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psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-procedure-and-wrong-patient-adverse-events-are-they-preventable
February 24, 2011 - Study
Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?
Citation Text:
Seiden SC, Barach P. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: Are they preventable? Arch Surg. 2006;141(9):931-9.
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psnet.ahrq.gov/issue/barriers-and-facilitators-associated-implementation-surgical-safety-checklists-qualitative
August 17, 2022 - Review
Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review.
Citation Text:
Paterson C, Mckie A, Turner M, et al. Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitati…
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psnet.ahrq.gov/issue/checking-all-boxes-checklist-when-and-how-use-checklists-effectively
June 29, 2022 - Commentary
Checking all the boxes: a checklist for when and how to use checklists effectively.
Citation Text:
Alfred M, Barg-Walkow LH, Keebler JR, et al. Checking all the boxes: a checklist for when and how to use checklists effectively. BMJ Qual Saf. 2024;33(10):673-681. doi:10.1136/bm…
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psnet.ahrq.gov/issue/resolving-productivity-paradox-health-information-technology-time-optimism
November 16, 2022 - Commentary
Resolving the productivity paradox of health information technology: a time for optimism.
Citation Text:
Wachter R, Howell MD. Resolving the Productivity Paradox of Health Information Technology: A Time for Optimism. JAMA. 2018;320(1):25-26. doi:10.1001/jama.2018.5605.
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psnet.ahrq.gov/issue/effect-diagnostic-accuracy-cognitive-reasoning-tools-workplace-setting-systematic-review-and
February 02, 2022 - Review
Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis.
Citation Text:
Staal J, Hooftman J, Gunput STG, et al. Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review…
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psnet.ahrq.gov/issue/limits-safety-organizations-accidents-and-nuclear-weapons
July 28, 2013 - Book/Report
Classic
The Limits of Safety: Organizations, Accidents and Nuclear Weapons.
Citation Text:
The Limits of Safety: Organizations, Accidents and Nuclear Weapons. Sagan SD. Princeton NJ: Princeton University Press; 1993. ISBN: 9780691032214.
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psnet.ahrq.gov/issue/improving-quality-health-care-whats-taking-so-long
April 06, 2016 - Commentary
Classic
Improving the quality of health care: what's taking so long?
Citation Text:
Chassin MR. Improving The Quality Of Health Care: What’s Taking So Long? Health Aff. 2013;32(10):1761-1765. doi:10.1377/hlthaff.2013.0809.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/hunt-dl-et-al-1998
January 01, 1998 - Hunt DL et al. 1998 "Effects of computer-based clinical decision support systems on physician performance and patient outcomes - a systematic review."
Reference
Hunt DL, Haynes RB, Hanna SE, et al. Effects of computer-based clinical decision support systems on physician performance and patient outcome…
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psnet.ahrq.gov/issue/sociotechnical-work-system-approach-occupational-fatigue
January 15, 2025 - Commentary
Sociotechnical work system approach to occupational fatigue.
Citation Text:
Watterson TL, Steege LM, Mott DA, et al. Sociotechnical work system approach to occupational fatigue. Jt Comm J Qual Patient Saf. 2023;49(9):485-493. doi:10.1016/j.jcjq.2023.05.007.
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psnet.ahrq.gov/issue/abbreviation-use-decreases-effective-clinical-communication-and-can-compromise-patient-safety
October 29, 2017 - Commentary
Abbreviation use decreases effective clinical communication and can compromise patient safety.
Citation Text:
Parry D, Odedra A, Fagbohun M, et al. Abbreviation use decreases effective clinical communication and can compromise patient safety. Br J Oral Maxillofac Surg. 2023;61…
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psnet.ahrq.gov/issue/who-world-alliance-patient-safety-new-challenge-or-old-one-neglected
February 14, 2024 - Commentary
The WHO World Alliance for Patient Safety: a new challenge or an old one neglected?
Citation Text:
Edwards R. The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? Drug Saf. 2005;28(5):379-86.
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psnet.ahrq.gov/issue/making-surgical-wards-safer-patients-diabetes-reducing-hypoglycaemia-and-insulin-errors
February 18, 2019 - Commentary
Making surgical wards safer for patients with diabetes: reducing hypoglycaemia and insulin errors.
Citation Text:
Singh A, Adams A, Dudley B, et al. Making surgical wards safer for patients with diabetes: reducing hypoglycaemia and insulin errors. BMJ Open Qual. 2018;7(3):e000…
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digital.ahrq.gov/program-overview/research-stories/app-assists-patients-decide-if-home-hospital-level-care-right
January 01, 2023 - App Assists Patients Decide if In-Home Hospital-Level Care is Right for Them
Theme:
Optimizing Care Delivery for Clinicians
Subtheme:
Using Digital Tools to Support Shared Decision-Making and Personalized Care
A web-based application that incorporates patient and caregiver preferences hel…
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psnet.ahrq.gov/issue/evaluating-accuracy-electronic-pediatric-drug-dosing-rules
May 08, 2017 - Study
Evaluating the accuracy of electronic pediatric drug dosing rules.
Citation Text:
Kirkendall E, Spooner A, Logan JR. Evaluating the accuracy of electronic pediatric drug dosing rules. J Am Med Inform Assoc. 2014;21(e1):e43-9. doi:10.1136/amiajnl-2013-001793.
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digital.ahrq.gov/ahrq-funded-projects/sponsored-health-it-and-evidence-based-prescribing-among-medical-residents
January 01, 2023 - Sponsored Health IT and Evidence-Based Prescribing Among Medical Residents
Project Final Report ( PDF , 217.5 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represen…
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psnet.ahrq.gov/issue/validation-mobile-app-reducing-errors-administration-medications-emergency
September 23, 2020 - Study
Validation of a mobile app for reducing errors of administration of medications in an emergency.
Citation Text:
Baumann D, Dibbern N, Sehner S, et al. Validation of a mobile app for reducing errors of administration of medications in an emergency. J Clin Monit Comput. . 2019;33(3):…
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psnet.ahrq.gov/issue/approaches-reducing-most-important-patient-errors-primary-health-care-patient-and
April 12, 2011 - Study
Approaches to reducing the most important patient errors in primary health-care: patient and professional perspectives.
Citation Text:
Buetow S, Kiata L, Liew T, et al. Approaches to reducing the most important patient errors in primary health-care: patient and professional persp…
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psnet.ahrq.gov/issue/medication-errors-involving-nursing-students-systematic-review
March 09, 2022 - Review
Medication errors involving nursing students: a systematic review.
Citation Text:
Asensi-Vicente J, Jiménez-Ruiz I, Vizcaya-Moreno F. Medication Errors Involving Nursing Students: A Systematic Review. Nurse Educ. 2018;43(5):E1-E5. doi:10.1097/NNE.0000000000000481.
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psnet.ahrq.gov/issue/reducing-diagnostic-errors-why-now
July 28, 2014 - Commentary
Classic
Reducing diagnostic errors—why now?
Citation Text:
Khullar D, Jha AK, Jena AB. Reducing diagnostic errors--why now? N Engl J Med. 2015;373(26):2491-2493. doi:10.1056/NEJMp1508044.
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psnet.ahrq.gov/issue/perioperative-team-based-morbidity-and-mortality-conferences-systematic-review-literature
November 29, 2023 - Review
Perioperative team-based morbidity and mortality conferences: a systematic review of the literature.
Citation Text:
Samost-Williams A, Rosen R, Hannenberg A, et al. Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. Ann Surg Open. …