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August 21, 2024 - A daily dose of communication to improve quality and
safety outcomes.
August 21, 2024
Halm MA. A daily dose of communication to improve quality and safety outcomes. Am J Crit Care.
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August 13, 2014 - Office-based anesthesia: safety and outcomes.
August 13, 2014
Shapiro FE, Punwani N, Rosenberg NM, et al. Office-Based Anesthesia. Anesth Analg. 2014;119(2):276-
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Office-based anesthesia has become more w…
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January 27, 2021 - The Cognitive Autopsy: A Root Cause Analysis of Medical
Decision Making.
January 27, 2021
Croskerry P. New York, NY: Oxford University Press; 2020. ISBN: 9780190088743.
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Diagnostic error reduction methods are evolv…
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June 19, 2019 - A simulation-based approach to training in heuristic
clinical decision-making.
June 19, 2019
Altabbaa G, Raven AD, Laberge J. A simulation-based approach to training in heuristic clinical decision-
making. Diagnosis (Berl). 2019;6(2):91-99. doi:10.1515/dx-2018-0084.
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February 20, 2019 - A cognitive forcing tool to mitigate cognitive bias—a
randomised control trial.
February 20, 2019
O'Sullivan ED, Schofield SJ. A cognitive forcing tool to mitigate cognitive bias - a randomised control trial.
BMC Med Educ. 2019;19(1):12. doi:10.1186/s12909-018-1444-3.
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November 25, 2015 - Beyond the Quick Fix: Strategies for Improving Patient
Safety.
November 25, 2015
Baker GR. Toronto, ON: Institute of Health Policy, Management and Evaluation, University of Toronto;
2015.
https://psnet.ahrq.gov/issue/beyond-quick-fix-strategies-improving-patient-safety
The 2004 Canadian Adverse Events Study helpe…
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January 01, 2019 - Improving incident reporting among physician trainees.
September 28, 2016
Krouss M, Alshaikh J, Croft LD, et al. Improving Incident Reporting Among Physician Trainees. J Patient
Saf. 2019;15(4):308-310. doi:10.1097/PTS.0000000000000325.
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August 24, 2016 - Patient Safety: Perspectives on Evidence, Information and
Knowledge Transfer.
August 24, 2016
Zipperer L, ed. London, UK: Gower Publishing; 2014. ISBN: 9781409438571.
https://psnet.ahrq.gov/issue/patient-safety-perspectives-evidence-information-and-knowledge-transfer
This book provides information about utilizing …
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July 02, 2014 - Optimizing transitions of care to reduce
rehospitalizations.
July 2, 2014
Li J, Young R, Williams M. Optimizing transitions of care to reduce rehospitalizations. Cleve Clin J Med.
2014;81(5):312-20. doi:10.3949/ccjm.81a.13106.
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August 30, 2017 - Inpatients notes: sensemaking—fostering a shared
understanding in clinical teams.
August 30, 2017
Leykum LK, O'Leary KJ. Web Exclusives. Annals for Hospitalists Inpatient Notes - Sensemaking-Fostering
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March 13, 2019 - Medicare trims payments to 800 hospitals, citing patient
safety incidents.
March 13, 2019
Rau J. Kaiser Health News. March 1, 2019.
https://psnet.ahrq.gov/issue/medicare-trims-payments-800-hospitals-citing-patient-safety-incidents
Financial incentives may encourage adoption of practice improvements that enhance sa…
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November 21, 2016 - Insensible losses: when the medical community forgets
the family.
November 21, 2016
Elias P. Insensible losses: when the medical community forgets the family. Health Aff (Millwood).
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February 18, 2019 - Structured handover in general surgery: an audit of
current practice.
February 18, 2019
Jones HG, Watt B, Lewis L, et al. Structured Handover in General Surgery: An Audit of Current Practice. J
Patient Saf. 2019;15(1):7-10. doi:10.1097/PTS.0000000000000201.
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April 23, 2014 - Disclosing harmful medical errors to patients: a time for
professional action.
April 23, 2014
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May 03, 2017 - Secret data on hospital inspections may soon become
public.
May 3, 2017
Ornstein C. Health Shots. National Public Radio and ProPublica. April 18, 2017.
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Summary data about serious errors in hospitals are available, but often detail…
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January 01, 2021 - The effects of bar-coding technology on medication
errors: a systematic literature review.
April 19, 2017
Hutton K, Ding Q, Wellman G. The Effects of Bar-coding Technology on Medication Errors: A Systematic
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September 22, 2021 - Bringing the clinical laboratory into the strategy to
advance diagnostic excellence.
September 22, 2021
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diagnostic excellence. Diagnosis (Berl). 2021;8(3):281-294. doi:10.1515/dx-2020-0119.
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May 27, 2011 - Evaluation of outpatient computerized physician
medication order entry systems: a systematic review.
May 27, 2011
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May 21, 2009 - The state of the evidence for computerized provider order
entry: a systematic review and analysis of the quality of
the literature.
May 21, 2009
Weir C, Staggers N, Phansalkar S. The state of the evidence for computerized provider order entry: a
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October 23, 2019 - Automation of the I-PASS tool to improve transitions of
care.
October 23, 2019
Skaret MM, Weaver TD, Humes RJ, et al. Automation of the I-PASS Tool to Improve Transitions of Care. J
Healthc Qual. 2019;41(5):274-280. doi:10.1097/JHQ.0000000000000174.
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