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psnet.ahrq.gov/node/850916/psn-pdf
June 21, 2023 - Awareness of racial and ethnic bias and potential
solutions to address bias with use of health care
algorithms.
June 21, 2023
Jain A, Brooks JR, Alford CC, et al. Awareness of racial and ethnic bias and potential solutions to address
bias with use of health care algorithms. JAMA Health Forum. 2023;4(6):e231197.
d…
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psnet.ahrq.gov/node/73370/psn-pdf
June 09, 2021 - Burnout and its relationship to self-reported quality of
patient care and adverse events during COVID-19: a
cross-sectional online survey among nurses.
June 9, 2021
Kakemam E, Chegini Z, Rouhi A, et al. Burnout and its relationship to self?reported quality of patient care
and adverse events during COVID?19: a cros…
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psnet.ahrq.gov/node/42831/psn-pdf
October 31, 2014 - Overdiagnosis in low-dose computed tomography
screening for lung cancer.
October 31, 2014
Patz EF, Pinsky P, Gatsonis C, et al. Overdiagnosis in low-dose computed tomography screening for lung
cancer. JAMA Intern Med. 2014;174(2):269-74. doi:10.1001/jamainternmed.2013.12738.
https://psnet.ahrq.gov/issue/overdiagno…
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psnet.ahrq.gov/node/34804/psn-pdf
January 05, 2017 - Incident reporting system does not detect adverse drug
events: a problem for quality improvement.
January 5, 2017
Cullen DJ, Bates DW, Small SD, et al. The incident reporting system does not detect adverse drug events:
a problem for quality improvement. Jt Comm J Qual Improv. 1995;21(10):541-8.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/47661/psn-pdf
January 23, 2019 - Safety enhancements every hospital must consider in
wake of another tragic neuromuscular blocker event.
January 23, 2019
ISMP Medication Safety Alert! Acute Care Edition. January 17, 2019;24:1-6.
https://psnet.ahrq.gov/issue/safety-enhancements-every-hospital-must-consider-wake-another-tragic-
neuromuscular-blocke…
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psnet.ahrq.gov/node/34669/psn-pdf
June 26, 2015 - Learning from mistakes is easier said than done: group
and organizational influences on the detection and
correction of human error.
June 26, 2015
Edmondson AC. Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences
on the Detection and Correction of Human Error. J Appl Behav Sci. 200…
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psnet.ahrq.gov/node/50793/psn-pdf
January 15, 2020 - Association between mobile telephone interruptions and
medication administration errors in a pediatric intensive
care unit.
January 15, 2020
Bonafide CP, Miller JM, Localio AR, et al. Association between mobile telephone interruptions and
medication administration errors in a pediatric intensive care unit. JAMA Pe…
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psnet.ahrq.gov/node/44575/psn-pdf
January 22, 2016 - A narrative review of high-quality literature on the effects
of resident duty hours reforms.
January 22, 2016
Lin H, Lin E, Auditore S, et al. A Narrative Review of High-Quality Literature on the Effects of Resident Duty
Hours Reforms. Acad Med. 2016;91(1):140-50. doi:10.1097/ACM.0000000000000937.
https://psnet.ah…
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psnet.ahrq.gov/node/36697/psn-pdf
February 03, 2011 - Deficits in communication and information transfer
between hospital-based and primary care physicians:
implications for patient safety and continuity of care.
February 3, 2011
Kripalani S, LeFevre F, Phillips CO, et al. Deficits in communication and information transfer between
hospital-based and primary care phys…
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psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors
April 01, 2008 - There are three primary critiques :
There is considerable interrater variability in determining … experienced clinical reviewers achieve only moderate agreement on whether or not an error even occurred, and determining
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/medical-evidence-communication_executive.pdf
November 01, 2013 - After
determining article inclusion, one reviewer entered data
about studies into evidence tables and … While this tactic creates the potential
for a more powerful effect, it also complicates determining … Key Points: Disseminating Evidence to Patients
• Evidence is inconsistent for determining the beneft … • Evidence is insuffcient for determining the beneft
of reach, ability, motivation, or multicomponent … • Evidence is insuffcient for determining the beneft
of reach, ability, motivation, or multicomponent
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-de-novo-processes_methods.pdf
September 01, 2009 - Determining How To Use Existing Systematic Reviews
At this point in the process, we assume that EPCs … These include:
• Determining whether the targeted SR search strategy that has been proposed
in this … • Determining whether it is more efficient to search for an SR as part of the
overall search strategy … • Determining specific criteria to assess the quality of individual patient data
meta-analyses. … • Determining if SRs evaluating diagnostic tests or harms require a different
emphasis on certain
-
effectivehealthcare.ahrq.gov/sites/default/files/systematicreviewsreplacedenovo.pdf
September 01, 2009 - Determining How To Use Existing Systematic Reviews
At this point in the process, we assume that EPCs … These include:
• Determining whether the targeted SR search strategy that has been proposed
in this … • Determining whether it is more efficient to search for an SR as part of the
overall search strategy … • Determining specific criteria to assess the quality of individual patient data
meta-analyses. … • Determining if SRs evaluating diagnostic tests or harms require a different
emphasis on certain
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psnet.ahrq.gov/issue/economic-evaluation-quality-improvement-interventions-prevent-catheter-associated-urinary
January 25, 2017 - May 11, 2022
Determining the skills needed by frontline NHS staff to deliver quality
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psnet.ahrq.gov/issue/managing-prevention-retained-surgical-instruments-what-value-counting
September 25, 2008 - June 8, 2016
Comparison of military and civilian methods for determining potentially
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psnet.ahrq.gov/issue/leveraging-redesigned-morbidity-and-mortality-conference-incorporates-clinical-and
April 24, 2018 - December 3, 2018
Comparison of military and civilian methods for determining potentially
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psnet.ahrq.gov/issue/potential-consequences-patient-complications-surgeon-well-being-systematic-review
May 23, 2018 - Related Resources From the Same Author(s)
Comparison of military and civilian methods for determining
-
psnet.ahrq.gov/issue/cost-effectiveness-computerized-provider-order-entry-system-improving-medication-safety
August 09, 2017 - December 21, 2016
Comparison of military and civilian methods for determining potentially
-
digital.ahrq.gov/ahrq-funded-projects/impact-health-it-implementation-diabetes-process-and-outcome-measures/annual-summary/2011
January 01, 2011 - care, estimating the prevalence of voluntary physician use of the DMF embedded within the EHR, and determining
-
digital.ahrq.gov/ahrq-funded-projects/impact-health-it-implementation-diabetes-process-and-outcome-measures/annual-summary/2012
January 01, 2012 - also investigating the prevalence of voluntary physician use of the DMF embedded within the EHR, and determining