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Interpreting and coding causal relationships for quality and safety using ICD-11. | PSNet

psnet.ahrq.gov/issue/interpreting-and-coding-causal-relationships-quality-and-safety-using-icd-11

November 15, 2017 - Commentary Interpreting and coding causal relationships for quality and safety using ICD-11. Citation Text: Januel J-M, Southern DA, Ghali WA. Interpreting and coding causal relationships for quality and safety using ICD-11. BMC Med Inform Decis Mak. 2023;21(Suppl 6):385. doi:10.1186/s12…

Graduate medical education and patient safety: a busy--and occasionally hazardous--intersection. | PSNet

psnet.ahrq.gov/issue/graduate-medical-education-and-patient-safety-busy-and-occasionally-hazardous-intersection

March 02, 2011 - Commentary Classic Graduate medical education and patient safety: a busy--and occasionally hazardous--intersection. Citation Text: Shojania KG, Fletcher KE, Saint S. Graduate medical education and patient safety: a busy--and occasionally hazardous--intersectio…

Rural emergency medical services clinicians' perceptions and preferences in receiving clinical feedback from hospitals: a qualitative needs assessment. | PSNet

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June 02, 2021 - Study Rural emergency medical services clinicians' perceptions and preferences in receiving clinical feedback from hospitals: a qualitative needs assessment. Citation Text: Schneider K, Williams M, Mohr NM, et al. Rural emergency medical services clinicians' perceptions and preferences i…

Reducing the risk of diagnostic error in the COVID-19 era. | PSNet

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September 23, 2020 - Commentary Emerging Classic Reducing the risk of diagnostic error in the COVID-19 era. Citation Text: Gandhi TK, Singh H. Reducing the risk of diagnostic error in the COVID-19 era. J. Hosp Med. 2020;15(6):363-366. doi:10.12788/jhm.3461. Copy Citation Forma…

Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study. | PSNet

psnet.ahrq.gov/issue/prospective-validation-classification-intraoperative-adverse-events-classintra-international

November 20, 2015 - Study Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study. Citation Text: Dell-Kuster S, Gomes NV, Gawria L, et al. Prospective validation of classification of intraoperative adverse events (ClassIntra): internat…

A model for improving health care quality for transgender and gender nonconforming patients. | PSNet

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August 12, 2020 - Commentary A model for improving health care quality for transgender and gender nonconforming patients. Citation Text: Ding JM, Ehrenfeld JM, Edmiston EK, et al. A model for improving health care quality for transgender and gender nonconforming patients. Jt Comm J Qual Patient Saf. 2020;…

Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety. | PSNet

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April 15, 2020 - Commentary Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety. Citation Text: Blease CR, Bell SK. Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety. Diagnosis (Berl). 2019;6(3):213-221. doi:10.1515/dx-2018-0106.…

Healthcare team resilience during COVID-19: a qualitative study. | PSNet

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February 20, 2019 - Study Healthcare team resilience during COVID-19: a qualitative study. Citation Text: Ambrose JW, Catchpole K, Evans HL, et al. Healthcare team resilience during COVID-19: a qualitative study. BMC Health Serv Res. 2024;24(1):459. doi:10.1186/s12913-024-10895-3. Copy Citation Format…

The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation. | PSNet

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January 22, 2025 - Study The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation. Citation Text: Ali KJ, Goeschel CA, Eckroade MM, et al. The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation. Jt Comm J …

Application of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based simulation study. | PSNet

psnet.ahrq.gov/issue/application-human-factors-improve-usability-clinical-decision-support-diagnostic-decision

May 11, 2022 - Study Application of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based simulation study. Citation Text: Carayon P, Hoonakker P, Hundt AS, et al. Application of human factors to improve usability of clinical decision support f…

Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: a multisite longitudinal assessment. | PSNet

psnet.ahrq.gov/issue/preventable-harm-because-outpatient-medication-errors-among-children-leukemia-and-lymphoma

