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psnet.ahrq.gov/issue/what-effectiveness-reporting-systems-promoting-learning-healthcare
September 23, 2020 - Review
What is the effectiveness of reporting systems in promoting learning in healthcare?
Citation Text:
Sehgal A. What is the effectiveness of reporting systems in promoting learning in healthcare? Br J Hosp Med (Lond). 2024;85(4):1-9. doi:10.12968/hmed.2023.0444.
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psnet.ahrq.gov/issue/human-factors-healthcare-welcome-progress-still-scratching-surface
June 16, 2021 - Commentary
Human factors in healthcare: welcome progress, but still scratching the surface.
Citation Text:
Waterson P, Catchpole K. Human factors in healthcare: welcome progress, but still scratching the surface. BMJ Qual Saf. 2016;25(7):480-4. doi:10.1136/bmjqs-2015-005074.
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psnet.ahrq.gov/issue/inappropriate-surgeries-resulting-misdiagnosis-early-amyotrophic-lateral-sclerosis
October 31, 2014 - Study
Inappropriate surgeries resulting from misdiagnosis of early amyotrophic lateral sclerosis.
Citation Text:
Srinivasan J, Scala S, Jones R, et al. Inappropriate surgeries resulting from misdiagnosis of early amyotrophic lateral sclerosis. Muscle Nerve. 2006;34(3):359-60.
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psnet.ahrq.gov/issue/notes-healing-after-missed-diagnosis
May 18, 2022 - Commentary
Notes on healing after a missed diagnosis.
Citation Text:
Fleming EA. Notes on healing after a missed diagnosis. JAMA. 2022;328(13):1297-1298. doi:10.1001/jama.2022.15724.
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hcup-us.ahrq.gov/news/exhibit_booth/NRDBrochure_050218.pdf
May 16, 2018 - What is the NRD?
The Nationwide Readmissions Database (NRD)
is part of the family of databases and software
tools developed for the Healthcare Cost and
Utilization Project (HCUP). The NRD is a unique
and powerful database designed to support
various types of analyses of national readmission
rates for all payers and the…
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psnet.ahrq.gov/issue/latent-bias-and-implementation-artificial-intelligence-medicine
August 18, 2021 - Commentary
Emerging Classic
Latent bias and the implementation of artificial intelligence in medicine.
Citation Text:
Decamp M, Lindvall C. Latent bias and the implementation of artificial intelligence in medicine. J Am Med Inform Assoc. 2020;27(12):2020-2023. d…
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psnet.ahrq.gov/issue/diagnostic-errors-and-reflective-practice-medicine
March 12, 2014 - Review
Diagnostic errors and reflective practice in medicine.
Citation Text:
Mamede S, Schmidt HG, Rikers RMJP. Diagnostic errors and reflective practice in medicine. J Eval Clin Pract. 2006;13(1). doi:10.1111/j.1365-2753.2006.00638.x.
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psnet.ahrq.gov/issue/inevitability-physician-burnout-implications-interventions
April 17, 2024 - Commentary
The inevitability of physician burnout: implications for interventions.
Citation Text:
Montgomery A. The inevitability of physician burnout: Implications for interventions. Burn Res. 2014;1(1). doi:10.1016/j.burn.2014.04.002.
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psnet.ahrq.gov/issue/good-better-toward-patient-safety-initiative-dentistry
September 06, 2017 - Commentary
From good to better: toward a patient safety initiative in dentistry.
Citation Text:
Ramoni R, Walji MF, White J, et al. From good to better: toward a patient safety initiative in dentistry. J Am Dent Assoc. 2012;143(9):956-60.
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psnet.ahrq.gov/issue/alcohol-and-drug-testing-health-professionals-following-preventable-adverse-events-bad-idea
January 02, 2017 - Commentary
Alcohol and drug testing of health professionals following preventable adverse events: a bad idea.
