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psnet.ahrq.gov/node/42790/psn-pdf
December 04, 2013 - Patients do not always complain when they are
dissatisfied: implications for service quality and patient
safety.
December 4, 2013
Howard M, Fleming ML, Parker E. Patients do not always complain when they are dissatisfied: implications
for service quality and patient safety. J Patient Saf. 2013;9(4):224-31.
doi:10…
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psnet.ahrq.gov/node/46735/psn-pdf
January 31, 2018 - Influence of perceived difficulty of cases on student
osteopaths' diagnostic reasoning: a cross sectional
study.
January 31, 2018
Noyer AL, Esteves JE, Thomson OP. Influence of perceived difficulty of cases on student osteopaths'
diagnostic reasoning: a cross sectional study. Chiropr Man Therap. 2017;25:32. doi:10…
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psnet.ahrq.gov/node/838078/psn-pdf
September 14, 2022 - Patient safety issues from information overload in
electronic medical records.
September 14, 2022
Nijor S, Rallis G, Lad N, et al. Patient safety issues from information overload in electronic medical records.
J Patient Saf. 2022;18(6):e999-e1003. doi:10.1097/pts.0000000000001002.
https://psnet.ahrq.gov/issue/pati…
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psnet.ahrq.gov/node/46075/psn-pdf
May 03, 2017 - ED misdiagnosis of cerebrovascular events in the era of
modern neuroimaging: a meta-analysis.
May 3, 2017
Tarnutzer AA, Lee S-H, Robinson K, et al. ED misdiagnosis of cerebrovascular events in the era of modern
neuroimaging: A meta-analysis. Neurology. 2017;88(15):1468-1477.
doi:10.1212/WNL.0000000000003814.
http…
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psnet.ahrq.gov/node/73495/psn-pdf
July 14, 2021 - Implementation strategies in the context of medication
reconciliation: a qualitative study.
July 14, 2021
Stolldorf DP, Ridner SH, Vogus TJ, et al. Implementation strategies in the context of medication
reconciliation: a qualitative study. Implement Sci Commun. 2021;2(1):63. doi:10.1186/s43058-021-00162-5.
https:/…
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psnet.ahrq.gov/node/847056/psn-pdf
April 05, 2023 - Early diagnosis of cancer: systems approach to support
clinicians in primary care.
April 5, 2023
Black GB, Lyratzopoulos G, Vincent CA, et al. Early diagnosis of cancer: systems approach to support
clinicians in primary care. BMJ. 2023;380:e071225. doi:10.1136/bmj-2022-071225.
https://psnet.ahrq.gov/issue/early-di…
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psnet.ahrq.gov/node/866084/psn-pdf
June 05, 2024 - Quality and safety of artificial intelligence generated
health information.
June 5, 2024
Sorich MJ, Menz BD, Hopkins AM. Quality and safety of artificial intelligence generated health information.
BMJ. 2024;384:q596. doi:10.1136/bmj.q596.
https://psnet.ahrq.gov/issue/quality-and-safety-artificial-intelligence-gene…
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psnet.ahrq.gov/node/33935/psn-pdf
February 05, 2018 - The incidence and severity of adverse events affecting
patients after discharge from the hospital.
February 5, 2018
Forster AJ, Murff HJ, Peterson JF, et al. The incidence and severity of adverse events affecting patients
after discharge from the hospital. Ann Intern Med. 2003;138(3):161-7.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/841479/psn-pdf
December 14, 2022 - Fast does not imply flawed: analyzing emergency
physician productivity and medical errors.
December 14, 2022
Hoot NR, Barbosa TJ, Chan HK, et al. Fast does not imply flawed: analyzing emergency physician
productivity and medical errors. J Am Coll Emerg Physicians Open. 2022;3(6):e12849.
doi:10.1002/emp2.12849.
ht…
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psnet.ahrq.gov/node/43735/psn-pdf
January 20, 2015 - Patient safety is not elective: a debate at the NPSF Patient
Safety Congress.
January 20, 2015
McTiernan P, Wachter R, Meyer GS, et al. Patient safety is not elective: a debate at the NPSF Patient
Safety Congress. BMJ Qual Saf. 2015;24(2):162-6. doi:10.1136/bmjqs-2014-003429.
https://psnet.ahrq.gov/issue/patient-s…
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psnet.ahrq.gov/node/60296/psn-pdf
May 06, 2020 - Ensuring access to medications in the US during the
COVID-19 pandemic.
