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Cognitive interventions to reduce diagnostic error: a narrative review. | PSNet

psnet.ahrq.gov/issue/cognitive-interventions-reduce-diagnostic-error-narrative-review

October 16, 2012 - Review Classic Cognitive interventions to reduce diagnostic error: a narrative review. Citation Text: Graber ML, Kissam S, Payne VL, et al. Cognitive interventions to reduce diagnostic error: a narrative review. BMJ Qual Saf. 2012;21(7):535-557. doi:10.1136/bmjq…

Prescribers' interactions with medication alerts at the point of prescribing: a multi-method, in situ investigation of the human–computer interaction. | PSNet

psnet.ahrq.gov/issue/prescribers-interactions-medication-alerts-point-prescribing-multi-method-situ-investigation

January 07, 2015 - Study Prescribers' interactions with medication alerts at the point of prescribing: a multi-method, in situ investigation of the human–computer interaction. Citation Text: Russ AL, Zillich AJ, McManus S, et al. Prescribers' interactions with medication alerts at the point of prescribin…

Improving the bar-coded medication administration system at the Department of Veterans Affairs. | PSNet

psnet.ahrq.gov/issue/improving-bar-coded-medication-administration-system-department-veterans-affairs

November 18, 2009 - Study Improving the bar-coded medication administration system at the Department of Veterans Affairs. Citation Text: Mills PD, Neily J, Mims E, et al. Improving the bar-coded medication administration system at the Department of Veterans Affairs. Am J Health Syst Pharm. 2006;63(15):144…

Human-AI teaming in critical care: a comparative analysis of data scientists' and clinicians' perspectives on AI augmentation and automation. | PSNet

psnet.ahrq.gov/issue/human-ai-teaming-critical-care-comparative-analysis-data-scientists-and-clinicians

July 10, 2013 - Study Human-AI teaming in critical care: a comparative analysis of data scientists' and clinicians' perspectives on AI augmentation and automation. Citation Text: Bienefeld N, Keller E, Grote G. Human-AI teaming in critical care: a comparative analysis of data scientists' and clinicians'…

Strategies to prevent healthcare-associated infections through hand hygiene. | PSNet

psnet.ahrq.gov/issue/strategies-prevent-healthcare-associated-infections-through-hand-hygiene

July 03, 2014 - Commentary Strategies to prevent healthcare-associated infections through hand hygiene. Citation Text: Ellingson K, Haas JP, Aiello AE, et al. Strategies to prevent healthcare-associated infections through hand hygiene. Infect Control Hosp Epidemiol. 2014;35(8):937-960. doi:10.1086/67714…

Antibiotic prescribing practice in residential aged care facilities—health care providers' perspectives. | PSNet

psnet.ahrq.gov/issue/antibiotic-prescribing-practice-residential-aged-care-facilities-health-care-providers

November 12, 2014 - Study Antibiotic prescribing practice in residential aged care facilities—health care providers' perspectives. Citation Text: Lim CJ, Kwong MW-L, Stuart RL, et al. Antibiotic prescribing practice in residential aged care facilities--health care providers' perspectives. Med J Aust. 2014;2…

Health information exchange in emergency medicine. | PSNet

psnet.ahrq.gov/issue/health-information-exchange-emergency-medicine

October 07, 2013 - Commentary Health information exchange in emergency medicine. Citation Text: Shapiro JS, Crowley D, Hoxhaj S, et al. Health Information Exchange in Emergency Medicine. Ann Emerg Med. 2016;67(2):216-26. doi:10.1016/j.annemergmed.2015.06.018. Copy Citation Format: DOI Google …

A human right-based approach to dealing with adverse events in residential care facilities. | PSNet

psnet.ahrq.gov/issue/human-right-based-approach-dealing-adverse-events-residential-care-facilities

May 27, 2011 - Study A human right-based approach to dealing with adverse events in residential care facilities. Citation Text: McGrane N, Behan L, Keyes LM. A human right-based approach to dealing with adverse events in residential care facilities. Health Hum Rights. 2024;26(1):115-128. Copy Citatio…

The effect of emergency department boarding on order completion. | PSNet

psnet.ahrq.gov/issue/effect-emergency-department-boarding-order-completion

January 29, 2018 - Study The effect of emergency department boarding on order completion. Citation Text: Coil CJ, Flood JD, Belyeu BM, et al. The Effect of Emergency Department Boarding on Order Completion. Ann Emerg Med. 2016;67(6):730-736.e2. doi:10.1016/j.annemergmed.2015.09.018. Copy Citation For…

