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psnet.ahrq.gov/issue/errors-medical-interpretation-and-their-potential-clinical-consequences-comparison
November 23, 2016 - Study
Errors of medical interpretation and their potential clinical consequences: a comparison of professional versus ad hoc versus no interpreters.
Citation Text:
Flores G, Abreu M, Barone CP, et al. Errors of medical interpretation and their potential clinical consequences: a compari…
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psnet.ahrq.gov/issue/creating-distraction-simulation-safe-medication-administration
May 27, 2011 - Commentary
Creating a distraction simulation for safe medication administration.
Citation Text:
Thomas CM, McIntosh CE, Allen R. Creating a Distraction Simulation for Safe Medication Administration. Clin Simul Nurs. 2014;10(8). doi:10.1016/j.ecns.2014.03.004.
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digital.ahrq.gov/principal-investigator/carroll-aaron
January 01, 2023 - Carroll, Aaron
A six-year repeated evaluation of computerized clinical decision support system user acceptability.
Citation
Grout RW, Cheng ER, Carroll AE, et al. A six-year repeated evaluation of computerized clinical decision support system user acceptability. Int J Med Info…
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psnet.ahrq.gov/issue/radiologist-age-and-diagnostic-errors
March 02, 2022 - Study
Radiologist age and diagnostic errors.
Citation Text:
Lamoureux C, Hanna TN, Callaway E, et al. Radiologist age and diagnostic errors. Emerg Radiol. 2023;30(5):577-587. doi:10.1007/s10140-023-02158-1.
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DOI Google Scholar BibTeX EndNote X3 XML EndN…
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psnet.ahrq.gov/issue/organisational-readiness-exploring-preconditions-success-organisation-wide-patient-safety
February 01, 2011 - Study
Organisational readiness: exploring the preconditions for success in organisation-wide patient safety improvement programmes.
Citation Text:
Burnett S, Benn J, Pinto A, et al. Organisational readiness: exploring the preconditions for success in organisation-wide patient safety im…
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digital.ahrq.gov/ahrq-funded-projects/ar-cpr-refinement-and-large-scale-simulation-based-testing-novel-augmented
April 01, 2023 - AR-CPR: Refinement and Large-Scale Simulation-Based Testing of a Novel Augmented Reality Point of Care Chest Compression Feedback System
Project Description
The augmented reality cardiopulmonary resuscitation headset has the potential to improve the quality of pediatric chest c…
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psnet.ahrq.gov/issue/patient-safety-what-about-patient
January 22, 2025 - Commentary
Classic
Patient safety: what about the patient?
Citation Text:
Vincent C, Coulter A. Patient safety: what about the patient? Qual Saf Health Care. 2002;11(1):76-80.
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Google Scholar PubMed BibTeX EndNote X3 XML EndN…
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psnet.ahrq.gov/issue/types-diagnostic-errors-neurological-emergencies-emergency-department
October 30, 2019 - Study
Types of diagnostic errors in neurological emergencies in the emergency department.
Citation Text:
Dubosh NM, Edlow JA, Lefton M, et al. Types of diagnostic errors in neurological emergencies in the emergency department. Diagnosis (Berl). 2015;2(1):21-28. doi:10.1515/dx-2014-0040. …
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psnet.ahrq.gov/issue/causes-errors-clinical-reasoning-cognitive-biases-knowledge-deficits-and-dual-process
April 12, 2019 - Commentary
The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking.
Citation Text:
Norman GR, Monteiro SD, Sherbino J, et al. The Causes of Errors in Clinical Reasoning: Cognitive Biases, Knowledge Deficits, and Dual Process Thinking. A…
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psnet.ahrq.gov/issue/image-gently-step-lightly-promoting-radiation-safety-pediatric-interventional-radiology
August 20, 2018 - Commentary
Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology.
Citation Text:
Sidhu M, Goske MJ, Connolly B, et al. Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology. AJR Am J Roentgenol. 2010;195(4):W29…
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psnet.ahrq.gov/issue/crowd-sourced-hospital-ratings-are-correlated-patient-satisfaction-not-surgical-safety
November 18, 2020 - Study
Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety.
Citation Text:
Synan LT, Eid MA, Lamb CR, et al. Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety. Surgery. 2021;170(3):764-768. doi:10.10…
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psnet.ahrq.gov/issue/developing-high-performance-team-training-framework-internal-medicine-residents-abcs-teamwork
June 01, 2011 - Study
Developing a high-performance team training framework for internal medicine residents: the ABC'S of teamwork.
Citation Text:
Carbo AR, Tess A, Roy CL, et al. Developing a high-performance team training framework for internal medicine residents: the ABC'S of teamwork. J Patient Sa…
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psnet.ahrq.gov/issue/improving-safety-culture-adult-medical-units-through-multidisciplinary-teamwork-and
February 18, 2011 - Study
Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.
Citation Text:
Blegen MA, Sehgal NL, Alldredge BK, et al. Improving safety culture on adult medical units through multidisciplinary teamwork and c…
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psnet.ahrq.gov/issue/harnessing-power-medical-malpractice-data-improve-patient-care
September 25, 2019 - Commentary
Harnessing the power of medical malpractice data to improve patient care.
Citation Text:
Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care. J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393.
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
December 01, 2006 - If someone surfaces an issue and sees it not addressed, it doesn't take very many experiences like that
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psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp
October 30, 2019 - For a prenatal test, the patient experiences the blood leaving their vein and that's the end of their
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psnet.ahrq.gov/node/33662/psn-pdf
January 01, 2008 - I do think that there are some
recent experiences here at both the Brigham and the Mass General where
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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-7.html
November 01, 2017 - Established Child Health Care Quality Measures--Young Adult Health Care Survey (YAHCS)
Child Health Care Quality Toolbox
The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children.
Contents
Availability
Child Measures Included
Users
Compariso…
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psnet.ahrq.gov/node/36875/psn-pdf
May 16, 2007 - Missed signals.
May 16, 2007
Sanders L. New York Times Magazine. April 22, 2007.
https://psnet.ahrq.gov/issue/missed-signals
A physician shares her experience with failing to diagnose a patient's prostate problems.
https://psnet.ahrq.gov/issue/missed-signals
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www.ahrq.gov/research/findings/final-reports/crctoolkit/crctoolkit2.html
April 01, 2018 - Tracking and Improving Screening for Colorectal Cancer Intervention
II. Background
Previous Page Next Page
Table of Contents
Tracking and Improving Screening for Colorectal Cancer Intervention
I. Introduction
II. Background
III. Intervention Steps and Tools
IV. References
1.a-1 Information…