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psnet.ahrq.gov/node/47684/psn-pdf
March 20, 2019 - The impact of mobile technology on teamwork and
communication in hospitals: a systematic review.
March 20, 2019
Martin G, Khajuria A, Arora S, et al. The impact of mobile technology on teamwork and communication in
hospitals: a systematic review. J Am Med Inform Assoc. 2019;26(4):339-355. doi:10.1093/jamia/ocy175.
…
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psnet.ahrq.gov/node/46945/psn-pdf
August 29, 2018 - Patient safety initiatives in obstetrics: a rapid review.
August 29, 2018
Antony J, Zarin W, Pham B', et al. Patient safety initiatives in obstetrics: a rapid review. BMJ Open.
2018;8(7):e020170. doi:10.1136/bmjopen-2017-020170.
https://psnet.ahrq.gov/issue/patient-safety-initiatives-obstetrics-rapid-review
Variou…
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psnet.ahrq.gov/node/43440/psn-pdf
August 13, 2014 - Hospital Experiences Using Electronic Health Records to
Support Medication Reconciliation.
August 13, 2014
Grossman JM, Gourevitch R, Cross D. Washington, DC: National Institute for Health Care Reform; July
2014. NIHCR Research Brief No. 17.
https://psnet.ahrq.gov/issue/hospital-experiences-using-electronic-health…
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psnet.ahrq.gov/node/47644/psn-pdf
February 13, 2019 - Using computerized virtual cases to explore diagnostic
error in practicing physicians.
February 13, 2019
Trowbridge RL, Reilly JB, Clauser JC, et al. Using computerized virtual cases to explore diagnostic error in
practicing physicians. Diagnosis (Berl). 2018;5(4):229-233. doi:10.1515/dx-2017-0044.
https://psnet.a…
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psnet.ahrq.gov/node/46438/psn-pdf
September 20, 2017 - Communicating Clearly About Medicines: Proceedings of
a Workshop.
September 20, 2017
National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies
Press: 2017. ISBN: 9780309461856.
https://psnet.ahrq.gov/issue/communicating-clearly-about-medicines-proceedings-workshop
Patient h…
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psnet.ahrq.gov/node/60851/psn-pdf
August 26, 2020 - Situativity: A Family of Social Cognitive Theories for
Clinical Reasoning and Error.
August 26, 2020
Durning S, Holmboe E, Graber ML, eds. Diagnosis(Berl). 2020;7(3):151-344.
https://psnet.ahrq.gov/issue/situativity-family-social-cognitive-theories-clinical-reasoning-and-error
Challenges to effective clinical reas…
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psnet.ahrq.gov/node/47632/psn-pdf
April 10, 2019 - Perception of the usability and implementation of a
metacognitive mnemonic to check cognitive errors in
clinical setting.
April 10, 2019
Chew KS, van Merrienboer JJG, Durning SJ. Perception of the usability and implementation of a
metacognitive mnemonic to check cognitive errors in clinical setting. BMC Med Educ. …
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psnet.ahrq.gov/node/837905/psn-pdf
August 24, 2022 - How cisgender clinicians can help prevent harm during
encounters with transgender patients.
August 24, 2022
doi:10.1001/amajethics.2022.753.
https://psnet.ahrq.gov/issue/how-cisgender-clinicians-can-help-prevent-harm-during-encounters-
transgender-patients
Implicit bias, discrimination, and stigmatization impact …
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psnet.ahrq.gov/node/45970/psn-pdf
March 22, 2017 - A learning health care system using computer-aided
diagnosis.
March 22, 2017
Cahan A, Cimino JJ. A Learning Health Care System Using Computer-Aided Diagnosis. J Med Internet
Res. 2017;19(3):e54. doi:10.2196/jmir.6663.
https://psnet.ahrq.gov/issue/learning-health-care-system-using-computer-aided-diagnosis
Although…
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psnet.ahrq.gov/node/43677/psn-pdf
November 19, 2014 - Reporting and Learning Systems for Medication Errors:
The Role of Pharmacovigilance Centres.
November 19, 2014
Bencheikh SR, Cousins D, Benabdallah G, et al. Geneva, Switzerland: World Health Organization; October
2014. ISBN: 9789241507943.
https://psnet.ahrq.gov/issue/reporting-and-learning-systems-medication-err…
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psnet.ahrq.gov/node/46029/psn-pdf
October 11, 2017 - Closing the gap and raising the bar: assessing board
competency in quality and safety.
