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psnet.ahrq.gov/issue/leveraging-artificial-intelligence-reduce-diagnostic-errors-emergency-medicine-challenges
May 29, 2019 - Commentary
Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: challenges, opportunities, and future directions.
Citation Text:
Taylor RA, Sangal RB, Smith ME, et al. Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: c…
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psnet.ahrq.gov/issue/association-display-patient-photographs-electronic-health-record-wrong-patient-order-entry
May 29, 2019 - Study
Association of display of patient photographs in the electronic health record with wrong-patient order entry errors.
Citation Text:
Salmasian H, Blanchfield BB, Joyce K, et al. Association of display of patient photographs in the electronic health record with wrong-patient order e…
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psnet.ahrq.gov/issue/impact-independent-chemotherapy-prescribing-advanced-practice-providers-patient-safety-and
November 16, 2022 - Study
The impact of independent chemotherapy prescribing by advanced practice providers on patient safety and clinician satisfaction.
Citation Text:
LeStrange N, Walton AM, Watson JL, et al. The impact of independent chemotherapy prescribing by advanced practice providers on patient safe…
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psnet.ahrq.gov/issue/validating-patient-safety-indicators-veterans-health-administration-do-they-accurately
January 18, 2013 - Study
Validating the Patient Safety Indicators in the Veterans Health Administration: do they accurately identify true safety events?
Citation Text:
Rosen AK, Itani KMF, Cevasco M, et al. Validating the Patient Safety Indicators in the Veterans Health Administration. Med Care. 2011;50(…
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psnet.ahrq.gov/issue/im-concerned-multi-site-assessment-emergency-medicine-resident-speaking-behaviors
December 02, 2020 - Study
“I’m concerned”: a multi-site assessment of emergency medicine resident speaking up behaviors.
Citation Text:
Feldman N, Volz N, Snow T, et al. “I’m concerned”: A multi-site assessment of emergency medicine resident speaking up behaviors. J Patient Saf Risk Manag. 2022;27(5):229-23…
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psnet.ahrq.gov/issue/pediatric-trainees-speaking-about-unprofessional-behavior-and-traditional-patient-safety
December 21, 2017 - Study
Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats.
Citation Text:
Kesselheim JC, Shelburne JT, Bell SK, et al. Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats. Acad Pediatr. 2021…
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psnet.ahrq.gov/issue/problem-root-cause-analysis
August 28, 2024 - Commentary
The problem with root cause analysis.
Citation Text:
Peerally MF, Carr S, Waring J, et al. The problem with root cause analysis. BMJ Qual Saf. 2017;26(5):417-422. doi:10.1136/bmjqs-2016-005511.
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psnet.ahrq.gov/issue/intervening-interruptions-what-exactly-risk-we-are-trying-manage
July 20, 2022 - Review
Intervening in interruptions: what exactly is the risk we are trying to manage?
Citation Text:
Gao J, Rae AJ, Dekker SWA. Intervening in Interruptions: What Exactly Is the Risk We Are Trying to Manage? J Patient Saf. 2021;17(7):e684-e688. doi:10.1097/PTS.0000000000000429.
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psnet.ahrq.gov/issue/reliability-verbal-handoff-assessment-and-handoff-quality-and-after-implementation-resident
November 16, 2022 - Study
Reliability of verbal handoff assessment and handoff quality before and after implementation of a resident handoff bundle.
Citation Text:
Feraco AM, Starmer AJ, Sectish TC, et al. Reliability of Verbal Handoff Assessment and Handoff Quality Before and After Implementation of a Resi…
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psnet.ahrq.gov/issue/collective-intelligence-meets-medical-decision-making-collective-outperforms-best-radiologist
August 17, 2016 - Study
Classic
Collective intelligence meets medical decision-making: the collective outperforms the best radiologist.
Citation Text:
Wolf M, Krause J, Carney PA, et al. Collective intelligence meets medical decision-making: the collective outperforms the best ra…
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psnet.ahrq.gov/issue/bedside-computer-vision-moving-artificial-intelligence-driver-assistance-patient-safety
December 01, 2021 - Commentary
Emerging Classic
Bedside computer vision—moving artificial intelligence from driver assistance to patient safety.
Citation Text:
Yeung S, Downing L, Fei-Fei L, et al. Bedside Computer Vision - Moving Artificial Intelligence from Driver Assistance to P…
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psnet.ahrq.gov/issue/becoming-hand-hygiene-heroes-implementation-infection-prevention-and-control-campaign-patient
June 15, 2016 - Study
Becoming Hand Hygiene Heroes: implementation of an infection prevention and control campaign for patient and family hospital safety.
Citation Text:
Cheng B, Chan M, Abi-Farrage D, et al. Becoming hand hygiene heroes: implementation of an infection prevention and control campaign fo…
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psnet.ahrq.gov/issue/open-disclosure-among-general-practitioners-second-victim-patient-safety-incident-cross
February 15, 2023 - Study
Open disclosure among general practitioners as second victim of a patient safety incident: a cross-sectional study in Flanders (Belgium).
Citation Text:
Neyens L, Stouten E, Vanhaecht K, et al. Open disclosure among general practitioners as second victim of a patient safety inciden…
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psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and-lessons-aftermath-incident
March 11, 2020 - Study
Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading to the successful implementation of recommendations.
Citation Text:
Wrigstad J, Bergström J, Gusta…
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psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-support-after-severe-maternal-event
December 15, 2021 - Organizational Policy/Guidelines
National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event.
Citation Text:
Morton CH, Hall MF, Shaefer SJM, et al. National Partnership for Maternal Safety: Consensus Bundle on Support After a Severe Maternal Event…
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psnet.ahrq.gov/issue/creating-highly-reliable-health-care-how-reliability-enhancing-work-practices-affect-patient
January 12, 2022 - Study
Creating highly reliable health care: how reliability-enhancing work practices affect patient safety in hospitals.
Citation Text:
Vogus TJ, Iacobucci D. Creating Highly Reliable Health Care. ILR Review. 2016;69(4). doi:10.1177/0019793916642759.
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psnet.ahrq.gov/issue/adverse-drug-events-after-hospital-discharge-older-adults-types-severity-and-involvement
August 11, 2010 - Study
Adverse drug events after hospital discharge in older adults: types, severity, and involvement of Beers criteria medications.
Citation Text:
Kanaan AO, Donovan JL, Duchin NP, et al. Adverse drug events after hospital discharge in older adults: types, severity, and involvement of …
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psnet.ahrq.gov/issue/association-clinician-diagnostic-performance-machine-learning-based-decision-support-systems
June 22, 2022 - Review
Emerging Classic
Association of clinician diagnostic performance with machine learning–based decision support systems: a systematic review.
Citation Text:
Vasey B, Ursprung S, Beddoe B, et al. Association of clinician diagnostic performance with machine l…
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psnet.ahrq.gov/issue/nurse-leader-perspectives-and-experiences-caregiver-support-following-serious-medical-error
March 06, 2024 - Study
Nurse leader perspectives and experiences on caregiver support following a serious medical error.
Citation Text:
Prothero MM, Sorhus M, Huefner K. Nurse leader perspectives and experiences on caregiver support following a serious medical error. J Nurs Adm. 2024;54(12):664-669. doi:…
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psnet.ahrq.gov/issue/implementation-i-pass-handoff-program-diverse-clinical-environments-multicenter-prospective
April 24, 2018 - Study
Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.
Citation Text:
Starmer AJ, Spector ND, O'Toole JK, et al. Implementation of the I‐PASS handoff program in diverse clinical environments: a mu…