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psnet.ahrq.gov/node/46873/psn-pdf
June 27, 2018 - Diagnostic errors and the bedside clinical examination.
June 27, 2018
Clark BW, Derakhshan A, Desai S. Diagnostic Errors and the Bedside Clinical Examination. Med Clin North
Am. 2018;102(3):453-464. doi:10.1016/j.mcna.2017.12.007.
https://psnet.ahrq.gov/issue/diagnostic-errors-and-bedside-clinical-examination
Diag…
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psnet.ahrq.gov/node/852273/psn-pdf
August 09, 2023 - Experimental evidence for structured information-sharing
networks reducing medical errors.
August 9, 2023
Centola D, Becker J, Zhang J, et al. Experimental evidence for structured information–sharing networks
reducing medical errors. Proc Natl Acad Sci U S A. 2023;120(31):e2108290120.
doi:10.1073/pnas.2108290120.
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psnet.ahrq.gov/node/34094/psn-pdf
September 27, 2017 - Surveillance of medical device-related hazards and
adverse events in hospitalized patients.
September 27, 2017
Samore MH, Evans S, Lassen A, et al. Surveillance of medical device-related hazards and adverse events
in hospitalized patients. JAMA. 2004;291(3):325-34.
https://psnet.ahrq.gov/issue/surveillance-medical…
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psnet.ahrq.gov/node/855088/psn-pdf
January 01, 2024 - Impact of hospital-acquired pneumonia on the Medicare
program.
November 8, 2023
Baker DL, Giuliano KK, Desmarais M, et al. Impact of hospital-acquired pneumonia on the Medicare
program. Infect Control Hosp Epidemiol. 2024;45(3):316-321. doi:10.1017/ice.2023.221.
https://psnet.ahrq.gov/issue/impact-hospital-acquire…
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psnet.ahrq.gov/node/839313/psn-pdf
November 02, 2022 - The impact of meaningful use and electronic health
records on hospital patient safety.
November 2, 2022
Trout KE, Chen L-W, Wilson FA, et al. The impact of meaningful use and electronic health records on
hospital patient safety. Int J Environ Res Public Health. 2022;19(19):12525. doi:10.3390/ijerph191912525.
https…
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psnet.ahrq.gov/node/45235/psn-pdf
September 19, 2016 - Patient safety culture and the second victim
phenomenon: connecting culture to staff distress in
nurses.
September 19, 2016
Quillivan RR, Burlison JD, Browne EK, et al. Patient Safety Culture and the Second Victim Phenomenon:
Connecting Culture to Staff Distress in Nurses. Jt Comm J Qual Patient Saf. 2016;42(8):37…
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psnet.ahrq.gov/node/46060/psn-pdf
October 31, 2017 - Do hospitals support second victims? Collective insights
from patient safety leaders in Maryland.
October 31, 2017
Edrees HH, Morlock L, Wu AW. Do Hospitals Support Second Victims? Collective Insights From Patient
Safety Leaders in Maryland. Jt Comm J Qual Saf. 2017;43(9):471-483. doi:10.1016/j.jcjq.2017.01.008.
h…
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psnet.ahrq.gov/node/36167/psn-pdf
June 29, 2011 - Nurses' and nursing assistants' perceptions of patient
safety culture in nursing homes.
June 29, 2011
Hughes C, Lapane KL. Nurses' and nursing assistants' perceptions of patient safety culture in nursing
homes. Int J Qual Health Care. 2006;18(4):281-6.
https://psnet.ahrq.gov/issue/nurses-and-nursing-assistants-per…
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psnet.ahrq.gov/node/45810/psn-pdf
May 05, 2017 - Adverse event and error of unexpected life-threatening
events within 24h of emergency department admission.
May 5, 2017
Zhang E, Hung S-C, Wu C-H, et al. Adverse event and error of unexpected life-threatening events within
24hours of ED admission. Am J Emerg Med. 2017;35(3):479-483. doi:10.1016/j.ajem.2016.11.062.
…
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psnet.ahrq.gov/node/862130/psn-pdf
February 07, 2024 - Interventions to support nurses as second victims of
patient safety incidents: a qualitative study of nurse
managers' perceptions.
