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psnet.ahrq.gov/issue/do-no-harm-novel-safety-checklist-and-research-approach-determine-whether-launch-artificial
September 23, 2020 - Commentary
A "Do No Harm" novel safety checklist and research approach to determine whether to launch an artificial intelligence-based medical technology: introducing the Biological-Psychological, Economic, and Social (BPES) Framework.
Citation Text:
Khan WU, Seto E. "Do No Harm" novel s…
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psnet.ahrq.gov/issue/developing-safer-dx-checklist-ten-safety-recommendations-health-care-organizations-address
June 22, 2022 - Commentary
Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations to address diagnostic errors.
Citation Text:
Singh H, Mushtaq U, Marinez A, et al. Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations to Add…
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psnet.ahrq.gov/issue/improving-handoffs-perioperative-environment-conceptual-framework-key-theories-system-factors
November 16, 2022 - Commentary
Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success.
Citation Text:
Starmer AJ, Michael MM, Spector ND, et al. Improving handoffs in the perioperative environment: a conc…
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psnet.ahrq.gov/issue/impact-implementing-alerts-about-medication-black-box-warnings-electronic-health-records
July 10, 2008 - Study
Impact of implementing alerts about medication black-box warnings in electronic health records.
Citation Text:
Yu DT, Seger DL, Lasser KE, et al. Impact of implementing alerts about medication black-box warnings in electronic health records. Pharmacoepidemiol Drug Saf. 2011;20(2):1…
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psnet.ahrq.gov/issue/adherence-black-box-warnings-prescription-medications-outpatients
September 29, 2017 - Study
Adherence to black box warnings for prescription medications in outpatients.
Citation Text:
Lasser KE, Seger DL, Yu T, et al. Adherence to black box warnings for prescription medications in outpatients. Arch Intern Med. 2006;166(3):338-44.
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psnet.ahrq.gov/issue/care-transition-trauma-patients-processes-articulation-work-and-after-handoff
June 22, 2022 - Study
Care transition of trauma patients: processes with articulation work before and after handoff.
Citation Text:
Wooldridge AR, Carayon P, Hoonakker PLT, et al. Care transition of trauma patients: processes with articulation work before and after handoff. Appl Ergon. 2022;98:103606. d…
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psnet.ahrq.gov/issue/systematic-review-identify-factors-affect-failure-rescue-and-escalation-care-surgery
September 09, 2015 - Review
A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery.
Citation Text:
Johnston MJ, Arora S, King D, et al. A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. Surgery. 20…
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psnet.ahrq.gov/issue/effect-hospital-acquired-clostridium-difficile-infection-hospital-mortality
April 22, 2011 - Study
The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality.
Citation Text:
Oake N, Taljaard M, van Walraven C, et al. The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. Arch Intern Med. 2010;170(20):1804-10. doi:1…
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psnet.ahrq.gov/issue/crisis-management-during-anaesthesia-development-anaesthetic-crisis-management-manual
June 23, 2015 - Commentary
Crisis management during anaesthesia: the development of an anaesthetic crisis management manual.
Citation Text:
Runciman WB, Kluger MT, Morris RW, et al. Crisis management during anaesthesia: the development of an anaesthetic crisis management manual. Qual Saf Health Care. …
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psnet.ahrq.gov/issue/examining-medication-ordering-errors-using-ahrq-network-patient-safety-databases
November 30, 2022 - Study
Examining medication ordering errors using AHRQ Network of Patient Safety Databases.
Citation Text:
Grauer A, Rosen A, Applebaum JR, et al. Examining medication ordering errors using AHRQ network of patient safety databases. J Am Med Inform Assoc. 2023;30(5):838-845. doi:10.1093/ja…
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psnet.ahrq.gov/issue/patient-centered-insights-using-health-care-complaints-reveal-hot-spots-and-blind-spots
November 29, 2023 - Study
Emerging Classic
Patient-centered insights: using health care complaints to reveal hot spots and blind spots in quality and safety.
Citation Text:
Gillespie A, Reader TW. Patient-Centered Insights: Using Health Care Complaints to Reveal Hot Spots and Blind…
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psnet.ahrq.gov/issue/ambulatory-prescribing-errors-among-community-based-providers-two-states
July 10, 2008 - Study
Ambulatory prescribing errors among community-based providers in two states.
Citation Text:
Abramson EL, Bates DW, Jenter CA, et al. Ambulatory prescribing errors among community-based providers in two states. J Am Med Inform Assoc. 2012;19(4):644-8. doi:10.1136/amiajnl-2011-000345…
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psnet.ahrq.gov/issue/unintended-consequence-electronic-prescriptions-prevalence-and-impact-internal-discrepancies
May 04, 2011 - Study
An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies.
Citation Text:
Palchuk MB, Fang EA, Cygielnik JM, et al. An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies. J Am Med Inform…
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psnet.ahrq.gov/issue/impact-pharmacist-administered-deprescribing-intervention-nursing-home-residents-randomized
September 09, 2020 - Study
Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized controlled trial.
Citation Text:
Balsom C, Pittman N, King R, et al. Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized control…
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psnet.ahrq.gov/issue/what-and-when-debrief-scoping-review-examining-interprofessional-clinical-debriefing
September 09, 2015 - Review
What and when to debrief: a scoping review examining interprofessional clinical debriefing.
Citation Text:
Paxino J, Szabo RA, Marshall SD, et al. What and when to debrief: a scoping review examining interprofessional clinical debriefing. BMJ Qual Saf. 2024;33(5):314-327. doi:10.1…
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psnet.ahrq.gov/issue/effect-health-care-professional-disruptive-behavior-patient-care-systematic-review
February 16, 2022 - Review
The effect of health care professional disruptive behavior on patient care: a systematic review.
Citation Text:
Hicks S, Stavropoulou C. The effect of health care professional disruptive behavior on patient care: a systematic review. J Patient Saf. 2022;18(2):138-143. doi:10.1097/…
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psnet.ahrq.gov/issue/system-related-interventions-reduce-diagnostic-errors-narrative-review
May 29, 2015 - Review
Classic
System-related interventions to reduce diagnostic errors: a narrative review.
Citation Text:
Singh H, Graber ML, Kissam SM, et al. System-related interventions to reduce diagnostic errors: a narrative review. BMJ Qual Saf. 2012;21(2):160-170. do…
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psnet.ahrq.gov/issue/defining-and-studying-errors-surgical-care-systematic-review
July 20, 2022 - Review
Defining and studying errors in surgical care: a systematic review.
Citation Text:
Marsh KM, Turrentine FE, Knight K, et al. Defining and studying errors in surgical care: a systematic review. Ann Surg. 2022;275(6):1067-1073. doi:10.1097/sla.0000000000005351.
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psnet.ahrq.gov/issue/disciplinary-action-medical-boards-and-prior-behavior-medical-schools
October 19, 2022 - Study
Classic
Disciplinary action by medical boards and prior behavior in medical schools.
Citation Text:
Papadakis MA, Teherani A, Banach MA, et al. Disciplinary action by medical boards and prior behavior in medical school. N Engl J Med. 2005;353(25):2673-82…
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psnet.ahrq.gov/issue/use-audit-feedback-implementation-strategy-promote-medication-error-reporting-nurses
March 24, 2021 - Study
Use of an audit with feedback implementation strategy to promote medication error reporting by nurses.
Citation Text:
Hutchinson A, Brotto V, Chapman A, et al. Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. J Clin Nurs. 2020;2…