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psnet.ahrq.gov/issue/electronic-detection-delayed-test-result-follow-patients-hypothyroidism
September 27, 2017 - Study
Electronic detection of delayed test result follow-up in patients with hypothyroidism.
Citation Text:
Meyer AND, Murphy DR, Al-Mutairi A, et al. Electronic Detection of Delayed Test Result Follow-Up in Patients with Hypothyroidism. J Gen Intern Med. 2017;32(7). doi:10.1007/s11606-0…
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psnet.ahrq.gov/issue/prevalence-inappropriate-antibiotic-prescriptions-among-us-ambulatory-care-visits-2010-2011
November 12, 2014 - Study
Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010–2011.
Citation Text:
Fleming-Dutra KE, Hersh AL, Shapiro DJ, et al. Prevalence of Inappropriate Antibiotic Prescriptions Among US Ambulatory Care Visits, 2010-2011. JAMA. 2016;315(17):1864-18…
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psnet.ahrq.gov/issue/association-simulation-training-rates-medical-malpractice-claims-among-obstetrician
December 02, 2020 - Study
Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists.
Citation Text:
Schaffer AC, Babayan A, Einbinder JS, et al. Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. Ob…
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psnet.ahrq.gov/issue/improving-medication-reconciliation-outpatient-setting
August 31, 2011 - Study
Improving medication reconciliation in the outpatient setting.
Citation Text:
Varkey P, Cunningham J, Bisping S. Improving medication reconciliation in the outpatient setting. Jt Comm J Qual Patient Saf. 2007;33(5):286-92.
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psnet.ahrq.gov/issue/systems-approach-suicide-prevention-strengthening-culture-practice-and-education
July 10, 2024 - Commentary
Systems approach to suicide prevention: strengthening culture, practice, and education.
Citation Text:
Pisani AR, Boudreaux ED. Systems approach to suicide prevention: strengthening culture, practice, and education. Focus (Am Psychiatr Publ). 2023;21(2):152-159. doi:10.1176/ap…
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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/comparison-clinical-diagnosis-and-subsequent-autopsy-findings-medical-malpractice
February 21, 2015 - Study
Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice.
Citation Text:
Pakis I, Polat O, Yayci N, et al. Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. Am J Forensic Med Pathol. 2010;31(3):218-21. …
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psnet.ahrq.gov/issue/redesign-health-care-systems-reduce-diagnostic-errors-leveraging-human-experience-and
December 04, 2016 - Commentary
Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence.
Citation Text:
Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. J Clin Outcomes M…
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psnet.ahrq.gov/issue/dual-process-models-clinical-reasoning-central-role-knowledge-diagnostic-expertise
March 08, 2017 - Commentary
Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise.
Citation Text:
Norman G, Pelaccia T, Wyer P, et al. Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise. J Eval Clin Pract. 2024;30(5)…
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psnet.ahrq.gov/issue/towards-framework-managing-risk-associated-technology-induced-error
May 10, 2013 - Commentary
Towards a framework for managing risk associated with technology-induced error.
Citation Text:
Borycki EM, Kushniruk AW. Towards a Framework for Managing Risk Associated with Technology-Induced Error. Stud Health Technol Inform. 2017;234:42-48.
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psnet.ahrq.gov/issue/etiology-diagnostic-errors-controlled-trial-system-1-versus-system-2-reasoning
July 02, 2014 - Study
The etiology of diagnostic errors: a controlled trial of System 1 versus System 2 reasoning.
Citation Text:
Norman GR, Sherbino J, Dore KL, et al. The etiology of diagnostic errors: a controlled trial of system 1 versus system 2 reasoning. Acad Med. 2014;89(2):277-84. doi:10.1097…
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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/reducing-risk-and-promoting-patient-safety-nih-intramural-clinical-research-draft-report
November 18, 2020 - Book/Report
Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report.
Citation Text:
Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. The Clinical Center Working Group Report to the Advisory Committee to the…
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psnet.ahrq.gov/issue/measurement-essential-improving-diagnosis-and-reducing-diagnostic-error-report-institute
January 23, 2017 - Commentary
Classic
Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine.
Citation Text:
McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing Diagnostic…
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psnet.ahrq.gov/issue/qualitative-survey-factors-shaping-role-safety-professional
August 12, 2020 - Study
A qualitative survey of factors shaping the role of a safety professional.
Citation Text:
Van Wassenhove W, Foussard C, Dekker SWA, et al. A qualitative survey of factors shaping the role of a safety professional. Safety Sci. 2022;154:105835. doi:10.1016/j.ssci.2022.105835.
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psnet.ahrq.gov/issue/proactive-patient-safety-focusing-what-goes-right-perioperative-environment
April 26, 2023 - Study
Proactive patient safety: focusing on what goes right in the perioperative environment.
Citation Text:
Duffy C, Menon N, Horak D, et al. Proactive patient safety: focusing on what goes right in the perioperative environment. J Patient Saf. 2023;19(4):281-286. doi:10.1097/pts.000000…
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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/nursing-crew-resource-management-follow-report-veterans-health-administration
September 27, 2016 - Commentary
Nursing crew resource management: a follow-up report from the Veterans Health Administration.
Citation Text:
Sculli GL, Fore AM, West P, et al. Nursing crew resource management: a follow-up report from the Veterans Health Administration. J Nurs Adm. 2013;43(3):122-6. doi:10.1…
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psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-incorrect-surgery
July 16, 2015 - Study
Sharing lessons learned to prevent incorrect surgery.
Citation Text:
Neily J, Mills PD, Paull DE, et al. Sharing lessons learned to prevent incorrect surgery. Am Surg. 2012;78(11):1276-1280.
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psnet.ahrq.gov/issue/error-codes-autopsy-study-potential-biases-diagnostic-error
November 30, 2012 - Study
Error codes at autopsy to study potential biases in diagnostic error.
Citation Text:
Goldman BI, Bharadwaj R, Fuller M, et al. Error codes at autopsy to study potential biases in diagnostic error. Diagnosis (Berl). 2023;10(4):375-382. doi:10.1515/dx-2023-0010.
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