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psnet.ahrq.gov/node/47703/psn-pdf
April 07, 2019 - Evaluation of harm associated with high dose-range
clinical decision support overrides in the intensive care
unit.
April 7, 2019
Wong A, Rehr C, Seger DL, et al. Evaluation of Harm Associated with High Dose-Range Clinical Decision
Support Overrides in the Intensive Care Unit. Drug Saf. 2019;42(4):573-579. doi:10.1…
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psnet.ahrq.gov/node/45435/psn-pdf
August 24, 2016 - Pharmacist–physician communications in a highly
computerised hospital: sign-off and action of electronic
review messages.
August 24, 2016
Pontefract SK, Hodson J, Marriott JF, et al. Pharmacist-Physician Communications in a Highly
Computerised Hospital: Sign-Off and Action of Electronic Review Messages. PLoS One.
…
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psnet.ahrq.gov/node/47010/psn-pdf
March 13, 2019 - Comparative accuracy of diagnosis by collective
intelligence of multiple physicians vs individual
physicians.
March 13, 2019
Barnett ML, Boddupalli D, Nundy S, et al. Comparative Accuracy of Diagnosis by Collective Intelligence of
Multiple Physicians vs Individual Physicians. JAMA Netw Open. 2019;2(3):e190096.
do…
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psnet.ahrq.gov/node/39210/psn-pdf
January 12, 2010 - Can aviation-based team training elicit sustainable
behavioral change?
January 12, 2010
Sax HC, Browne P, Mayewski RJ, et al. Can aviation-based team training elicit sustainable behavioral
change? Arch Surg. 2009;144(12):1133-1137. doi:10.1001/archsurg.2009.207.
https://psnet.ahrq.gov/issue/can-aviation-based-team…
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psnet.ahrq.gov/node/44376/psn-pdf
October 08, 2016 - Avoidability of hospital deaths and association with
hospital-wide mortality ratios: retrospective case record
review and regression analysis.
October 8, 2016
Hogan H, Zipfel R, Neuburger J, et al. Avoidability of hospital deaths and association with hospital-wide
mortality ratios: retrospective case record review…
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psnet.ahrq.gov/node/46567/psn-pdf
January 24, 2019 - Association of overlapping surgery with increased risk for
complications following hip surgery.
January 24, 2019
Ravi B, Pincus D, Wasserstein D, et al. Association of Overlapping Surgery With Increased Risk for
Complications Following Hip Surgery: A Population-Based, Matched Cohort Study. JAMA Intern Med.
2018;17…
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psnet.ahrq.gov/node/846158/psn-pdf
March 15, 2023 - Safety risks and workflow implications associated with
nursing-related free-text communication orders.
March 15, 2023
Staes CJ, Yusuf S, Hambly M, et al. Safety risks and workflow implications associated with nursing-related
free-text communication orders. J Am Med Inform Assoc. 2023;30(5):828-837. doi:10.1093/jami…
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psnet.ahrq.gov/node/841772/psn-pdf
December 21, 2022 - Detectability of medication errors with a STOPP/START-
based medication review in older people prior to a
potentially preventable drug-related hospital admission.
December 21, 2022
Sallevelt BTGM, Egberts TCG, Huibers CJA, et al. Detectability of medication errors with a STOPP/START-
based medication review in old…
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psnet.ahrq.gov/node/45610/psn-pdf
November 01, 2017 - Economic value of pharmacist-led medication
reconciliation for reducing medication errors after
hospital discharge.
November 1, 2017
Najafzadeh M, Schnipper JL, Shrank WH, et al. Economic value of pharmacist-led medication reconciliation
for reducing medication errors after hospital discharge. Am J Manag Care. 201…
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psnet.ahrq.gov/node/46594/psn-pdf
November 01, 2017 - Peers without fears? Barriers to effective communication
among primary care physicians and oncologists about
diagnostic delays in cancer.
November 1, 2017
Lipitz-Snyderman A, Kale M, Robbins L, et al. Peers without fears? Barriers to effective communication
among primary care physicians and oncologists about diagn…
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psnet.ahrq.gov/node/45739/psn-pdf
July 02, 2017 - High-risk medications in hospitalized elderly adults: are
we making it easy to do the wrong thing?
