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psnet.ahrq.gov/issue/safety-implications-different-forms-understaffing-among-nurses-during-covid-19-pandemic
May 05, 2021 - Study
Emerging Classic
Safety implications of different forms of understaffing among nurses during the COVID-19 pandemic.
Citation Text:
Andel SA, Tedone AM, Shen W, et al. Safety implications of different forms of understaffing among nurses during the COVID‐19 …
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psnet.ahrq.gov/issue/hemodialysis-bleeding-events-and-deaths-18-year-retrospective-analysis-patient-safety-and
June 23, 2021 - Study
Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration.
Citation Text:
Walton E, Charles M, Morrish W, et al. Hemodialysis bleeding events and deaths: an 18-year retrospectiv…
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psnet.ahrq.gov/issue/unlocking-potential-free-text-electronic-health-records-large-language-models-llm-enhancing
October 01, 2014 - Commentary
Unlocking the potential of free text in electronic health records with large language models (LLM): enhancing patient safety and consultation interactions.
Citation Text:
Kumarapeli P, Haddad T, de Lusignan S. Unlocking the potential of free text in electronic health records w…
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psnet.ahrq.gov/issue/effects-shift-length-quality-patient-care-and-health-provider-outcomes-systematic-review
May 18, 2022 - Review
Effects of shift length on quality of patient care and health provider outcomes: systematic review.
Citation Text:
Estabrooks CA, Cummings GG, Olivo SA, et al. Effects of shift length on quality of patient care and health provider outcomes: systematic review. Qual Saf Health Car…
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psnet.ahrq.gov/issue/explaining-michigan-developing-ex-post-theory-quality-improvement-program
April 04, 2011 - Study
Classic
Explaining Michigan: developing an ex post theory of a quality improvement program.
Citation Text:
Dixon-Woods M, Bosk CL, Aveling EL, et al. Explaining Michigan: developing an ex post theory of a quality improvement program. Milbank Q. 2011;89(2):…
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psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-prospective-medication-safety-risk
June 05, 2024 - Study
Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in secondary care inpatient wards.
Citation Text:
Sova PM, Holmström A-R, Airaksinen M, et al. Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk …
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psnet.ahrq.gov/issue/systemic-causes-hospital-intravenous-medication-errors-systematic-review
July 01, 2020 - Review
Systemic causes of in-hospital intravenous medication errors: a systematic review.
Citation Text:
Kuitunen S, Niittynen I, Airaksinen M, et al. Systemic causes of in-hospital intravenous medication errors: a systematic review. J Patient Saf. 2021;17(8):e1660-e1668. doi:10.1097/pts…
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psnet.ahrq.gov/issue/reduction-medication-errors-hospitals-due-adoption-computerized-provider-order-entry-systems
June 13, 2018 - Review
Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems.
Citation Text:
Radley DC, Wasserman MR, Olsho LE, et al. Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. J Am Med Inf…
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psnet.ahrq.gov/issue/exploring-mediating-effects-between-nursing-leadership-and-patient-safety-person-centred
October 08, 2016 - Study
Exploring mediating effects between nursing leadership and patient safety from a person-centred perspective: a literature review.
Citation Text:
Wang M, Dewing J. Exploring mediating effects between nursing leadership and patient safety from a person‐centred perspective: a literatu…
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psnet.ahrq.gov/issue/role-knowledge-and-reasoning-processes-predictors-resident-physicians-susceptibility
March 18, 2020 - Study
Role of knowledge and reasoning processes as predictors of resident physicians' susceptibility to anchoring bias in diagnostic reasoning: a randomised controlled experiment.
Citation Text:
Mamede S, Zandbergen A, de Carvalho-Filho MA, et al. Role of knowledge and reasoning processe…
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psnet.ahrq.gov/issue/effect-availability-bias-and-reflective-reasoning-diagnostic-accuracy-among-internal-medicine
March 12, 2014 - Study
Classic
Effect of availability bias and reflective reasoning on diagnostic accuracy among internal medicine residents.
Citation Text:
Mamede S, Van Gog T, Van den Berge K, et al. Effect of availability bias and reflective reasoning on diagnostic accuracy a…
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psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
February 10, 2021 - Framing Effects on Physicians' Judgment and Decision-Making. … The representativeness heuristic: influence on nurses’ decision making.
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psnet.ahrq.gov/perspective/suicide-prevention
March 24, 2025 - The same kind of decision-making would occur in an outpatient setting, let us say, primary care.
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psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
March 25, 2025 - The same kind of decision-making would occur in an outpatient setting, let us say, primary care.
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psnet.ahrq.gov/node/33850/psn-pdf
January 01, 2018 - documentation has declined since the introduction of EHRs, many still rely solely on these flawed
notes for decision … making, suggesting that progress notes are still considered the primary source of clinical
communication
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psnet.ahrq.gov/node/49532/psn-pdf
March 15, 2007 - This decision making
represented the wrong approach in this setting, an example of a rule-based error
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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - and an interactive online application to help
identify and reduce various forms of bias in clinical decision-making
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psnet.ahrq.gov/perspective/burnout-among-health-professionals-and-its-effect-patient-safety
December 22, 2018 - investment in the clinician–provider interaction, poor communication, and loss of pertinent information for decision-making
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psnet.ahrq.gov/node/866265/psn-pdf
July 31, 2024 - kit; however, the intended physical arrangement of the items largely relies on human judgment
and decision-making
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psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
September 01, 2005 - In Conversation with…Carolyn Clancy, MD
September 1, 2005
Also Read an Essay
Citation Text:
In Conversation with…Carolyn Clancy, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
…