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psnet.ahrq.gov/issue/assessment-health-information-technology-related-outpatient-diagnostic-delays-us-veterans
June 24, 2020 - Study
Assessment of health information technology-related outpatient diagnostic delays in the US Veterans Affairs health care system: a qualitative study of aggregated root cause analysis data.
Citation Text:
Powell L, Sittig DF, Chrouser K, et al. Assessment of health information techno…
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psnet.ahrq.gov/issue/exploring-roots-unintended-safety-threats-associated-introduction-hospital-eprescribing
December 21, 2022 - Study
Exploring the roots of unintended safety threats associated with the introduction of hospital ePrescribing systems and candidate avoidance and/or mitigation strategies: a qualitative study.
Citation Text:
Mozaffar H, Cresswell K, Williams R, et al. Exploring the roots of unintended…
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psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
August 01, 2018 - In 2007, the Institute of Medicine estimated that 1.5 million preventable adverse drug events occur each
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psnet.ahrq.gov/node/50756/psn-pdf
December 18, 2019 - A Mistaken Dose of Naloxone?
December 18, 2019
Cutler E, Gunawardena D. A Mistaken Dose of Naloxone?. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
The Case
A 55-year-old man with widely metastatic gastric cancer presented to his oncologist's office for a follow-up
appointment. He h…
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psnet.ahrq.gov/issue/cognitive-bias-clinical-medicine
February 20, 2019 - Commentary
Classic
Cognitive bias in clinical medicine.
Citation Text:
O'Sullivan ED, Schofield SJ. Cognitive bias in clinical medicine. J R Coll Physicians Edinb. 2018;48(3):225-232. doi:10.4997/JRCPE.2018.306.
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psnet.ahrq.gov/issue/predictors-prescription-errors-involving-anticancer-chemotherapy-agents
February 01, 2012 - Study
Predictors of prescription errors involving anticancer chemotherapy agents.
Citation Text:
Ranchon F, Moch C, You B, et al. Predictors of prescription errors involving anticancer chemotherapy agents. Eur J Cancer. 2012;48(8):1192-9. doi:10.1016/j.ejca.2011.12.031.
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-application-critical-care-medicine
June 10, 2013 - Review
Failure mode and effects analysis application to critical care medicine.
Citation Text:
Duwe B, Fuchs BD, Hansen-Flaschen J. Failure mode and effects analysis application to critical care medicine. Crit Care Clin. 2005;21(1):21-30, vii.
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psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-error-looking-under-hood
September 25, 2019 - Commentary
Medical overuse as a physician cognitive error: looking under the hood.
Citation Text:
Korenstein D. Medical overuse as a physician cognitive error: looking under the hood. JAMA Intern Med. 2019;179(1):26-27. doi:10.1001/jamainternmed.2018.5136.
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psnet.ahrq.gov/issue/effect-clinical-history-accuracy-electrocardiograph-interpretation-among-doctors-working
March 20, 2019 - Study
The effect of clinical history on accuracy of electrocardiograph interpretation among doctors working in emergency departments.
Citation Text:
Cruz MF, Edwards J, Dinh MM, et al. The effect of clinical history on accuracy of electrocardiograph interpretation among doctors working…
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psnet.ahrq.gov/issue/creating-stronger-culture-safety-within-us-community-pharmacies
June 14, 2023 - Commentary
Creating a stronger culture of safety within US community pharmacies.
Citation Text:
Lewis NJW, Marwitz KK, Gaither CA, et al. Creating a stronger culture of safety within US community pharmacies. Jt Comm J Qual Patient Saf. 2023;49(5):280-284. doi:10.1016/j.jcjq.2023.01.012. …
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psnet.ahrq.gov/issue/global-priorities-patient-safety-research
April 05, 2017 - Commentary
Global priorities for patient safety research.
Citation Text:
Bates DW, Larizgoitia I, Prasopa-Plaizier N, et al. Global priorities for patient safety research. BMJ. 2009;338:b1775. doi:10.1136/bmj.b1775.
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psnet.ahrq.gov/issue/financial-incentives-promote-health-care-quality-hospital-acquired-conditions-nonpayment
November 08, 2023 - Commentary
Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy.
Citation Text:
Kavanagh KT. Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy. Soc Work Public Health. 2011;26(5):52…
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psnet.ahrq.gov/issue/patient-safety-research-overview-global-evidence
September 29, 2017 - Review
Patient safety research: an overview of the global evidence.
Citation Text:
Jha AK, Prasopa-Plaizier N, Larizgoitia I, et al. Patient safety research: an overview of the global evidence. Qual Saf Health Care. 2010;19(1):42-7. doi:10.1136/qshc.2008.029165.
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psnet.ahrq.gov/issue/use-board-certification-and-recertification-pediatricians-health-plan-credentialing-policies
February 02, 2011 - Study
Use of board certification and recertification of pediatricians in health plan credentialing policies.
Citation Text:
Freed GL, Singer D, Lakhani I, et al. Use of board certification and recertification of pediatricians in health plan credentialing policies. JAMA. 2006;295(8):913…
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psnet.ahrq.gov/issue/what-ethically-informed-approach-managing-patient-safety-risk-during-discharge-planning
November 16, 2022 - Commentary
What is an ethically informed approach to managing patient safety risk during discharge planning?
Citation Text:
West JC. What Is an Ethically Informed Approach to Managing Patient Safety Risk During Discharge Planning? AMA J Ethics. 2020;22(!1):e919-e923. doi:10.1001/amajethi…
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psnet.ahrq.gov/issue/what-causes-prescribing-errors-children-scoping-review
September 09, 2015 - Review
What causes prescribing errors in children? Scoping review.
Citation Text:
Conn RL, Kearney O, Tully MP, et al. What causes prescribing errors in children? Scoping review. BMJ Open. 2019;9(8):e028680. doi:10.1136/bmjopen-2018-028680.
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psnet.ahrq.gov/issue/wake-hospital-inquiries-impact-staff-and-safety
January 12, 2022 - Commentary
In the wake of hospital inquiries: impact on staff and safety.
Citation Text:
Dunbar JA, Reddy P, Beresford B, et al. In the wake of hospital inquiries: impact on staff and safety. Med J Aust. 2007;186(2):80-3.
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psnet.ahrq.gov/issue/early-access-neurologist-reduces-rate-missed-diagnosis-young-strokes
December 07, 2011 - Study
Early access to a neurologist reduces the rate of missed diagnosis in young strokes.
Citation Text:
Mohamed W, Bhattacharya P, Chaturvedi S. Early access to a neurologist reduces the rate of missed diagnosis in young strokes. J Stroke Cerebrovasc Dis. 2013;22(8):e332-7. doi:10.101…
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psnet.ahrq.gov/issue/learning-safe-prescribing-during-post-take-ward-rounds
August 14, 2013 - Newspaper/Magazine Article
Learning safe prescribing during post-take ward rounds.
Citation Text:
Conroy-Smith E, Herring R, Caldwell G. Learning safe prescribing during post-take ward rounds. The clinical teacher. 2011;8(2):75-8. doi:10.1111/j.1743-498X.2011.00432.x.
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psnet.ahrq.gov/issue/sued-misdiagnosis-it-could-happen-you
February 07, 2024 - Commentary
Sued for misdiagnosis? It could happen to you.
Citation Text:
Lippman H, Davenport J. Sued for misdiagnosis? It could happen to you. J Fam Pract. 2010;59(9):498-508.
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