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psnet.ahrq.gov/issue/effectiveness-toyota-process-redesign-reducing-thyroid-gland-fine-needle-aspiration-error
June 14, 2011 - Study
Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration error.
Citation Text:
Raab SS, Grzybicki DM, Sudilovsky D, et al. Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration error. Am J Clin Pathol. 2006;126(…
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psnet.ahrq.gov/issue/obstetrics-and-gynecologic-hospitalists-and-their-focus-impact-safety-and-quality-metrics
July 19, 2023 - Commentary
Obstetrics and gynecologic hospitalists and their focus: impact on safety and quality metrics.
Citation Text:
Gonzalez AK, Butler JR. Obstetrics and gynecologic hospitalists and their focus: impact on safety and quality metrics. Obstet Gynecol Clin North Am. 2024;51(3):453-461…
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psnet.ahrq.gov/issue/crowdsourcing-diagnosis-patients-undiagnosed-illnesses-evaluation-crowdmed
November 13, 2024 - Study
Crowdsourcing diagnosis for patients with undiagnosed illnesses: an evaluation of CrowdMed.
Citation Text:
Meyer AND, Longhurst CA, Singh H. Crowdsourcing Diagnosis for Patients With Undiagnosed Illnesses: An Evaluation of CrowdMed. J Med Internet Res. 2016;18(1):e12. doi:10.2196/j…
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psnet.ahrq.gov/issue/placing-patient-safety-heart-value-based-healthcare
February 15, 2023 - Commentary
Placing patient safety at the heart of value-based healthcare.
Citation Text:
La Regina M, Federici L, Bianco A, et al. Placing patient safety at the heart of value-based healthcare. Int J Qual Health Care. 2024;36(3):mzae087. doi:10.1093/intqhc/mzae087.
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psnet.ahrq.gov/issue/hidden-plain-sight-reconsidering-use-race-correction-clinical-algorithms
September 23, 2020 - Commentary
Classic
Hidden in plain sight — reconsidering the use of race correction in clinical algorithms.
Citation Text:
Vyas DA, Eisenstein LG, Jones DS. Hidden in plain sight — reconsidering the use of race correction in clinical algorithms. N Engl J Med. 20…
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psnet.ahrq.gov/issue/covid-19-nursing-homes-cms-needs-continue-strengthen-oversight-infection-prevention-and
October 26, 2022 - Book/Report
COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control.
Citation Text:
COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. Washington, DC: United States Government …
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psnet.ahrq.gov/issue/second-victim-casualties-and-how-physician-leaders-can-help
August 28, 2024 - Newspaper/Magazine Article
"Second victim" casualties and how physician leaders can help.
Citation Text:
MacLeod L. "Second victim" casualties and how physician leaders can help. Physician Exect. 2014;40(1):8-12.
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psnet.ahrq.gov/issue/new-professionalism-surgical-residents-duty-hours-restrictions-and-shift-transitions
October 19, 2022 - Study
A new professionalism? Surgical residents, duty hours restrictions, and shift transitions.
Citation Text:
Coverdill JE, Carbonell AM, Fryer J, et al. A new professionalism? Surgical residents, duty hours restrictions, and shift transitions. Acad Med. 2010;85(10 Suppl):S72-5. doi:1…
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psnet.ahrq.gov/issue/national-quality-forum-safe-practice-standard-computerized-physician-order-entry-updating
December 18, 2013 - Review
The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice.
Citation Text:
Kilbridge PM, Classen D, Bates DW, et al. The National Quality Forum Safe Practice Standard for Computerized Physician Order Entr…
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psnet.ahrq.gov/issue/interns-overestimate-effectiveness-their-hand-communication
March 02, 2011 - Study
Interns overestimate the effectiveness of their hand-off communication.
Citation Text:
Chang VY, Arora V, Lev-Ari S, et al. Interns overestimate the effectiveness of their hand-off communication. Pediatrics. 2010;125(3):491-496. doi:10.1542/peds.2009-0351.
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psnet.ahrq.gov/issue/implementation-cpoe-and-medication-errors
July 18, 2012 - Commentary
Implementation, CPOE, and medication errors.
Citation Text:
Bradley V. Implementation, CPOE, and medication errors. Comput Inform Nurs. 2005;23(3):113-114, 138.
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psnet.ahrq.gov/issue/stakeholder-challenges-purchasing-medical-devices-patient-safety
February 03, 2021 - Study
Stakeholder challenges in purchasing medical devices for patient safety.
Citation Text:
Hinrichs S, Dickerson T, Clarkson J. Stakeholder challenges in purchasing medical devices for patient safety. J Patient Saf. 2013;9(1):36-43. doi:10.1097/PTS.0b013e3182773306.
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psnet.ahrq.gov/issue/contribution-sociotechnical-factors-health-information-technology-related-sentinel-events
September 18, 2024 - Study
The contribution of sociotechnical factors to health information technology–related sentinel events.
Citation Text:
Castro GM, Buczkowski L, Hafner JM. The Contribution of Sociotechnical Factors to Health Information Technology-Related Sentinel Events. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/issue/training-quality-and-safety-current-landscape
July 03, 2016 - Commentary
Training in quality and safety: the current landscape.
Citation Text:
Karasick AS, Nash DB. Training in quality and safety: the current landscape. Am J Med Qual. 2015;30(6):526-38. doi:10.1177/1062860614544194.
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psnet.ahrq.gov/issue/development-expert-system-classification-medical-errors
June 22, 2009 - Commentary
Development of an expert system for classification of medical errors.
Citation Text:
Kopec D, Levy K, Kabir M, et al. Development of an expert system for classification of medical errors. Stud Health Technol Inform. 2005;114:110-6.
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psnet.ahrq.gov/issue/root-cause-analysis-project-medication-safety-course
October 07, 2020 - Commentary
A root cause analysis project in a medication safety course.
Citation Text:
Schafer JJ. A root cause analysis project in a medication safety course. Am J Pharm Educ. 2012;76(6):116. doi:10.5688/ajpe766116.
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psnet.ahrq.gov/issue/intrahospital-patient-transport-checklists-adverse-events-and-other-considerations-anesthesia
April 24, 2019 - Newspaper/Magazine Article
Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia professional.
Citation Text:
Andrew C, Fitzsimons M. Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesi…
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psnet.ahrq.gov/issue/data-collection-adverse-events-reporting-us-dental-schools
December 22, 2021 - Study
Data collection for adverse events reporting by US dental schools.
Citation Text:
Rooney D, Barrett K, Bufford B, et al. Data collection for adverse events reporting by US dental schools. J Patient Saf. 2020;16(3):e126-e130. doi:10.1097/pts.0000000000000281.
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psnet.ahrq.gov/node/43658/psn-pdf
December 19, 2014 - https://psnet.ahrq.gov/primer/handoffs-and-signouts
https://psnet.ahrq.gov/issue/interprofessional-approaches-patient-safety
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psnet.ahrq.gov/node/44702/psn-pdf
December 16, 2015 - that contribute to alarm
fatigue, this review outlines technical, organizational, and educational approaches