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psnet.ahrq.gov/node/45743/psn-pdf
June 21, 2017 - Strategies for improving the value of the radiology report:
a retrospective analysis of errors in formally over-read
studies.
June 21, 2017
Kabadi SJ, Krishnaraj A. Strategies for improving the value of the radiology report: a retrospective analysis
of errors in formally over-read studies. J Am Coll Radiol. 2017;1…
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psnet.ahrq.gov/node/45433/psn-pdf
October 27, 2016 - Reduction in hospital-wide clinical laboratory specimen
identification errors following process interventions: a 10-
year retrospective observational study.
October 27, 2016
Ning H-C, Lin C-N, Chiu DT-Y, et al. Reduction in Hospital-Wide Clinical Laboratory Specimen Identification
Errors following Process Interven…
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psnet.ahrq.gov/node/40263/psn-pdf
March 02, 2011 - Trauma resuscitation errors and computer-assisted
decision support.
March 2, 2011
FitzGerald M, Cameron P, Mackenzie CF, et al. Trauma resuscitation errors and computer-assisted
decision support. Arch Surg. 2011;146(2):218-25. doi:10.1001/archsurg.2010.333.
https://psnet.ahrq.gov/issue/trauma-resuscitation-errors-…
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psnet.ahrq.gov/node/46911/psn-pdf
May 02, 2018 - Errors in electronic health record–based data query of
statin prescriptions in patients with coronary artery
disease in a large, academic, multispecialty clinic
practice.
May 2, 2018
Shin EY, Ochuko P, Bhatt K, et al. Errors in Electronic Health Record-Based Data Query of Statin
Prescriptions in Patients With Cor…
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psnet.ahrq.gov/node/45187/psn-pdf
July 11, 2017 - Effect of using the same vs different order for second
readings of screening mammograms on rates of breast
cancer detection: a randomized clinical trial.
July 11, 2017
Taylor-Phillips S, Wallis MG, Jenkinson D, et al. Effect of Using the Same vs Different Order for Second
Readings of Screening Mammograms on Rates …
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psnet.ahrq.gov/node/43077/psn-pdf
April 02, 2014 - Am I right when I am sure? Data consistency influences
the relationship between diagnostic accuracy and
certainty.
April 2, 2014
Cavalcanti RB, Sibbald M. Am I right when I am sure? Data consistency influences the relationship
between diagnostic accuracy and certainty. Acad Med. 2014;89(1):107-13.
doi:10.1097/ACM…
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psnet.ahrq.gov/web-mm/electronic-err
April 01, 2014 - Electronic Err
Citation Text:
Tang PC. Electronic Err. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
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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/45106/psn-pdf
August 16, 2017 - The 'go-between' study: a simulation study comparing the
'Traffic Lights' and 'SBAR' tools as a means of
communication between anaesthetic staff.
August 16, 2017
MacDougall-Davis SR, Kettley L, Cook TM. The 'go-between' study: a simulation study comparing the
'Traffic Lights' and 'SBAR' tools as a means of communi…
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psnet.ahrq.gov/node/36843/psn-pdf
January 05, 2017 - Improving medication reconciliation in the outpatient
setting.
January 5, 2017
Varkey P, Cunningham J, Bisping S. Improving medication reconciliation in the outpatient setting. Jt Comm
J Qual Patient Saf. 2007;33(5):286-92.
https://psnet.ahrq.gov/issue/improving-medication-reconciliation-outpatient-setting
The Jo…
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psnet.ahrq.gov/node/45484/psn-pdf
December 04, 2016 - High prevalence of medication discrepancies between
home health referrals and Centers for Medicare and
Medicaid Services home health certification and plan of
care and their potential to affect safety of vulnerable
elderly adults.
December 4, 2016
Brody AA, Gibson B, Tresner-Kirsch D, et al. High Prevalence of Me…
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psnet.ahrq.gov/node/35448/psn-pdf
September 18, 2009 - Relationship between performance measurement and
accreditation: implications for quality of care and patient
safety.
September 18, 2009
Miller MR, Pronovost P, Donithan M, et al. Relationship between performance measurement and
accreditation: implications for quality of care and patient safety. Am J Med Qual. 2005…
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psnet.ahrq.gov/node/42249/psn-pdf
May 08, 2013 - Is detection of adverse events affected by record review
methodology? An evaluation of the "Harvard Medical
Practice Study" method and the "Global Trigger Tool."
May 8, 2013
Unbeck M, Schildmeijer K, Henriksson P, et al. Is detection of adverse events affected by record review
methodology? an evaluation of the "Ha…
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psnet.ahrq.gov/node/47554/psn-pdf
November 07, 2018 - Diagnostic Excellence Initiative.
November 7, 2018
Gordon and Betty Moore Foundation.
https://psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care
Missed or delayed diagnoses lead to delays in care and significant preventable harm for patients. Despite
an increasing focus on di…
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psnet.ahrq.gov/node/36539/psn-pdf
March 03, 2011 - Sensitivity of routine system for reporting patient safety
incidents in an NHS hospital: retrospective patient case
note review.
March 3, 2011
Sari AB-A, Sheldon T, Cracknell A, et al. Sensitivity of routine system for reporting patient safety incidents
in an NHS hospital: retrospective patient case note review. B…
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psnet.ahrq.gov/perspective/conversation-abraham-verghese-md
November 01, 2012 - or knee trauma, validated "stop rules" (known as Ottawa rules), based just on bedside observation, accurately … patient's electrocardiogram) ( 15 ) identify the risk of subsequent life-threatening complications as accurately
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psnet.ahrq.gov/node/42001/psn-pdf
August 02, 2015 - Diagnostic inaccuracy of smartphone applications for
melanoma detection.
August 2, 2015
Wolf JA, Moreau JF, Akilov O, et al. Diagnostic inaccuracy of smartphone applications for melanoma
detection. JAMA Dermatol. 2013;149(4):422-426. doi:10.1001/jamadermatol.2013.2382.
https://psnet.ahrq.gov/issue/diagnostic-inacc…
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psnet.ahrq.gov/node/37818/psn-pdf
April 30, 2012 - ASHP national survey of pharmacy practice in hospital
settings: prescribing and transcribing—2007.
April 30, 2012
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital
settings: prescribing and transcribing--2007. Am J Health Syst Pharm. 2008;65(9):827-43.
doi:10.2146/aj…
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psnet.ahrq.gov/node/40364/psn-pdf
July 01, 2011 - Utilising improvement science methods to optimise
medication reconciliation.
April 13, 2011
White CM, Schoettker PJ, Conway PH, et al. Utilising improvement science methods to optimise
medication reconciliation. BMJ Qual Saf. 2011;20(4):372-80. doi:10.1136/bmjqs.2010.047845.
https://psnet.ahrq.gov/issue/utilising-…
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psnet.ahrq.gov/node/47598/psn-pdf
November 28, 2018 - Assessment of patient medication adherence, medical
record accuracy, and medication blood concentrations for
prescription and over-the-counter medications.
November 28, 2018
Sutherland JJ, Morrison RD, McNaughton CD, et al. Assessment of Patient Medication Adherence, Medical
Record Accuracy, and Medication Blood C…