Citation Text:
Banja J. Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. Am J Bioeth. 2014;14(12):25-36. doi:10.1080/15265161.20…
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psnet.ahrq.gov/issue/acog-committee-opinion-621-patient-safety-and-health-information-technology
May 22, 2019 - Commentary
ACOG Committee Opinion #621: patient safety and health information technology.
Citation Text:
Improvement C on PS and Q, Management C on P. Committee opinion no. 621: Patient safety and health information technology. Obstet Gynecol. 2015;125(1):282-3. doi:10.1097/01.AOG.000045…
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psnet.ahrq.gov/issue/hhs-guide-clinicians-appropriate-dosage-reduction-or-discontinuation-long-term-opioid
October 15, 2008 - Book/Report
HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics.
Citation Text:
HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. HHS Guide for Clinicians on the App…
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psnet.ahrq.gov/issue/development-and-expression-high-reliability-organization
November 03, 2021 - Commentary
Development and expression of a high-reliability organization.
Citation Text:
Phillips RA, Schwartz RL, Sostman HD, et al. Development and expression of a high-reliability organization. NEJM Catal Innov Care Deliv. 2021;2(12). doi:10.1056/cat.21.0314.
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psnet.ahrq.gov/issue/impact-barcode-medication-administration-technology-how-nurses-spend-their-time-providing
January 09, 2008 - Study
Impact of barcode medication administration technology on how nurses spend their time providing patient care.
Citation Text:
Poon EG, Keohane CA, Bane A, et al. Impact of Barcode Medication Administration Technology on How Nurses Spend Their Time Providing Patient Care. JONA: The…
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psnet.ahrq.gov/issue/missed-diagnoses-urologists-resulting-malpractice-payment
November 21, 2021 - Study
Missed diagnoses by urologists resulting in malpractice payment.
Citation Text:
Badger WJ, Moran ME, Abraham C, et al. Missed diagnoses by urologists resulting in malpractice payment. J Urol. 2007;178(6):2537-9.
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psnet.ahrq.gov/issue/global-burden-diagnostic-errors-primary-care
May 25, 2022 - Review
The global burden of diagnostic errors in primary care.
Citation Text:
Singh H, Schiff G, Graber ML, et al. The global burden of diagnostic errors in primary care. BMJ Qual Saf. 2017;26(6):484-494. doi:10.1136/bmjqs-2016-005401.
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psnet.ahrq.gov/issue/medication-governance-preventing-errors-and-promoting-patient-safety
November 08, 2023 - Commentary
Medication governance: preventing errors and promoting patient safety.
Citation Text:
Kavanagh C. Medication governance: preventing errors and promoting patient safety. Br J Nurs. 2017;26(3):159-165. doi:10.12968/bjon.2017.26.3.159.
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psnet.ahrq.gov/issue/placing-diagnosis-errors-policy-agenda
October 31, 2014 - Book/Report
Placing Diagnosis Errors on the Policy Agenda.
Citation Text:
Placing Diagnosis Errors on the Policy Agenda. Berenson RA, Upadhyay D, Kaye DR. Washington, DC: Urban Institute. Princeton, NJ: Robert Wood Johnson Foundation; 2014.
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psnet.ahrq.gov/issue/improving-patient-safety-understanding-past-experiences-day-surgery-and-pacu
September 28, 2017 - Study
Improving patient safety by understanding past experiences in day surgery and PACU.
Citation Text:
Ross J, Ranum D. Improving patient safety by understanding past experiences in day surgery and PACU. J Perianesth Nurs. 2009;24(3):144-51. doi:10.1016/j.jopan.2009.03.001.
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psnet.ahrq.gov/issue/identifying-quality-markers-safe-surgical-ward-interview-study-patients-clinical-staff-and
June 17, 2015 - Study
Identifying quality markers of a safe surgical ward: an interview study of patients, clinical staff, and administrators.
Citation Text:
Hassen Y, Singh P, Pucher PH, et al. Identifying quality markers of a safe surgical ward: An interview study of patients, clinical staff, and admi…