May 6, 2020
Alexander GC, Qato DM. Ensuring access to medications in the US during the COVID-19 pandemic.
JAMA. 2020;324(1):31-32. doi:10.1001/jama.2020.6016.
https://psnet.ahrq.gov/issue/ensuring-access-medications-us-during-covid-19-pandemic
…
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psnet.ahrq.gov/node/46639/psn-pdf
November 29, 2017 - Enhancing pediatric perioperative patient safety.
November 29, 2017
Johnson Q, McVey J. Enhancing Pediatric Perioperative Patient Safety. AORN J. 2017;106(5):434-442.
doi:10.1016/j.aorn.2017.09.007.
https://psnet.ahrq.gov/issue/enhancing-pediatric-perioperative-patient-safety
Pediatric surgical patients face uniqu…
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psnet.ahrq.gov/node/43623/psn-pdf
September 29, 2017 - Intolerance of error and culture of blame drive medical
excess.
September 29, 2017
Hoffman JR, Kanzaria HK. Intolerance of error and culture of blame drive medical excess. BMJ.
2014;349(oct14 3). doi:10.1136/bmj.g5702.
https://psnet.ahrq.gov/issue/intolerance-error-and-culture-blame-drive-medical-excess
Lack of a…
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psnet.ahrq.gov/node/37924/psn-pdf
December 23, 2016 - Behaviors that undermine a culture of safety.
December 23, 2016
Behaviors that undermine a culture of safety. Sentinel event alert. 2008;(40):1-3.
https://psnet.ahrq.gov/issue/behaviors-undermine-culture-safety
The Joint Commission issues sentinel event alerts one to two times yearly to highlight areas of high risk…
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psnet.ahrq.gov/node/42003/psn-pdf
May 10, 2013 - The effects of computerized provider order entry
implementation on communication in intensive care units.
May 10, 2013
Hoonakker P, Carayon P, Walker JM, et al. The effects of Computerized Provider Order Entry
implementation on communication in Intensive Care Units. Int J Med Inform. 2013;82(5):e107-17.
doi:10.101…
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psnet.ahrq.gov/node/46100/psn-pdf
July 11, 2017 - The tension between promoting mobility and preventing
falls in the hospital.
July 11, 2017
Growdon ME, Shorr RI, Inouye SK. The Tension Between Promoting Mobility and Preventing Falls in the
Hospital. JAMA Intern Med. 2017;177(6):759-760. doi:10.1001/jamainternmed.2017.0840.
https://psnet.ahrq.gov/issue/tension-be…
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psnet.ahrq.gov/node/43836/psn-pdf
March 11, 2015 - Hospital organisation, management, and structure for
prevention of health-care-associated infection: a
systematic review and expert consensus.
March 11, 2015
Zingg W, Holmes A, Dettenkofer M, et al. Hospital organisation, management, and structure for prevention
of health-care-associated infection: a systematic re…
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psnet.ahrq.gov/node/46914/psn-pdf
January 01, 2021 - Risk factors for adverse events in patients with breast,
colorectal, and lung cancer.
May 23, 2018
Weingart SN, Atoria CL, Pfister D, et al. Risk Factors for Adverse Events in Patients With Breast,
Colorectal, and Lung Cancer. J Patient Saf. 2021;17(8):e701-e707. doi:10.1097/pts.0000000000000474.
https://psnet.ahr…
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psnet.ahrq.gov/node/47737/psn-pdf
March 06, 2019 - Quality improvement and safety in pediatric emergency
medicine.
March 6, 2019
Ku BC, Chamberlain JM, Shaw KN. Quality Improvement and Safety in Pediatric Emergency Medicine.
Pediatr Clin North Am. 2018;65(6):1269-1281. doi:10.1016/j.pcl.2018.07.010.
https://psnet.ahrq.gov/issue/quality-improvement-and-safety-pedia…
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psnet.ahrq.gov/node/46410/psn-pdf
September 20, 2017 - Implementation of safeguards to improve patient safety in
chemotherapy.
September 20, 2017
Huertas-Fernández MJ, Martínez-Bautista Mª J, Rodríguez-Mateos ME, et al. Implementation of
safeguards to improve patient safety in chemotherapy. Clin Transl Oncol. 2017;19(9):1099-1106.
doi:10.1007/s12094-017-1645-y.
https…