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psnet.ahrq.gov/issue/advancing-science-measurement-diagnostic-errors-healthcare-safer-dx-framework
December 06, 2023 - Commentary
Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework.
Citation Text:
Singh H, Sittig DF. Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. BMJ Qual Saf. 2015;24(2):103-110. doi:10.1136/bm…
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psnet.ahrq.gov/issue/wrong-site-craniotomy-analysis-35-cases-and-systems-prevention
November 16, 2022 - Study
Wrong-site craniotomy: analysis of 35 cases and systems for prevention.
Citation Text:
Cohen FL, Mendelsohn D, Bernstein M. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. J Neurosurg. 2010;113(3):461-73. doi:10.3171/2009.10.JNS091282.
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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/prevent-errors-during-emergency-use-hypertonic-sodium-chloride-solutions
March 10, 2021 - Newspaper/Magazine Article
Prevent errors during emergency use of hypertonic sodium chloride solutions.
Citation Text:
Prevent errors during emergency use of hypertonic sodium chloride solutions. ISMP Medication Safety Alert! Acute care edition. November 4, 2021;26(22); 1-4.
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psnet.ahrq.gov/issue/professional-values-and-reported-behaviours-doctors-usa-and-uk-quantitative-survey
February 17, 2011 - Study
Professional values and reported behaviours of doctors in the USA and UK: quantitative survey.
Citation Text:
Roland M, Rao SR, Sibbald B, et al. Professional values and reported behaviours of doctors in the USA and UK: quantitative survey. BMJ Qual Saf. 2011;20(6):515-21. doi:10…
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psnet.ahrq.gov/issue/improving-acceptance-computerized-prescribing-alerts-ambulatory-care
July 10, 2008 - Study
Improving acceptance of computerized prescribing alerts in ambulatory care.
Citation Text:
Shah N, Seger AC, Seger DL, et al. Improving acceptance of computerized prescribing alerts in ambulatory care. J Am Med Inform Assoc. 2006;13(1):5-11.
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psnet.ahrq.gov/issue/research-ambulatory-patient-safety-2000-2010-10-year-review
March 11, 2015 - Book/Report
Classic
Research in Ambulatory Patient Safety 2000-2010: A 10-Year Review.
Citation Text:
Research in Ambulatory Patient Safety 2000-2010: A 10-Year Review. Lorincz CY, Drazen E, Sokol PE, et al. Chicago, IL: American Medical Association; 2011.
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psnet.ahrq.gov/issue/can-we-import-improvements-industry-healthcare
October 30, 2010 - Commentary
Can we import improvements from industry to healthcare?
Citation Text:
Macrae C, Stewart K. Can we import improvements from industry to healthcare? BMJ. 2019;364:l1039. doi:10.1136/bmj.l1039.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML E…
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psnet.ahrq.gov/issue/exploring-barriers-learning-crisis-organizational-learning-and-crisis
January 08, 2025 - Review
Exploring the barriers to learning from crisis: organizational learning and crisis.
Citation Text:
Smith D, Elliott D. Exploring the Barriers to Learning from Crisis. Manag Learn. 2007;38(5):519-538. doi:10.1177/1350507607083205.
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psnet.ahrq.gov/issue/finding-and-fixing-diagnosis-errors-can-triggers-help
January 31, 2024 - Commentary
Finding and fixing diagnosis errors: can triggers help?
Citation Text:
Schiff GD. Finding and fixing diagnosis errors: can triggers help? BMJ Qual Saf. 2011;21(2):89-92. doi:10.1136/bmjqs-2011-000590.
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psnet.ahrq.gov/issue/hospital-doctors-workflow-interruptions-and-activities-observation-study
March 06, 2013 - Study
Hospital doctors' workflow interruptions and activities: an observation study.
Citation Text:
Weigl M, Müller A, Zupanc A, et al. Hospital doctors' workflow interruptions and activities: an observation study. BMJ Qual Saf. 2011;20(6):491-7. doi:10.1136/bmjqs.2010.043281.
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psnet.ahrq.gov/issue/economics-medication-safety-improving-medication-safety-through-collective-real-time-learning
October 07, 2020 - Book/Report
Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning.
Citation Text:
Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. de Bienassis K, Esmail L, Lopert R, Klazinga N for the O…
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psnet.ahrq.gov/issue/economics-patient-safety-primary-and-ambulatory-care-flying-blind
April 12, 2017 - Book/Report
Emerging Classic
The Economics of Patient Safety in Primary and Ambulatory Care: Flying Blind.
Citation Text:
The Economics of Patient Safety in Primary and Ambulatory Care: Flying Blind. Slawomirski L, Auraaen A, Klazinga N. Paris, France: Organisat…
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psnet.ahrq.gov/issue/scoping-review-exploring-confidence-healthcare-professionals-assessing-all-skin-tones
July 17, 2019 - Review
A scoping review exploring the confidence of healthcare professionals in assessing all skin tones.
Citation Text:
Harrison J. A scoping review exploring the confidence of healthcare professionals in assessing all skin tones. Br Paramed J. 2023;8(2):18-28. doi:10.29045/14784726.202…
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psnet.ahrq.gov/issue/policies-promote-shared-responsibility-safer-electronic-health-records
August 25, 2021 - Commentary
Policies to promote shared responsibility for safer electronic health records.
Citation Text:
Sittig DF, Singh H. Policies to promote shared responsibility for safer electronic health records. JAMA. 2021;326(15):1477-1478. doi:10.1001/jama.2021.13945.
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psnet.ahrq.gov/issue/research-nursing-handoffs-medical-and-surgical-settings-integrative-review
October 19, 2011 - Review
Research on nursing handoffs for medical and surgical settings: an integrative review.
Citation Text:
Staggers N, Blaz JW. Research on nursing handoffs for medical and surgical settings: an integrative review. J Adv Nurs. 2013;69(2):247-62. doi:10.1111/j.1365-2648.2012.06087.x. …
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psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems
November 12, 2014 - Review
What to do with healthcare incident reporting systems.
Citation Text:
Pham JC, Girard T, Pronovost PJ. What to do with healthcare Incident Reporting Systems. J Public Health Res. 2013;2(3). doi:10.4081/jphr.2013.e27.
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psnet.ahrq.gov/issue/fostering-transparency-outcomes-quality-safety-and-costs
January 29, 2015 - Commentary
Fostering transparency in outcomes, quality, safety, and costs.
Citation Text:
Austin M, McGlynn EA, Pronovost P. Fostering Transparency in Outcomes, Quality, Safety, and Costs. JAMA. 2016;316(16):1661-1662. doi:10.1001/jama.2016.14039.
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psnet.ahrq.gov/issue/implementation-medication-reconciliation-process-ambulatory-internal-medicine-clinic
October 28, 2009 - Study
Implementation of a medication reconciliation process in an ambulatory internal medicine clinic.
Citation Text:
Nassaralla CL, Naessens JM, Chaudhry R, et al. Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. Qual Saf Health Care. 20…
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psnet.ahrq.gov/issue/improving-patient-safety-comparative-views-patient-safety-specialists-workforce-staff-and
March 23, 2011 - Study
Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers.
Citation Text:
Braithwaite J, Westbrook MT, Robinson M, et al. Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers.…