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9261. Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-ehr-impact.pdf
      August 01, 2024 - Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety Issue Brief 18 Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety PATIENT SAFETY e This page intentionally left blank. e Issue Brief 18 Documenting Diagnosis: Explorin…

9262. Guide to Reducing Unintended Consequences of Electronic Health Records (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/guide-to-reducing-unintended-consequences-of-electronic-health-records.pdf
      August 01, 2011 - We need to do a better job [of communicating orally], because we [cardiologists] can't do it without

9263. Final Progress Report: NPSF Joint Medical-Legal Conference at SMU (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/nance-report.pdf
      January 01, 2025 - Final Progress Report: NPSF Joint Medical-Legal Conference at SMU Final Progress Report NPSF Joint Medical-Legal Conference at SMU October 27 – 29, 2003 Principal Investigator: John J. Nance, JD Team members: Thomas Wm. Mayo, JD Robert Krawisz Deborah Cummins, PhD Organization: National Patient Safety Found…

9264. Best Practices in Medication Safety: Areas for Improvement in the Primary Care Physician’s Office (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Galt.pdf
      April 23, 2004 - Two-thirds of the offices reported communicating with between 10 and 50 different pharmacies in any

9265. Examining the Effectiveness of Debriefing at the Point of Care in Simulation-Based Operating Room Team Training (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Gururaja_7.pdf
      January 24, 2008 - characteristics of effective debriefing shown in the items in Table 2 contribute to establishing rapport, communicating

9266. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867447/psn-pdf
      January 08, 2025 - The influence of hospital physician integration on culture of patient safety. January 8, 2025 Upadhyay S, Chien L-C. The influence of hospital physician integration on culture of patient safety. J Patient Saf. 2024;20(8):542-548. doi:10.1097/pts.0000000000001280. https://psnet.ahrq.gov/issue/influence-hospital-phy…

9267. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50869/psn-pdf
      February 05, 2020 - How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user experience. February 5, 2020 Garfield S, Furniss D, Husson F, et al. How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user experience. BMJ Qual Saf. 2020…

9268. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867534/psn-pdf
      March 10, 2025 - Pulse oximeters for medical purposes - non-clinical and clinical performance testing, labeling, and premarket submission recommendations. January 15, 2025 Pulse oximeters for medical purposes - non-clinical and clinical performance testing, labeling, and premarket submission recommendations. Food and Drug Administ…

9269. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841486/psn-pdf
      January 26, 2018 - Do words matter? Stigmatizing language and the transmission of bias in the medical record. January 26, 2018 P. Goddu A, O’Conor KJ, Lanzkron S, et al. Do words matter? Stigmatizing language and the transmission of bias in the medical record. J Gen Intern Med. 2018;33(5):685-691. doi:10.1007/s11606-017-4289-2. http…

9270. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61019/psn-pdf
      October 14, 2020 - Clinical deterioration and hospital?acquired complications in adult patients with isolation precautions for infection control: a systematic review. October 14, 2020 Berry D, Wakefield E, Street M, et al. Clinical deterioration and hospital?acquired complications in adult patients with isolation precautions for inf…

9271. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44022/psn-pdf
      May 28, 2015 - Initiatives to identify and mitigate medication errors in England. May 28, 2015 Cousins D, Gerrett D, Richards N, et al. Initiatives to identify and mitigate medication errors in England. Drug Saf. 2015;38(4):349-357. doi:10.1007/s40264-015-0270-3. https://psnet.ahrq.gov/issue/initiatives-identify-and-mitigate-med…

9272. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48087/psn-pdf
      July 10, 2019 - The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. July 10, 2019 Casali G, Cullen W, Lock G. The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. J Thorac Dis. 2019;11(Suppl 7):S998-S1008. doi:10.21037/jtd.20…

9273. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/839823/psn-pdf
      November 09, 2022 - Prescribing decision making by medical residents on night shifts: a qualitative study. November 9, 2022 Lauffenburger JC, Coll MD, Kim E, et al. Prescribing decision making by medical residents on night shifts: a qualitative study. Med Educ. 2022;56(10):1032-1041. doi:10.1111/medu.14845. https://psnet.ahrq.gov/iss…

9274. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73122/psn-pdf
      April 07, 2021 - My life was upended for 35 years by a cancer diagnosis. A doctor just told me I was misdiagnosed. April 7, 2021 Henigson J. Washington Post. March 26, 2021. https://psnet.ahrq.gov/issue/my-life-was-upended-35-years-cancer-diagnosis-doctor-just-told-me-i-was- misdiagnosed Misdiagnoses can persist due to heuri…

9275. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40381/psn-pdf
      May 25, 2011 - Medication errors in the homes of children with chronic conditions. May 25, 2011 Walsh KE, Mazor KM, Stille CJ, et al. Medication errors in the homes of children with chronic conditions. Arch Dis Child. 2011;96(6):581-6. doi:10.1136/adc.2010.204479. https://psnet.ahrq.gov/issue/medication-errors-homes-children-chr…

9276. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46485/psn-pdf
      October 18, 2017 - Medical team training improves team performance: AOA critical issues. October 18, 2017 Carpenter JE, Bagian JP, Snider RG, et al. Medical Team Training Improves Team Performance: AOA Critical Issues. J Bone Joint Surg Am. 2017;99(18):1604-1610. doi:10.2106/JBJS.16.01290. https://psnet.ahrq.gov/issue/medical-team-t…

9277. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73857/psn-pdf
      September 22, 2021 - A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. September 22, 2021 Boquet A, Cohen T, Diljohn F, et al. A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. J Patient Saf. 2021;17(6):e534-e539. doi:10.1097/pts.0000000000000406.…

9278. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60303/psn-pdf
      May 06, 2020 - Using safety culture results to guide the merger of four general practices in the UK. May 6, 2020 Lockwood AM, Proulx J, Hill M, et al. Using safety culture results to guide the merger of four general practices in the UK. BMJ Open Qual. 2020;9(1):e000860. doi:10.1136/bmjoq-2019-000860. https://psnet.ahrq.gov/issue…

9279. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47759/psn-pdf
      February 06, 2019 - California doctors alarmed as state links their opioid prescriptions to deaths. February 6, 2019 Dembosky A. All Things Considered and KQED. January 23, 2019. https://psnet.ahrq.gov/issue/california-doctors-alarmed-state-links-their-opioid-prescriptions-deaths Policy, practice, and communication strategies have be…

9280. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42722/psn-pdf
      November 13, 2013 - Patient safety perspectives of providers and nurses: the experience of a rural ambulatory care practice using an EHR with e-prescribing. November 13, 2013 Bramble JD, Abbott AA, Fuji KT, et al. Patient safety perspectives of providers and nurses: the experience of a rural ambulatory care practice using an EHR with…