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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-center-education-and-research-therapeutics/citation/cross-sectional
January 01, 2023 - A cross-sectional observational study of high override rates of drug allergy alerts in inpatient and outpatient settings, and opportunities for improvement.
Citation
Slight SP, Beeler PE, Seger DL, et al. A cross-sectional observational study of high override rates of drug allergy alerts in inpatient …
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-center-education-and-research-therapeutics/citation/provider
January 01, 2023 - Provider variation in responses to warnings: do the same providers run stop signs repeatedly?
Citation
Beeler PE, Orav EJ, Seger DL, et al. Provider variation in responses to warnings: do the same providers run stop signs repeatedly? J Am Med Inform Assoc 2016 Apr;23(e1):e93-8. PMID: 26499104.
L…
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digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-solutions-accurate-reporting-data-interprofessional/citation/impact-ehr
January 01, 2023 - The impact of electronic health record-based simulation during intern boot camp: interventional study.
Citation
Miller ME, Scholl G, Corby S, Mohan V, Gold JA. The impact of electronic health record-based simulation during intern boot camp: interventional study. JMIR Med Educ. 2021 Mar 9;7(1):e25828. …
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digital.ahrq.gov/principal-investigator/primack-brian
January 01, 2023 - Primack, Brian A.
Sponsored Health IT and Evidence-Based Prescribing among Medical Residents - Final Report
Citation
Primack BA. Sponsored Health IT and Evidence-Based Prescribing among Medical Residents - Final Report. (Prepared by the University of Pittsburgh under Grant No.…
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digital.ahrq.gov/ahrq-funded-projects/development-electronic-medical-record-integrated-enhanced-after-visit-summary/citation/evaluation
January 01, 2023 - Evaluation of a patient-centered after visit summary in primary care.
Citation
Federman AD, Jandorf L, DeLuca J, et al. Evaluation of a patient-centered after visit summary in primary care. Patient Educ Couns 2018 Mar 6. pii: S0738-3991(18)30083-1. doi:10.1016/j.pec.2018.02.017. [Epub ahead of print]…
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digital.ahrq.gov/ahrq-funded-projects/harnessing-health-information-technology-self-management-support-and-medicati-5
January 01, 2023 - Seeing in 3-D: examining the reach of diabetes self-management support strategies in a public health care system.
Citation
Schillinger D, Hammer H, Wang F, et al. Seeing in 3-D: examining the reach of diabetes self-management support strategies in a public health care system. Health Educ Behav 2008 Oc…
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psnet.ahrq.gov/node/40909/psn-pdf
November 09, 2011 - Handing over patient care: is it just the old broken
telephone game?
November 9, 2011
Zendejas B, Ali SM, Huebner M, et al. Handing over patient care: is it just the old broken telephone game?
J Surg Educ. 2011;68(6):465-71. doi:10.1016/j.jsurg.2011.05.011.
https://psnet.ahrq.gov/issue/handing-over-patient-care-it…
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psnet.ahrq.gov/node/73401/psn-pdf
June 16, 2021 - Second victim: a traumatic experience.
June 16, 2021
Wands B. AANA J. 2021;89(2):168-174.
https://psnet.ahrq.gov/issue/second-victim-traumatic-experience
Healthcare professionals who experience emotional consequences after adverse events are often referred
to as “second victims.” Targeted towards certified registe…
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psnet.ahrq.gov/node/38437/psn-pdf
February 25, 2009 - Beyond "see one, do one, teach one": toward a different
training paradigm.
February 25, 2009
Rodriguez-Paz JM, Kennedy M, Salas E, et al. Beyond "see one, do one, teach one": toward a different
training paradigm. Qual Saf Health Care. 2009;18(1):63-8. doi:10.1136/qshc.2007.023903.
https://psnet.ahrq.gov/issue/beyo…
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psnet.ahrq.gov/node/44553/psn-pdf
October 07, 2015 - A medical detective story: why doctors make diagnostic
errors.
October 7, 2015
Landro L. Wall Street Journal. September 26, 2015.
https://psnet.ahrq.gov/issue/medical-detective-story-why-doctors-make-diagnostic-errors
In light of the recent IOM report on improving diagnosis, this newspaper article features an inte…
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psnet.ahrq.gov/node/40868/psn-pdf
October 19, 2011 - Simulation to enhance patient safety: why aren't we there
yet?
