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psnet.ahrq.gov/issue/computerized-physician-order-entry-clinical-decision-support-long-term-care-facilities-costs
March 29, 2010 - Review
Computerized physician order entry with clinical decision support in long-term care facilities: costs and benefits to stakeholders.
Citation Text:
Subramanian S, Hoover S, Gilman BH, et al. Computerized physician order entry with clinical decision support in long-term care fac…
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psnet.ahrq.gov/issue/anticoagulant-medication-errors-nursing-homes-characteristics-causes-outcomes-and-association
December 15, 2011 - Study
Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm.
Citation Text:
Desai RJ, Williams CE, Greene SB, et al. Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with…
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psnet.ahrq.gov/issue/associations-between-patient-factors-and-adverse-events-home-care-setting-secondary-data
November 27, 2013 - Study
Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two Canadian adverse event studies.
Citation Text:
Sears NA, Blais R, Spinks M, et al. Associations between patient factors and adverse events in the home care setting: a …
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psnet.ahrq.gov/issue/learning-different-lenses-reports-medical-errors-primary-care-clinicians-staff-and-patients
June 11, 2008 - Study
Learning from different lenses: reports of medical errors in primary care by clinicians, staff, and patients: a project of the American Academy of Family Physicians National Research Network.
Citation Text:
Phillips RL, Dovey SM, Graham D, et al. Learning From Different Lenses: R…
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psnet.ahrq.gov/issue/healthcare-associated-infections-veterans-affairs-acute-care-and-long-term-healthcare
February 07, 2022 - Study
Healthcare-associated infections in Veterans Affairs acute-care and long-term healthcare facilities during the coronavirus disease 2019 (COVID-19) pandemic.
Citation Text:
Evans ME, Simbartl LA, Kralovic SM, et al. Healthcare-associated infections in Veterans Affairs acute-care and…
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psnet.ahrq.gov/issue/intervention-study-reduction-medication-errors-elderly-trauma-patients
December 18, 2019 - Study
Intervention study for the reduction of medication errors in elderly trauma patients.
Citation Text:
Parro Martín M de los Á, Muñoz García M, Delgado Silveira E, et al. Intervention study for the reduction of medication errors in elderly trauma patients. J Eval Clin Pract. 2021;27(…
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psnet.ahrq.gov/issue/are-surgeons-and-anesthesiologists-lying-each-other-or-gaming-system-national-random-sample
June 29, 2022 - Study
Are surgeons and anesthesiologists lying to each other or gaming the system? A national random sample survey about "truth-telling practices" in the perioperative setting in the United States.
Citation Text:
Nurok M, Lee Y-Y, Ma Y, et al. Are surgeons and anesthesiologists lying to …
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psnet.ahrq.gov/issue/nature-severity-and-causes-medication-incidents-australian-community-pharmacy-incident
May 05, 2021 - Study
The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: the QUMwatch study.
Citation Text:
Adie K, Fois RA, McLachlan AJ, et al. The nature, severity and causes of medication incidents from an Australian community pha…
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psnet.ahrq.gov/issue/good-intentions-successful-implementation-case-patient-safety-canada
February 24, 2011 - qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze
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psnet.ahrq.gov/issue/importance-failing-forward-all-us-will-fail-and-make-mistakes-how-can-they-benefit-us-and-our
July 27, 2016 - qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze
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psnet.ahrq.gov/issue/possible-solutions-barriers-incident-reporting-residents
April 14, 2011 - January 15, 2025
Using the Generic Analysis Method to analyze sentinel event reports
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psnet.ahrq.gov/issue/meta-analysis-medication-administration-errors-african-hospitals
July 10, 2008 - qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze
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psnet.ahrq.gov/issue/blink-or-think-can-further-reflection-improve-initial-diagnostic-impressions
November 28, 2012 - View More
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psnet.ahrq.gov/issue/using-computerized-virtual-cases-explore-diagnostic-error-practicing-physicians
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psnet.ahrq.gov/issue/teaching-about-how-doctors-think-longitudinal-curriculum-cognitive-bias-and-diagnostic-error
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psnet.ahrq.gov/issue/thinking-doctor-clinical-decision-making-contemporary-medicine
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psnet.ahrq.gov/issue/physicians-diagnostic-accuracy-confidence-and-resource-requests-vignette-study
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psnet.ahrq.gov/issue/patterns-unexpected-hospital-deaths-root-cause-analysis
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psnet.ahrq.gov/issue/complexity-and-safety
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Use of a novel, modified fishbone diagram to analyze diagnostic errors.