February 7, 2024
Järvisalo P, Haatainen K, Von Bonsdorff M, et al. Interventions to support nurses as second victims of
patient safety incidents: a qualitative study of nurse managers'…
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psnet.ahrq.gov/node/73088/psn-pdf
March 31, 2021 - Nurses’ perspectives on the impact of management
approaches on the blame culture in health-care
organizations.
March 31, 2021
Okpala P. Nurses’ perspectives on the impact of management approaches on the blame culture in health-
care organizations. Int J Healthc Manage. 2020;13(sup1):199-205. doi:10.1080/20479700.2…
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psnet.ahrq.gov/node/837029/psn-pdf
May 04, 2022 - Identifying patients whose symptoms are
underrecognized during treatment with breast
radiotherapy.
May 4, 2022
doi:10.1001/jamaoncol.2022.0114.
https://psnet.ahrq.gov/issue/identifying-patients-whose-symptoms-are-underrecognized-during-treatment-
breast-radiotherapy
Concordance of patient-reported symptoms and p…
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psnet.ahrq.gov/node/42055/psn-pdf
April 24, 2013 - Report of the Mid Staffordshire NHS Foundation Trust:
Public Inquiry.
April 24, 2013
Francis R. London, UK: The Stationary Office; 2013. ISBN: 9780102981469.
https://psnet.ahrq.gov/issue/report-mid-staffordshire-nhs-foundation-trust-public-inquiry
In 2010 the United Kingdom's Secretary of State for Health a…
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psnet.ahrq.gov/node/34703/psn-pdf
December 24, 2008 - An alternative strategy for studying adverse events in
medical care.
December 24, 2008
Andrews LB, Stocking C, Krizek T, et al. An alternative strategy for studying adverse events in medical
care. Lancet. 1997;349(9048):309-13.
https://psnet.ahrq.gov/issue/alternative-strategy-studying-adverse-events-medical-care
…
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psnet.ahrq.gov/node/838129/psn-pdf
September 21, 2022 - Variation in detected adverse events using trigger tools: a
systematic review and meta-analysis.
September 21, 2022
Eggenschwiler LC, Rutjes AWS, Musy SN, et al. Variation in detected adverse events using trigger tools: a
systematic review and meta-analysis. PLoS ONE. 2022;17(9):e0273800.
doi:10.1371/journal.pone.…
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psnet.ahrq.gov/node/60795/psn-pdf
August 12, 2020 - Hastened death due to disease burden and distress that
has not received timely, quality palliative care is a medical
error.
August 12, 2020
Gallagher R, Passmore MJ, Baldwin C. Hastened death due to disease burden and distress that has not
received timely, quality palliative care is a medical error. Med Hypotheses…
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psnet.ahrq.gov/node/73855/psn-pdf
January 01, 2022 - The impact of coronavirus disease 2019 (COVID-19) on
healthcare-associated infections in 2020: a summary of
data reported to the National Healthcare Safety Network.
September 22, 2021
Weiner-Lastinger LM, Pattabiraman V, Konnor RY, et al. The impact of coronavirus disease 2019 (COVID-
19) on healthcare-associated …
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psnet.ahrq.gov/node/60304/psn-pdf
January 01, 2021 - Patients' perspectives of diagnostic error: a qualitative
study.
May 6, 2020
Sacco AY, Self QR, Worswick EL, et al. Patients' perspectives of diagnostic error: a qualitative study. J
Patient Saf. 2021;17(8):e1759-e1773. doi:10.1097/pts.0000000000000642.
https://psnet.ahrq.gov/issue/patients-perspectives-diagnostic…
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psnet.ahrq.gov/node/72757/psn-pdf
February 17, 2021 - Prolonged diagnostic intervals as marker of missed
diagnostic opportunities in bladder and kidney cancer
patients with alarm features: a longitudinal linked data
study.
February 17, 2021
Zhou Y, Walter FM, Singh H, et al. Prolonged diagnostic intervals as marker of missed diagnostic
opportunities in bladder and k…
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psnet.ahrq.gov/node/60848/psn-pdf
January 01, 2022 - Adverse events related to accidental unintentional
ingestions from cough and cold medications in children.
August 26, 2020
Wang GS, Reynolds KM, Banner W, et al. Adverse events related to accidental unintentional ingestions
from cough and cold medications in children. Pediatr Emerg Care. 2022;38(1):e100-e104.
doi:…