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psnet.ahrq.gov/node/853627/psn-pdf
September 20, 2023 - Understanding And Addressing Pre-Hospital Diagnostic
Delays.
September 20, 2023
Health Affairs Forefront; May-September 2023.
https://psnet.ahrq.gov/issue/understanding-and-addressing-pre-hospital-diagnostic-delays
Diagnostic delays stem from both human and process failures. This series of articles examines how
s…
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psnet.ahrq.gov/node/36204/psn-pdf
September 30, 2010 - Automated medication error studies with audit
supplementation were effectively designed and analyzed
by time series.
September 30, 2010
Shuster JJ, Winterstein AG. Automated medication error studies with audit supplementation were
effectively designed and analyzed by time series. J Clin Epidemiol. 2006;59(9).
doi…
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psnet.ahrq.gov/node/34941/psn-pdf
June 23, 2009 - Team types, perceived efficiency and team climate in
Swedish cross-professional teamwork.
June 23, 2009
Thylefors I, Persson O, Hellström D. Team types, perceived efficiency and team climate in Swedish cross-
professional teamwork. J Interprof Care. 2005;19(2):102-14.
https://psnet.ahrq.gov/issue/team-types-percei…
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psnet.ahrq.gov/node/840494/psn-pdf
November 30, 2022 - Safety of anesthetic and perioperative medication
practices.
November 30, 2022
Meyer TA. Anesthesiology News. October 31, 2022.
https://psnet.ahrq.gov/issue/safety-anesthetic-and-perioperative-medication-practices
Medication use in the surgical environment is complex and high-risk. This article describes steps tow…
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psnet.ahrq.gov/node/37658/psn-pdf
June 14, 2011 - Applying modern error theory to the problem of missed
injuries in trauma.
June 14, 2011
Clarke DL, Gouveia J, Thomson SR, et al. Applying modern error theory to the problem of missed injuries
in trauma. World J Surg. 2008;32(6):1176-82. doi:10.1007/s00268-008-9543-7.
https://psnet.ahrq.gov/issue/applying-modern-er…
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psnet.ahrq.gov/node/73872/psn-pdf
September 22, 2021 - Parenteral nutrition safety.
September 22, 2021
Mirtallo JM, Ayers P. Pharmacy Practice News. September 7, 2021;48(9):17-20.
https://psnet.ahrq.gov/issue/parenteral-nutrition-safety
Parenteral nutrition (PN) processes contain various steps that are prone to errors resulting in patient harm.
This article discusses …
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psnet.ahrq.gov/node/45638/psn-pdf
January 01, 2019 - Measures to improve diagnostic safety in clinical practice.
November 2, 2016
Singh H, Graber ML, Hofer TP. Measures to Improve Diagnostic Safety in Clinical Practice. J Patient Saf.
2019;15(4):311-316. doi:10.1097/PTS.0000000000000338.
https://psnet.ahrq.gov/issue/measures-improve-diagnostic-safety-clinical-practic…
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psnet.ahrq.gov/node/836931/psn-pdf
April 13, 2022 - Quality Special Issue.
April 13, 2022
J Med Imaging Radiat Oncol. 2022;66(2):165-309.
https://psnet.ahrq.gov/issue/quality-special-issue
Improving patient safety related to radiology and radiation oncology is an ongoing priority. This special
issue explores themes related to radiology and radiation oncology, inclu…
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psnet.ahrq.gov/node/41103/psn-pdf
June 15, 2012 - Quality indicators for implementation of safety promotion:
towards valid and reliable global certification of local
programmes.
June 15, 2012
Timpka T, Nordqvist C, Festin K, et al. Quality indicators for implementation of safety promotion: towards
valid and reliable global certification of local programmes. Glob …
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psnet.ahrq.gov/node/36260/psn-pdf
May 27, 2011 - The effect of physicians' long-term use of CPOE on their
test management work practices.
May 27, 2011
Callen JL, Westbrook JI, Braithwaite J. The effect of physicians' long-term use of CPOE on their test
management work practices. J Am Med Inform Assoc. 2006;13(6):643-52.
https://psnet.ahrq.gov/issue/effect-physic…
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psnet.ahrq.gov/node/43495/psn-pdf
December 15, 2014 - Disruptive behaviors among physicians.
