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psnet.ahrq.gov/node/45257/psn-pdf
July 27, 2016 - Exploring approaches to patient safety: the case of spinal
manipulation therapy.
July 27, 2016
Rozmovits L, Mior S, Boon H. Exploring approaches to patient safety: the case of spinal manipulation
therapy. BMC Complement Altern Med. 2016;16:164. doi:10.1186/s12906-016-1149-2.
https://psnet.ahrq.gov/issue/exploring-…
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psnet.ahrq.gov/node/41652/psn-pdf
September 30, 2012 - Discontinuation of antihyperglycemic therapy after acute
myocardial infarction: medical necessity or medical
error?
September 30, 2012
Lovig KO, Horwitz LI, Lipska K, et al. Discontinuation of antihyperglycemic therapy after acute myocardial
infarction: medical necessity or medical error? Jt Comm J Qual Patient Sa…
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psnet.ahrq.gov/node/35105/psn-pdf
June 22, 2009 - Evaluation of nationally mandated drug use reviews to
improve patient safety in nursing homes: a natural
experiment.
June 22, 2009
Briesacher B, Limcangco R, Simoni-Wastila L, et al. Evaluation of nationally mandated drug use reviews to
improve patient safety in nursing homes: a natural experiment. J Am Geriatr So…
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psnet.ahrq.gov/node/44704/psn-pdf
February 09, 2016 - Sensemaking and the co-production of safety: a
qualitative study of primary medical care patients.
February 9, 2016
Rhodes P, McDonald R, Campbell S, et al. Sensemaking and the co-production of safety: a qualitative
study of primary medical care patients. Sociol Health Illn. 2016;38(2):270-285. doi:10.1111/1467-
9…
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psnet.ahrq.gov/node/47078/psn-pdf
June 13, 2018 - Fake it 'til you make it: pressures to measure up in
surgical training.
June 13, 2018
Patel P, Martimianakis MA, Zilbert NR, et al. Fake It 'Til You Make It: Pressures to Measure Up in Surgical
Training. Acad Med. 2018;93(5):769-774. doi:10.1097/ACM.0000000000002113.
https://psnet.ahrq.gov/issue/fake-it-til-you-ma…
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psnet.ahrq.gov/node/45986/psn-pdf
March 29, 2017 - Pediatric prehospital medication dosing errors: a national
survey of paramedics.
March 29, 2017
Hoyle JD, Crowe RP, Bentley MA, et al. Pediatric prehospital medication dosing errors: a national survey of
paramedics. Prehosp Emerg Care. 2017;21(2):185-191. doi:10.1080/10903127.2016.1227001.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/43759/psn-pdf
September 29, 2017 - Patients' expectations of the benefits and harms of
treatments, screening, and tests: a systematic review.
September 29, 2017
Hoffmann TC, Del Mar C. Patients' expectations of the benefits and harms of treatments, screening, and
tests: a systematic review. JAMA Intern Med. 2015;175(2):274-286.
doi:10.1001/jamainte…
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psnet.ahrq.gov/node/46244/psn-pdf
June 28, 2017 - Changing the narratives for patient safety.
June 28, 2017
Pronovost P, Sutcliffe K, Basu L, et al. Changing the narratives for patient safety. Bull World Health Organ.
2017;95(6):478-480. doi:10.2471/BLT.16.178392.
https://psnet.ahrq.gov/issue/changing-narratives-patient-safety
Mental models represent established …
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psnet.ahrq.gov/node/74238/psn-pdf
January 12, 2022 - Program access, depressive symptoms, and medical
errors among resident physicians with disability.
January 12, 2022
Meeks LM, Pereira-Lima K, Frank E, et al. Program access, depressive symptoms, and medical errors
among resident physicians with disability. JAMA Netw Open. 2021;4(12):e2141511.
doi:10.1001/jamanetwo…
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psnet.ahrq.gov/node/73894/psn-pdf
February 22, 2022 - Achieving Excellence in Cancer Diagnosis: Proceedings
of a Workshop—in Brief.
February 22, 2022
National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National
Academies Press; 2022.
https://psnet.ahrq.gov/issue/achieving-excellence-cancer-diagnosis
Diagnostic errors remain an o…
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psnet.ahrq.gov/node/47310/psn-pdf
September 19, 2018 - Use of simulation to test systems and prepare staff for a
new hospital transition.
