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  1. Adolescents identifying errors and omissions in their electronic health records: a national survey. | PSNet

    psnet.ahrq.gov/issue/adolescents-identifying-errors-and-omissions-their-electronic-health-records-national-survey
    December 08, 2021 - Study Adolescents identifying errors and omissions in their electronic health records: a national survey. Citation Text: Hagström J, Blease CR, Kharko A, et al. Adolescents identifying errors and omissions in their electronic health records: a national survey. Stud Health Technol Inform.…

  2. Improving the quality of drug error reporting. | PSNet

    psnet.ahrq.gov/issue/improving-quality-drug-error-reporting
    December 21, 2016 - Study Improving the quality of drug error reporting. Citation Text: Armitage G, Newell R, Wright J. Improving the quality of drug error reporting. J Eval Clin Pract. 2010;16(6):1189-97. doi:10.1111/j.1365-2753.2009.01293.x. Copy Citation Format: DOI Google Scholar PubMed …

  3. Contingency planning for electronic health record–based care continuity: a survey of recommended practices. | PSNet

    psnet.ahrq.gov/issue/contingency-planning-electronic-health-record-based-care-continuity-survey-recommended
    November 11, 2020 - Study Contingency planning for electronic health record–based care continuity: a survey of recommended practices. Citation Text: Sittig DF, Gonzalez D, Singh H. Contingency planning for electronic health record-based care continuity: a survey of recommended practices. Int J Med Inform. 2…

  4. Development of a trigger tool to identify adverse drug events in elderly patients with multimorbidity. | PSNet

    psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-drug-events-elderly-patients-multimorbidity
    December 02, 2020 - Study Development of a trigger tool to identify adverse drug events in elderly patients with multimorbidity. Citation Text: Guzmán MDT, Banqueri MG, Otero MJ, et al. Development of a Trigger Tool to Identify Adverse Drug Events in Elderly Patients With Multimorbidity. J Patient Saf. 2021…

  5. The Theory of Distributed Cognition | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses2.html
    August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department The Theory of Distributed Cognition Previous Page Next Page Table of Contents Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Introduction The Theory of Dis…

  6. Real-time clinical alerting: effect of an automated paging system on response time to critical laboratory values—a randomised controlled trial. | PSNet

    psnet.ahrq.gov/issue/real-time-clinical-alerting-effect-automated-paging-system-response-time-critical-laboratory
    October 31, 2011 - Study Real-time clinical alerting: effect of an automated paging system on response time to critical laboratory values—a randomised controlled trial. Citation Text: Etchells E, Adhikari NKJ, Cheung C, et al. Real-time clinical alerting: effect of an automated paging system on response …

  7. Best practices for chemotherapy administration in pediatric oncology: quality and safety process improvements (2015). | PSNet

    psnet.ahrq.gov/issue/best-practices-chemotherapy-administration-pediatric-oncology-quality-and-safety-process
    September 23, 2020 - Commentary Best practices for chemotherapy administration in pediatric oncology: quality and safety process improvements (2015). Citation Text: Looper K, Winchester K, Robinson D, et al. Best Practices for Chemotherapy Administration in Pediatric Oncology: Quality and Safety Process Impr…

  8. Use of professional interpreters for patients with limited English proficiency undergoing surgery. | PSNet

    psnet.ahrq.gov/issue/use-professional-interpreters-patients-limited-english-proficiency-undergoing-surgery
    October 19, 2022 - Study Use of professional interpreters for patients with limited English proficiency undergoing surgery. Citation Text: Cevallos J, Lee C, Bongiovanni T. Use of professional interpreters for patients with limited English proficiency undergoing surgery. JAMA Netw Open. 2024;7(2):e2355014.…

  9. Are pathologists self-aware of their diagnostic accuracy? Metacognition and the diagnostic process in pathology. | PSNet

    psnet.ahrq.gov/issue/are-pathologists-self-aware-their-diagnostic-accuracy-metacognition-and-diagnostic-process
    May 18, 2022 - Study Are pathologists self-aware of their diagnostic accuracy? Metacognition and the diagnostic process in pathology. Citation Text: Clayton DA, Eguchi MM, Kerr KF, et al. Are pathologists self-aware of their diagnostic accuracy? Metacognition and the diagnostic process in pathology. Me…

  10. Characteristics associated with requests by pathologists for second opinions on breast biopsies. | PSNet

    psnet.ahrq.gov/issue/characteristics-associated-requests-pathologists-second-opinions-breast-biopsies
    November 03, 2015 - Study Characteristics associated with requests by pathologists for second opinions on breast biopsies. Citation Text: Geller BM, Nelson HD, Weaver DL, et al. Characteristics associated with requests by pathologists for second opinions on breast biopsies. J Clin Pathol. 2017;70(11):947-95…