December 15, 2014
Sanchez LT. Disruptive behaviors among physicians. JAMA. 2014;312(21):2209-2210.
doi:10.1001/jama.2014.10218.
https://psnet.ahrq.gov/issue/disruptive-behaviors-among-physicians
This commentary spotlights concerns about physicians with disruptive behaviors an…
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psnet.ahrq.gov/node/36211/psn-pdf
February 13, 2008 - AORN Guidance Statement: Safe Medication Practices in
Perioperative Settings Across the Life Span.
February 13, 2008
AORN guidance statement: safe medication practices in perioperative settings across the life span. AORN
J. 2006;84(2):276-283.
https://psnet.ahrq.gov/issue/aorn-guidance-statement-safe-medication-pr…
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psnet.ahrq.gov/node/42858/psn-pdf
January 15, 2014 - Early access to a neurologist reduces the rate of missed
diagnosis in young strokes.
January 15, 2014
Mohamed W, Bhattacharya P, Chaturvedi S. Early access to a neurologist reduces the rate of missed
diagnosis in young strokes. J Stroke Cerebrovasc Dis. 2013;22(8):e332-7.
doi:10.1016/j.jstrokecerebrovasdis.2013.01…
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psnet.ahrq.gov/node/38936/psn-pdf
September 09, 2009 - Therapeutic errors involving adults in the community
setting: nature, causes and outcomes.
September 9, 2009
Taylor D, Robinson J, MacLeod D, et al. Therapeutic errors involving adults in the community setting:
nature, causes and outcomes. Aust N Z J Public Health. 2009;33(4):388-94. doi:10.1111/j.1753-
6405.2009.…
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psnet.ahrq.gov/node/43411/psn-pdf
October 01, 2014 - Analysis of medication errors in simulated pediatric
resuscitation by residents.
October 1, 2014
Porter E, Barcega B, Kim TY. Analysis of medication errors in simulated pediatric resuscitation by
residents. West J Emerg Med. 2014;15(4):486-90. doi:10.5811/westjem.2014.2.17922.
https://psnet.ahrq.gov/issue/analysis…
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digital.ahrq.gov/ahrq-funded-projects/evaluation-impact-telemedicine-management-rheumatoid-arthritis/citation/outcomes
January 01, 2023 - Outcomes and quality of care in rheumatoid arthritis with or without video telemedicine follow-up visits.
Citation
Ferucci ED, Day GM, Choromanski TL, Freeman SL. Outcomes and quality of care in rheumatoid arthritis with or without video telemedicine follow-up visits. Arthritis Care Res (Hoboken). 202…
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psnet.ahrq.gov/node/33895/psn-pdf
April 01, 2024 - The Leapfrog Hospital Survey.
April 1, 2024
Leapfrog Group.
https://psnet.ahrq.gov/issue/leapfrog-hospital-survey
This website offers resources related to the Leapfrog Hospital Survey investigating hospitals' progress in
implementing specific patient safety practices. Updates to the survey include increased time a…
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psnet.ahrq.gov/node/42422/psn-pdf
November 18, 2013 - Resilient actions in the diagnostic process and system
performance.
November 18, 2013
Smith MW, Giardina TD, Murphy DR, et al. Resilient actions in the diagnostic process and system
performance. BMJ Qual Saf. 2013;22(12):1006-13. doi:10.1136/bmjqs-2012-001661.
https://psnet.ahrq.gov/issue/resilient-actions-diagnos…
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digital.ahrq.gov/ahrq-funded-projects/portals-inpatient-care-evaluating-usability-use-and-patient-experience/citation/understanding
January 01, 2023 - Understanding secure messaging in the inpatient environment: a new avenue for communication and patient engagement.
Citation
Sieck CJ, Walker DM, Hefner JL, et al. Understanding secure messaging in the inpatient environment: a new avenue for communication and patient engagement. Appl Clin Inform. 201…
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digital.ahrq.gov/location/usa-ms-jackson
January 01, 2023 - USA, MS, Jackson
The Bettering Lives Utilizing Electronic Systems (BLUES) Project: Improving Diabetes Outcomes in Mississippi with Health Information Technology
Description
This project looked at the ability of EHRs to facilitate patient outcomes tracking, improve provider com…