September 19, 2018
Adler MD, Mobley BL, Eppich W, et al. Use of Simulation to Test Systems and Prepare Staff for a New
Hospital Transition. J Patient Saf. 2018;14(3):143-147. doi:10.1097/PTS.0000000000000184.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/46029/psn-pdf
October 11, 2017 - Closing the gap and raising the bar: assessing board
competency in quality and safety.
October 11, 2017
McGaffigan PA, Ullem BD, Gandhi TK. Closing the Gap and Raising the Bar: Assessing Board
Competency in Quality and Safety. Jt Comm J Qual Patient Saf. 2017;43(6):267-274.
doi:10.1016/j.jcjq.2017.03.003.
https:/…
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psnet.ahrq.gov/node/35574/psn-pdf
June 17, 2010 - What do we know about financial returns on investments
in patient safety? A literature review.
June 17, 2010
Schmidek JM, Weeks WB. What do we know about financial returns on investments in patient safety? A
literature review. Jt Comm J Qual Patient Saf. 2005;31(12):690-699.
https://psnet.ahrq.gov/issue/what-do-we…
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psnet.ahrq.gov/node/42844/psn-pdf
May 29, 2014 - Does the concept of safety culture help or hinder systems
thinking in safety?
May 29, 2014
Reiman T, Rollenhagen C. Does the concept of safety culture help or hinder systems thinking in safety?
Accid Anal Prev. 2014;68(July):5-15. doi:10.1016/j.aap.2013.10.033.
https://psnet.ahrq.gov/issue/does-concept-safety-cult…
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psnet.ahrq.gov/node/45387/psn-pdf
August 15, 2016 - Preventing medication errors.
August 15, 2016
Stefanacci RG, Riddle A. Preventing medication errors. Geriatr Nurs. 2016;37(4):307-10.
doi:10.1016/j.gerinurse.2016.06.005.
https://psnet.ahrq.gov/issue/preventing-medication-errors
Nursing home patients are particularly vulnerable to medication errors. This commentar…
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psnet.ahrq.gov/node/41720/psn-pdf
January 18, 2013 - Standardized patient identification and specimen labeling:
a retrospective analysis on improving patient safety.
January 18, 2013
Kim JK, Dotson B, Thomas S, et al. Standardized patient identification and specimen labeling: a
retrospective analysis on improving patient safety. J Am Acad Dermatol. 2013;68(1):53-6.
…
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psnet.ahrq.gov/node/46461/psn-pdf
November 01, 2017 - Complications: acknowledging, managing, and coping
with human error.
November 1, 2017
Helo S, Moulton C-AE. Complications: acknowledging, managing, and coping with human error. Transl
Androl Urol. 2017;6(4):773-782. doi:10.21037/tau.2017.06.28.
https://psnet.ahrq.gov/issue/complications-acknowledging-managing-and-…
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psnet.ahrq.gov/node/34702/psn-pdf
December 23, 2008 - Increase in US medication-error deaths between 1983 and
1993.
December 23, 2008
Phillips DP, Christenfeld N, Glynn LM. Increase in US medication-error deaths between 1983 and 1993.
Lancet. 1998;351(9103):643-4.
https://psnet.ahrq.gov/issue/increase-us-medication-error-deaths-between-1983-and-1993
In this research…
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psnet.ahrq.gov/node/46076/psn-pdf
September 24, 2017 - The evolving story of overlapping surgery.
September 24, 2017
Mello MM, Livingston EH. The Evolving Story of Overlapping Surgery. JAMA. 2017;318(3):233-234.
doi:10.1001/jama.2017.8061.
https://psnet.ahrq.gov/issue/evolving-story-overlapping-surgery
Scheduling overlapping procedures is perceived as risky, despite l…
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psnet.ahrq.gov/node/44401/psn-pdf
November 20, 2015 - Medication reconciliation at admission and discharge: an
analysis of prevalence and associated risk factors.
November 20, 2015
Belda-Rustarazo S, Cantero-Hinojosa J, Salmeron-García A, et al. Medication reconciliation at admission
and discharge: an analysis of prevalence and associated risk factors. Int J Clin Prac…