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psnet.ahrq.gov/issue/systematic-review-unintended-consequences-clinical-interventions-reduce-adverse-outcomes
November 15, 2023 - Review
A systematic review of the unintended consequences of clinical interventions to reduce adverse outcomes.
Citation Text:
Manojlovich M, Lee S, Lauseng D. A Systematic Review of the Unintended Consequences of Clinical Interventions to Reduce Adverse Outcomes. J Patient Saf. 2016;12(…
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psnet.ahrq.gov/issue/practical-guide-failure-mode-and-effects-analysis-health-care-making-most-team-and-its
March 04, 2015 - Commentary
A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings.
Citation Text:
Ashley L, Armitage G, Neary M, et al. A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its …
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psnet.ahrq.gov/issue/foundational-science-learning-health-systems
June 26, 2019 - Commentary
The foundational science of learning health systems.
Citation Text:
Kilbourne AM, Borsky AE, O'Brien RW, et al. The foundational science of learning health systems. Health Serv Res. 2024;59(6):e14374. doi:10.1111/1475-6773.14374.
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psnet.ahrq.gov/issue/improving-medication-management-through-redesign-hospital-code-cart-medication-drawer
October 31, 2018 - Study
Improving medication management through the redesign of the hospital code cart medication drawer.
Citation Text:
Rousek JB, Hallbeck MS. Improving Medication Management Through the Redesign of the Hospital Code Cart Medication Drawer. Human Factors: The Journal of the Human Facto…
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psnet.ahrq.gov/issue/good-and-bad-reasons-swiss-cheese-model-and-its-critics
September 14, 2022 - Commentary
Classic
Good and bad reasons: the Swiss cheese model and its critics.
Citation Text:
Larouzee J, Le Coze J-C. Good and bad reasons: the Swiss cheese model and its critics. Safety Sci. 2020;126:104660. doi:10.1016/j.ssci.2020.104660.
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psnet.ahrq.gov/issue/same-behavior-different-provider-american-medical-students-attitudes-toward-reporting-risky
May 12, 2021 - Study
Same behavior, different provider: American medical students' attitudes toward reporting risky behaviors committed by doctors, nurses, and classmates.
Citation Text:
Aggarwal S, Kheriaty A. Same behavior, different provider: American medical students' attitudes toward reporting ris…
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psnet.ahrq.gov/issue/using-modified-a3-lean-framework-identify-ways-increase-students-reporting-mistreatment
May 25, 2010 - Commentary
Using a modified A3 lean framework to identify ways to increase students' reporting of mistreatment behaviors.
Citation Text:
Ross PT, Abdoler E, Flygt LA, et al. Using a Modified A3 Lean Framework to Identify Ways to Increase Students' Reporting of Mistreatment Behaviors. Aca…
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psnet.ahrq.gov/issue/shift-shift-handoff-effects-patient-safety-and-outcomes-systematic-review
January 22, 2016 - Review
Shift-to-shift handoff effects on patient safety and outcomes: a systematic review.
Citation Text:
Mardis M, Davis JJ, Benningfield B, et al. Shift-to-Shift Handoff Effects on Patient Safety and Outcomes. Am J Med Qual. 2017;32(1):34-42. doi:10.1177/1062860615612923.
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psnet.ahrq.gov/issue/opportunities-mine-ehrs-malpractice-risk-management-and-patient-safety
October 28, 2020 - Commentary
Opportunities to mine EHRs for malpractice risk management and patient safety.
Citation Text:
Adler-Milstein J, Sarkar U, Wachter RM. Opportunities to mine EHRs for malpractice risk management and patient safety. J Patient Saf Risk Manag. 2022;27(4):160-162. doi:10.1177/251604…
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psnet.ahrq.gov/issue/diagnostic-safety-needs-assessment-and-informed-curriculum-academic-childrens-hospital
June 28, 2023 - Study
Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital.
Citation Text:
Congdon M, Rasooly IR, Toto RL, et al. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Pediatr Qual Saf. 2024;9(6):e773. do…
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psnet.ahrq.gov/issue/patient-patient-involvement-strategies-diagnostic-error-mitigation
April 24, 2018 - Review
The patient is in: patient involvement strategies for diagnostic error mitigation.
