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  1. Humanizing harm: using a restorative approach to heal and learn from adverse events. | PSNet

    psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events
    November 30, 2022 - Commentary Humanizing harm: using a restorative approach to heal and learn from adverse events. Citation Text: Wailling J, Kooijman A, Hughes J, et al. Humanizing harm: Using a restorative approach to heal and learn from adverse events. Health Expect. 2022;25(4):1192-1199. doi:10.1111/he…

  2. Systematic review of the impact of physician implicit racial bias on clinical decision making. | PSNet

    psnet.ahrq.gov/issue/systematic-review-impact-physician-implicit-racial-bias-clinical-decision-making
    May 18, 2022 - Review Systematic review of the impact of physician implicit racial bias on clinical decision making. Citation Text: Dehon E, Weiss N, Jones J, et al. Systematic review of the impact of physician implicit racial bias on clinical decision making. Acad Emerg Med. 2017;24(8):895-904. doi:10…

  3. Shame and guilt in EMS: a qualitative analysis of culture and attitudes in prehospital emergency care. | PSNet

    psnet.ahrq.gov/issue/shame-and-guilt-ems-qualitative-analysis-culture-and-attitudes-prehospital-emergency-care
    August 26, 2020 - Study Shame and guilt in EMS: a qualitative analysis of culture and attitudes in prehospital emergency care. Citation Text: Hoff JJ, Zimmerman A, Tupetz A, et al. Shame and guilt in EMS: a qualitative analysis of culture and attitudes in prehospital emergency care. Prehosp Emerg Care. 20…

  4. Patient error: a preliminary taxonomy. | PSNet

    psnet.ahrq.gov/issue/patient-error-preliminary-taxonomy
    June 02, 2010 - Study Patient error: a preliminary taxonomy. Citation Text: Buetow S, Kiata L, Liew T, et al. Patient error: a preliminary taxonomy. Ann Fam Med. 2009;7(3):223-31. doi:10.1370/afm.941. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

  5. Patient outcomes after opioid dose reduction among patients with chronic opioid therapy. | PSNet

    psnet.ahrq.gov/issue/patient-outcomes-after-opioid-dose-reduction-among-patients-chronic-opioid-therapy
    April 27, 2022 - Study Patient outcomes after opioid dose reduction among patients with chronic opioid therapy. Citation Text: Hallvik SE, El Ibrahimi S, Johnston K, et al. Patient outcomes after opioid dose reduction among patients with chronic opioid therapy. Pain. 2022;163(1):83-90. doi:10.1097/j.pain…

  6. Diagnostic errors in primary care pediatrics: Project RedDE. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-primary-care-pediatrics-project-redde
    April 08, 2018 - Study Diagnostic errors in primary care pediatrics: Project RedDE. Citation Text: Rinke ML, Singh H, Heo M, et al. Diagnostic Errors in Primary Care Pediatrics: Project RedDE. Acad Peds. 2018;18(2):220-227. doi:10.1016/j.acap.2017.08.005. Copy Citation Format: DOI Google Sc…

  7. Impact of regionalized care on concordance of plan and preventable adverse events on general medicine services. | PSNet

    psnet.ahrq.gov/issue/impact-regionalized-care-concordance-plan-and-preventable-adverse-events-general-medicine
    November 16, 2022 - Study Impact of regionalized care on concordance of plan and preventable adverse events on general medicine services. Citation Text: Mueller SK, Schnipper JL, Giannelli K, et al. Impact of regionalized care on concordance of plan and preventable adverse events on general medicine service…

  8. Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research. | PSNet

    psnet.ahrq.gov/issue/hospital-board-oversight-quality-and-patient-safety-narrative-review-and-synthesis-recent
    November 13, 2019 - Review Classic Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research. Citation Text: Millar R, Mannion R, Freeman T, et al. Hospital board oversight of quality and patient safety: a narrative review…

  9. The impact of the 80-hour work week on appropriate resident case coverage. | PSNet

    psnet.ahrq.gov/issue/impact-80-hour-work-week-appropriate-resident-case-coverage
    June 18, 2008 - Study The impact of the 80-hour work week on appropriate resident case coverage. Citation Text: Shin S, Britt R, Doviak M, et al. The Impact of the 80-Hour Work Week on Appropriate Resident Case Coverage. Journal of Surgical Research. 2009;162(1). doi:10.1016/j.jss.2009.12.003. Copy …

  10. Implementation of an emergency department sign-out checklist improves transfer of information at shift change. | PSNet

    psnet.ahrq.gov/issue/implementation-emergency-department-sign-out-checklist-improves-transfer-information-shift
    October 30, 2019 - Study Implementation of an emergency department sign-out checklist improves transfer of information at shift change. Citation Text: Dubosh NM, Carney D, Fisher J, et al. Implementation of an emergency department sign-out checklist improves transfer of information at shift change. J Emerg…