From box ticking to the black box: the evolution of operating room safety. | PSNet

psnet.ahrq.gov/issue/box-ticking-black-box-evolution-operating-room-safety

October 29, 2017 - Commentary From box ticking to the black box: the evolution of operating room safety. Citation Text: Goldenberg MG, Elterman D. From box ticking to the black box: the evolution of operating room safety. World J Urol. 2019;38(6):1369-1372. doi:10.1007/s00345-019-02886-5. Copy Citation …

Can we rely on patients' reports of adverse events? | PSNet

psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events

December 29, 2014 - Study Classic Can we rely on patients' reports of adverse events? Citation Text: Zhu J, Stuver SO, Epstein AM, et al. Can we rely on patients' reports of adverse events? Med Care. 2011;49(10):948-55. doi:10.1097/MLR.0b013e31822047a8. Copy Citation Format…

Rapid response teams: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/rapid-response-teams-systematic-review-and-meta-analysis

December 21, 2014 - Review Classic Rapid response teams: a systematic review and meta-analysis. Citation Text: Chan PS, Jain R, Nallmothu BK, et al. Rapid Response Teams: A Systematic Review and Meta-analysis. Arch Intern Med. 2010;170(1):18-26. doi:10.1001/archinternmed.2009.424…

Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). | PSNet

psnet.ahrq.gov/issue/laboratory-medicine-handoff-gaps-experienced-primary-care-practices-report-shared-networks

September 01, 2012 - Study Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). Citation Text: West DR, James KA, Fernald DH, et al. Laboratory medicine handoff gaps experienced by primary care p…

Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department. | PSNet

psnet.ahrq.gov/issue/comparing-outcomes-reporting-and-trigger-tool-methods-capture-adverse-events-emergency

May 04, 2017 - Study Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department. Citation Text: Lee W-H, Zhang E, Chiang C-Y, et al. Comparing the Outcomes of Reporting and Trigger Tool Methods to Capture Adverse Events in the Emergency Department…

Caring for our own: deploying a systemwide second victim rapid response team. | PSNet

psnet.ahrq.gov/issue/caring-our-own-deploying-systemwide-second-victim-rapid-response-team

September 19, 2016 - Study Classic Caring for our own: deploying a systemwide second victim rapid response team. Citation Text: Scott SD, Hirschinger LE, Cox KR, et al. Caring for our own: deploying a systemwide second victim rapid response team. Jt Comm J Qual Saf. 2010;36(5):233-2…

NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit. | PSNet

psnet.ahrq.gov/issue/nicu-medication-errors-identifying-risk-profile-medication-errors-neonatal-intensive-care

September 21, 2008 - Study NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit. Citation Text: Stavroudis TA, Shore AD, Morlock L, et al. NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit. J Pe…

A randomized trial of the effectiveness of on-demand versus computer-triggered drug decision support in primary care. | PSNet

psnet.ahrq.gov/issue/randomized-trial-effectiveness-demand-versus-computer-triggered-drug-decision-support-primary

March 11, 2011 - Study A randomized trial of the effectiveness of on-demand versus computer-triggered drug decision support in primary care. Citation Text: Tamblyn R, Huang A, Taylor L, et al. A randomized trial of the effectiveness of on-demand versus computer-triggered drug decision support in primar…

Color-coded prefilled medication syringes decrease time to delivery and dosing error in simulated emergency department pediatric resuscitations. | PSNet

psnet.ahrq.gov/issue/color-coded-prefilled-medication-syringes-decrease-time-delivery-and-dosing-error-simulated

September 16, 2015 - Study Color-coded prefilled medication syringes decrease time to delivery and dosing error in simulated emergency department pediatric resuscitations. Citation Text: Moreira ME, Hernandez C, Stevens AD, et al. Color-Coded Prefilled Medication Syringes Decrease Time to Delivery and Dosing…

The preventable proportion of healthcare-associated infections 2005-2016: systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/preventable-proportion-healthcare-associated-infections-2005-2016-systematic-review-and-meta

April 26, 2017 - Review The preventable proportion of healthcare-associated infections 2005-2016: systematic review and meta-analysis. Citation Text: Schreiber PW, Sax H, Wolfensberger A, et al. The preventable proportion of healthcare-associated infections 2005-2016: Systematic review and meta-analysis.…

Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. | PSNet

psnet.ahrq.gov/issue/does-learning-mistakes-have-be-painful-analysis-5-years-experience-leeds-radiology

April 05, 2013 - Study Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. …

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