September 24, 2024
Stockmeier CA, Thomas E, Mossburg S, et al. Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/zero…
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psnet.ahrq.gov/issue/does-learning-mistakes-have-be-painful-analysis-5-years-experience-leeds-radiology
April 05, 2013 - Study
Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons.
…
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psnet.ahrq.gov/node/35724/psn-pdf
May 26, 2010 - A prospective study of patient safety in the operating
room.
May 26, 2010
Christian CK, Gustafson ML, Roth EM, et al. A prospective study of patient safety in the operating room.
Surgery. 2006;139(2):159-173.
https://psnet.ahrq.gov/issue/prospective-study-patient-safety-operating-room
This study used a multidisci…
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psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
May 22, 2024 - Residents' suggestions for reducing errors in teaching hospitals. N Engl J Med. 2003;348:851-855.
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psnet.ahrq.gov/node/44266/psn-pdf
May 19, 2019 - Exploring health care professionals' perceptions of
incidents and incident reporting in rehabilitation settings.
May 19, 2019
Espin S, Carter C, Janes N, et al. Exploring Health Care Professionals' Perceptions of Incidents and
Incident Reporting in Rehabilitation Settings. J Patient Saf. 2019;15(2):154-160.
doi:10…
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psnet.ahrq.gov/node/46271/psn-pdf
January 30, 2018 - Debiasing health-related judgments and decision making:
a systematic review.
January 30, 2018
Ludolph R, Schulz PJ. Debiasing Health-Related Judgments and Decision Making: A Systematic Review.
Med Decis Making. 2018;38(1):3-13. doi:10.1177/0272989X17716672.
https://psnet.ahrq.gov/issue/debiasing-health-related-jud…
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psnet.ahrq.gov/node/36856/psn-pdf
August 31, 2011 - Hospital workload and adverse events.
August 31, 2011
Weissman JS, Rothschild JM, Bendavid E, et al. Hospital workload and adverse events. Med Care.
2007;45(5):448-55.
https://psnet.ahrq.gov/issue/hospital-workload-and-adverse-events
Past research suggests a relationship between nursing workload and quality of car…
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psnet.ahrq.gov/node/38534/psn-pdf
January 31, 2013 - Health care information technology vendors' "hold
harmless" clause: implications for patients and clinicians.
January 31, 2013
Koppel R, Kreda D. Health care information technology vendors' "hold harmless" clause: implications for
patients and clinicians. JAMA. 2009;301(12):1276-8. doi:10.1001/jama.2009.398.
https…
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psnet.ahrq.gov/web-mm/discharged-blindly
October 26, 2022 - Improving health care experiences of persons who are blind or low vision: suggestions from focus groups
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psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
January 01, 2020 - physician team are
crucial
• Bedside nurses should feel empowered to reach out to the
physicians with suggestions