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psnet.ahrq.gov/node/47534/psn-pdf
November 21, 2018 - Resident hesitation in the operating room: does
uncertainty equal incompetence?
November 21, 2018
Ott M, Schwartz A, Goldszmidt M, et al. Resident hesitation in the operating room: does uncertainty equal
incompetence? Med Educ. 2018;52(8):851-860. doi:10.1111/medu.13530.
https://psnet.ahrq.gov/issue/resident-hesit…
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psnet.ahrq.gov/node/60897/psn-pdf
January 01, 2022 - Association between surgeon technical skills and patient
outcomes.
September 9, 2020
Stulberg JJ, Huang R, Kreutzer L, et al. Association Between Surgeon Technical Skills and Patient
Outcomes. JAMA Surg. 2022;157(3):219-220. doi:10.1001/jamasurg.2020.3007.
https://psnet.ahrq.gov/issue/association-between-surgeon-t…
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psnet.ahrq.gov/node/47043/psn-pdf
January 01, 2019 - Association of nurse engagement and nurse staffing on
patient safety.
December 6, 2018
Carthon MB, Hatfield L, Plover C, et al. Association of nurse engagement and nurse staffing on patient
safety. J Nurs Care Qual. 2019;34(1):40-46. doi:10.1097/NCQ.0000000000000334.
https://psnet.ahrq.gov/issue/association-nurse-…
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psnet.ahrq.gov/node/36027/psn-pdf
March 28, 2011 - Medical injuries among hospitalized children.
March 28, 2011
Meurer JR, Yang H, Guse CE, et al. Medical injuries among hospitalized children. Qual Saf Health Care.
2006;15(3):202-7.
https://psnet.ahrq.gov/issue/medical-injuries-among-hospitalized-children
This AHRQ–funded study applied new screening criteria to ca…
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psnet.ahrq.gov/node/45406/psn-pdf
November 01, 2016 - Errors and nonadherence in pediatric oral chemotherapy
use.
November 1, 2016
Walsh KE, Ryan J, Daraiseh N, et al. Errors and Nonadherence in Pediatric Oral Chemotherapy Use.
Oncology. 2016;91(4):231-236.
https://psnet.ahrq.gov/issue/errors-and-nonadherence-pediatric-oral-chemotherapy-use
Medication errors and non…
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psnet.ahrq.gov/node/34086/psn-pdf
May 27, 2011 - Overcoming barriers to adopting and implementing
computerized physician order entry systems in U.S.
hospitals.
May 27, 2011
Poon EG, Blumenthal D, Jaggi T, et al. Overcoming barriers to adopting and implementing computerized
physician order entry systems in U.S. hospitals. Health Aff (Millwood). 2004;23(4):184-90.…
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psnet.ahrq.gov/node/837038/psn-pdf
May 04, 2022 - Mind the Implementation Gap. The Persistence of
Avoidable Harm in the NHS.
May 4, 2022
London UK: Patient Safety Learning: 2022.
https://psnet.ahrq.gov/issue/mind-implementation-gap-persistence-avoidable-harm-nhs
Unsafe care affects a wide range of individuals and organizations physically, emotionally, and financi…
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psnet.ahrq.gov/node/42890/psn-pdf
February 06, 2014 - The etiology of diagnostic errors: a controlled trial of
System 1 versus System 2 reasoning.
February 6, 2014
Norman GR, Sherbino J, Dore KL, et al. The etiology of diagnostic errors: a controlled trial of system 1
versus system 2 reasoning. Acad Med. 2014;89(2):277-84. doi:10.1097/ACM.0000000000000105.
https://ps…
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psnet.ahrq.gov/node/47211/psn-pdf
November 16, 2018 - A conceptual framework to reduce inpatient preventable
deaths.
November 16, 2018
Davis DP, Aguilar SA, Lawrence B, et al. A Conceptual Framework to Reduce Inpatient Preventable
Deaths. Jt Comm J Qual Patient Saf. 2018;44(7):413-420. doi:10.1016/j.jcjq.2018.01.003.
https://psnet.ahrq.gov/issue/conceptual-framework-…
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psnet.ahrq.gov/node/45612/psn-pdf
November 09, 2016 - Pharmacist work stress and learning from quality related
events.
