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psnet.ahrq.gov/issue/safety-through-redundancy-case-study-hospital-patient-transfers
November 03, 2015 - Study
Safety through redundancy: a case study of in-hospital patient transfers.
Citation Text:
Ong M-S, Coiera E. Safety through redundancy: a case study of in-hospital patient transfers. Qual Saf Health Care. 2010;19(5):e32. doi:10.1136/qshc.2009.035972.
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psnet.ahrq.gov/issue/affective-influences-clinical-reasoning-and-diagnosis-insights-social-psychology-and-new
January 25, 2023 - Commentary
Affective influences on clinical reasoning and diagnosis: insights from social psychology and new research opportunities.
Citation Text:
Liu G, Chimowitz H, Isbell LM. Affective influences on clinical reasoning and diagnosis: insights from social psychology and new research op…
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psnet.ahrq.gov/issue/oncologic-errors-diagnostic-radiology-10-year-analysis-based-medical-malpractice-claims
September 27, 2017 - Study
Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims.
Citation Text:
Rosenkrantz AB, Siegal D, Skillings JA, et al. Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims. J Am Coll Radiol. 2021;1…
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psnet.ahrq.gov/issue/survey-suggests-disrespectful-behaviors-persist-healthcare-practitioners-speak-yet-again
February 23, 2022 - Newspaper/Magazine Article
Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II.
Citation Text:
Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II. ISMP Medicatio…
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psnet.ahrq.gov/issue/weekend-effect-hospitalized-patients-meta-analysis
September 23, 2020 - Review
The weekend effect in hospitalized patients: a meta-analysis.
Citation Text:
Pauls LA, Johnson-Paben R, McGready J, et al. The Weekend Effect in Hospitalized Patients: A Meta-Analysis. J Hosp Med. 2017;12(9):760-766. doi:10.12788/jhm.2815.
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psnet.ahrq.gov/issue/evaluating-accuracy-electronic-pediatric-drug-dosing-rules
May 08, 2017 - Study
Evaluating the accuracy of electronic pediatric drug dosing rules.
Citation Text:
Kirkendall E, Spooner A, Logan JR. Evaluating the accuracy of electronic pediatric drug dosing rules. J Am Med Inform Assoc. 2014;21(e1):e43-9. doi:10.1136/amiajnl-2013-001793.
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psnet.ahrq.gov/issue/association-between-surgeon-stress-and-major-surgical-complications
November 29, 2023 - Study
Association between surgeon stress and major surgical complications.
Citation Text:
Awtry J, Skinner S, Polazzi S, et al. Association between surgeon stress and major surgical complications. JAMA Surg. 2025;160(3):332-340. doi:10.1001/jamasurg.2024.6072.
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psnet.ahrq.gov/issue/promoting-engagement-patients-and-families-reduce-adverse-events-acute-care-settings
July 02, 2014 - Review
Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review.
Citation Text:
Berger ZD, Flickinger TE, Pfoh ER, et al. Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic …
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psnet.ahrq.gov/issue/expert-consensus-currently-accepted-measures-harm
January 25, 2023 - Commentary
Expert consensus on currently accepted measures of harm.
Citation Text:
Logan MS, Myers LC, Salmasian H, et al. Expert consensus on currently accepted measures of harm. J Patient Saf. 2021;17(8):e1726-e1731. doi:10.1097/pts.0000000000000754.
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psnet.ahrq.gov/issue/artificial-intelligence-health-care-accountability-and-safety
December 20, 2023 - Commentary
Classic
Artificial intelligence in health care: accountability and safety.
Citation Text:
Habli I, Lawton T, Porter Z. Artificial intelligence in health care: accountability and safety. Bull World Health Organ. 2020;98(4):251-256. doi:10.2471/blt.19.2…
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psnet.ahrq.gov/issue/eight-human-factors-and-ergonomics-principles-healthcare-artificial-intelligence
May 13, 2020 - Commentary
Eight human factors and ergonomics principles for healthcare artificial intelligence.
