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psnet.ahrq.gov/issue/using-patient-internet-portal-prevent-adverse-drug-events-randomized-controlled-trial
September 15, 2011 - Study
Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial.
Citation Text:
Weingart SN, Carbo AR, Tess A, et al. Using a Patient Internet Portal to Prevent Adverse Drug Events. J Patient Saf. 2013;9(3). doi:10.1097/pts.0b013e31829e4b95.
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psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims
October 26, 2010 - Study
Classic
Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims.
Citation Text:
Gandhi TK, Kachalia A, Thomas EJ, et al. Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. An…
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psnet.ahrq.gov/issue/prospective-evaluation-multifaceted-intervention-improve-outcomes-intensive-care-promoting
August 03, 2022 - Study
Classic
Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing Safety through Patient Engagement Communication and Technology study.
Citation Text:
Dykes PC, Rozenblum R, Dalal A, et a…
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psnet.ahrq.gov/issue/adverse-drug-events-us-adult-ambulatory-medical-care
June 21, 2010 - Study
Classic
Adverse drug events in U.S. adult ambulatory medical care.
Citation Text:
Sarkar U, Lopez A, Maselli JH, et al. Adverse drug events in U.S. adult ambulatory medical care. Health Serv Res. 2011;46(5):1517-1533. doi:10.1111/j.1475-6773.2011.01269.x…
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psnet.ahrq.gov/issue/identifying-trigger-concepts-screen-emergency-department-visits-diagnostic-errors
March 12, 2025 - Study
Identifying trigger concepts to screen emergency department visits for diagnostic errors.
Citation Text:
Mahajan P, Pai C-W, Cosby KS, et al. Identifying trigger concepts to screen emergency department visits for diagnostic errors. Diagnosis (Berl). 2021;8(3):340-346. doi:10.1515/d…
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psnet.ahrq.gov/issue/diagnostic-assessment-deep-learning-algorithms-detection-lymph-node-metastases-women-breast
June 27, 2018 - Study
Classic
Diagnostic assessment of deep learning algorithms for detection of lymph node metastases in women with breast cancer.
Citation Text:
Bejnordi BE, Veta M, van Diest PJ, et al. Diagnostic Assessment of Deep Learning Algorithms for Detection of Lymph …
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psnet.ahrq.gov/issue/partnered-pharmacist-charting-admission-general-medical-and-emergency-short-stay-unit-cluster
July 06, 2011 - Study
Partnered pharmacist charting on admission in the general medical and emergency short-stay unit—a cluster-randomised controlled trial in patients with complex medication regimens.
Citation Text:
Tong EY, Roman C, Mitra B, et al. Partnered pharmacist charting on admission in the Gen…
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psnet.ahrq.gov/issue/national-hospital-ratings-systems-share-few-common-scores-and-may-generate-confusion-instead
October 31, 2014 - Study
Classic
National hospital ratings systems share few common scores and may generate confusion instead of clarity.
Citation Text:
Austin M, Jha AK, Romano PS, et al. National hospital ratings systems share few common scores and may generate confusion instead…
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psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
February 09, 2011 - Study
Classic
A surgical safety checklist to reduce morbidity and mortality in a global population.
Citation Text:
Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;3…
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psnet.ahrq.gov/issue/evaluating-alert-fatigue-over-time-ehr-based-clinical-trial-alerts-findings-randomized
April 29, 2018 - Study
Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study.
Citation Text:
Embi P, Leonard AC. Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. J Am Med Inform…
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psnet.ahrq.gov/issue/quasi-experimental-evaluation-effectiveness-large-scale-readmission-reduction-program
January 07, 2015 - Study
Quasi-experimental evaluation of the effectiveness of a large-scale readmission reduction program.
Citation Text:
Jenq GY, Doyle MM, Belton BM, et al. Quasi-Experimental Evaluation of the Effectiveness of a Large-Scale Readmission Reduction Program. JAMA Intern Med. 2016;176(5):681…
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psnet.ahrq.gov/issue/focus-patient-safety
January 23, 2008 - Book/Report
Focus on Patient Safety.
Citation Text:
Focus on Patient Safety. Annu Rev Nurs Res. 2006;24:1-331.
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psnet.ahrq.gov/node/33809/psn-pdf
June 01, 2016 - Working on culture without focusing on burnout and joy and meaning will not give us the results we need … Just focusing on joy and meaning without really looking at culture and leadership is also going to be
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psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
August 20, 2018 - The second skill is team leadership, focusing on maximizing every team member's potential, which is particularly … TeamSTEPPS provides a helpful framework for creating effective teams focusing on communication, leadership
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psnet.ahrq.gov/node/33668/psn-pdf
May 01, 2008 - RW: So, if you were trying to accelerate this pace, would you be focusing on creating a business case … RW: When David Brailer became the IT czar, I think he surprised some outsiders by focusing so strongly
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psnet.ahrq.gov/node/33696/psn-pdf
June 01, 2010 - RW: You ended up focusing on cognitive errors and diagnostic errors. … So we turned our M&M rounds
around, focusing on cognitive errors, affective errors, biases, distortions
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psnet.ahrq.gov/Information/Panel
January 01, 2012 - She has directed projects with multiple stakeholders focusing on Medicare Part D Medication Therapy Management … the Director of Medical Education Research and Innovation in the Medical Education Outcomes Center, focusing
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psnet.ahrq.gov/node/33671/psn-pdf
July 01, 2008 - Although caregiver collaboration is improving and organizations are focusing less on individual blame
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psnet.ahrq.gov/node/33647/psn-pdf
March 01, 2007 - For example, the physician-patient mentioned above tried to engage senior
leadership in focusing the
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psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
February 01, 2014 - working on accelerating patient safety improvement in nursing homes and in ambulatory care—particularly focusing … Our research is focusing on how health IT can be designed and used to improve care, particularly looking … We are constantly focusing on how to make sure that what we do changes policy and practice.