July 2, 2017
Blachman NL, Leipzig RM, Mazumdar M, et al. High-Risk Medications in Hospitalized Elderly Adults: Are
We Making It Easy to Do the Wrong Thing? J Am Geriatr Soc. 2017;65(3):603-607. doi:10.1111/jgs.14703.
…
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psnet.ahrq.gov/node/46624/psn-pdf
November 29, 2017 - Empowerment failure: how shortcomings in physician
communication unwittingly undermine patient autonomy.
November 29, 2017
Ubel PA, Scherr KA, Fagerlin A. Empowerment Failure: How Shortcomings in Physician Communication
Unwittingly Undermine Patient Autonomy. Am J Bioeth. 2017;17(11):31-39.
doi:10.1080/15265161.20…
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psnet.ahrq.gov/node/39571/psn-pdf
October 03, 2017 - Assessing legislative potential to institute error
transparency: a state comparison of malpractice claims
rates.
October 3, 2017
Perez B, DiDona T. Assessing Legislative Potential to Institute Error Transparency: A State Comparison of
Malpractice Claims Rates. Journal For Healthcare Quality. 2009;32(3). doi:10.111…
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psnet.ahrq.gov/node/46191/psn-pdf
July 19, 2017 - Performance of a trigger tool for identifying adverse
events in oncology.
July 19, 2017
Lipitz-Snyderman A, Classen D, Pfister D, et al. Performance of a Trigger Tool for Identifying Adverse
Events in Oncology. J Oncol Pract. 2017;13(3). doi:10.1200/jop.2016.016634.
https://psnet.ahrq.gov/issue/performance-trigger…
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psnet.ahrq.gov/node/46948/psn-pdf
April 16, 2018 - Opioid-related critical care resource use in US children's
hospitals.
April 16, 2018
Kane JM, Colvin JD, Bartlett AH, et al. Opioid-Related Critical Care Resource Use in US Children's
Hospitals. Pediatrics. 2018;141(4):e20173335. doi:10.1542/peds.2017-3335.
https://psnet.ahrq.gov/issue/opioid-related-critical-care…
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psnet.ahrq.gov/node/48083/psn-pdf
August 07, 2019 - Missed diagnosis of cancer in primary care: insights from
malpractice claims data.
August 7, 2019
Aaronson E, Quinn GR, Wong CI, et al. Missed diagnosis of cancer in primary care: Insights from
malpractice claims data. J Healthc Risk Manag. 2019;39(2):19-29. doi:10.1002/jhrm.21385.
https://psnet.ahrq.gov/issue/mis…
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psnet.ahrq.gov/node/45666/psn-pdf
April 24, 2018 - The relationship between professional burnout and
quality and safety in healthcare: a meta-analysis.
April 24, 2018
Salyers MP, Bonfils KA, Luther L, et al. The Relationship Between Professional Burnout and Quality and
Safety in Healthcare: A Meta-Analysis. J Gen Intern Care. 2017;32(4):475-482. doi:10.1007/s11606-…
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psnet.ahrq.gov/node/73240/psn-pdf
May 12, 2021 - Comparison of methods to reduce bias from clinical
prediction models of postpartum depression.
May 12, 2021
Park Y, Hu J, Singh M, et al. Comparison of methods to reduce bias from clinical prediction models of
postpartum depression. JAMA Netw Open. 2021;4(4):e213909. doi:10.1001/jamanetworkopen.2021.3909.
https://…
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psnet.ahrq.gov/node/40982/psn-pdf
March 23, 2012 - Emergency hospitalizations for adverse drug events in
older Americans.
March 23, 2012
Budnitz DS, Lovegrove MC, Shehab N, et al. Emergency hospitalizations for adverse drug events in older
Americans. New Engl J Med. 2011;365(21):2002-2012. doi:10.1056/NEJMsa1103053.
https://psnet.ahrq.gov/issue/emergency-hospitali…
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psnet.ahrq.gov/node/33859/psn-pdf
June 01, 2018 - Ultrasound is great for
getting us back to the bedside and physically examining the patient.