  11. A review of incidents related to health information technology in Swedish healthcare to characterise system issues as a basis for improvement in clinical practice. | PSNet

    psnet.ahrq.gov/issue/review-incidents-related-health-information-technology-swedish-healthcare-characterise-system
    December 20, 2023 - Study A review of incidents related to health information technology in Swedish healthcare to characterise system issues as a basis for improvement in clinical practice. Citation Text: Pan D, Nilsson E, Rahman Jabin MS. A review of incidents related to health information technology in Sw…

  12. Perspective: malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. | PSNet

    psnet.ahrq.gov/issue/perspective-malpractice-academic-medical-center-frequently-overlooked-aspect-professionalism
    April 03, 2024 - Commentary Perspective: malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. Citation Text: Hochberg MS, Seib CD, Berman RS, et al. Perspective: Malpractice in an academic medical center: a frequently overlooked aspect of professionali…

  13. Influence of surgeon behavior on trainee willingness to speak up: a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/influence-surgeon-behavior-trainee-willingness-speak-randomized-controlled-trial
    February 22, 2019 - Study Influence of surgeon behavior on trainee willingness to speak up: a randomized controlled trial. Citation Text: Salazar MJB, Minkoff H, Bayya J, et al. Influence of surgeon behavior on trainee willingness to speak up: a randomized controlled trial. J Am Coll Surg. 2014;219(5):1001-…

  14. How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory study. | PSNet

    psnet.ahrq.gov/issue/how-willing-are-patients-question-healthcare-staff-issues-related-quality-and-safety-their
    July 31, 2008 - Study How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory study. Citation Text: Davis R, Koutantji M, Vincent C. How willing are patients to question healthcare staff on issues related to the quality and …

  15. Integrating Health Information Technology with Clinical Practice: Documenting Tobacco Cessation Interventions (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/2006Lamer_052411comp.pdf
    January 01, 2006 - Integrating Health Information Technology with Clinical Practice: Documenting Tobacco Cessation Interventions Integrating Health Information Technology with Clinical Practice: Documenting Tobacco Cessation Interventions Christopher Lamer, PharmD, BCPS, NCPS, CDE LCDR, U.S. Public Health Service Patient Safet…

  16. Patient safety begins with proper planning: a quantitative method to improve hospital design. | PSNet

    psnet.ahrq.gov/issue/patient-safety-begins-proper-planning-quantitative-method-improve-hospital-design
    July 19, 2023 - Study Patient safety begins with proper planning: a quantitative method to improve hospital design. Citation Text: Birnbach DJ, Nevo I, Scheinman SR, et al. Patient safety begins with proper planning: a quantitative method to improve hospital design. Qual Saf Health Care. 2010;19(5):46…

  17. Establishing psychological safety in clinical supervision: multi-professional perspectives. | PSNet

    psnet.ahrq.gov/issue/establishing-psychological-safety-clinical-supervision-multi-professional-perspectives
    October 13, 2021 - Commentary Establishing psychological safety in clinical supervision: multi-professional perspectives. Citation Text: Lee EH, Pitts S, Pignataro S, et al. Establishing psychological safety in clinical supervision: multi‐professional perspectives. Clin Teach. 2022;19(2):71-78. doi:10.1111…

  18. Information-gathering patterns associated with higher rates of diagnostic error. | PSNet

    psnet.ahrq.gov/issue/information-gathering-patterns-associated-higher-rates-diagnostic-error
    June 27, 2018 - Study Information-gathering patterns associated with higher rates of diagnostic error. Citation Text: Delzell JE, Chumley H, Webb R, et al. Information-gathering patterns associated with higher rates of diagnostic error. Adv Health Sci Educ Theory Pract. 2009;14(5):697-711. doi:10.1007…

  19. The evolving literature on safety WalkRounds: emerging themes and practical messages. | PSNet

    psnet.ahrq.gov/issue/evolving-literature-safety-walkrounds-emerging-themes-and-practical-messages
    February 25, 2015 - Commentary The evolving literature on safety WalkRounds: emerging themes and practical messages. Citation Text: Singer SJ, Tucker AL. The evolving literature on safety WalkRounds: emerging themes and practical messages: Table 1. BMJ Qual Saf. 2014;23(10). doi:10.1136/bmjqs-2014-003416. …

  20. Racial/ethnic disparities in interhospital transfer for conditions with a mortality benefit to transfer among patients with Medicare. | PSNet

    psnet.ahrq.gov/issue/racialethnic-disparities-interhospital-transfer-conditions-mortality-benefit-transfer-among
    April 14, 2021 - Study Racial/ethnic disparities in interhospital transfer for conditions with a mortality benefit to transfer among patients with Medicare. Citation Text: Racial/ethnic disparities in interhospital transfer for conditions with a mortality benefit to transfer among patients with Medicare.…
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