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  1. System-related interventions to reduce diagnostic errors: a narrative review. | PSNet

    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…

  2. STOPP/START criteria for potentially inappropriate prescribing in older people: version 2. | PSNet

    psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-prescribing-older-people-version-2
    March 23, 2012 - Study STOPP/START criteria for potentially inappropriate prescribing in older people: version 2. Citation Text: O'Mahony D, O'Sullivan D, Byrne S, et al. STOPP/START criteria for potentially inappropriate prescribing in older people: version 2. Age Ageing. 2015;44(2):213-218. doi:10.1093…

  3. The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. | PSNet

    psnet.ahrq.gov/issue/multitasking-clinician-decision-making-and-cognitive-demand-during-and-after-team-handoffs
    September 15, 2011 - Study The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. Citation Text: Laxmisan A, Hakimzada F, Sayan OR, et al. The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency c…

  4. Defining and studying errors in surgical care: a systematic review. | PSNet

    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. Copy Citation F…

  5. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. | PSNet

    psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
    January 06, 2018 - Review Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. Citation Text: Sullivan N, Schoelles KM. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):410-416. doi:10.7326/0003-…

  6. The perfect storm: exam of a medical error and factors contributing to its possible escalation. | PSNet

    psnet.ahrq.gov/issue/perfect-storm-exam-medical-error-and-factors-contributing-its-possible-escalation
    October 20, 2021 - Commentary The perfect storm: exam of a medical error and factors contributing to its possible escalation. Citation Text: Walters GK. The perfect storm: exam of a medical error and factors contributing to its possible escalation. J Patient Saf. 2021;17(4):e264-e267. doi:10.1097/pts.00000…

  7. Assessment of patient medication adherence, medical record accuracy, and medication blood concentrations for prescription and over-the-counter medications. | PSNet

    psnet.ahrq.gov/issue/assessment-patient-medication-adherence-medical-record-accuracy-and-medication-blood
    April 15, 2019 - Study Assessment of patient medication adherence, medical record accuracy, and medication blood concentrations for prescription and over-the-counter medications. Citation Text: Sutherland JJ, Morrison RD, McNaughton CD, et al. Assessment of Patient Medication Adherence, Medical Record Ac…

  8. Racial implicit bias and communication among physicians in a simulated environment. | PSNet

    psnet.ahrq.gov/issue/racial-implicit-bias-and-communication-among-physicians-simulated-environment
    October 19, 2022 - Study Racial implicit bias and communication among physicians in a simulated environment. Citation Text: Gonzalez CM, Ark TK, Fisher MR, et al. Racial implicit bias and communication among physicians in a simulated environment. JAMA Netw Open. 2024;7(3):e242181. doi:10.1001/jamanetworkop…

  9. Evaluation of electronic health record implementation on pharmacist interventions related to oral chemotherapy management. | PSNet

    psnet.ahrq.gov/issue/evaluation-electronic-health-record-implementation-pharmacist-interventions-related-oral
    January 25, 2023 - Study Evaluation of electronic health record implementation on pharmacist interventions related to oral chemotherapy management. Citation Text: Finn A, Bondarenka C, Edwards K, et al. Evaluation of electronic health record implementation on pharmacist interventions related to oral chemot…

  10. Developing electronic clinical quality measures to assess the cancer diagnostic process. | PSNet

    psnet.ahrq.gov/issue/developing-electronic-clinical-quality-measures-assess-cancer-diagnostic-process
    December 18, 2024 - Study Developing electronic clinical quality measures to assess the cancer diagnostic process. Citation Text: Murphy DR, Zimolzak AJ, Upadhyay DK, et al. Developing electronic clinical quality measures to assess the cancer diagnostic process. J Am Med Inform Assoc. 2023;30(9):1526-1531. …

  11. Patients' online access to their electronic health records and linked online services: a systematic interpretative review. | PSNet

    psnet.ahrq.gov/issue/patients-online-access-their-electronic-health-records-and-linked-online-services-systematic
    September 08, 2021 - Review Patients' online access to their electronic health records and linked online services: a systematic interpretative review. Citation Text: de Lusignan S, Mold F, Sheikh A, et al. Patients' online access to their electronic health records and linked online services: a systematic int…

  12. Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia. | PSNet

    psnet.ahrq.gov/issue/analysis-variation-between-diagnosis-admission-vs-discharge-and-clinical-outcomes-among
    June 22, 2022 - Study Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia. Citation Text: Dregmans E, Kaal AG, Meziyerh S, et al. Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults…

  13. Interventions targeted at reducing diagnostic error: systematic review. | PSNet

    psnet.ahrq.gov/issue/interventions-targeted-reducing-diagnostic-error-systematic-review
    March 10, 2021 - Review Interventions targeted at reducing diagnostic error: systematic review. Citation Text: Dave N, Bui S, Morgan C, et al. Interventions targeted at reducing diagnostic error: systematic review. BMJ Qual Saf. 2022;31(4):297-307. doi:10.1136/bmjqs-2020-012704. Copy Citation Forma…

  14. Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019. | PSNet

    psnet.ahrq.gov/issue/racial-and-ethnic-differences-emergency-department-diagnostic-imaging-us-childrens-hospitals
    April 22, 2020 - Study Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019. Citation Text: Marin JR, Rodean J, Hall M, et al. Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019. JAMA Net…

  15. Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/frequency-diagnostic-errors-neonatal-intensive-care-unit-retrospective-cohort-study
    April 13, 2022 - Study Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. Citation Text: Shafer GJ, Singh H, Thomas EJ, et al. Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. J Perinatol. 2022;42(10):1312-131…

  16. Medication rounds: a tool to promote medication safety for children with medical complexity. | PSNet

    psnet.ahrq.gov/issue/medication-rounds-tool-promote-medication-safety-children-medical-complexity
    February 12, 2020 - Commentary Medication rounds: a tool to promote medication safety for children with medical complexity. Citation Text: Rojas CR, Moore A, Coffin A, et al. Medication rounds: a tool to promote medication safety for children with medical complexity. Jt Comm J Qual Patient Saf. 2023;49(4):2…

  17. Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature. | PSNet

    psnet.ahrq.gov/issue/explanation-and-elaboration-squire-standards-quality-improvement-reporting-excellence
    November 18, 2016 - Commentary Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature. Citation Text: Goodman D, Ogrinc G, Davies L, et al. Explanation and elaboration of the S…

  18. Creating a safer health care system: finding the constraint. | PSNet

    psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint
    February 24, 2011 - Commentary Creating a safer health care system: finding the constraint. Citation Text: Pauker SG, Zane EM, Salem D. Creating a safer health care system: finding the constraint. JAMA. 2005;294(22):2906-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

  19. An assessment of the impact of just culture on quality and safety in US hospitals. | PSNet

    psnet.ahrq.gov/issue/assessment-impact-just-culture-quality-and-safety-us-hospitals
    April 13, 2017 - Study Emerging Classic An assessment of the impact of just culture on quality and safety in US hospitals. Citation Text: Edwards MT. An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. Am J Med Qual. 2018;33(5):502-508. doi:10.1177…

  20. Creating a framework to integrate residency program and medical center approaches to quality improvement and patient safety training | PSNet

    psnet.ahrq.gov/issue/creating-framework-integrate-residency-program-and-medical-center-approaches-quality
    November 11, 2020 - Commentary Creating a framework to integrate residency program and medical center approaches to quality improvement and patient safety training Citation Text: Chen A, Wolpaw BJ, Vande Vusse LK, et al. Creating a framework to integrate residency program and medical center approaches to qu…
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