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psnet.ahrq.gov/issue/development-and-usability-testing-agency-healthcare-research-and-quality-common-formats
October 12, 2022 - Study
Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events.
Citation Text:
Bradford A, Shahid U, Schiff GD, et al. Development and usability testing of the Agency for Healthcare Research and Quality Common …
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psnet.ahrq.gov/perspective/conversation-david-gruen-md
January 31, 2020 - data storage. 2 When conducting an imaging study, the use of AI can improve the quality of the image captured … of the scan are overlooked by the providers during its examination and that all required images are captured … , reduce scanner time, and decrease radiation dosing for the patient. 2
Once the image has been captured
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psnet.ahrq.gov/perspective/handoffs-and-transitions
February 01, 2007 - Although some of these tools were useful, none were subjected to rigorous research that captured key … This retrospective cohort study of nearly 150,000 admissions captured within the National Surgical Quality
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psnet.ahrq.gov/node/854849/psn-pdf
October 31, 2023 - The data captured by these systems
allow analysis of trends and factors contributing to events. … information with other providers such as their degree of concern about the patient or other issues
not captured
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psnet.ahrq.gov/node/49664/psn-pdf
January 01, 2013 - poor integration of technology and workflow led to an omission prior to
surgery that was fortuitously captured … consideration, where, rather than being reliant on the single handoff process itself, errors
might be captured
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psnet.ahrq.gov/issue/safety-trade-offs-home-care-during-covid-19-mixed-methods-study-capturing-perspective
September 01, 2021 - Study
Safety trade-offs in home care during COVID-19: a mixed methods study capturing the perspective of frontline workers.
Citation Text:
Osei-Poku G, Szczerepa O, Potter A, et al. Safety trade-offs in home care during COVID-19: a mixed methods study capturing the perspective of frontli…
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psnet.ahrq.gov/node/47570/psn-pdf
December 05, 2018 - An electronic health record–based real-time analytics
program for patient safety surveillance and improvement.
December 5, 2018
Classen D, Li M, Miller S, et al. An Electronic Health Record-Based Real-Time Analytics Program For
Patient Safety Surveillance And Improvement. Health Aff (Millwood). 2018;37(11):1805-181…
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psnet.ahrq.gov/node/74097/psn-pdf
November 24, 2021 - Inattentional blindness in anesthesiology: a gorilla is
worth one thousand words.
November 24, 2021
De Cassai A, Negro S, Geraldini F, et al. Inattentional blindness in anesthesiology: a gorilla is worth one
thousand words. PLoS One. 2021;16(9):e0257508. doi:10.1371/journal.pone.0257508.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/837199/psn-pdf
May 25, 2022 - Development and usability testing of the Agency for
Healthcare Research and Quality Common Formats to
capture diagnostic safety events.
May 25, 2022
Bradford A, Shahid U, Schiff GD, et al. Development and usability testing of the Agency for Healthcare
Research and Quality Common Formats to capture diagnostic safet…
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psnet.ahrq.gov/web-mm/empty-handoff
August 01, 2017 - poor integration of technology and workflow led to an omission prior to surgery that was fortuitously captured … consideration, where, rather than being reliant on the single handoff process itself, errors might be captured
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psnet.ahrq.gov/web-mm/dressed-failure
September 01, 2011 - migration can be particularly difficult if a significant amount of information in the older system is captured … Unlike narrative or free text data, structured data is captured in discrete fields, is readable by the
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psnet.ahrq.gov/node/46390/psn-pdf
October 29, 2017 - Using data to enhance performance and improve quality
and safety in surgery.
October 29, 2017
Goldenberg MG, Jung JJ, Grantcharov T. Using Data to Enhance Performance and Improve Quality and
Safety in Surgery. JAMA Surg. 2017;152(10):972-973. doi:10.1001/jamasurg.2017.2888.
https://psnet.ahrq.gov/issue/using-data-…
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psnet.ahrq.gov/node/49639/psn-pdf
November 01, 2011 - Near Miss with Bedside Medications
November 1, 2011
Wu AW. Near Miss with Bedside Medications. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/near-miss-bedside-medications
Case Objectives
Understanding the definition of near miss—also known as close call.
Appreciate the importance of close calls in reducin…
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psnet.ahrq.gov/perspective/artificial-intelligence-and-diagnostic-errors
January 31, 2020 - data storage. 2 When conducting an imaging study, the use of AI can improve the quality of the image captured … of the scan are overlooked by the providers during its examination and that all required images are captured … , reduce scanner time, and decrease radiation dosing for the patient. 2
Once the image has been captured
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psnet.ahrq.gov/node/40263/psn-pdf
March 02, 2011 - Trauma resuscitation errors and computer-assisted
decision support.
March 2, 2011
FitzGerald M, Cameron P, Mackenzie CF, et al. Trauma resuscitation errors and computer-assisted
decision support. Arch Surg. 2011;146(2):218-25. doi:10.1001/archsurg.2010.333.
https://psnet.ahrq.gov/issue/trauma-resuscitation-errors-…
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psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
May 26, 2021 - The data captured by these systems allow analysis of trends and factors contributing to events. … information with other providers such as their degree of concern about the patient or other issues not captured
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psnet.ahrq.gov/node/41646/psn-pdf
September 05, 2012 - Interventions to increase clinical incident reporting in
health care.
September 5, 2012
Parmelli E, Flodgren G, Fraser SG, et al. Interventions to increase clinical incident reporting in health care.
Cochrane Database Syst Rev. 2012;8(8):CD005609. doi:10.1002/14651858.cd005609.pub2.
https://psnet.ahrq.gov/issue/in…
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psnet.ahrq.gov/web-mm/near-miss-bedside-medications
February 01, 2006 - SPOTLIGHT CASE
Near Miss with Bedside Medications
Citation Text:
Wu AW. Near Miss with Bedside Medications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
Copy Citation
Format:
Google Scholar BibTeX End…
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psnet.ahrq.gov/node/73873/psn-pdf
September 29, 2021 - There is an app for that: mobile technology improves
complication reporting and resident perception of their
role in patient safety
September 29, 2021
Johnson CR, Noorzad A, Pujari A, et al. There is an app for that: mobile technology improves complication
reporting and resident perception of their role in patient…
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psnet.ahrq.gov/node/33716/psn-pdf
September 01, 2011 - making a system in which the providers initiate all the reports not necessary, because they
might get captured