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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/annual-summary/2010
January 01, 2010 - York and Massachusetts. ( Ongoing )
2010 Activities: The focus of activity for each project is described … Preliminary Impact and Findings: Preliminary findings for each project are described below. … This discussion described the development of content and evaluation criteria for implementing medication-related
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psnet.ahrq.gov/node/39880/psn-pdf
September 29, 2010 - Most
nurses who were interviewed described their decision as fulfilling their role as an advocate for
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psnet.ahrq.gov/node/853618/psn-pdf
September 20, 2023 - Participants described positive changes in workflow, professional standards, and smoother and
controlled
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psnet.ahrq.gov/node/50778/psn-pdf
January 08, 2020 - This mixed-methods study examined teamwork-SMMs during discharge and described the
differences of discharge
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psnet.ahrq.gov/node/849334/psn-pdf
May 24, 2023 - Using four clinical vignettes that described the same case in the Emergency Department but differed with
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psnet.ahrq.gov/node/60223/psn-pdf
January 01, 2021 - The authors also described the accuracy of a risk prediction model to identify high-risk
patients for
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psnet.ahrq.gov/node/60188/psn-pdf
January 01, 2021 - uncertain-diagnoses-childrens-hospital-patient-characteristics-and-outcomes
Diagnostic uncertainty has been described
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psnet.ahrq.gov/node/844541/psn-pdf
February 15, 2023 - Staff at high safety climate facilities described open
communication and leadership responsiveness as
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psnet.ahrq.gov/node/47655/psn-pdf
March 27, 2019 - increased desire to punish the surgeons and provide
greater financial compensation to the patients described
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psnet.ahrq.gov/node/851352/psn-pdf
July 12, 2023 - describes which events organizations most frequently identify
as never events, and which are most commonly described
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psnet.ahrq.gov/node/848318/psn-pdf
May 03, 2023 - Nurses in this study described four themes that contributed to missed nursing care: teamwork in nursing
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psnet.ahrq.gov/node/858163/psn-pdf
December 13, 2023 - Respondents described critical incidents across a spectrum, from organizational processes
to medical
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psnet.ahrq.gov/node/857444/psn-pdf
December 06, 2023 - The authors identified several methodological challenges and described how study design modifications
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psnet.ahrq.gov/node/41231/psn-pdf
March 21, 2012 - junior-doctors-reflections-patient-safety
This study used written portfolios to capture reflective learning that trainees described
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cds.ahrq.gov/sites/default/files/workgroups/27826/CDS_Connect_WG_Summary_July_2021.pdf
January 01, 2021 - Barrows described the
challenges and lessons learned in using the CDS Connect platform, specifically … The team is
currently working to create a new functionality, described as a “query builder,” that allows … Updates on CDS Connect Authoring Tool Development and Repository Enhancements
MITRE described the
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psnet.ahrq.gov/node/49787/psn-pdf
March 01, 2017 - Dozens of biases have been
described in the medical literature (11); Table 1 lists several prevalent … strategies
have not yet been proven to directly reduce errors in practice, many strategies (including some described … They frequently result
from cognitive biases that are well described in the medical literature. … effect
The susceptibility of diagnosticians to be disproportionately influenced by how a problem
is described … , by whom it is described, or even the environment where an encounter
takes place
Hindsight bias
Knowing
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psnet.ahrq.gov/node/33946/psn-pdf
July 26, 2010 - The site features expert analysis and discussion of anonymously submitted cases
where an error was described
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psnet.ahrq.gov/node/45741/psn-pdf
November 16, 2018 - This study
described the development and testing of a tool to help neurologists assess their diagnostic
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psnet.ahrq.gov/node/34925/psn-pdf
February 27, 2009 - medication-errors-and-professional-practice-registered-nurses
This Australian study identified and described
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psnet.ahrq.gov/node/60029/psn-pdf
March 11, 2020 - prevalence-nature-and-predictors-omitted-medication-doses-mental-health-
hospitals-multi
This study described