October 11, 2017
McGaffigan PA, Ullem BD, Gandhi TK. Closing the Gap and Raising the Bar: Assessing Board
Competency in Quality and Safety. Jt Comm J Qual Patient Saf. 2017;43(6):267-274.
doi:10.1016/j.jcjq.2017.03.003.
https:/…
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psnet.ahrq.gov/node/44863/psn-pdf
July 01, 2016 - Rating the raters: the inconsistent quality of health care
performance measurement.
July 1, 2016
Shahian DM, Normand S-LT, Friedberg MW, et al. Rating the Raters: The Inconsistent Quality of Health
Care Performance Measurement. Ann Surg. 2016;264(1):36-8. doi:10.1097/SLA.0000000000001631.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/45011/psn-pdf
May 25, 2016 - High Reliability Organizations: A Healthcare Handbook for
Patient Safety & Quality.
May 25, 2016
Oster C, Braaten J, eds. Indianapolis, IN: Sigma Theta Tau International; 2016. ISBN: 9781940446387.
https://psnet.ahrq.gov/issue/high-reliability-organizations-healthcare-handbook-patient-safety-quality
This publicati…
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psnet.ahrq.gov/node/61054/psn-pdf
October 21, 2020 - The optimal use of telehealth to deliver safe patient care.
October 21, 2020
Quick Safety. October 6, 2020;55:1-4.
https://psnet.ahrq.gov/issue/optimal-use-telehealth-deliver-safe-patient-care
Telehealth benefits, barriers, and challenges have become more apparent due to its increased use due to
COVID-19 phys…
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psnet.ahrq.gov/node/851196/psn-pdf
July 05, 2023 - Patient falls while under supervision: trends from incident
reporting.
July 5, 2023
Roberts M. Patient falls while under supervision: trends from incident reporting. Br J Nurs.
2023;32(11):508-513. doi:10.12968/bjon.2023.32.11.508.
https://psnet.ahrq.gov/issue/patient-falls-while-under-supervision-trends-incident-…
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psnet.ahrq.gov/node/47997/psn-pdf
May 08, 2019 - Blind spots in the science of safety.
May 8, 2019
Bosk CL, Pedersen KZ. Blind spots in the science of safety. Lancet. 2019;393(10175):978-979.
doi:10.1016/S0140-6736(19)30441-6.
https://psnet.ahrq.gov/issue/blind-spots-science-safety
Safety sciences offer methods to enhance processes and develop organizational cul…
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psnet.ahrq.gov/node/46458/psn-pdf
May 30, 2018 - Development of the Huddle Observation Tool for
structured case management discussions to improve
situation awareness on inpatient clinical wards.
May 30, 2018
Edbrooke-Childs J, Hayes J, Sharples E, et al. Development of the Huddle Observation Tool for structured
case management discussions to improve situation aw…
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psnet.ahrq.gov/node/43406/psn-pdf
August 06, 2014 - A comparison of the effects of different typographical
methods on the recognizability of printed drug names.
August 6, 2014
Or CKL, Wang H. A comparison of the effects of different typographical methods on the recognizability of
printed drug names. Drug Saf. 2014;37(5):351-9. doi:10.1007/s40264-014-0156-9.
https:/…
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psnet.ahrq.gov/node/44087/psn-pdf
November 16, 2015 - Teaching a 'good' ward round.
November 16, 2015
Powell N, Bruce CG, Redfern O. Teaching a 'good' ward round. Clin Med (Lond). 2015;15(2):135-138.
doi:10.7861/clinmedicine.15-2-135.
https://psnet.ahrq.gov/issue/teaching-good-ward-round
Ward rounds, while an important educational activity, may not receive the attent…
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psnet.ahrq.gov/node/35556/psn-pdf
May 27, 2011 - Improving patient safety using interactive, evidence-
based decision support tools.
May 27, 2011
Quinn MM, Mannion J. Improving patient safety using interactive, evidence-based decision support tools. Jt
Comm J Qual Patient Saf. 2005;31(12):678-683.
https://psnet.ahrq.gov/issue/improving-patient-safety-using-inter…