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psnet.ahrq.gov/node/46862/psn-pdf
February 21, 2018 - Considering human factors and developing systems-
thinking behaviours to ensure patient safety.
February 21, 2018
Vosper H; Lim R; Knight C; et al; CIEHF Pharmaceutical Human Factors Special Interest Group. Clinical
Pharmacist. 2018;10(2).
https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-syste…
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psnet.ahrq.gov/node/37378/psn-pdf
February 24, 2011 - Medication discrepancies in resident sign-outs and their
potential to harm.
February 24, 2011
Arora V, Kao J, Lovinger D, et al. Medication discrepancies in resident sign-outs and their potential to
harm. J Gen Intern Med. 2007;22(12):1751-5.
https://psnet.ahrq.gov/issue/medication-discrepancies-resident-sign-outs…
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psnet.ahrq.gov/node/60295/psn-pdf
May 06, 2020 - 2019 Novel Coronavirus (COVID-19) pandemic: built
environment considerations to reduce transmission.
May 6, 2020
Dietz L, Horve PF, Coil DA, et al. 2019 Novel Coronavirus (COVID-19) pandemic: built environment
considerations to reduce transmission. mSystems. 2020;5(2):e00245-20. doi:10.1128/msystems.00245-20.
http…
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psnet.ahrq.gov/node/46407/psn-pdf
March 20, 2018 - Same behavior, different provider: American medical
students' attitudes toward reporting risky behaviors
committed by doctors, nurses, and classmates.
March 20, 2018
Aggarwal S, Kheriaty A. Same behavior, different provider: American medical students' attitudes toward
reporting risky behaviors committed by doctors…
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psnet.ahrq.gov/node/45335/psn-pdf
August 10, 2016 - The Feasibility of Determining the Effectiveness and Cost-
effectiveness of Medication Organisation Devices
Compared with Usual Care for Older People in a
Community Setting: Systematic Review, Stakeholder
Focus Groups and Feasibility RCT.
August 10, 2016
Bhattacharya D, Aldus CF, Barton G, et al. Health Tech…
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psnet.ahrq.gov/node/836998/psn-pdf
April 27, 2022 - How will state medical boards handle cases involving
disclosure and apology for medical errors?
April 27, 2022
Wojcieszak D. How will state medical boards handle cases involving disclosure and apology for medical
errors? J Patient Saf Risk Manag. 2022;27(1):15-20. doi:10.1177/25160435211070096.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/845634/psn-pdf
March 08, 2023 - Compliance with and barriers to implementing the
surgical safety checklist: a mixed-methods study.
March 8, 2023
Aydin Akbuga G, Sürme Y, Esenkaya D. Compliance with and barriers to implementing the surgical safety
checklist: a mixed-methods study. AORN J. 2023;117(2):e1-e10. doi:10.1002/aorn.13861.
https://psnet.…
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psnet.ahrq.gov/node/73291/psn-pdf
May 19, 2021 - How can never event data be used to reflect or improve
hospital safety performance?
May 19, 2021
Olivarius?McAllister J, Pandit M, Sykes A, et al. How can never event data be used to reflect or improve
hospital safety performance? Anaesthesia. 2021;76(12):1616-1624. doi:10.1111/anae.15476.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/44092/psn-pdf
November 16, 2015 - Does lean management improve patient safety culture?
An extensive evaluation of safety culture in a
radiotherapy institute.
November 16, 2015
Simons P, Houben R, Vlayen A, et al. Does lean management improve patient safety culture? An extensive
evaluation of safety culture in a radiotherapy institute. Eur J Oncol …
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psnet.ahrq.gov/node/44414/psn-pdf
July 01, 2017 - From a reactive to a proactive safety approach. Analysis
of medication errors in chemotherapy using general
failure types.
July 1, 2017
Fyhr A, Ternov S, Ek Å. From a reactive to a proactive safety approach. Analysis of medication errors in
chemotherapy using general failure types. Eur J Cancer Care (Engl). 2017;2…
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psnet.ahrq.gov/node/837025/psn-pdf
May 04, 2022 - Central venous catheter guidewire retention: lessons
from England's never event database.
