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psnet.ahrq.gov/issue/limits-clinician-vigilance-ai-safety-bulwark
September 07, 2022 - Commentary
The limits of clinician vigilance as an AI safety bulwark.
Citation Text:
Adler-Milstein J, Redelmeier DA, Wachter RM. The limits of clinician vigilance as an AI safety bulwark. JAMA. 2024;331(14):1173-1174. doi:10.1001/jama.2024.3620.
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psnet.ahrq.gov/issue/what-effectiveness-reporting-systems-promoting-learning-healthcare
September 23, 2020 - Review
What is the effectiveness of reporting systems in promoting learning in healthcare?
Citation Text:
Sehgal A. What is the effectiveness of reporting systems in promoting learning in healthcare? Br J Hosp Med (Lond). 2024;85(4):1-9. doi:10.12968/hmed.2023.0444.
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psnet.ahrq.gov/issue/improving-patient-safety-through-informed-consent-patients-limited-health-literacy
April 28, 2021 - Book/Report
Classic
Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy.
Citation Text:
Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy. Wu HW, Nishimi RY, Page-Lopez CM, et …
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psnet.ahrq.gov/issue/creating-highly-reliable-accountable-care-organizations
November 03, 2015 - Commentary
Creating highly reliable accountable care organizations.
Citation Text:
Vogus TJ, Singer SJ. Creating Highly Reliable Accountable Care Organizations. Med Care Res Rev. 2016;73(6):660-672.
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psnet.ahrq.gov/issue/review-current-and-emerging-approaches-address-failure-rescue
March 20, 2024 - Review
A review of current and emerging approaches to address failure-to-rescue.
Citation Text:
Taenzer AH, Pyke JB, McGrath SP. A review of current and emerging approaches to address failure-to-rescue. Anesthesiology. 2011;115(2):421-31. doi:10.1097/ALN.0b013e318219d633.
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psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients
July 31, 2012 - Book/Report
Committed to Safety: Ten Case Studies on Reducing Harm to Patients.
Citation Text:
Committed to Safety: Ten Case Studies on Reducing Harm to Patients. McCarthy D, Blumenthal D. New York, NY: Commonwealth Fund; 2006.
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psnet.ahrq.gov/issue/observational-study-evaluate-usability-and-intent-adopt-artificial-intelligence-powered
September 27, 2017 - Study
An observational study to evaluate the usability and intent to adopt an artificial intelligence–powered medication reconciliation tool.
Citation Text:
Long J, Yuan MJ, Poonawala R. An Observational Study to Evaluate the Usability and Intent to Adopt an Artificial Intelligence-Power…
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psnet.ahrq.gov/issue/latency-ecg-displays-hospital-telemetry-systems-science-advisory-american-heart-association
March 14, 2018 - Commentary
Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association.
Citation Text:
Turakhia MP, Estes NAM, Drew BJ, et al. Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association.…
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psnet.ahrq.gov/issue/pharmacist-outpatient-prescription-review-emergency-department-pediatric-tertiary-hospital
March 15, 2016 - Study
Pharmacist outpatient prescription review in the emergency department: a pediatric tertiary hospital experience.
Citation Text:
Shah D, Manzi S. Pharmacist Outpatient Prescription Review in the Emergency Department: A Pediatric Tertiary Hospital Experience. Pediatr Emerg Care. 2018…
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psnet.ahrq.gov/issue/positive-deviance-new-tool-infection-prevention-and-patient-safety
March 09, 2022 - Commentary
Positive deviance: a new tool for infection prevention and patient safety.
Citation Text:
Marra AR, Santos OFPD, Neto MC, et al. Positive Deviance: A New Tool for Infection Prevention and Patient Safety. Curr Infect Dis Rep. 2013.
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psnet.ahrq.gov/issue/learning-every-death
June 28, 2011 - Commentary
Learning from every death.
Citation Text:
Huddleston JM, Diedrich DA, Kinsey GC, et al. Learning from every death. J Patient Saf. 2014;10(1):6-12. doi:10.1097/PTS.0000000000000053.
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psnet.ahrq.gov/issue/inevitability-physician-burnout-implications-interventions
April 17, 2024 - Commentary
The inevitability of physician burnout: implications for interventions.
Citation Text:
Montgomery A. The inevitability of physician burnout: Implications for interventions. Burn Res. 2014;1(1). doi:10.1016/j.burn.2014.04.002.
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psnet.ahrq.gov/issue/medicaid-program-payment-adjustment-provider-preventable-conditions-including-health-care
July 07, 2021 - Government Resource
Medicaid program; payment adjustment for provider-preventable conditions including health care–acquired conditions.
Citation Text:
Medicaid program; payment adjustment for provider-preventable conditions including health care–acquired conditions. Centers for Medic…
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psnet.ahrq.gov/issue/handoff-communication-between-hospital-and-outpatient-dialysis-units-patient-discharge
August 20, 2018 - Study
Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study.
Citation Text:
Reilly JB, Marcotte LM, Berns JS, et al. Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study. …
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psnet.ahrq.gov/issue/primary-care-physician-communication-hospital-discharge-reduces-medication-discrepancies
May 04, 2010 - Study
Primary care physician communication at hospital discharge reduces medication discrepancies.
Citation Text:
Lindquist LA, Yamahiro A, Garrett A, et al. Primary care physician communication at hospital discharge reduces medication discrepancies. J Hosp Med. 2013;8(12):672-7. doi:10…
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psnet.ahrq.gov/issue/perioperative-patient-safety-multisite-qualitative-analysis
September 20, 2023 - Study
Perioperative patient safety: a multisite qualitative analysis.
Citation Text:
Chappy S. Perioperative patient safety: a multisite qualitative analysis. AORN J. 2006;83(4):871-4, 877-88, 891-7.
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psnet.ahrq.gov/issue/clinical-transformation-ascension-health-eliminating-all-preventable-injuries-and-deaths
January 05, 2017 - Commentary
The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths.
Citation Text:
Pryor DB, Tolchin SF, Hendrich A, et al. The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. Jt Comm J Qual Patient Sa…
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psnet.ahrq.gov/issue/adverse-events-following-emergency-department-visit
April 22, 2011 - Study
Adverse events following an emergency department visit.
Citation Text:
Forster AJ, Rose NGW, van Walraven C, et al. Adverse events following an emergency department visit. Qual Saf Health Care. 2007;16(1):17-22.
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psnet.ahrq.gov/issue/development-and-sustainability-inpatient-outpatient-discharge-handoff-tool-quality
August 04, 2015 - Study
Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project.
Citation Text:
Moy NY, Lee SJ, Chan T, et al. Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. Jt C…
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psnet.ahrq.gov/issue/impact-workplace-mistreatment-patient-safety-risk-and-nurse-assessed-patient-outcomes
September 24, 2010 - Study
Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes.
Citation Text:
Laschinger HKS. Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes. J Nurs Adm. 2014;44(5):284-90. doi:10.1097/NNA.0000000000000068. …