November 9, 2016
Boyle TA, Bishop A, Morrison B, et al. Pharmacist work stress and learning from quality related events. Res
Social Adm Pharm. 2016;12(5):772-83. doi:10.1016/j.sapharm.2015.10.003.
https://psnet.ahrq.gov/issue/pharmacist-work-stress-a…
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psnet.ahrq.gov/node/46143/psn-pdf
June 14, 2017 - Report of the Announced Inspection of Medication Safety
at the Midland Regional Hospital Tullamore, County
Offaly.
June 14, 2017
Dublin, Ireland: Health Information and Quality Authority; May 2017.
https://psnet.ahrq.gov/issue/report-announced-inspection-medication-safety-midland-regional-hospital-
tullamore-coun…
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psnet.ahrq.gov/node/43952/psn-pdf
March 04, 2015 - Improving resident morning sign-out by use of daily
events reports.
March 4, 2015
Nabors C, Patel D, Khera S, et al. Improving resident morning sign-out by use of daily events reports. J
Patient Saf. 2015;11(1):36-41. doi:10.1097/PTS.0b013e31829e4f56.
https://psnet.ahrq.gov/issue/improving-resident-morning-sign-ou…
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psnet.ahrq.gov/node/74747/psn-pdf
February 09, 2022 - Diagnostic error in the pediatric hospital: a narrative
review.
February 9, 2022
Sawicki JG, Nystrom DT, Purtell R, et al. Diagnostic error in the pediatric hospital: a narrative review. Hosp
Pract (1995). 2021;49((supp1):437-444. doi:10.1080/21548331.2021.2004040.
https://psnet.ahrq.gov/issue/diagnostic-error-ped…
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psnet.ahrq.gov/node/40237/psn-pdf
February 23, 2011 - The impact of the medical emergency team on the
resuscitation practice of critical care nurses.
February 23, 2011
Santiano N, Young L, Baramy LS, et al. The impact of the medical emergency team on the resuscitation
practice of critical care nurses. BMJ Qual Saf. 2011;20(2):115-20. doi:10.1136/bmjqs.2008.029876.
ht…
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psnet.ahrq.gov/node/866820/psn-pdf
September 25, 2024 - Interrogating and uprooting systemic racism in the
emergency department.
September 25, 2024
Sangal RB, Khidir H, Agarwal AK. Interrogating and uprooting systemic racism in the emergency
department. JAMA Health Forum. 2024;5(8):e242347. doi:10.1001/jamahealthforum.2024.2347.
https://psnet.ahrq.gov/issue/interrogati…
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psnet.ahrq.gov/node/47669/psn-pdf
July 17, 2019 - Evaluating a handheld decision support device in
pediatric intensive care settings.
July 17, 2019
Reynolds TL, DeLucia PR, Esquibel KA, et al. JAMIA Open. 2019;2:49-61.
https://psnet.ahrq.gov/issue/evaluating-handheld-decision-support-device-pediatric-intensive-care-settings
This pre–post mixed-methods implementat…
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psnet.ahrq.gov/node/42199/psn-pdf
June 12, 2013 - Contextual information influences diagnosis accuracy
and decision making in simulated emergency medicine
emergencies.
June 12, 2013
McRobert AP, Causer J, Vassiliadis J, et al. Contextual information influences diagnosis accuracy and
decision making in simulated emergency medicine emergencies. BMJ Qual Saf. 2013;2…
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psnet.ahrq.gov/node/36418/psn-pdf
July 14, 2010 - Application of the IV Medication Harm Index to assess the
nature of harm averted by "smart" infusion safety
systems.
July 14, 2010
Williams CK, Maddox RR, Heape E, et al. Application of the IV Medication Harm Index to Assess the
Nature of Harm Averted by "Smart" Infusion Safety Systems. J Patient Saf. 2008;2(3).
…
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psnet.ahrq.gov/node/44147/psn-pdf
May 20, 2015 - Leader communication approaches and patient safety: an
integrated model.
May 20, 2015
Mattson M, Hellgren J, Göransson S. Leader communication approaches and patient safety: An integrated
model. J Safety Res. 2015;53:53-62. doi:10.1016/j.jsr.2015.03.008.
https://psnet.ahrq.gov/issue/leader-communication-approaches…
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psnet.ahrq.gov/node/35157/psn-pdf
August 05, 2009 - Safe medication prescribing: training and experience of
medical students and housestaff at a large teaching
hospital.
August 5, 2009
Garbutt J, Highstein G, Jeffe DB, et al. Safe medication prescribing: training and experience of medical
students and housestaff at a large teaching hospital. Acad Med. 2005;80(6):59…