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psnet.ahrq.gov/issue/data-consistency-voluntary-medical-incident-reporting-system
August 21, 2024 - Study
Data consistency in a voluntary medical incident reporting system.
Citation Text:
Gong Y. Data consistency in a voluntary medical incident reporting system. J Med Syst. 2011;35(4):609-15. doi:10.1007/s10916-009-9398-y.
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psnet.ahrq.gov/issue/evaluation-measure-dx-resource-accelerate-diagnostic-safety-learning-and-improvement
February 07, 2024 - Study
Evaluation of Measure Dx, a resource to accelerate diagnostic safety learning and improvement.
Citation Text:
Bradford A, Tran A, Ali KJ, et al. Evaluation of Measure Dx, a resource to accelerate diagnostic safety learning and improvement. J Gen Intern Med. . 2024;Epub Oct 22. doi:…
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psnet.ahrq.gov/issue/controlled-substance-drug-diversion-healthcare-workers-threat-patient-safety
April 05, 2023 - Special or Theme Issue
Controlled substance drug diversion by healthcare workers as a threat to patient safety.
Citation Text:
Controlled substance drug diversion by healthcare workers as a threat to patient safety. ISMP Medication Safety Alert! Acute care edition. February 23, 2023;28(4…
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psnet.ahrq.gov/issue/toward-translation-systems-thinking-methods-patient-safety-practice-assessing-validity-net
April 21, 2021 - Study
Toward the translation of systems thinking methods in patient safety practice: assessing the validity of Net-HARMS and AcciMap.
Citation Text:
Salmon PM, King B, Hulme A, et al. Toward the translation of systems thinking methods in patient safety practice: assessing the validity of…
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psnet.ahrq.gov/issue/hidden-flaws-behind-expert-level-accuracy-multimodal-gpt-4-vision-medicine
March 24, 2019 - Study
Hidden flaws behind expert-level accuracy of multimodal GPT-4 vision in medicine.
Citation Text:
Jin Q, Chen F, Zhou Y, et al. Hidden flaws behind expert-level accuracy of multimodal GPT-4 vision in medicine. NPJ Dig Med. 2024;7(1):190. doi:10.1038/s41746-024-01185-7.
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psnet.ahrq.gov/issue/debriefing-emergency-department-after-clinical-events-practical-guide
November 16, 2022 - Commentary
Debriefing in the emergency department after clinical events: a practical guide.
Citation Text:
Kessler DO, Cheng A, Mullan PC. Debriefing in the Emergency Department After Clinical Events: A Practical Guide. Ann Emerg Med. 2015;65(6):690-698. doi:10.1016/j.annemergmed.2014.10…
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psnet.ahrq.gov/issue/patients-and-physicians-attitudes-regarding-disclosure-medical-errors
March 21, 2017 - Study
Classic
Patients' and physicians' attitudes regarding the disclosure of medical errors.
Citation Text:
Gallagher TH, Waterman AD, Ebers AG, et al. Patients' and physicians' attitudes regarding the disclosure of medical errors. JAMA. 2003;289(8):1001-7.
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psnet.ahrq.gov/issue/adverse-drug-event-rates-high-cost-and-high-use-drugs-intensive-care-unit
April 11, 2012 - Study
Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit.
Citation Text:
Kane-Gill SL, Rea RS, Verrico MM, et al. Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit. Am J Health Syst Pharm. 2006;63(19):1876-81.
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psnet.ahrq.gov/issue/improving-safety-medication-administration-using-interactive-cd-rom-program
February 15, 2011 - Commentary
Improving the safety of medication administration using an interactive CD-ROM program.
Citation Text:
Schneider PJ, Pedersen CA, Montanya KR, et al. Improving the safety of medication administration using an interactive CD-ROM program. Am J Health Syst Pharm. 2006;63(1):59-6…
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psnet.ahrq.gov/issue/harnessing-power-medical-malpractice-data-improve-patient-care
September 25, 2019 - Commentary
Harnessing the power of medical malpractice data to improve patient care.
Citation Text:
Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care. J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393.
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psnet.ahrq.gov/issue/confidential-reporting-patient-safety-events-primary-care-results-multilevel-classification
April 07, 2021 - Study
Confidential reporting of patient safety events in primary care: results from a multilevel classification of cognitive and system factors.
Citation Text:
Kostopoulou O, Delaney B. Confidential reporting of patient safety events in primary care: results from a multilevel classific…
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psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and-institutional-learning
November 16, 2022 - Commentary
Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning.
Citation Text:
Williams EA, Nikolai DA, Ladwig L, et al. Development of "SWARM" as a Model for High Reliability, Rapid Problem Solving, and Institutional Learning. Jt Com…
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psnet.ahrq.gov/issue/clinical-reasoning-assessment-methods-scoping-review-and-practical-guidance
August 15, 2018 - Review
Clinical reasoning assessment methods: a scoping review and practical guidance.
Citation Text:
Daniel M, Rencic J, Durning SJ, et al. Clinical Reasoning Assessment Methods: A Scoping Review and Practical Guidance. Acad Med. 2019;94(6):902-912. doi:10.1097/ACM.0000000000002618.
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psnet.ahrq.gov/node/49535/psn-pdf
May 01, 2007 - Safe organizations put effort
into analyzing the work system and attempting to predict and plan for
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psnet.ahrq.gov/node/50389/psn-pdf
September 25, 2019 - substantial impact on
diagnostic reasoning, and it is important to address the ecosystem of care when analyzing
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psnet.ahrq.gov/web-mm/dropping-ball-despite-integrated-emr
January 07, 2015 - goals, and software [ 11 ]) needs to do, and then designing new systems to achieve those goals, or analyzing
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psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
October 02, 2019 - Residents should have a central role in analyzing and improving these processes.
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psnet.ahrq.gov/web-mm/missing-suction-tip
January 01, 2006 - years of research on human performance in aviation and other industries.( 8 ) When investigating and analyzing
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psnet.ahrq.gov/node/49829/psn-pdf
May 01, 2018 - A systems approach to analyzing and
preventing hospital adverse events.
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psnet.ahrq.gov/perspective/context-intervention
August 05, 2020 - theoretical perspectives, the social sciences also bring methods for systematically collecting and analyzing