Citation Text:
McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error mitigation. BMJ Qual Saf. 2013;22 Suppl 2:ii33-ii39. doi:10.1136/bmjqs-2012-…
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psnet.ahrq.gov/issue/michigan-health-hospital-association-keystone-obstetrics-statewide-collaborative-perinatal
February 10, 2015 - Study
Michigan Health & Hospital Association Keystone Obstetrics: a statewide collaborative for perinatal patient safety in Michigan.
Citation Text:
Simpson KR, Knox GE, Martin M, et al. Michigan Health & Hospital Association Keystone Obstetrics: A Statewide Collaborative for Perinatal…
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psnet.ahrq.gov/issue/epidemiology-diagnostic-errors-pediatric-emergency-departments-using-electronic-triggers
December 16, 2020 - Study
Epidemiology of diagnostic errors in pediatric emergency departments using electronic triggers.
Citation Text:
Mahajan P, White E, Shaw KN, et al. Epidemiology of diagnostic errors in pediatric emergency departments using electronic triggers. Acad Emerg Med. 2025;Epub Jan 15. doi:1…
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psnet.ahrq.gov/issue/evaluation-and-accurate-diagnoses-pediatric-diseases-using-artificial-intelligence
April 15, 2020 - Study
Classic
Evaluation and accurate diagnoses of pediatric diseases using artificial intelligence.
Citation Text:
Liang H, Tsui BY, Ni H, et al. Evaluation and accurate diagnoses of pediatric diseases using artificial intelligence. Nat Med. 2019;25(3):433-438.…
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psnet.ahrq.gov/issue/building-better-delivery-system-new-engineeringhealth-care-partnership
September 12, 2018 - Book/Report
Building a Better Delivery System: A New Engineering/Health Care Partnership.
Citation Text:
Building a Better Delivery System: A New Engineering/Health Care Partnership. Reid PP, Compton WD, Grossman JH, Fanjiang G, eds. Institute of Medicine, National Academy of Enginee…
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psnet.ahrq.gov/issue/identifying-patients-whose-symptoms-are-underrecognized-during-treatment-breast-radiotherapy
May 25, 2022 - Study
Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy.
Citation Text:
doi:10.1001/jamaoncol.2022.0114.
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psnet.ahrq.gov/issue/understanding-psychological-safety-health-care-and-education-organizations-comparative
July 30, 2014 - Commentary
Understanding psychological safety in health care and education organizations: a comparative perspective.
Citation Text:
Edmondson AC, Higgins M, Singer SJ, et al. Understanding Psychological Safety in Health Care and Education Organizations: A Comparative Perspective. Res Hum…
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psnet.ahrq.gov/issue/potential-uses-ai-perioperative-nursing-handoffs-qualitative-study
September 01, 2021 - Study
Potential uses of AI for perioperative nursing handoffs: a qualitative study.
Citation Text:
King CR, Shambe A, Abraham J. Potential uses of AI for perioperative nursing handoffs: a qualitative study. JAMIA Open. 2023;6(1):ooaf015. doi:10.1093/jamiaopen/ooad015.
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psnet.ahrq.gov/issue/implementing-sbar-across-large-multihospital-health-system
November 23, 2014 - Study
Implementing SBAR across a large multihospital health system.
Citation Text:
Compton J, Copeland K, Flanders S, et al. Implementing SBAR across a large multihospital health system. Jt Comm J Qual Patient Saf. 2012;38(6):261-8.
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psnet.ahrq.gov/issue/catch-killer-electronic-sepsis-alert-tools-reaching-fever-pitch
November 15, 2023 - Commentary
To catch a killer: electronic sepsis alert tools reaching a fever pitch?
Citation Text:
Ruppel H, Liu V. To catch a killer: electronic sepsis alert tools reaching a fever pitch? BMJ Qual Saf. 2019;28(9):693-696. doi:10.1136/bmjqs-2019-009463.
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