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psnet.ahrq.gov/node/35424/psn-pdf
April 09, 2013 - Clinical impact and frequency of anatomic pathology
errors in cancer diagnoses.
April 9, 2013
Raab SS, Grzybicki DM, Janosky JE, et al. Clinical impact and frequency of anatomic pathology errors in
cancer diagnoses. Cancer. 2005;104(10):2205-13.
https://psnet.ahrq.gov/issue/clinical-impact-and-frequency-anatomic-p…
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psnet.ahrq.gov/node/837193/psn-pdf
May 25, 2022 - Defining diagnostic error: a scoping review to assess the
impact of the National Academies' report Improving
Diagnosis in Health Care.
May 25, 2022
Giardina TD, Hunte H, Hill MA, et al. Defining diagnostic error: a scoping review to assess the impact of the
National Academies' report Improving Diagnosis in Health …
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psnet.ahrq.gov/node/44103/psn-pdf
July 08, 2015 - Results of survey on pediatric medication safety—part 1
and part 2.
July 8, 2015
ISMP Medication Safety Alert! Acute Care Edition. June 4, 2015;20:1-6. July 2, 2015;20:1-5.
https://psnet.ahrq.gov/issue/results-survey-pediatric-medication-safety-part-1-and-part-2
Hospitalized children are susceptible to medication …
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psnet.ahrq.gov/node/40122/psn-pdf
February 01, 2011 - Attitudes and barriers to a medical emergency team
system at a tertiary paediatric hospital.
February 1, 2011
Azzopardi P, Kinney S, Moulden A, et al. Attitudes and barriers to a Medical Emergency Team system at a
tertiary paediatric hospital. Resuscitation. 2011;82(2):167-74. doi:10.1016/j.resuscitation.2010.10.01…
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psnet.ahrq.gov/node/48193/psn-pdf
August 28, 2019 - Automated detection of wrong-drug prescribing errors.
August 28, 2019
Lambert BL, Galanter W, Liu KL, et al. Automated detection of wrong-drug prescribing errors. BMJ Qual
Saf. 2019;28(11):908-915. doi:10.1136/bmjqs-2019-009420.
https://psnet.ahrq.gov/issue/automated-detection-wrong-drug-prescribing-errors
Look-al…
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psnet.ahrq.gov/node/47247/psn-pdf
December 19, 2018 - Preventing central line–associated bloodstream
infections in the intensive care unit: application of high-
reliability principles.
December 19, 2018
McCraw B, Crutcher T, Polancich S, et al. Preventing Central Line-Associated Bloodstream Infections in
the Intensive Care Unit: Application of High-Reliability Princi…
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psnet.ahrq.gov/node/43679/psn-pdf
May 22, 2015 - Patient safety goals for the proposed Federal Health
Information Technology Safety Center.
May 22, 2015
Sittig DF, Classen D, Singh H. Patient safety goals for the proposed Federal Health Information
Technology Safety Center. J Am Med Inform Assoc. 2015;22(2):472-8. doi:10.1136/amiajnl-2014-002988.
https://psnet.a…
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psnet.ahrq.gov/node/61018/psn-pdf
October 14, 2020 - Association of current opioid use with serious adverse
events among older adult survivors of breast cancer.
October 14, 2020
Winn AN, Check DK, Farkas A, et al. Association of current opioid use with serious adverse events among
older adult survivors of breast cancer. JAMA Netw Open. 2020;3(9):e2016858.
doi:10.100…
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psnet.ahrq.gov/node/42789/psn-pdf
December 04, 2013 - Development of the just culture assessment tool:
measuring the perceptions of health-care professionals in
hospitals.
December 4, 2013
Petschonek S, Burlison JD, Cross C, et al. Development of the just culture assessment tool: measuring the
perceptions of health-care professionals in hospitals. J Patient Saf. 2013…
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psnet.ahrq.gov/node/46547/psn-pdf
April 16, 2018 - Hidden curricula, ethics, and professionalism: clinical
learning environments in becoming and being a
physician: a position paper of the American College of
Physicians.
