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psnet.ahrq.gov/issue/systems-errors-versus-physicians-errors-finding-balance-medical-education
October 12, 2012 - Commentary
Systems errors versus physicians' errors: finding the balance in medical education.
Citation Text:
Casarett D, Helms C. Systems errors versus physicians' errors: finding the balance in medical education. Acad Med. 1999;74(1):19-22.
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psnet.ahrq.gov/issue/deficiencies-electronic-medical-record-inpatient-list-capabilities-negatively-impact-patient
October 19, 2022 - Study
Deficiencies in electronic medical record inpatient list capabilities negatively impact patient safety, resident education, and wellness.
Citation Text:
Davalos RA, Aden J, Pluta N, et al. Deficiencies in electronic medical record inpatient list capabilities negatively impact patie…
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psnet.ahrq.gov/issue/observational-study-conformity-yet-another-medical-learning-environment-conformity-preceptors
June 19, 2019 - Study
Observational study of conformity in yet another medical learning environment: conformity to preceptors during high-fidelity simulation.
Citation Text:
Beran T, Altabbaa G, Oddone Paolucci E. Observational study of conformity in yet another medical learning environment: conformity …
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psnet.ahrq.gov/issue/measurement-and-monitoring-safety-impact-and-challenges-putting-conceptual-framework-practice
January 24, 2018 - Study
Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice.
Citation Text:
Chatburn E, Macrae C, Carthey J, et al. Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. BMJ Qual …
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psnet.ahrq.gov/issue/spreading-medication-administration-intervention-organizationwide-six-hospitals
January 03, 2017 - Study
Spreading a medication administration intervention organizationwide in six hospitals.
Citation Text:
Kliger J, Singer SJ, Hoffman F, et al. Spreading a medication administration intervention organizationwide in six hospitals. Jt Comm J Qual Patient Saf. 2012;38(2):51-60.
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psnet.ahrq.gov/issue/confirmation-bias-why-psychiatrists-stick-wrong-preliminary-diagnoses
June 13, 2011 - Study
Confirmation bias: why psychiatrists stick to wrong preliminary diagnoses.
Citation Text:
Mendel R, Traut-Mattausch E, Jonas E, et al. Confirmation bias: why psychiatrists stick to wrong preliminary diagnoses. Psychol Med. 2011;41(12):2651-2659. doi:10.1017/S0033291711000808.
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psnet.ahrq.gov/issue/effects-computerized-physician-order-entry-and-clinical-decision-support-systems-medication
May 27, 2011 - Review
Classic
Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review.
Citation Text:
Kaushal R, Shojania KG, Bates DW. Effects of computerized physician order entry and clinical decision s…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/carotid-artery-stenosis-screening
November 14, 2019 - Share to Facebook
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Final Research Plan
Asymptomatic Carotid Artery Stenosis: Screening
November 14, 2019
Recommendations made by the USPSTF are independent of the U.S. government. They should no…
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psnet.ahrq.gov/issue/reduced-postdischarge-incidents-after-implementation-hospital-home-transition-intervention
September 06, 2023 - Study
Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for children with medical complexity.
Citation Text:
Huth K, Hotz A, Emara N, et al. Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention…
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psnet.ahrq.gov/issue/tackling-communication-barriers-between-long-term-care-facility-and-emergency-department
August 02, 2017 - Commentary
Tackling communication barriers between long-term care facility and emergency department transfers to improve medication safety in older adults.
Citation Text:
Callinan SM, Brandt NJ. Tackling communication barriers between long-term care facility and emergency department tran…
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psnet.ahrq.gov/issue/interventions-engage-patients-and-families-patient-safety-systematic-review
March 04, 2020 - Review
Interventions to engage patients and families in patient safety: a systematic review.
Citation Text:
Lee M, Lee N-J, Seo H-J, et al. Interventions to Engage Patients and Families in Patient Safety: A Systematic Review. West J Nurs Res. 2021;43(10):972-983. doi:10.1177/01939459209…
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psnet.ahrq.gov/issue/detecting-medication-order-discrepancies-nursing-homes-how-rns-and-lpns-differ
August 15, 2013 - Study
Detecting medication order discrepancies in nursing homes: how RNs and LPNs differ.
Citation Text:
Vogelsmeier A, Anbari A, Ganong L, et al. Detecting medication order discrepancies in nursing homes: how RNs and LPNs differ. J Nurs Reg. 2015;6(3):48-56. doi:10.1016/s2155-8256(15)30…
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psnet.ahrq.gov/issue/successful-implementation-department-veterans-affairs-national-surgical-quality-improvement
March 28, 2012 - Study
Successful implementation of the Department of Veterans Affairs' National Surgical Quality Improvement Program in the private sector: the Patient Safety in Surgery study.
Citation Text:
Khuri SF, Henderson WG, Daley J, et al. Successful implementation of the Department of Veteran…
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psnet.ahrq.gov/issue/challenges-implementing-centers-disease-control-and-prevention-opioid-guideline-consensus
January 25, 2017 - Commentary
Challenges with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report.
Citation Text:
Kroenke K, Alford DP, Argoff C, et al. Challenges with Implementing the Centers for Disease Control and Prevention Opioid Guideline: A Consens…
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psnet.ahrq.gov/issue/public-reporting-health-care-associated-surveillance-data-recommendations-healthcare
May 25, 2011 - Commentary
Public reporting of health care–associated surveillance data: recommendations from the Healthcare Infection Control Practices Advisory Committee.
Citation Text:
Talbot TR, Bratzler DW, Carrico RM, et al. Public Reporting of Health Care–Associated Surveillance Data: Recommen…
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psnet.ahrq.gov/issue/systems-analysis-work-related-violence-hospitals-stakeholders-contributory-factors-and
February 01, 2023 - Study
A systems analysis of work-related violence in hospitals: stakeholders, contributory factors, and leverage points.
Citation Text:
Salmon PM, Coventon L, Read GJM. A systems analysis of work-related violence in hospitals: stakeholders, contributory factors, and leverage points. Safe…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/alexander/alexander.pptx
February 16, 2011 - Methods and Metrics Issues in Delivery Systems Research
Methods and Metrics Issues in Delivery System Research
JEFF ALEXANDER
The University of Michigan
The Challenge and Promise of Delivery System Research: A Meeting of AHRQ Grantees, Experts, and Stakeholders
Doubletree Dulles – Sterling, Virginia
February 16, 201…
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psnet.ahrq.gov/issue/enhancing-resident-education-embedding-improvement-specialists-quality-and-safety-curriculum
April 24, 2018 - Study
Enhancing resident education by embedding improvement specialists into a quality and safety curriculum.
Citation Text:
Levy KL, Grzyb K, Heidemann LA, et al. Enhancing resident education by embedding improvement specialists into a quality and safety curriculum. J Grad Med Educ. 202…
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psnet.ahrq.gov/issue/dashboard-design-identify-and-balance-competing-risk-multiple-hospital-acquired-conditions
December 16, 2020 - Study
Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions.
Citation Text:
Makic MBF, Stevens KR, Gritz RM, et al. Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. Appl Clin Inform. 2022;13(3):62…
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psnet.ahrq.gov/issue/adopting-high-reliability-organization-principles-lead-large-scale-clinical-transformation
November 21, 2021 - Commentary
Adopting high reliability organization principles to lead a large scale clinical transformation.
Citation Text:
Pozzobon LD, Lam J, Chimonides E, et al. Adopting high reliability organization principles to lead a large scale clinical transformation. Healthc Manage Forum. 2023;…