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psnet.ahrq.gov/issue/assessment-physician-sleep-and-wellness-burnout-and-clinically-significant-medical-errors
January 27, 2021 - Study
Classic
Assessment of physician sleep and wellness, burnout, and clinically significant medical errors.
Citation Text:
Trockel MT, Menon NK, Rowe SG, et al. Assessment of Physician Sleep and Wellness, Burnout, and Clinically Significant Medical Errors. JAM…
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psnet.ahrq.gov/issue/using-hfmea-assess-potential-patient-harm-tubing-misconnections
April 19, 2013 - Commentary
Using HFMEA to assess potential for patient harm from tubing misconnections.
Citation Text:
Kimehi-Woods J, Shultz JP. Using HFMEA to assess potential for patient harm from tubing misconnections. Jt Comm J Qual Patient Saf. 2006;32(7):373-381.
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psnet.ahrq.gov/issue/assessing-safety-new-clinical-decision-support-system-national-helpline
February 08, 2023 - Study
Assessing the safety of a new clinical decision support system for a national helpline.
Citation Text:
Luckraj N, Strazzari R, Coiera E, et al. Assessing the safety of a new clinical decision support system for a national helpline. Stud Health Technol Inform. 2024;310:514-518. doi:…
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psnet.ahrq.gov/issue/assessment-wearable-fall-prevention-system-veterans-health-administration-hospital
October 19, 2022 - Study
Assessment of a wearable fall prevention system at a Veterans Health Administration hospital.
Citation Text:
Osborne TF, Veigulis ZP, Arreola DM, et al. Assessment of a wearable fall prevention system at a veterans health administration hospital. Digit Health. 2023;9:20552076231187…
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psnet.ahrq.gov/issue/assessment-healthcare-professionals-knowledge-managing-emergency-complications-patients
March 14, 2018 - Slideset
Assessment of healthcare professionals' knowledge of managing emergency complications in patients with a tracheostomy.
Citation Text:
Casserly P, Lang E, Fenton JE, et al. Assessment of healthcare professionals' knowledge of managing emergency complications in patients with a …
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psnet.ahrq.gov/issue/assessment-automating-safety-surveillance-electronic-health-records-analysis-quality-and
October 17, 2018 - Study
Assessment of automating safety surveillance from electronic health records: analysis for the quality and safety review system.
Citation Text:
Fong A, Adams KT, Samarth A, et al. Assessment of Automating Safety Surveillance From Electronic Health Records: Analysis for the Quality a…
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psnet.ahrq.gov/issue/exploring-new-avenues-assess-sharp-end-patient-safety-analysis-nationally-aggregated-peer
December 21, 2014 - Study
Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data.
Citation Text:
Meeks DW, Meyer AND, Rose B, et al. Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer revi…
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psnet.ahrq.gov/issue/applying-high-reliability-health-care-maturity-model-assess-hospital-performance-va-case
December 19, 2014 - Study
Applying the high reliability health care maturity model to assess hospital performance: a VA case study.
Citation Text:
Sullivan JL, Rivard PE, Shin MH, et al. Applying the High Reliability Health Care Maturity Model to Assess Hospital Performance: A VA Case Study. Jt Comm J Qual …
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psnet.ahrq.gov/issue/development-and-pilot-evaluation-electronic-health-record-usability-and-safety-self
December 21, 2022 - Study
Development and pilot evaluation of an electronic health record usability and safety self-assessment tool.
Citation Text:
Pruitt Z, Howe JL, Krevat S, et al. Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. JAMIA Open. 2022;…
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psnet.ahrq.gov/issue/poison-information-centre-can-provide-important-assessment-and-guidance-regarding-medication
May 11, 2022 - Study
A poison information centre can provide important assessment and guidance regarding medication errors in nursing homes: a prospective cohort study.
Citation Text:
Vinther S, Bøgevig S, Eriksen KR, et al. A poison information centre can provide important assessment and guidance rega…
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psnet.ahrq.gov/issue/measuring-teamwork-performance-teams-crisis-situations-systematic-review-assessment-tools-and
November 04, 2020 - Review
Emerging Classic
Measuring the teamwork performance of teams in crisis situations: a systematic review of assessment tools and their measurement properties.
Citation Text:
Boet S, Etherington N, Larrigan S, et al. Measuring the teamwork performance of tea…
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psnet.ahrq.gov/issue/national-assessment-patient-safety-curricula-undergraduate-medical-education-results-2012
June 07, 2023 - Study
A national assessment on patient safety curricula in undergraduate medical education: results from the 2012 clerkship directors in internal medicine survey.
Citation Text:
Jain CC, Aiyer MK, Murphy EJ, et al. A national assessment on patient safety curricula in undergraduate medica…
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psnet.ahrq.gov/issue/assessment-unintentional-duplicate-orders-emergency-department-clinicians-and-after
October 19, 2022 - Study
Assessment of unintentional duplicate orders by emergency department clinicians before and after implementation of a visual aid in the electronic health record ordering system.
Citation Text:
Horng S, Joseph JW, Calder S, et al. Assessment of Unintentional Duplicate Orders by Emerg…
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psnet.ahrq.gov/issue/multi-site-assessment-inpatient-safety-event-rates-during-coronavirus-disease-2019-pandemic
May 25, 2022 - Commentary
A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic.
Citation Text:
Pollock BD, Dykhoff HJ, Breeher LE, et al. A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. Mayo Clin Proc …
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psnet.ahrq.gov/node/33593/psn-pdf
June 15, 2024 - Measurement of Patient Safety
June 15, 2024
Measurement of Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/measurement-patient-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient …
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psnet.ahrq.gov/node/73490/psn-pdf
July 14, 2021 - Use of prescribing safety quality improvement reports in
UK general practices: a qualitative assessment.
July 14, 2021
Khan NF, Booth HP, Myles P, et al. Use of prescribing safety quality improvement reports in UK general
practices: a qualitative assessment. BMC Health Serv Res. 2021;21(1). doi:10.1186/s12913-021-0…
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psnet.ahrq.gov/node/60645/psn-pdf
July 01, 2020 - How health care systems let our patients down: a
systematic review into suicide deaths.
July 1, 2020
Wyder M, Ray MK, Roennfeldt H, et al. How health care systems let our patients down: a systematic review
into suicide deaths. Int J Qual Health Care. 2020;32(5):285-291. doi:10.1093/intqhc/mzaa011.
https://psnet.ah…
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psnet.ahrq.gov/node/49585/psn-pdf
May 01, 2009 - Delirium or Dementia?
May 1, 2009
Rudolph JL. Delirium or Dementia? PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/delirium-or-dementia
Case Objectives
State the key diagnostic differences between delirium and dementia.
Describe the Confusion Assessment Method for workup of suspected delirium.
Explain the…
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psnet.ahrq.gov/issue/covid-19-assessing-risk-public-protection-posed-doctor-result-concerns-about-their-practice
July 15, 2015 - Book/Report
Covid-19: Assessing the Risk to Public Protection Posed by a Doctor as a Result of Concerns about their Practice during the Pandemic.
Citation Text:
Covid-19: Assessing the Risk to Public Protection Posed by a Doctor as a Result of Concerns about their Practice during the Pan…
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psnet.ahrq.gov/issue/forgive-and-forget-recognition-error-and-use-apology-preemptive-steps-adr-or-litigation
July 24, 2018 - Commentary
Forgive and forget: recognition of error and use of apology as preemptive steps to ADR or litigation in medical malpractice cases.
Citation Text:
Forgive and forget: recognition of error and use of apology as preemptive steps to ADR or litigation in medical malpractice cases…