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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/efficiency-and-interpretability-text-paging-communication-medical-inpatients-mixed-methods
August 09, 2023 - Study
Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis.
Citation Text:
Mandl KD, Khoong EC. Pagers and Beyond in an Era of Microcommunications—What Is Old Is New Again. JAMA Intern Med. 2017;177(8). doi:10.1001/jamainternmed.20…
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psnet.ahrq.gov/issue/blink-or-think-can-further-reflection-improve-initial-diagnostic-impressions
November 28, 2012 - Study
Blink or think: can further reflection improve initial diagnostic impressions?
Citation Text:
Hess BJ, Lipner RS, Thompson V, et al. Blink or think: can further reflection improve initial diagnostic impressions? Acad Med. 2015;90(1):112-118. doi:10.1097/ACM.0000000000000550.
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psnet.ahrq.gov/issue/using-computerized-virtual-cases-explore-diagnostic-error-practicing-physicians
August 20, 2018 - Study
Using computerized virtual cases to explore diagnostic error in practicing physicians.
Citation Text:
Trowbridge RL, Reilly JB, Clauser JC, et al. Using computerized virtual cases to explore diagnostic error in practicing physicians. Diagnosis (Berl). 2018;5(4):229-233. doi:10.1515…
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psnet.ahrq.gov/issue/many-faces-error-disclosure-common-set-elements-and-definition
December 16, 2009 - Study
Classic
The many faces of error disclosure: a common set of elements and a definition.
Citation Text:
Fein SP, Hilborne LH, Spiritus EM, et al. The many faces of error disclosure: a common set of elements and a definition. J Gen Intern Med. 2007;22(6):75…
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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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www.uspreventiveservicestaskforce.org/home/getfilebytoken/UnktCMhwyLMX5rmYEV-m8c
December 01, 2020 - Screening for Iron Deficiency Anemia and Iron Supplementation in Pregnant Women: USPSTF Literature Surveillance Report
1
U.S. Preventive Services Task Force
Literature Surveillance Report
Title: Screening for iron deficiency anemia and iron supplementation in pregnant women to improve
maternal healt…
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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/incidence-drug-related-adverse-events-related-use-high-alert-drugs-systematic-review
May 20, 2020 - Review
Incidence of drug-related adverse events related to the use of high-alert drugs: a systematic review of randomized controlled trials.
Citation Text:
Menezes MS, Doria GAA, Valença-Feitosa F, et al. Incidence of drug-related adverse events related to the use of high-alert drugs: a …
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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/deficiencies-care-care-coordination-and-facility-response-patient-who-died-suicide-memphis-va
December 16, 2020 - Book/Report
Deficiencies in Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center in Tennessee.
Citation Text:
Deficiencies in Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center i…
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psnet.ahrq.gov/issue/infection-control-deficiencies-were-widespread-and-persistent-nursing-homes-prior-covid-19
April 29, 2020 - Book/Report
Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic.
Citation Text:
Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. Washington, DC: United States Government Accoun…
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psnet.ahrq.gov/issue/characterization-prescribing-errors-internal-medicine-clinic
March 04, 2011 - Study
Characterization of prescribing errors in an internal medicine clinic.
Citation Text:
Devine EB, Wilson-Norton JL, Lawless NM, et al. Characterization of prescribing errors in an internal medicine clinic. Am J Health Syst Pharm. 2007;64(10):1062-70.
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psnet.ahrq.gov/issue/frequency-and-risk-factors-preventable-medication-related-hospital-admissions-netherlands
March 01, 2011 - Study
Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands.
Citation Text:
Leendertse AJ, Egberts ACG, Stoker LJ, et al. Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands. Arch Inte…
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psnet.ahrq.gov/issue/analysis-medication-prescribing-errors-critically-ill-children
March 28, 2012 - Study
Analysis of medication prescribing errors in critically ill children.
Citation Text:
Glanzmann C, Frey B, Meier CR, et al. Analysis of medication prescribing errors in critically ill children. Eur J Pediatr. 2015;174(10):1347-1355. doi:10.1007/s00431-015-2542-4.
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psnet.ahrq.gov/issue/medical-costs-alzheimers-disease-misdiagnosis-among-us-medicare-beneficiaries
August 20, 2018 - Study
Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries.
Citation Text:
Hunter CA, Kirson NY, Desai U, et al. Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries. Alzheimers Dement. 2015;11(8):887-95. doi:10.1016/j.jalz.2015.0…
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psnet.ahrq.gov/issue/drug-related-problems-older-people-after-hospital-discharge-and-interventions-reduce-them
September 13, 2023 - Review
Drug-related problems in older people after hospital discharge and interventions to reduce them.
Citation Text:
Garcia-Caballos M, Ramos-Diaz F, Jimenez-Moleon JJ, et al. Drug-related problems in older people after hospital discharge and interventions to reduce them. Age Ageing.…
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psnet.ahrq.gov/issue/cognitive-errors-detected-anaesthesiology-literature-review-and-pilot-study
November 21, 2012 - Study
Cognitive errors detected in anaesthesiology: a literature review and pilot study.
Citation Text:
Stiegler MP, Neelankavil JP, Canales C, et al. Cognitive errors detected in anaesthesiology: a literature review and pilot study. Br J Anaesth. 2012;108(2):229-35. doi:10.1093/bja/ae…
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psnet.ahrq.gov/issue/development-and-validation-johns-hopkins-disruptive-clinician-behavior-survey
April 24, 2013 - Study
Development and validation of the Johns Hopkins Disruptive Clinician Behavior Survey.
Citation Text:
Dang D, Nyberg D, Walrath JM, et al. Development and Validation of the Johns Hopkins Disruptive Clinician Behavior Survey. Am J Med Qual. 2014;30(5):470-476. doi:10.1177/10628606145…