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  1. psnet.ahrq.gov/issue/quality-initiative-system-wide-reduction-serious-medication-events-through-targeted
    April 10, 2024 - Study A quality initiative: a system-wide reduction in serious medication events through targeted simulation training. Citation Text: Hebbar KB, Colman N, Williams L, et al. A Quality Initiative: A System-Wide Reduction in Serious Medication Events Through Targeted Simulation Training. S…
  2. psnet.ahrq.gov/issue/patient-safety-emergency-departments-problem-health-care-systems-international-survey
    February 26, 2020 - Study Patient safety in emergency departments: a problem for health care systems? An international survey. Citation Text: Petrino R, Tuunainen E, Bruzzone G, et al. Patient safety in emergency departments: a problem for health care systems? An international survey. Eur J Emerg Med. 2023;…
  3. psnet.ahrq.gov/issue/going-covid-19-gemba-using-observation-and-high-reliability-strategies-achieve-safety-time
    May 12, 2021 - Commentary Going to the COVID-19 Gemba: using observation and high reliability strategies to achieve safety in a time of crisis. Citation Text: Thull-Freedman J, Mondoux S, Stang A, et al. Going to the COVID-19 Gemba: Using observation and high reliability strategies to achieve safety in…
  4. psnet.ahrq.gov/issue/twelve-month-review-infusion-pump-near-miss-medication-and-dose-selection-errors-and-user
    November 04, 2020 - Study Twelve-month review of infusion pump near-miss medication and dose selection errors and user-initiated "good save" corrections: retrospective study. Citation Text: Waterson J, Al-Jaber R, Kassab T, et al. Twelve-month review of infusion pump near-miss medication and dose selection …
  5. psnet.ahrq.gov/issue/maternal-and-neonatal-health-care-worker-well-being-and-patient-safety-climate-amid-covid-19
    February 01, 2023 - Study Maternal and neonatal health care worker well-being and patient safety climate amid the COVID-19 pandemic. Citation Text: Haidari E, Main EK, Cui X, et al. Maternal and neonatal health care worker well-being and patient safety climate amid the COVID-19 pandemic. J Perinatol. 2021;4…
  6. psnet.ahrq.gov/issue/international-evaluation-ai-system-breast-cancer-screening
    June 14, 2019 - Study Classic International evaluation of an AI system for breast cancer screening. Citation Text: McKinney SM, Sieniek M, Godbole V, et al. International evaluation of an AI system for breast cancer screening. Nature. 2020;577(7788):89-94. doi:10.1038/s41586-01…
  7. psnet.ahrq.gov/issue/when-order-sets-do-not-align-clinician-workflow-assessing-practice-patterns-electronic-health
    March 24, 2019 - Study When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. Citation Text: Li RC, Wang JK, Sharp C, et al. When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. BMJ Q…
  8. psnet.ahrq.gov/issue/unscheduled-radiologic-examination-orders-electronic-health-record-novel-resource-targeting
    March 30, 2022 - Study Unscheduled radiologic examination orders in the electronic health record: a novel resource for targeting ambulatory diagnostic errors in radiology. Citation Text: Lacson R, Healey MJ, Cochon LR, et al. Unscheduled Radiologic Examination Orders in the Electronic Health Record: A No…
  9. psnet.ahrq.gov/issue/patient-safety-and-sense-security-when-telemonitoring-chronic-conditions-home-views-patients
    August 21, 2024 - Study Patient safety and sense of security when telemonitoring chronic conditions at home: the views of patients and healthcare professionals - a qualitative study. Citation Text: Ekstedt M, Nordheim ES, Hellström A, et al. Patient safety and sense of security when telemonitoring chronic…
  10. psnet.ahrq.gov/issue/computerized-triggers-big-data-detect-delays-follow-chest-imaging-results
    March 19, 2018 - Study Computerized triggers of big data to detect delays in follow-up of chest imaging results. Citation Text: Murphy DR, Meyer AND, Bhise V, et al. Computerized Triggers of Big Data to Detect Delays in Follow-up of Chest Imaging Results. Chest. 2016;150(3):613-20. doi:10.1016/j.chest.20…
  11. psnet.ahrq.gov/issue/ten-principles-more-conservative-care-full-diagnosis
    August 04, 2021 - Commentary Emerging Classic Ten principles for more conservative, care-full diagnosis. Citation Text: Schiff G, Martin SA, Eidelman DH, et al. Ten Principles for More Conservative, Care-Full Diagnosis. Ann Intern Med. 2018;169(9):643-645. doi:10.7326/M18-1468. …
  12. psnet.ahrq.gov/issue/medication-errors-during-simulated-paediatric-resuscitations-prospective-observational-human
    February 23, 2022 - Study Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis. Citation Text: Appelbaum N, Clarke J, Feather C, et al. Medication errors during simulated paediatric resuscitations: a prospective, observational human reliabilit…
  13. psnet.ahrq.gov/issue/diagnostic-accuracy-physician-staffed-emergency-medical-teams-retrospective-observational
    December 22, 2021 - Study Diagnostic accuracy of physician-staffed emergency medical teams: a retrospective observational cohort study of prehospital versus hospital diagnosis in a 10-year interval. Citation Text: Schewe J-C, Kappler J, Dovermann K, et al. Diagnostic accuracy of physician-staffed emergency …
  14. psnet.ahrq.gov/issue/electronic-triggers-identify-delays-follow-mammography-harnessing-power-big-data-health-care
    September 28, 2016 - Study Electronic triggers to identify delays in follow-up of mammography: harnessing the power of big data in health care. Citation Text: Murphy DR, Meyer AND, Vaghani V, et al. Electronic Triggers to Identify Delays in Follow-Up of Mammography: Harnessing the Power of Big Data in Health…
  15. psnet.ahrq.gov/issue/indicators-implementation-outcome-monitoring-reporting-and-learning-systems-hospitals
    March 02, 2022 - Study Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety. Citation Text: Kuske S, Willmeroth T, Schneider J, et al. Indicators for implementation outcome monitoring of reporting and learning systems i…
  16. psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2014-user-comparative-database-report
    May 11, 2016 - Book/Report AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report. Citation Text: AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report. Sorra J, Famolaro T, Yount N, Burns W, Liu H, Shyy M. Rockville, MD: Agency for…
  17. psnet.ahrq.gov/issue/characteristics-disease-specific-and-generic-diagnostic-pitfalls-qualitative-study
    December 02, 2020 - Study Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. Citation Text: Schiff GD, Volodarskaya M, Ruan E, et al. Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. JAMA Netw Open. 2022;5(1):e2144531. doi:10.10…
  18. psnet.ahrq.gov/issue/are-physicians-perceptions-healthcare-quality-and-practice-satisfaction-affected-errors
    July 10, 2008 - Study Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electronic health record use? Citation Text: Love JS, Wright A, Simon SR, et al. Are physicians' perceptions of healthcare quality and practice satisfaction affected by er…
  19. psnet.ahrq.gov/issue/diagnostic-errors-medical-students-results-prospective-qualitative-study
    May 18, 2022 - Study Diagnostic errors by medical students: results of a prospective qualitative study. Citation Text: Braun LT, Zwaan L, Kiesewetter J, et al. Diagnostic errors by medical students: results of a prospective qualitative study. BMC Med Educ. 2017;17(1):191. doi:10.1186/s12909-017-1044-7.…
  20. psnet.ahrq.gov/issue/implementation-peer-messengers-deliver-feedback-observational-study-promote-professionalism
    October 28, 2020 - Study Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in nursing. Citation Text: Baldwin CA, Hanrahan K, Edmonds SW, et al. Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in…

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