October 19, 2011
Aggarwal R, Darzi A. Simulation to enhance patient safety: why aren't we there yet? Chest.
2011;140(4):854-858. doi:10.1378/chest.11-0728.
https://psnet.ahrq.gov/issue/simulation-enhance-patient-safety-why-arent-we-there-yet
Discussin…
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psnet.ahrq.gov/node/46855/psn-pdf
February 21, 2018 - Leadership and vision for a culture of safety.
February 21, 2018
Gandhi TK. NEJM Catalyst. February 8, 2018.
https://psnet.ahrq.gov/issue/leadership-and-vision-culture-safety
Leadership has an important role in establishing a culture of safety in health care organizations. This
commentary describes key skills requ…
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psnet.ahrq.gov/node/36372/psn-pdf
February 24, 2011 - Morbidity and mortality conference, grand rounds, and
the ACGME's core competencies.
February 24, 2011
Kravet SJ, Howell E, Wright SM. Morbidity and mortality conference, grand rounds, and the ACGME's core
competencies. J Gen Intern Med. 2006;21(11):1192-4.
https://psnet.ahrq.gov/issue/morbidity-and-mortality-conf…
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psnet.ahrq.gov/node/35357/psn-pdf
February 03, 2011 - Effects of work hour reduction on residents' lives: a
systematic review.
February 3, 2011
Fletcher KE, Underwood W, Davis SQ, et al. Effects of Work Hour Reduction on Residents’ Lives. JAMA.
2005;294(9):1088. doi:10.1001/jama.294.9.1088.
https://psnet.ahrq.gov/issue/effects-work-hour-reduction-residents-lives-syst…
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psnet.ahrq.gov/node/46607/psn-pdf
November 08, 2017 - Stem the Tide: Addressing the Opioid Epidemic.
November 8, 2017
Chicago, IL: American Hospital Association; 2017.
https://psnet.ahrq.gov/issue/stem-tide-addressing-opioid-epidemic
The opioid epidemic is a challenge to patient safety and public health. This report reviews tools to help
health care systems target ei…
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psnet.ahrq.gov/node/74259/psn-pdf
January 19, 2022 - Diagnostic reasoning in cardiovascular medicine.
January 19, 2022
Brush JE, Sherbino J, Norman GR. Diagnostic reasoning in cardiovascular medicine. BMJ.
2022;376:e064389. doi:10.1136/bmj-2021-064389.
https://psnet.ahrq.gov/issue/diagnostic-reasoning-cardiovascular-medicine
Misdiagnosis of heart failure can lead to…
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psnet.ahrq.gov/node/46218/psn-pdf
October 29, 2017 - Nurses' knowledge and teaching of possible postpartum
complications.
October 29, 2017
Suplee PD, Bingham D, Kleppel L. Nurses' Knowledge and Teaching of Possible Postpartum
Complications. MCN Am J Matern Child Nurs. 2017;42(6):338-344. doi:10.1097/NMC.0000000000000371.
https://psnet.ahrq.gov/issue/nurses-knowledge…
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psnet.ahrq.gov/node/35563/psn-pdf
June 08, 2010 - A comprehensive collaborative patient safety residency
curriculum to address the ACGME core competencies.
June 8, 2010
Singh R, Naughton B, Taylor JS, et al. A comprehensive collaborative patient safety residency curriculum
to address the ACGME core competencies. Med Educ. 2005;39(12):1195-204.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/37311/psn-pdf
January 05, 2012 - To err is human: patient misinterpretations of prescription
drug label instructions.
January 5, 2012
Wolf MS, Davis TC, Shrank WH, et al. To err is human: patient misinterpretations of prescription drug label
instructions. Patient Educ Couns. 2007;67(3):293-300.
https://psnet.ahrq.gov/issue/err-human-patient-misin…
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psnet.ahrq.gov/node/34751/psn-pdf
March 07, 2005 - Merry and McCall Smith's Errors, Medicine, and the Law.
2nd ed.
March 7, 2005
Merry A, Brookbanks W. Cambridge, UK: Cambridge University Press; 2017. ISBN: 9781107180499
https://psnet.ahrq.gov/issue/errors-medicine-and-law
Merry, a New Zealand anesthesiologist, and Smith, a legal educator and a popular writer, exp…