  11. Discrepancies between in-home interviews and electronic medical records on regularly used drugs among home care clients. | PSNet

    psnet.ahrq.gov/issue/discrepancies-between-home-interviews-and-electronic-medical-records-regularly-used-drugs
    May 25, 2022 - Study Discrepancies between in-home interviews and electronic medical records on regularly used drugs among home care clients. Citation Text: Tiihonen M, Nykänen I, Ahonen R, et al. Discrepancies between in-home interviews and electronic medical records on regularly used drugs among home…

  12. Apologies following an adverse medical event: the importance of focusing on the consumer's needs. | PSNet

    psnet.ahrq.gov/issue/apologies-following-adverse-medical-event-importance-focusing-consumers-needs
    June 27, 2011 - Study Apologies following an adverse medical event: the importance of focusing on the consumer's needs. Citation Text: Allan A, McKillop D, Dooley J, et al. Apologies following an adverse medical event: The importance of focusing on the consumer's needs. Patient Educ Couns. 2015;98(9):10…

  13. Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities. | PSNet

    psnet.ahrq.gov/issue/physician-patient-communication-failure-facilitates-medication-errors-older-polymedicated
    November 02, 2010 - Study Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities. Citation Text: Mira JJ, Orozco-Beltrán D, Pérez-Jover V, et al. Physician patient communication failure facilitates medication errors in older polyme…

  14. Artificial intelligence in the provision of health care: an American College of Physicians policy position paper. | PSNet

    psnet.ahrq.gov/issue/artificial-intelligence-provision-health-care-american-college-physicians-policy-position
    February 18, 2011 - Organizational Policy/Guidelines Artificial intelligence in the provision of health care: an American College of Physicians policy position paper. Citation Text: Daneshvar N, Pandita D, Erickson S, et al. Artificial Intelligence in the Provision of Health Care: An American College of Phy…

  15. Patients' online access to their electronic health records and linked online services: a systematic interpretative review. | PSNet

    psnet.ahrq.gov/issue/patients-online-access-their-electronic-health-records-and-linked-online-services-systematic
    September 08, 2021 - Review Patients' online access to their electronic health records and linked online services: a systematic interpretative review. Citation Text: de Lusignan S, Mold F, Sheikh A, et al. Patients' online access to their electronic health records and linked online services: a systematic int…

  16. ACR Recommendations for the use of Chest Radiography and Computed Tomography (CT) for Suspected COVID-19 Infection. | PSNet

    psnet.ahrq.gov/issue/acr-recommendations-use-chest-radiography-and-computed-tomography-ct-suspected-covid-19
    August 14, 2019 - Organizational Policy/Guidelines ACR Recommendations for the use of Chest Radiography and Computed Tomography (CT) for Suspected COVID-19 Infection. Citation Text: ACR Recommendations for the use of Chest Radiography and Computed Tomography (CT) for Suspected COVID-19 Infection. American…

  17. Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases: a pragmatic randomized trial. | PSNet

    psnet.ahrq.gov/issue/impact-digitally-acquired-peer-diagnostic-input-diagnostic-confidence-outpatient-cases
    June 15, 2022 - Study Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases: a pragmatic randomized trial. Citation Text: Khoong EC, Fontil V, Rivadeneira NA, et al. Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases:…

  18. Beyond 'find and fix': improving quality and safety through resilient healthcare systems. | PSNet

    psnet.ahrq.gov/issue/beyond-find-and-fix-improving-quality-and-safety-through-resilient-healthcare-systems
    August 04, 2021 - Study Beyond 'find and fix': improving quality and safety through resilient healthcare systems. Citation Text: Anderson JE, Ross AJ, Back J, et al. Beyond ‘find and fix’: improving quality and safety through resilient healthcare systems. Int J Qual Health Care. 2020;32(3):204-211. doi:10…

  19. Retrospective review for medication dose errors in pediatric emergency department medication orders that bypassed pharmacist review. | PSNet

    psnet.ahrq.gov/issue/retrospective-review-medication-dose-errors-pediatric-emergency-department-medication-orders
    January 12, 2022 - Study Retrospective review for medication dose errors in pediatric emergency department medication orders that bypassed pharmacist review. Citation Text: Todd SE, Thompson AJ, Russell WS. Retrospective review for medication dose errors in pediatric emergency department medication orders…

  20. Investigating the impact of structural racism on Black birthing people - associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity. | PSNet

    psnet.ahrq.gov/issue/investigating-impact-structural-racism-black-birthing-people-associations-between-racialized
    June 16, 2021 - Study Investigating the impact of structural racism on Black birthing people - associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity. Citation Text: Jeffers NK, Berger BO, Marea CX, et al. Investigating the impact of structural raci…
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