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psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences
March 20, 2019 - Book/Report
Classic
Why Things Bite Back: Technology and the Revenge of Unintended Consequences.
Citation Text:
Why Things Bite Back: Technology and the Revenge of Unintended Consequences. Tenner E. New York, NY: Knopf; 1996. ISBN: 0679425632.
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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…
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psnet.ahrq.gov/issue/workarounds-and-test-results-follow-electronic-health-record-based-primary-care
August 20, 2014 - Study
Workarounds and test results follow-up in electronic health record–based primary care.
Citation Text:
Menon S, Murphy DR, Singh H, et al. Workarounds and Test Results Follow-up in Electronic Health Record-Based Primary Care. Appl Clin Inform. 2016;7(2):543-559. doi:10.4338/ACI-2015…
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psnet.ahrq.gov/issue/how-hospitals-select-their-patient-safety-priorities-exploratory-study-four-veterans-health
March 15, 2016 - Study
How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals.
Citation Text:
George J, Parker VA, Sullivan JL, et al. How hospitals select their patient safety priorities. Health Care Manag Rev. 2020;45(4):E56-E67. doi:…
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psnet.ahrq.gov/issue/expanding-frontiers-risk-management-care-safety-nursing-home-during-covid-19-pandemic
February 15, 2023 - Commentary
Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic.
Citation Text:
Scopetti M, Santurro A, Tartaglia R, et al. Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic. Int J Qual Health Care. 2021;3…
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psnet.ahrq.gov/issue/automated-capture-intraoperative-adverse-events-using-artificial-intelligence-systematic
May 13, 2020 - Review
Automated capture of intraoperative adverse events using artificial intelligence: a systematic review and meta-analysis.
Citation Text:
Eppler MB, Sayegh AS, Maas M, et al. Automated capture of intraoperative adverse events using artificial intelligence: a systematic review and me…
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digital.ahrq.gov/ahrq-funded-projects/myhealthportal-using-electronic-portal-empower-patients-breast-cancer/annual-summary/2012
January 01, 2012 - MyHealthPortal: Using an Electronic Portal to Empower Patients with Breast Cancer - 2012
Project Name
MyHealthPortal: Using an Electronic Portal to Empower Patients with Breast Cancer
Principal Investigator
Wen, Kuang-Yi
Organization
Fox Chase Cancer Center
Funding Me…
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psnet.ahrq.gov/issue/physicians-perspectives-regarding-prescription-drug-monitoring-program-use-within-department
February 17, 2017 - Study
Physicians' perspectives regarding prescription drug monitoring program use within the Department of Veterans Affairs: a multi-state qualitative study.
Citation Text:
Radomski TR, Bixler FR, Zickmund SL, et al. Physicians' Perspectives Regarding Prescription Drug Monitoring Program…
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psnet.ahrq.gov/issue/delivery-safe-and-effective-test-result-communication-management-and-follow
August 19, 2020 - Study
The delivery of safe and effective test result communication, management and follow-up.
Citation Text:
Georgiou A, Li J, Thomas J, et al. The delivery of safe and effective test result communication, management and follow-up. Public Health Res Pract. 2023;33(3):e3332324. doi:10.170…
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psnet.ahrq.gov/issue/bundle-interventions-including-nontechnical-skills-surgeons-can-reduce-operative-time-and
June 24, 2020 - Study
Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safety.
Citation Text:
Koike D, Nomura Y, Nagai M, et al. Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safe…
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psnet.ahrq.gov/issue/how-payers-can-help-hospitals-become-safer-through-value-based-programs
December 21, 2022 - Commentary
How payers can help hospitals become safer through value-based programs.
Citation Text:
Hsu E, Ma S, Winn B, et al. How payers can help hospitals become safer through value-based programs. NEJM Catalyst. 2024;5(7):CAT.24.0049. doi:10.1056/cat.24.0049.
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psnet.ahrq.gov/issue/facilitated-self-reported-anaesthetic-medication-errors-and-after-implementation-safety
February 09, 2011 - Study
Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system.
Citation Text:
Bowdle TA, Jelacic S, Nair B, et al. Facilitated self-reported anaesthetic medication errors before and after implementation of…
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psnet.ahrq.gov/issue/overestimation-clinical-diagnostic-performance-caused-low-necropsy-rates
February 09, 2011 - Study
Overestimation of clinical diagnostic performance caused by low necropsy rates.
Citation Text:
Shojania KG, Burton EC, McDonald KM, et al. Overestimation of clinical diagnostic performance caused by low necropsy rates. Qual Saf Health Care. 2005;14(6):408-13.
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psnet.ahrq.gov/issue/care-deficiencies-and-leaders-inadequate-reviews-patient-who-died-lt-col-luke-weathers-jr-va
April 10, 2024 - Book/Report
Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee.
Citation Text:
Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Me…
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psnet.ahrq.gov/issue/evidence-nurses-need-participate-diagnosis-lessons-malpractice-claims
September 12, 2018 - Study
Evidence that nurses need to participate in diagnosis: lessons from malpractice claims.
Citation Text:
Gleason KT, Jones RM, Rhodes C, et al. Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. J Patient Saf. 2021;17(8):e959-e963. doi:10.1097/pts…
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psnet.ahrq.gov/issue/perioperative-covid-19-defense-evidence-based-approach-optimization-infection-control-and
November 30, 2012 - Commentary
Classic
Perioperative COVID-19 defense: an evidence-based approach for optimization of infection control and operating room management.
Citation Text:
Dexter F, Parra MC, Brown JR, et al. Perioperative COVID-19 defense: an evidence-based approach for …
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psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-residency-education-strategies-meaningful
September 23, 2020 - Commentary
Teaching quality improvement and patient safety in residency education: strategies for meaningful resident quality and safety initiatives.
Citation Text:
Morrison RJ, Bowe SN, Brenner MJ. Teaching Quality Improvement and Patient Safety in Residency Education: Strategies for Me…
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psnet.ahrq.gov/issue/comparing-nicu-teamwork-and-safety-climate-across-two-commonly-used-survey-instruments
November 20, 2019 - Study
Comparing NICU teamwork and safety climate across two commonly used survey instruments.
Citation Text:
Profit J, Lee HC, Sharek PJ, et al. Comparing NICU teamwork and safety climate across two commonly used survey instruments. BMJ Qual Saf. 2016;25(12):954-961. doi:10.1136/bmjqs-20…
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psnet.ahrq.gov/issue/trainees-perceptions-being-allowed-fail-clinical-training-sense-making-model
November 24, 2021 - Study
Trainees' perceptions of being allowed to fail in clinical training: a sense-making model.
Citation Text:
Klasen JM, Teunissen PW, Driessen E, et al. Trainees' perceptions of being allowed to fail in clinical training: a sense‐making model. Med Educ. 2023;57(5):430-439. doi:10.1111…
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digital.ahrq.gov/ahrq-funded-projects/patient-safety-metadata/activity/patient-safety-metadata/annual-summary/2010
January 01, 2010 - Patient Safety Metadata - 2010
Project Name
Patient Safety Metadata
Principal Investigator
Penoza, Chuck
Organization
Data Consulting Group
Contract Number
290-08-10005M
Project Period
January 2008 – December 2010, Completion of Contract
AHRQ Funding A…