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4141. Patient perspectives on test result communication in primary care: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/patient-perspectives-test-result-communication-primary-care-qualitative-study
      November 20, 2015 - Study Patient perspectives on test result communication in primary care: a qualitative study. Citation Text: Litchfield I, Bentham L, Lilford RJ, et al. Patient perspectives on test result communication in primary care: a qualitative study. Br J Med Pract. 2015;65(632):e133-e140. doi:10.…

4142. The Theory of Distributed Cognition | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses2.html
      August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department The Theory of Distributed Cognition Previous Page Next Page Table of Contents Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Introduction The Theory of Dis…

4143. Errors in laboratory medicine: practical lessons to improve patient safety. | PSNet
      psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patient-safety
      February 14, 2024 - Commentary Classic Errors in laboratory medicine: practical lessons to improve patient safety. Citation Text: Howanitz PJ. Errors in laboratory medicine: practical lessons to improve patient safety. Arch Pathol Lab Med. 2005;129(10):1252-1261. Copy Citation …

4144. Early cost and safety benefits of an inpatient electronic health record. | PSNet
      psnet.ahrq.gov/issue/early-cost-and-safety-benefits-inpatient-electronic-health-record
      August 04, 2021 - Study Early cost and safety benefits of an inpatient electronic health record. Citation Text: Zlabek JA, Wickus JW, Mathiason MA. Early cost and safety benefits of an inpatient electronic health record. Journal of the American Medical Informatics Association. 2011;18(2). doi:10.1136/ja…

4145. The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system. | PSNet
      psnet.ahrq.gov/issue/use-patient-digital-facial-images-confirm-patient-identity-childrens-hospitals-anesthesia
      May 06, 2009 - Study The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system. Citation Text: Thomas JJ, Yaster M, Guffey P. The Use of Patient Digital Facial Images to Confirm Patient Identity in a Children's Hospital's An…

4146. Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database. | PSNet
      psnet.ahrq.gov/issue/drug-error-anaesthetic-practice-review-896-reports-australian-incident-monitoring-study
      June 13, 2011 - Study Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database. Citation Text: Abeysekera A, Bergman IJ, Kluger MT, et al. Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study…

4147. Information-gathering patterns associated with higher rates of diagnostic error. | PSNet
      psnet.ahrq.gov/issue/information-gathering-patterns-associated-higher-rates-diagnostic-error
      June 27, 2018 - Study Information-gathering patterns associated with higher rates of diagnostic error. Citation Text: Delzell JE, Chumley H, Webb R, et al. Information-gathering patterns associated with higher rates of diagnostic error. Adv Health Sci Educ Theory Pract. 2009;14(5):697-711. doi:10.1007…

4148. "To err is human" but disclosure must be taught: a simulation-based assessment study. | PSNet
      psnet.ahrq.gov/issue/err-human-disclosure-must-be-taught-simulation-based-assessment-study
      August 04, 2021 - Study "To err is human" but disclosure must be taught: a simulation-based assessment study. Citation Text: Crimmins AC, Wong AH, Bonz JW, et al. "To Err Is Human" but Disclosure Must be Taught: A Simulation-Based Assessment Study. Simul Healthc. 2018;13(2):107-116. doi:10.1097/SIH.000000…

4149. ED handoffs: observed practices and communication errors. | PSNet
      psnet.ahrq.gov/issue/ed-handoffs-observed-practices-and-communication-errors
      October 19, 2022 - Study ED handoffs: observed practices and communication errors. Citation Text: Maughan BC, Lei L, Cydulka RK. ED handoffs: observed practices and communication errors. Am J Emerg Med. 2011;29(5):502-11. doi:10.1016/j.ajem.2009.12.004. Copy Citation Format: DOI Google Scho…

4150. Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. | PSNet
      psnet.ahrq.gov/issue/specimen-labeling-errors-q-probes-analysis-147-clinical-laboratories
      February 15, 2010 - Study Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. Citation Text: Wagar EA, Stankovic AK, Raab SS, et al. Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. Arch Pathol Lab Med. 2008;132(10):1617-22. doi:10.1043/1543-2165(2008)…

4151. Trends in the prevalence of intraoperative adverse events at two academic hospitals after implementation of a mandatory reporting system. | PSNet
      psnet.ahrq.gov/issue/trends-prevalence-intraoperative-adverse-events-two-academic-hospitals-after-implementation
      August 09, 2017 - Study Trends in the prevalence of intraoperative adverse events at two academic hospitals after implementation of a mandatory reporting system. Citation Text: Wanderer JP, Gratch DM, St Jacques P, et al. Trends in the Prevalence of Intraoperative Adverse Events at Two Academic Hospitals …

