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psnet.ahrq.gov/node/46237/psn-pdf
June 21, 2017 - Identifying and analyzing diagnostic paths: a new
approach for studying diagnostic practices.
June 21, 2017
Rao G, Epner P, Bauer V, et al. Identifying and analyzing diagnostic paths: a new approach for studying
diagnostic practices. Diagnosis (Berl). 2017;4(2):67-72. doi:10.1515/dx-2016-0049.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/74088/psn-pdf
November 17, 2021 - Surgical teams' attitudes about surgical safety and the
surgical safety checklist at 10 years: a multinational
survey.
November 17, 2021
Urban D, Burian BK, Patel K, et al. Surgical teams' attitudes about surgical safety and the surgical safety
checklist at 10 years: a multinational survey. Ann Surg. 2021;2(3):e07…
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psnet.ahrq.gov/node/837762/psn-pdf
August 03, 2022 - A scoping review of real-time automated clinical
deterioration alerts and evidence of impacts on
hospitalised patient outcomes.
August 3, 2022
Blythe R, Parsons R, White NM, et al. A scoping review of real-time automated clinical deterioration alerts
and evidence of impacts on hospitalised patient outcomes. BMJ Qu…
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psnet.ahrq.gov/node/43796/psn-pdf
June 02, 2015 - Embedding quality and safety in otolaryngology–head
and neck surgery education.
June 2, 2015
McCormick ME, Stadler ME, Shah RK. Embedding quality and safety in otolaryngology-head and neck
surgery education. Otolaryngol Head Neck Surg. 2015;152(5):778-782. doi:10.1177/0194599814561601.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/43905/psn-pdf
March 04, 2015 - Suboptimal compliance with surgical safety checklists in
Colorado: a prospective observational study reveals
differences between surgical specialties.
March 4, 2015
Biffl WL, Gallagher AW, Pieracci FM, et al. Suboptimal compliance with surgical safety checklists in
Colorado: A prospective observational study revea…
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psnet.ahrq.gov/node/35403/psn-pdf
February 18, 2011 - Mortality among patients admitted to hospitals on
weekends as compared with weekdays.
February 18, 2011
Bell CM, Redelmeier DA. Mortality among patients admitted to hospitals on weekends as compared with
weekdays. New Engl J Med. 2001;345(9):663-668.
https://psnet.ahrq.gov/issue/mortality-among-patients-admitted-h…
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psnet.ahrq.gov/node/849602/psn-pdf
May 31, 2023 - Psychosocial processes in healthcare workers: how
individuals' perceptions of interpersonal communication
is related to patient safety threats and higher-quality care.
May 31, 2023
Dietl JE, Derksen C, Keller FM, et al. Psychosocial processes in healthcare workers: how individuals'
perceptions of interpersonal com…
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psnet.ahrq.gov/node/45734/psn-pdf
January 23, 2017 - Inappropriate opioid dosing and prescribing for children:
an unintended consequence of the clinical pain score?
January 23, 2017
Voepel-Lewis T, Malviya S, Tait AR. Inappropriate Opioid Dosing and Prescribing for Children: An
Unintended Consequence of the Clinical Pain Score? JAMA Pediatr. 2017;171(1):5-6.
doi:10.…
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psnet.ahrq.gov/node/35516/psn-pdf
February 03, 2011 - Supplemental perioperative oxygen and the risk of
surgical wound infection: a randomized controlled trial.
February 3, 2011
Belda J, Aguilera L, de la Asunción JG, et al. Supplemental perioperative oxygen and the risk of surgical
wound infection: a randomized controlled trial. JAMA. 2005;294(16):2035-42.
https://p…
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psnet.ahrq.gov/node/48024/psn-pdf
January 01, 2021 - The mental health trigger tool: development and testing of
a specialized trigger tool for mental health settings.
July 10, 2019
Sajith SG, Fung D, Chua HC. The Mental Health Trigger Tool: Development and Testing of a Specialized
Trigger Tool for Mental Health Settings. J Patient Saf. 2021;17(4):e306-e312.
doi:10.1…
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psnet.ahrq.gov/node/844765/psn-pdf
September 18, 2019 - Untangling infusion confusion: a comparative evaluation
of interventions in a simulated intensive care setting.