May 4, 2022
Mariyaselvam MZA, Patel V, Young HE, et al. Central venous catheter guidewire retention: lessons from
England's never event database. J Patient Saf. 2022;18(2):e387-e392.
doi:10.1097/pts.0000000000000826.
https:/…
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psnet.ahrq.gov/node/35896/psn-pdf
July 23, 2010 - Work-hour restrictions as an ethical dilemma for
residents.
July 23, 2010
Carpenter RO, Austin MT, Tarpley JL, et al. Work-hour restrictions as an ethical dilemma for residents. Am
J Surg. 2006;191(4):527-32.
https://psnet.ahrq.gov/issue/work-hour-restrictions-ethical-dilemma-residents
This study surveyed 170 res…
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psnet.ahrq.gov/node/73710/psn-pdf
September 15, 2021 - Strengths and weaknesses in the diagnostic process of
endometriosis from the patients' perspective: a focus
group study.
September 15, 2021
van der Zanden M, de Kok L, Nelen WLDM, et al. Strengths and weaknesses in the diagnostic process of
endometriosis from the patients’ perspective: a focus group study. Diagnos…
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psnet.ahrq.gov/node/847719/psn-pdf
April 19, 2023 - Person-first treatment strategies: weight bias and impact
on mental health of people living with obesity.
April 19, 2023
Crowley N. Person-first treatment strategies: weight bias and impact on mental health of people living with
obesity. Prim Care. 2023;50(1):89-101. doi:10.1016/j.pop.2022.10.002.
https://psnet.ah…
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psnet.ahrq.gov/node/47911/psn-pdf
April 03, 2019 - Second victims need emotional support after adverse
events: even in a just safety culture.
April 3, 2019
Schrøder K, Lamont RF, Jørgensen JS, et al. Second victims need emotional support after adverse events:
even in a just safety culture. BJOG. 2019;126(4):440-442. doi:10.1111/1471-0528.15529.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/44753/psn-pdf
April 12, 2019 - Is bias in the eye of the beholder? A vignette study to
assess recognition of cognitive biases in clinical case
workups.
April 12, 2019
Zwaan L, Monteiro SD, Sherbino J, et al. Is bias in the eye of the beholder? A vignette study to assess
recognition of cognitive biases in clinical case workups. BMJ Qual Saf. 201…
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psnet.ahrq.gov/node/37051/psn-pdf
February 24, 2011 - Clinical oversight: conceptualizing the relationship
between supervision and safety.
February 24, 2011
Kennedy TJT, Lingard LA, Baker R, et al. Clinical oversight: conceptualizing the relationship between
supervision and safety. J Gen Intern Med. 2007;22(8):1080-5.
https://psnet.ahrq.gov/issue/clinical-oversight-c…
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psnet.ahrq.gov/node/60175/psn-pdf
April 01, 2020 - ACR Recommendations for the use of Chest Radiography
and Computed Tomography (CT) for Suspected COVID-19
Infection.
April 1, 2020
American College of Radiology. March 11, 2020.
https://psnet.ahrq.gov/issue/acr-recommendations-use-chest-radiography-and-computed-tomography-ct-
suspected-covid-19
As COVID-19 s…
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psnet.ahrq.gov/node/45322/psn-pdf
July 20, 2016 - RN assessments of excellent quality of care and patient
safety are associated with significantly lower odds of 30-
day inpatient mortality: a national cross-sectional study
of acute-care hospitals.
July 20, 2016
Smeds-Alenius L, Tishelman C, Lindqvist R, et al. RN assessments of excellent quality of care and patie…
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psnet.ahrq.gov/node/44599/psn-pdf
December 09, 2015 - Association between day of delivery and obstetric
outcomes: observational study.
December 9, 2015
Palmer WL, Bottle A, Aylin P. Association between day of delivery and obstetric outcomes: observational
study. BMJ. 2015;351:h5774. doi:10.1136/bmj.h5774.
https://psnet.ahrq.gov/issue/association-between-day-delivery-…