4152. Accuracy of send-out test ordering: a College of American Pathologists Q-Probes study of ordering accuracy in 97 clinical laboratories. | PSNet
      psnet.ahrq.gov/issue/accuracy-send-out-test-ordering-college-american-pathologists-q-probes-study-ordering
      November 12, 2008 - Study Accuracy of send-out test ordering: a College of American Pathologists Q-Probes study of ordering accuracy in 97 clinical laboratories. Citation Text: Valenstein PN, Walsh MK, Stankovic AK. Accuracy of send-out test ordering: a College of American Pathologists Q-Probes study of o…

4153. Handoff tool improves transitions from the operating room to the neonatal intensive care unit. | PSNet
      psnet.ahrq.gov/issue/handoff-tool-improves-transitions-operating-room-neonatal-intensive-care-unit
      November 16, 2022 - Study Handoff tool improves transitions from the operating room to the neonatal intensive care unit. Citation Text: Gallois JB, Zagory JA, Barkemeyer B, et al. Handoff tool improves transitions from the operating room to the neonatal intensive care unit. Pediatr Qual Saf. 2023;8(5):e695.…

4154. Initial assessment of patient handoff in accredited general surgery residency programs in the United States and Canada: a cross-sectional survey. | PSNet
      psnet.ahrq.gov/issue/initial-assessment-patient-handoff-accredited-general-surgery-residency-programs-united
      October 19, 2022 - Study Initial assessment of patient handoff in accredited general surgery residency programs in the United States and Canada: a cross-sectional survey. Citation Text: Saleem AM, Paulus JK, Vassiliou MC, et al. Initial assessment of patient handoff in accredited general surgery residency …

4155. No harm found when nurse anesthetists work without supervision by physicians. | PSNet
      psnet.ahrq.gov/issue/no-harm-found-when-nurse-anesthetists-work-without-supervision-physicians
      August 04, 2021 - Study No harm found when nurse anesthetists work without supervision by physicians. Citation Text: Dulisse B, Cromwell J. No harm found when nurse anesthetists work without supervision by physicians. Health Aff (Millwood). 2010;29(8):1469-1475. doi:10.1377/hlthaff.2008.0966. Copy Citat…

4156. Diagnostic discrepancies in the emergency department: a retrospective study. | PSNet
      psnet.ahrq.gov/issue/diagnostic-discrepancies-emergency-department-retrospective-study
      October 04, 2023 - Study Diagnostic discrepancies in the emergency department: a retrospective study. Citation Text: Schols LA, Maranus ME, Rood PPM, et al. Diagnostic discrepancies in the emergency department: a retrospective study. J Patient Saf. 2024;20(6):420-425. doi:10.1097/pts.0000000000001252. Co…

4157. The effect of audible alarms on anaesthesiologists' response times to adverse events in a simulated anaesthesia environment: a randomised trial. | PSNet
      psnet.ahrq.gov/issue/effect-audible-alarms-anaesthesiologists-response-times-adverse-events-simulated-anaesthesia
      September 18, 2013 - Study The effect of audible alarms on anaesthesiologists' response times to adverse events in a simulated anaesthesia environment: a randomised trial. Citation Text: de Man FR, Erwteman M, van Groeningen D, et al. The effect of audible alarms on anaesthesiologists' response times to adve…

4158. Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a regional health system. | PSNet
      psnet.ahrq.gov/issue/clinical-and-financial-effects-smart-pump-electronic-medical-record-interoperability-hospital
      November 16, 2022 - Study Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a regional health system. Citation Text: Biltoft J, Finneman L. Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a region…

4159. A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study. | PSNet
      psnet.ahrq.gov/issue/busy-day-effect-perinatal-complications-delivery-weekends-retrospective-cohort-study
      January 16, 2019 - Study A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study. Citation Text: Snowden JM, Kozhimannil KB, Muoto I, et al. A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study. BMJ Qual Saf. 2017;…

4160. A national patient safety curriculum in pediatric emergency medicine. | PSNet
      psnet.ahrq.gov/issue/national-patient-safety-curriculum-pediatric-emergency-medicine
      January 12, 2022 - Study A national patient safety curriculum in pediatric emergency medicine. Citation Text: Stankovic C, Wolff M, Chang TP, et al. A National Patient Safety Curriculum in Pediatric Emergency Medicine. Pediatr Emerg Care. 2019;35(8):519-521. doi:10.1097/PEC.0000000000001533. Copy Citatio…