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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/iatrogenic-psychological-harm
February 28, 2024 - Review
Iatrogenic psychological harm.
Citation Text:
Rees C. Iatrogenic psychological harm. Arch Dis Child. 2012;97(5):440-6. doi:10.1136/archdischild-2011-300362.
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psnet.ahrq.gov/issue/heart-health-care-parents-perspectives-patient-safety
April 24, 2018 - Commentary
The heart of health care: parents' perspectives on patient safety.
Citation Text:
Micalizzi DA, Bismark M. The heart of health care: parents' perspectives on patient safety. Pediatr Clin North Am. 2012;59(6):1233-1246. doi:10.1016/j.pcl.2012.08.004.
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psnet.ahrq.gov/issue/adverse-drug-event-trigger-tool-practical-methodology-measuring-medication-related-harm
January 05, 2017 - Study
Classic
Adverse drug event trigger tool: a practical methodology for measuring medication related harm.
Citation Text:
Rozich JD, Haraden CR, Resar RK. Adverse drug event trigger tool: a practical methodology for measuring medication related harm. Qual S…
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psnet.ahrq.gov/issue/description-inpatient-medication-management-using-cognitive-work-analysis
October 19, 2022 - Study
Description of inpatient medication management using cognitive work analysis.
Citation Text:
Pingenot AA, Shanteau J, Sengstacke LTCDN. Description of inpatient medication management using cognitive work analysis. Comput Inform Nurs. 2009;27(6):379-92. doi:10.1097/NCN.0b013e3181b…
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psnet.ahrq.gov/issue/measuring-handoff-quality-labor-and-delivery-development-validation-and-application
January 03, 2017 - Study
Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ).
Citation Text:
Block M, Ehrenworth JF, Cuce VM, et al. Measuring handoff quality in labor and delivery: development, valid…
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psnet.ahrq.gov/issue/handing-over-patient-care-it-just-old-broken-telephone-game
March 01, 2017 - Study
Handing over patient care: is it just the old broken telephone game?
Citation Text:
Zendejas B, Ali SM, Huebner M, et al. Handing over patient care: is it just the old broken telephone game? J Surg Educ. 2011;68(6):465-71. doi:10.1016/j.jsurg.2011.05.011.
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psnet.ahrq.gov/issue/exploring-causes-adverse-events-hospitals-and-potential-prevention-strategies
February 20, 2013 - Study
Exploring the causes of adverse events in hospitals and potential prevention strategies.
Citation Text:
Smits M, Zegers M, Groenewegen PP, et al. Exploring the causes of adverse events in hospitals and potential prevention strategies. BMJ Qual Saf. 2010;19(5). doi:10.1136/qshc.20…
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psnet.ahrq.gov/issue/coronavirus-ravaged-nursing-homes-inspectors-were-not-being-tested
October 14, 2020 - Newspaper/Magazine Article
As coronavirus ravaged nursing homes, inspectors were not being tested.
Citation Text:
Dolan J, Mejia B. As coronavirus ravaged nursing homes, inspectors were not being tested. Los Angeles Times. 2020;July 24.
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psnet.ahrq.gov/issue/nursing-handoffs-systematic-review-literature
January 08, 2025 - Review
Nursing handoffs: a systematic review of the literature.
Citation Text:
Riesenberg LA, Leitzsch J, Cunningham JM. Nursing handoffs: a systematic review of the literature. Am J Nurs. 2010;110(4):24-34; quiz 35-6. doi:10.1097/01.NAJ.0000370154.79857.09.
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psnet.ahrq.gov/issue/i-pass-handover-system-decade-evidence-demands-action
July 07, 2021 - Commentary
I-PASS handover system: a decade of evidence demands action.
Citation Text:
Shahian DM. I-PASS handover system: a decade of evidence demands action. BMJ Qual Saf. 2021;30(10):769-774. doi:10.1136/bmjqs-2021-013314.
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psnet.ahrq.gov/issue/intolerance-error-and-culture-blame-drive-medical-excess
March 24, 2017 - Commentary
Intolerance of error and culture of blame drive medical excess.
Citation Text:
Hoffman JR, Kanzaria HK. Intolerance of error and culture of blame drive medical excess. BMJ. 2014;349(oct14 3). doi:10.1136/bmj.g5702.
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psnet.ahrq.gov/issue/resident-resident-handoffs-emergency-department-observational-study
September 28, 2022 - Study
Resident to resident handoffs in the emergency department: an observational study.
Citation Text:
Peterson SM, Gurses AP, Regan L. Resident to resident handoffs in the emergency department: an observational study. J Emerg Med. 2014;47(5):573-9. doi:10.1016/j.jemermed.2014.06.027.
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psnet.ahrq.gov/issue/mastering-improvement-science-skills-new-era-quality-and-safety-veterans-affairs-national
December 12, 2012 - Commentary
Mastering improvement science skills in the new era of quality and safety: the Veterans Affairs National Quality Scholars Program.
Citation Text:
Estrada CA, Dolansky MA, Singh MK, et al. Mastering improvement science skills in the new era of quality and safety: the Veterans…
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psnet.ahrq.gov/issue/use-simulation-healthcare-systems-issues-team-building-task-training-education-and-high
October 03, 2011 - Review
The use of simulation in healthcare: from systems issues, to team building, to task training, to education and high stakes examinations.
Citation Text:
Orledge J, Phillips WJ, Murray B, et al. The use of simulation in healthcare: from systems issues, to team building, to task t…
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psnet.ahrq.gov/issue/responding-large-scale-testing-errors
December 18, 2008 - Commentary
Responding to large-scale testing errors.
Citation Text:
Valenstein PN, Alpern GA, Keren DF. Responding to Large-Scale Testing Errors: Table 1. Am J Clin Pathol. 2010;133(3). doi:10.1309/ajcpxlze0yynid0x.
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psnet.ahrq.gov/issue/rapid-response-teams-and-continuous-quality-improvement
April 05, 2023 - Study
Rapid response teams and continuous quality improvement.
Citation Text:
Rapid response teams and continuous quality improvement. Dailey MS, Durkin S, Gulczynski B, et al. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31.
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psnet.ahrq.gov/issue/quality-initiatives-developing-radiology-quality-and-safety-program-primer
March 04, 2015 - Commentary
Quality initiatives: developing a radiology quality and safety program: a primer.
Citation Text:
Johnson D, Krecke KN, Miranda R, et al. Quality initiatives: developing a radiology quality and safety program: a primer. Radiographics. 2009;29(4):951-9. doi:10.1148/rg.29409500…
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psnet.ahrq.gov/issue/improved-prophylaxis-and-decreased-rates-preventable-harm-use-mandatory-computerized-clinical
June 21, 2016 - Study
Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous thromboembolism in trauma.
Citation Text:
Haut ER, Lau BD, Kraenzlin FS, et al. Improved prophylaxis and decreased rates o…
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psnet.ahrq.gov/issue/architecture-safety-emerging-priority-improving-patient-safety
June 09, 2011 - Review
The architecture of safety: an emerging priority for improving patient safety.
Citation Text:
Joseph A, Henriksen K, Malone E. The Architecture Of Safety: An Emerging Priority For Improving Patient Safety. Health Aff (Millwood). 2018;37(11):1884-1891. doi:10.1377/hlthaff.2018.0643…