September 18, 2019
Pinkney SJ, Fan M, Koczmara C, et al. Untangling Infusion Confusion: A Comparative Evaluation of
Interventions in a Simulated Intensive Care Setting. Crit Care Med. 2019;47(7):e597-e601…
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psnet.ahrq.gov/node/48080/psn-pdf
June 12, 2019 - Understanding the healthcare workplace learning culture
through safety and dignity narratives: a UK qualitative
study of multiple stakeholders' perspectives.
June 12, 2019
Sholl S, Scheffler G, Monrouxe L, et al. Understanding the healthcare workplace learning culture through
safety and dignity narratives: a UK qu…
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psnet.ahrq.gov/node/854833/psn-pdf
October 25, 2023 - Deficiencies in Facility Leaders' Response to Critical
Surgical Events at the Michael E. DeBakey VA Medical
Center in Houston, Texas.
October 25, 2023
Washington, DC: The Veterans Affairs Inspector General. October 4, 2023. Report No. 23-00080-227.
https://psnet.ahrq.gov/issue/deficiencies-facility-leaders-respons…
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psnet.ahrq.gov/node/867188/psn-pdf
November 20, 2024 - Ensuring safe practice by late career physicians:
institutional policies and implementation experiences.
November 20, 2024
White AA, Gallagher TH, Osinska PH, et al. Ensuring safe practice by late career physicians: institutional
policies and implementation experiences. Ann Intern Med. 2024;177(12):1702-1710. doi:1…
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psnet.ahrq.gov/node/837298/psn-pdf
June 01, 2022 - Assessment of bias in patient safety reporting systems
categorized by physician gender, race and ethnicity, and
faculty rank: a qualitative study.
June 1, 2022
doi:https://doi.org/10.1001/jamanetworkopen.2022.13234.
https://psnet.ahrq.gov/issue/assessment-bias-patient-safety-reporting-systems-categorized-physician…
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psnet.ahrq.gov/node/45576/psn-pdf
July 02, 2017 - Peer feedback, learning, and improvement: answering the
call of the Institute of Medicine report on diagnostic error.
July 2, 2017
Larson DB, Donnelly LF, Podberesky DJ, et al. Peer Feedback, Learning, and Improvement: Answering the
Call of the Institute of Medicine Report on Diagnostic Error. Radiology. 2017;283(1…
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psnet.ahrq.gov/node/837764/psn-pdf
August 03, 2022 - Disparities in adverse event reporting for hospitalized
children.
August 3, 2022
Halvorson EE, Thurtle DP, Easter A, et al. Disparities in adverse event reporting for hospitalized children. J
Patient Saf. 2022;18(6):e928-e933. doi:10.1097/pts.0000000000001049.
https://psnet.ahrq.gov/issue/disparities-adverse-event…
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psnet.ahrq.gov/node/837892/psn-pdf
January 01, 2023 - Teamwork before and during COVID-19: the good, the
same, and the ugly….
August 24, 2022
Rehder KJ, Adair KC, Eckert E, et al. Teamwork before and during COVID-19: the good, the same, and the
ugly…. J Patient Saf. 2023;19(1):36-41. doi:10.1097/pts.0000000000001070.
https://psnet.ahrq.gov/issue/teamwork-and-during-c…
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psnet.ahrq.gov/node/35497/psn-pdf
June 30, 2011 - Use of a prospective risk analysis method to improve the
safety of the cancer chemotherapy process.
June 30, 2011
Bonnabry P, Cingria L, Ackermann M, et al. Use of a prospective risk analysis method to improve the
safety of the cancer chemotherapy process. Int J Qual Health Care. 2006;18(1):9-16.
https://psnet.ahr…
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psnet.ahrq.gov/node/45439/psn-pdf
October 15, 2016 - Patient participation in patient safety still missing: patient
safety experts' views.
October 15, 2016
Sahlström M, Partanen P, Rathert C, et al. Patient participation in patient safety still missing: Patient safety
experts' views. Int J Nurs Pract. 2016;22(5):461-469. doi:10.1111/ijn.12476.
https://psnet.ahrq.gov…