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psnet.ahrq.gov/issue/comparative-accuracy-diagnosis-collective-intelligence-multiple-physicians-vs-individual
January 23, 2017 - Study
Emerging Classic
Comparative accuracy of diagnosis by collective intelligence of multiple physicians vs individual physicians.
Citation Text:
Barnett ML, Boddupalli D, Nundy S, et al. Comparative Accuracy of Diagnosis by Collective Intelligence of Multiple…
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psnet.ahrq.gov/issue/safe-sound-patient-safety-meets-evidence-based-medicine
March 13, 2013 - Commentary
Classic
Safe but sound: patient safety meets evidence-based medicine.
Citation Text:
Shojania KG, Duncan BW, McDonald KM, et al. Safe but Sound. JAMA. 2003;288(4):508-513. doi:10.1001/jama.288.4.508.
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psnet.ahrq.gov/issue/do-falls-and-other-safety-issues-occur-more-often-during-handovers-when-nurses-are-away
January 08, 2020 - Study
Do falls and other safety issues occur more often during handovers when nurses are away from patients? Findings from a retrospective study design.
Citation Text:
Demaria J, Valent F, Danielis M, et al. Do falls and other safety issues occur more often during handovers when nurses a…
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psnet.ahrq.gov/issue/artificial-intelligence-identifying-prevention-medication-incidents-causing-serious-or
March 11, 2020 - Study
Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident reporters' views.
Citation Text:
Härkänen M, Haatainen K, Vehviläinen-Julkunen K, et al. Artificial intelligence for identifying the preventio…
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psnet.ahrq.gov/issue/evaluation-communication-and-safety-behaviors-during-hospital-wide-code-response-simulation
February 23, 2022 - Study
Evaluation of communication and safety behaviors during hospital-wide code response simulation.
Citation Text:
Ren DM, Abrams A, Banigan M, et al. Evaluation of communication and safety behaviors during hospital-wide code response simulation. Simul Healthc. 2022;17(1):e45-e50. doi:…
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psnet.ahrq.gov/issue/physicians-views-interventions-reduce-medical-errors-does-evidence-effectiveness-matter
February 18, 2011 - Study
Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter?
Citation Text:
Rosen AB, Blendon RJ, DesRoches CM, et al. Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? Acad Med. 2005;80(2):1…
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psnet.ahrq.gov/issue/patterns-medication-incidents-10-yr-experience-cross-national-anaesthesia-incident-reporting
January 15, 2025 - Study
Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting system.
Citation Text:
Sanduende-Otero Y, Villalón-Coca J, Romero-García E, et al. Patterns in medication incidents: A 10-yr experience of a cross-national anaesthesia incident r…
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psnet.ahrq.gov/issue/explaining-organisational-responses-board-level-quality-improvement-intervention-findings
November 21, 2017 - Study
Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service.
Citation Text:
Jones L, Pomeroy L, Robert G, et al. Explaining organisational responses to a board-level quali…
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psnet.ahrq.gov/issue/developing-process-measure-actual-harm-medication-errors-paediatric-inpatients-design
January 18, 2023 - Study
Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation.
Citation Text:
Mumford V, Raban MZ, Li L, et al. Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to i…
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psnet.ahrq.gov/issue/hospital-staff-reports-coworker-positive-and-unprofessional-behaviours-across-eight-hospitals
May 01, 2024 - Study
Hospital staff reports of coworker positive and unprofessional behaviours across eight hospitals: who reports what about whom?
Citation Text:
Urwin R, Pavithra A, Mcmullan RD, et al. Hospital staff reports of coworker positive and unprofessional behaviours across eight hospitals: w…
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psnet.ahrq.gov/issue/changes-medical-errors-after-implementation-handoff-program
April 24, 2018 - Study
Classic
Changes in medical errors after implementation of a handoff program.
Citation Text:
Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.105…
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psnet.ahrq.gov/issue/how-effective-are-electronic-medication-systems-reducing-medication-error-rates-and
August 26, 2020 - Review
Emerging Classic
How effective are electronic medication systems in reducing medication error rates and associated harm among hospital inpatients? A systematic review and meta-analysis.
Citation Text:
Gates PJ, Hardie R-A, Raban MZ, et al. How effective a…
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psnet.ahrq.gov/issue/implementing-root-cause-analysis-and-action-integrating-human-factors-create-strong
December 23, 2020 - Study
Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm.
Citation Text:
Wolf L, Gorman K, Clark J, et al. Implementing root cause analysis and action: integrating human factors to create strong interventi…
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psnet.ahrq.gov/issue/prevalence-and-characteristics-physicians-prone-malpractice-claims
April 03, 2019 - Study
Classic
Prevalence and characteristics of physicians prone to malpractice claims.
Citation Text:
Studdert DM, Bismark M, Mello MM, et al. Prevalence and Characteristics of Physicians Prone to Malpractice Claims. New Engl J Med. 2016;374(4):354-362. doi:10.…
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psnet.ahrq.gov/issue/using-radiofrequency-technology-prevent-retained-sponges-and-improve-patient-outcomes
November 25, 2020 - Study
Using radiofrequency technology to prevent retained sponges and improve patient outcomes.
Citation Text:
Primiano M, Sparks D, Murphy J, et al. Using radiofrequency technology to prevent retained sponges and improve patient outcomes. AORN J. 2020;112(4):345-352. doi:10.1002/aorn.13…
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psnet.ahrq.gov/issue/eliminating-central-line-associated-bloodstream-infections-national-patient-safety-imperative
March 21, 2012 - Study
Eliminating central line-associated bloodstream infections: a national patient safety imperative.
Citation Text:
Berenholtz SM, Lubomski LH, Weeks K, et al. Eliminating central line-associated bloodstream infections: a national patient safety imperative. Infect Control Hosp Epidem…
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psnet.ahrq.gov/issue/extent-and-importance-unintended-consequences-related-computerized-provider-order-entry
May 27, 2011 - Study
Classic
The extent and importance of unintended consequences related to computerized provider order entry.
Citation Text:
Ash JS, Sittig DF, Poon EG, et al. The extent and importance of unintended consequences related to computerized provider order entry…
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psnet.ahrq.gov/issue/identifying-trigger-concepts-screen-emergency-department-visits-diagnostic-errors
March 12, 2025 - Study
Identifying trigger concepts to screen emergency department visits for diagnostic errors.
Citation Text:
Mahajan P, Pai C-W, Cosby KS, et al. Identifying trigger concepts to screen emergency department visits for diagnostic errors. Diagnosis (Berl). 2021;8(3):340-346. doi:10.1515/d…
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psnet.ahrq.gov/issue/electronic-health-record-based-surveillance-diagnostic-errors-primary-care
April 09, 2013 - Study
Electronic health record-based surveillance of diagnostic errors in primary care.
Citation Text:
Singh H, Giardina TD, Forjuoh SN, et al. Electronic health record-based surveillance of diagnostic errors in primary care. BMJ Qual Saf. 2012;21(2):93-100. doi:10.1136/bmjqs-2011-0003…
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psnet.ahrq.gov/issue/posttraumatic-growth-and-second-victim-distress-resulting-medical-mishaps-among-physicians
January 12, 2022 - Study
Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses.
Citation Text:
Pado K, Fraus K, Mulhem E, et al. Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses. J Clin Psychol Me…