April 16, 2018
Lehmann LS, Sulmasy LS, Desai S, et al. Hidden Curricula, Ethics, and Professionalism: Optimizing
Clinical Learning Environments i…
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psnet.ahrq.gov/node/39581/psn-pdf
January 03, 2017 - An implementation strategy for a multicenter pediatric
rapid response system in Ontario.
January 3, 2017
Buist MD, Shearer W. Rapid Response Systems: A Mandatory System of Care or an Optional Extra for
Bedside Clinical Staff? The Joint Commission Journal on Quality and Patient Safety. 2016;36(6).
doi:10.1016/s1553…
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psnet.ahrq.gov/node/840170/psn-pdf
November 16, 2022 - Predicting dispensing errors in community pharmacies:
an application of the Systematic Human Error Reduction
and Prediction Approach (SHERPA).
November 16, 2022
Ashour A, Phipps DL, Ashcroft DM. PLoS ONE. 2022;17(1):e0261672.
https://psnet.ahrq.gov/innovation/predicting-dispensing-errors-community-pharmacies-…
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digital.ahrq.gov/sites/default/files/docs/page/tool-7-4-sample-md-pharmacy-outreach.docx
June 16, 2021 - Tool 7.4: Sample MD to Pharmacy Outreach
Tool 7.4: Sample MD to Pharmacy Outreach
To Our Valued Pharmacy Partner:
We would like to let you know that physicians at our practice are now able to send electronic prescriptions to pharmacies connected to a health information network (placeholder).
This means that our ph…
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digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-74-sample-md-pharmacy-outreach
January 01, 2023 - Tool 7.4: Sample MD to Pharmacy Outreach
To Our Valued Pharmacy Partner:
We would like to let you know that physicians at our practice are now able to send electronic prescriptions to pharmacies connected to a health information network ( placeholder ).
This means that our physicians wil…
-
psnet.ahrq.gov/node/37130/psn-pdf
March 24, 2011 - Preventing medication errors in long-term care: results
and evaluation of a large scale web-based error reporting
system.
March 24, 2011
Pierson S, Hansen RA, Greene SB, et al. Preventing medication errors in long-term care: results and
evaluation of a large scale web-based error reporting system. Qual Saf Health …
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psnet.ahrq.gov/node/60837/psn-pdf
August 26, 2020 - Attending to the emotional well-being of the health care
workforce in a New York City health system during the
COVID-19 pandemic.
August 26, 2020
Ripp JA, Peccoralo L, Charney D. Attending to the emotional well-being of the health care workforce in a
New York City health system during the COVID-19 pandemic. Acad M…
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digital.ahrq.gov/organization/university-south-florida
January 01, 2023 - University of South Florida
Utilizing Health Information Technology to Improve Health Care Quality - 2012
Principal Investigator
Storch, Eric
Project Name
Utilizing Health Information Technology to Improve Health Care Quality
Evaluation an…
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psnet.ahrq.gov/node/42588/psn-pdf
September 18, 2013 - Cognitive debiasing; part 1 and part 2.
September 18, 2013
Croskerry P, Singhal G, Mamede S. Cognitive debiasing 1: origins of bias and theory of debiasing. BMJ
Qual Saf. 2013;22 Suppl 2:ii58-ii64. doi:10.1136/bmjqs-2012-001712.
https://psnet.ahrq.gov/issue/cognitive-debiasing-part-1-and-part-2
Experienced diagnos…
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www.ahrq.gov/sites/default/files/2024-07/domino-report.pdf
January 01, 2024 - The
most challenging elements of shared decision making were establishing the patient role, encouraging … related to preference-sensitive treatment options by distributing a
patient activation tool as well as establishing … implementation of SDM in the
spine clinics suggests that the most challenging elements of SDM were establishing
-
digital.ahrq.gov/sites/default/files/docs/publication/r01hs015054-keenan-final-report-2008.pdf
January 01, 2008 - Most importantly,
appropriateness cannot be determined without first establishing that the care provided … "Establishing the
validity, reliability, and sensitivity of NOC in home care
settings." … "Establishing
the validity, reliability, and sensitivity of NOC in an adult
care nurse practitioner