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psnet.ahrq.gov/web-mm/misleading-complaint
December 01, 2009 - Misleading Complaint
Citation Text:
Soni K, Dhaliwal G. Misleading Complaint. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
January 31, 2024 - Annual Perspective
Improving Diagnostic Safety and Quality
Jawad Al-Khafaji, MD, MHSA, Merton Lee, PhD, PharmD, Sarah Mossburg, RN, PhD
| April 26, 2023
View more articles from the same authors.
Citation Text:
Al-Khafaji J, Lee M, Mossburg S. Improving Di…
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psnet.ahrq.gov/node/848107/psn-pdf
April 26, 2023 - Improving Diagnostic Safety and Quality
April 26, 2023
Al-Khafaji J, Lee M, Mossburg S. Improving Diagnostic Safety and Quality . PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
Introduction
During an annual editorial review of featured articles in the Agency for …
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psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
January 01, 2016 - learned is that IOM reports tend to stay at a very high level, and it's up to the stakeholders to start analyzing
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psnet.ahrq.gov/node/49480/psn-pdf
May 01, 2005 - care are considered, and that clinical practitioners rarely fully appreciate their own limitations
in analyzing
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psnet.ahrq.gov/web-mm/production-pressures
November 16, 2022 - Safe organizations put effort into analyzing the work system and attempting to predict and plan for workload
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psnet.ahrq.gov/issue/variations-gps-decisions-investigate-suspected-lung-cancer-factorial-experiment-using
August 03, 2022 - Study
Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia vignettes.
Citation Text:
Sheringham J, Sequeira R, Myles J, et al. Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia …
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psnet.ahrq.gov/issue/providing-feedback-following-leadership-walkrounds-associated-better-patient-safety-culture
February 01, 2023 - Study
Classic
Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout.
Citation Text:
Sexton B, Adair KC, Leonard MW, et al. Providing feedback following Leadership WalkRou…
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psnet.ahrq.gov/innovation/clinician-collaboration-improve-clinical-decision-support-clickbusters-initiative
October 21, 2020 - EMERGING INNOVATIONS
Clinician collaboration to improve clinical decision support: the Clickbusters initiative.
Citation Text:
Clinician collaboration to improve clinical decision support: the Clickbusters initiative. Mc Coy AB, Russo EM, Johnson KB, et al. Clinician collaboration to improve clini…
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psnet.ahrq.gov/issue/influence-opioid-prescription-policy-overdoses-and-related-adverse-effects-primary-care
March 24, 2021 - Study
Influence of opioid prescription policy on overdoses and related adverse effects in a primary care population.
Citation Text:
Harder VS, Plante TB, Koh I, et al. Influence of opioid prescription policy on overdoses and related adverse effects in a primary care population. J Gen Int…
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psnet.ahrq.gov/issue/patient-safety-and-telephone-medicine-some-lessons-closed-claim-case-review
May 18, 2022 - Study
Patient safety and telephone medicine: some lessons from closed claim case review.
Citation Text:
Katz HP, Kaltsounis D, Halloran L, et al. Patient safety and telephone medicine : some lessons from closed claim case review. J Gen Intern Med. 2008;23(5):517-22. doi:10.1007/s11606-…
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psnet.ahrq.gov/issue/serious-misdiagnosis-related-harms-malpractice-claims-big-three-vascular-events-infections
July 28, 2023 - Study
Emerging Classic
Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular events, infections, and cancers.
Citation Text:
Newman-Toker DE, Schaffer AC, Yu-Moe CW, et al. Serious misdiagnosis-related harms in malpractice claims: T…
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psnet.ahrq.gov/issue/electronic-health-record-usability-issues-and-potential-contribution-patient-harm
July 07, 2021 - Study
Classic
Electronic health record usability issues and potential contribution to patient harm.
Citation Text:
Howe JL, Adams KT, Hettinger Z, et al. Electronic Health Record Usability Issues and Potential Contribution to Patient Harm. JAMA. 2018;319(12):127…
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psnet.ahrq.gov/issue/can-patient-safety-incident-reports-be-used-compare-hospital-safety-results-quantitative
October 31, 2014 - Study
Can patient safety incident reports be used to compare hospital safety? Results from a quantitative analysis of the English National Reporting and Learning System data.
Citation Text:
Howell A-M, Burns EM, Bouras G, et al. Can Patient Safety Incident Reports Be Used to Compare Hosp…
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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/physician-intent-pharmacy-label-prevalence-and-description-discrepancies-cross-sectional
July 22, 2020 - Study
From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-sectional evaluation of electronic prescriptions.
Citation Text:
Cochran GL, Klepser DG, Morien M, et al. From physician intent to the pharmacy label: prevalence and description o…
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psnet.ahrq.gov/issue/learning-patient-safety-incidents-involving-acutely-sick-adults-hospital-assessment-units
November 11, 2020 - Study
Learning from patient safety incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods analysis for quality improvement.
Citation Text:
Urquhart A, Yardley S, Thomas E, et al. Learning from patient safety incidents involving acutely …
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psnet.ahrq.gov/issue/patient-safety-incidents-involving-sick-children-primary-care-england-and-wales-mixed-methods
October 12, 2016 - Study
Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods analysis.
Citation Text:
Rees P, Edwards A, Powell C, et al. Patient Safety Incidents Involving Sick Children in Primary Care in England and Wales: A Mixed Methods Analysis. PLoS …
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psnet.ahrq.gov/issue/process-failures-increase-risk-infection-through-respiratory-droplets-study-patient-safety
March 24, 2021 - Study
Process failures that increase the risk of infection through respiratory droplets: a study of patient safety events reported by hospitals across Pennsylvania.
Citation Text:
Harper A, Kukielka E, Jones RM. Process failures that increase the risk of infection through respiratory dro…
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psnet.ahrq.gov/issue/mitigation-patient-harm-testing-errors-family-medicine-offices-report-american-academy-family
June 11, 2008 - Study
Mitigation of patient harm from testing errors in family medicine offices: a report from the American Academy of Family Physicians National Research Network.
Citation Text:
Graham DG, Harris DM, Elder NC, et al. Mitigation of patient harm from testing errors in family medicine of…