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psnet.ahrq.gov/issue/nurse-decision-making-prearrest-period
July 29, 2020 - Study
Nurse decision making in the prearrest period.
Citation Text:
Gazarian PK, Henneman EA, Chandler GE. Nurse decision making in the prearrest period. Clin Nurs Res. 2010;19(1):21-37. doi:10.1177/1054773809353161.
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psnet.ahrq.gov/issue/experimental-evidence-structured-information-sharing-networks-reducing-medical-errors
December 15, 2021 - Study
Experimental evidence for structured information-sharing networks reducing medical errors.
Citation Text:
Centola D, Becker J, Zhang J, et al. Experimental evidence for structured information–sharing networks reducing medical errors. Proc Natl Acad Sci U S A. 2023;120(31):e21082901…
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psnet.ahrq.gov/issue/impact-providing-patients-access-electronic-health-records-quality-and-safety-care-systematic
July 27, 2022 - Review
Emerging Classic
Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis.
Citation Text:
Neves AL, Freise L, Laranjo L, et al. Impact of providing patients access to electronic …
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psnet.ahrq.gov/issue/impact-who-surgical-safety-checklist-relative-its-design-and-intended-use-systematic-review
March 17, 2021 - Review
Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review and meta-meta-analysis.
Citation Text:
Sotto KT, Burian BK, Brindle ME. Impact of the WHO Surgical Safety Checklist relative to its design and intended use: a systematic review…
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psnet.ahrq.gov/issue/use-structured-approach-and-virtual-simulation-practice-improve-diagnostic-reasoning
December 15, 2021 - Study
Use of a structured approach and virtual simulation practice to improve diagnostic reasoning.
Citation Text:
Dekhtyar M, Park YS, Kalinyak J, et al. Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. Diagnosis (Berl). 2022;9(1):69-76. doi:…
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psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
December 08, 2021 - SPOTLIGHT CASE
When Patients and Providers Speak Different Languages
Citation Text:
Karliner LS. When Patients and Providers Speak Different Languages. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/issue/how-health-systems-decide-use-artificial-intelligence-clinical-decision-support
March 30, 2022 - Study
How health systems decide to use artificial intelligence for clinical decision support.
Citation Text:
Gonzalez-Smith J, Shen H, Singletary E, et al. How health systems decide to use artificial intelligence for clinical decision support. NEJM Catal Innov Care Deliv. 2022;3(4). doi:…
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psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
November 13, 2024 - that initial support of the second victim—followed by the traditional event investigation—yields more efficient
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psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient
March 12, 2021 - Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport
Citation Text:
MacDowell P, McGee E. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Q…
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psnet.ahrq.gov/issue/why-universal-precautions-are-needed-medication-lists
August 31, 2016 - Commentary
Why 'Universal Precautions' are needed for medication lists.
Citation Text:
Shane R. Why 'Universal Precautions' are needed for medication lists. BMJ Qual Saf. 2016;25(9):731-2. doi:10.1136/bmjqs-2015-005116.
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psnet.ahrq.gov/issue/indication-based-prescribing-system-our-future
February 24, 2016 - Newspaper/Magazine Article
Is an indication-based prescribing system in our future?
Citation Text:
Is an indication-based prescribing system in our future? ISMP Medication Safety Alert! Acute Care Edition. November 17, 2016;21:1-5.
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psnet.ahrq.gov/issue/maternal-health-women-and-girls-african-descent-americas
September 02, 2015 - Book/Report
Maternal Health of Women and Girls of African Descent in the Americas.
Citation Text:
Maternal Health of Women and Girls of African Descent in the Americas. New York, NY: United Nations Population Fund; July 2023.
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psnet.ahrq.gov/issue/vanishing-nonforensic-autopsy
February 09, 2011 - Commentary
The vanishing nonforensic autopsy.
Citation Text:
Shojania KG, Burton EC. The vanishing nonforensic autopsy. N Engl J Med. 2008;358(9):873-5. doi:10.1056/NEJMp0707996.
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psnet.ahrq.gov/issue/using-telehealth-improve-quality-and-safety-findings-ahrq-portfolio
May 07, 2014 - Book/Report
Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio.
Citation Text:
Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio. Dixon BE, Hook JM, McGowan JJ, for AHRQ National Resource Center for Health IT. Rockville, MD: Ag…
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psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
July 31, 2023 - should be primarily in charge of subsequent communication and recommendations, to allow for safe and efficient
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psnet.ahrq.gov/issue/oral-chemotherapy-prescription-safe-patients-cross-sectional-survey
May 18, 2022 - Study
Is oral chemotherapy prescription safe for patients? A cross-sectional survey.
Citation Text:
Bourmaud A, Pacaut C, Melis A, et al. Is oral chemotherapy prescription safe for patients? A cross-sectional survey. Ann Oncol. 2014;25(2):500-504. doi:10.1093/annonc/mdt553.
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psnet.ahrq.gov/issue/more-algorithms-analysis-safety-events-involving-ml-enabled-medical-devices-reported-fda
May 01, 2019 - Study
More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA.
Citation Text:
Lyell D, Wang Y, Coiera E, et al. More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA. J Am Med Inform…
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psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-telemedicine-obstetrics-quality-and-safety
August 10, 2022 - Organizational Policy/Guidelines
Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-quality and safety considerations.
Citation Text:
Healy A, Davidson C, Allbert J, et al. Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-qu…
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-prescribing-and-transcribing-2016
September 30, 2020 - Study
ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2016.
Citation Text:
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Prescribing and transcribing-2016. Am J Health Syst Pharm. 2…
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psnet.ahrq.gov/issue/effect-cognitive-load-and-task-complexity-automation-bias-electronic-prescribing
May 01, 2019 - Study
The effect of cognitive load and task complexity on automation bias in electronic prescribing.
Citation Text:
Lyell D, Magrabi F, Coiera E. The Effect of Cognitive Load and Task Complexity on Automation Bias in Electronic Prescribing. Hum Factors. 2018;60(7):1008-1021. doi:10.1177/…