Citation Text:
Sujan M, Pool R, Salmon P. Eight human factors and ergonomics principles for healthcare artificial intelligence. BMJ Health Care Inform. 2022;29(1):e100516. doi:10.1136/bmjhci-…
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psnet.ahrq.gov/issue/crossing-global-quality-chasm-improving-health-care-worldwide
June 15, 2011 - Book/Report
Classic
Crossing the Global Quality Chasm: Improving Health Care Worldwide.
Citation Text:
Crossing the Global Quality Chasm: Improving Health Care Worldwide. Committee on Improving the Quality of Health Care Globally. National Academies of Sciences,…
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psnet.ahrq.gov/issue/impact-adverse-events-clinicians-whats-name
March 25, 2020 - Review
The impact of adverse events on clinicians: what's in a name?
Citation Text:
Wu AW, Shapiro J, Harrison R, et al. The Impact of Adverse Events on Clinicians: What's in a Name? J Patient Saf. 2020;16(1):65-72. doi:10.1097/PTS.0000000000000256.
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psnet.ahrq.gov/issue/education-next-frontier-patient-safety-longitudinal-resident-curriculum-diagnostic-error
January 16, 2019 - Commentary
Education for the next frontier in patient safety: a longitudinal resident curriculum on diagnostic error.
Citation Text:
Ruedinger E, Olson M, Yee J, et al. Education for the Next Frontier in Patient Safety: A Longitudinal Resident Curriculum on Diagnostic Error. Am J Med Qua…
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psnet.ahrq.gov/issue/situation-background-assessment-recommendation-sbar-communication-tool-handoff-health-care
March 03, 2021 - Review
Emerging Classic
Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care- a narrative review.
Citation Text:
Shahid S, Thomas S. Situation, background, assessment, recommendation (SBAR) communication tool for…
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psnet.ahrq.gov/issue/assessing-utility-chatgpt-throughout-entire-clinical-workflow-development-and-usability-study
February 12, 2020 - Study
Assessing the utility of ChatGPT throughout the entire clinical workflow: development and usability study.
Citation Text:
Rao A, Pang M, Kim J, et al. Assessing the utility of ChatGPT throughout the entire clinical workflow: development and usability study. J Med Internet Res. 2023…
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psnet.ahrq.gov/issue/ethical-dilemma-missed-melanoma-what-tell-patient-and-other-providers
March 17, 2021 - Commentary
Ethical dilemma in missed melanoma: what to tell the patient and other providers.
Citation Text:
Vangipuram R, Horner ME, Menter A. Ethical dilemma in missed melanoma: What to tell the patient and other providers. J Am Acad Dermatol. 2017;76(2):365-367. doi:10.1016/j.jaad.2016…
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psnet.ahrq.gov/issue/failure-rescue-comparing-definitions-measure-quality-care
April 17, 2013 - Study
Failure-to-rescue: comparing definitions to measure quality of care.
Citation Text:
Silber JH, Romano PS, Rosen AK, et al. Failure-to-rescue: comparing definitions to measure quality of care. Med Care. 2007;45(10):918-25.
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psnet.ahrq.gov/issue/usability-and-feasibility-consumer-facing-technology-reduce-unsafe-medication-use-older
February 17, 2011 - Study
Usability and feasibility of consumer-facing technology to reduce unsafe medication use by older adults.
Citation Text:
Holden RJ, Campbell NL, Abebe E, et al. Usability and feasibility of consumer-facing technology to reduce unsafe medication use by older adults. Res Social Adm Ph…
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psnet.ahrq.gov/issue/american-geriatrics-society-2019-updated-ags-beers-criteria-potentially-inappropriate
August 16, 2023 - Organizational Policy/Guidelines
Classic
American Geriatrics Society 2019 Updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults.
Citation Text:
American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappro…