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psnet.ahrq.gov/issue/misdiagnosis-and-failure-diagnose-emergency-care-causes-and-empathy-solution
August 04, 2021 - Commentary
Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution.
Citation Text:
Pelaccia T, Messman AM, Kline JA. Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution. Patient Edu Couns. 2020;103(8):1650-1656. doi:10…
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psnet.ahrq.gov/issue/does-clinical-supervision-health-professionals-improve-patient-safety-systematic-review-and
August 04, 2021 - Review
Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis.
Citation Text:
Snowdon DA, Hau R, Leggat SG, et al. Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis. Int…
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psnet.ahrq.gov/issue/unexpected-increased-mortality-after-implementation-commercially-sold-computerized-physician
September 23, 2020 - Study
Classic
Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system.
Citation Text:
Han YY, Carcillo JA, Venkataraman ST, et al. Unexpected increased mortality after implementation of a commerciall…
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psnet.ahrq.gov/issue/complication-rates-hospital-size-and-bias-cms-hospital-acquired-condition-reduction-program
October 19, 2022 - Study
Complication rates, hospital size, and bias in the CMS Hospital-Acquired Condition Reduction Program.
Citation Text:
Koenig L, Soltoff SA, Demiralp B, et al. Complication Rates, Hospital Size, and Bias in the CMS Hospital-Acquired Condition Reduction Program. Am J Med Qual. 2017;32…
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psnet.ahrq.gov/issue/chatgpt-can-you-help-me-save-my-childs-life-diagnostic-accuracy-and-supportive-capabilities
February 01, 2023 - Study
"ChatGPT, can you help me save my child's life?" - Diagnostic accuracy and supportive capabilities to lay rescuers by ChatGPT in prehospital basic life support and paediatric advanced life support cases - an in-silico analysis.
Citation Text:
Bushuven S, Bentele M, Bentele S, et al…
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psnet.ahrq.gov/issue/impact-work-schedules-senior-resident-physicians-patient-and-resident-physician-safety
May 25, 2022 - Study
Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study.
Citation Text:
Barger LK, Weaver MD, Sullivan JP, et al. Impact of work schedules of senior resident physicians on patient and resident physician s…
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psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety
Lucy A. Savitz, MBA, PhD; Zoe Sousane, BS; Sarah E. Mossburg, RN, PhD | February 26, 2025
Also Read the Essay
View more articles from the same authors.
Citation Text:
Savitz LA, S…
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psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - Learning Health Systems for Patient Safety
Lucy A. Savitz, MBA, PhD; Zoe Sousane, BS; Sarah E. Mossburg, RN, PhD | February 26, 2025
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Savitz LA, Sousane Z, Mossburg SE. Learning …
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psnet.ahrq.gov/node/33756/psn-pdf
October 01, 2013 - In Conversation With… Rebecca Smith-Bindman, MD
October 1, 2013
In Conversation With… Rebecca Smith-Bindman, MD. PSNet [internet]. 2013.
https://psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
Editor's note: Rebecca Smith-Bindman, MD, is professor in residence at the University of California, San
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psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_a_cognitive_and_communication_blind_spot_slides.pptx
January 01, 2024 - associated with anticoagulation, studies of patients at risk for venous thromboembolism do not provide clear answers
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psnet.ahrq.gov/issue/performance-trigger-tool-identifying-adverse-events-oncology
May 23, 2018 - Study
Performance of a trigger tool for identifying adverse events in oncology.
Citation Text:
Lipitz-Snyderman A, Classen D, Pfister D, et al. Performance of a Trigger Tool for Identifying Adverse Events in Oncology. J Oncol Pract. 2017;13(3). doi:10.1200/jop.2016.016634.
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psnet.ahrq.gov/issue/critical-appraisal-ahrqs-diagnostic-errors-report
July 13, 2016 - Commentary
A critical appraisal of AHRQ's "Diagnostic Errors" report.
Citation Text:
Carpenter C, Jotte R, Griffey RT, et al. A critical appraisal of AHRQ's "Diagnostic Errors" report. Mo Med. 2023;120(2):114-120.
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Format:
Google Scholar BibTeX EndNote X3 XML E…
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psnet.ahrq.gov/issue/effect-emergency-department-boarding-order-completion
January 29, 2018 - Study
The effect of emergency department boarding on order completion.
Citation Text:
Coil CJ, Flood JD, Belyeu BM, et al. The Effect of Emergency Department Boarding on Order Completion. Ann Emerg Med. 2016;67(6):730-736.e2. doi:10.1016/j.annemergmed.2015.09.018.
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For…
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psnet.ahrq.gov/issue/medicares-decision-withhold-payment-hospital-errors-devil-details
March 13, 2013 - Commentary
Classic
Medicare's decision to withhold payment for hospital errors: the devil is in the details.
Citation Text:
Wachter R, Foster NE, Dudley A. Medicare's decision to withhold payment for hospital errors: the devil is in the det. Jt Comm J Qual Patie…
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psnet.ahrq.gov/issue/making-move-using-simulation-identify-latent-safety-threats-care-injured-patients-new
December 30, 2014 - Commentary
Making a move: using simulation to identify latent safety threats before the care of injured patients in a new physical space.
Citation Text:
Kotagal M, Falcone RA, Daugherty M, et al. Making a move: Using simulation to identify latent safety threats before the care of injured…
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psnet.ahrq.gov/issue/relationship-between-patient-safety-climate-and-standard-precaution-adherence-systematic
February 13, 2019 - Review
Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature.
Citation Text:
Hessels AJ, Larson EL. Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature. J Hosp …
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psnet.ahrq.gov/issue/effect-therapeutic-interchange-medication-reconciliation-during-hospitalization-and-upon
November 20, 2013 - Study
Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population.
Citation Text:
Wang JS, Fogerty RL, Horwitz LI. Effect of therapeutic interchange on medication reconciliation during hospitalization and upon dischar…
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psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-medication-errors-intensive-care-units-prospective
March 29, 2012 - Study
Incidence of adverse drug events and medication errors in intensive care units: a prospective multicenter study.
Citation Text:
Benkirane RR, Abouqal R, R-Abouqal R, et al. Incidence of adverse drug events and medication errors in intensive care units: a prospective multicenter s…
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psnet.ahrq.gov/issue/joint-commissions-ongoing-professional-practice-evaluation-process-costly-ineffective-and
July 01, 2017 - Study
The Joint Commission's ongoing professional practice evaluation process: costly, ineffective, and potentially harmful to safety culture.
Citation Text:
Donnelly LF, Podberesky DJ, Towbin AJ, et al. The Joint Commission's ongoing professional practice evaluation process: costly, ine…
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psnet.ahrq.gov/issue/operational-rounds-practical-administrative-process-improve-safety-and-clinical-services
May 12, 2010 - Commentary
Operational rounds: a practical administrative process to improve safety and clinical services in radiology.
Citation Text:
Donnelly LF, Dickerson JM, Lehkamp TW, et al. IRQN award paper: Operational rounds: a practical administrative process to improve safety and clinical s…