January 15, 2020 - Study Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: a multisite longitudinal assessment. Citation Text: Wong CI, Vannatta K, Gilleland Marchak J, et al. Preventable harm because of outpatient medication errors among children with leuk…

Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis. | PSNet

psnet.ahrq.gov/issue/barriers-and-facilitators-bedside-nursing-handover-systematic-review-and-meta-synthesis

August 25, 2021 - Review Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis. Citation Text: Clari M, Conti A, Chiarini D, et al. Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis. J Nurs Care Qual. 2021;36(4):e51-…

Real-time automated paging and decision support for critical laboratory abnormalities. | PSNet

psnet.ahrq.gov/issue/real-time-automated-paging-and-decision-support-critical-laboratory-abnormalities

April 30, 2014 - Study Real-time automated paging and decision support for critical laboratory abnormalities. Citation Text: Etchells E, Adhikari NKJ, Wu RC, et al. Real-time automated paging and decision support for critical laboratory abnormalities. BMJ Qual Saf. 2011;20(11):924-30. doi:10.1136/bmjqs…

Implementation of an online reporting system to identify unprofessional behaviors and mistreatment directed at trainees at an academic medical center. | PSNet

psnet.ahrq.gov/issue/implementation-online-reporting-system-identify-unprofessional-behaviors-and-mistreatment

July 13, 2022 - Study Implementation of an online reporting system to identify unprofessional behaviors and mistreatment directed at trainees at an academic medical center. Citation Text: Leitman IM, Muller D, Miller S, et al. Implementation of an online reporting system to identify unprofessional behav…

Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. | PSNet

psnet.ahrq.gov/issue/effects-skilled-nursing-facility-structure-and-process-factors-medication-errors-during

April 24, 2018 - Study Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. Citation Text: Lane SJ, Troyer JL, Dienemann JA, et al. Effects of skilled nursing facility structure and process factors on medication errors during nursing home a…

Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports. | PSNet

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May 11, 2022 - Study Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports. Citation Text: Mulac A, Hagesaether E, Granas AG. Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature …

Patient outcomes compared between admissions coordinated by the transfer center and emergency department at a U.S. tertiary care hospital. | PSNet

psnet.ahrq.gov/issue/patient-outcomes-compared-between-admissions-coordinated-transfer-center-and-emergency

April 29, 2015 - Study Patient outcomes compared between admissions coordinated by the transfer center and emergency department at a U.S. tertiary care hospital. Citation Text: Pagali SR, Ryu AJ, Fischer KM, et al. Patient outcomes compared between admissions coordinated by the transfer center and emerge…

Medication errors in intensive care units: an umbrella review of control measures. | PSNet

psnet.ahrq.gov/issue/medication-errors-intensive-care-units-umbrella-review-control-measures

February 09, 2022 - Review Medication errors in intensive care units: an umbrella review of control measures. Citation Text: Dionisi S, Giannetta N, Liquori G, et al. Medication errors in intensive care units: an umbrella review of control measures. Healthcare (Basel). 2022;10(7):1221. doi:10.3390/healthcar…

Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. | PSNet

psnet.ahrq.gov/issue/racial-and-ethnic-bias-diagnosis-alcohol-use-disorder-veterans

September 23, 2020 - Study Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. Citation Text: Vickers-Smith R, Justice AC, Becker WC, et al. Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. Am J Psych. 2023;180(6):426-436. doi:10.1176/appi.ajp.21111097. …

Factors influencing family member perspectives on safety in the intensive care unit: a systematic review. | PSNet

psnet.ahrq.gov/issue/factors-influencing-family-member-perspectives-safety-intensive-care-unit-systematic-review

July 21, 2021 - Review Factors influencing family member perspectives on safety in the intensive care unit: a systematic review. Citation Text: Coombs MA, Statton S, Endacott CV, et al. Factors influencing family member perspectives on safety in the intensive care unit: a systematic review. Int J Qual H…

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