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psnet.ahrq.gov/issue/standardized-orders-titrating-vasopressors-do-efforts-improve-safety-slow-delivery-care
March 20, 2019 - Commentary
Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care?
Citation Text:
Baker DW, Campbell R. Standardized Orders for Titrating Vasopressors: Do Efforts to Improve Safety Slow Delivery of Care? Jt Comm J Qual Patient Saf. 2019;45(9):5…
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psnet.ahrq.gov/issue/why-and-how-approach-user-experience-safety-critical-domains-example-health-care
May 05, 2021 - Commentary
Why and how to approach user experience in safety-critical domains: the example of health care.
Citation Text:
Grundgeiger T, Hurtienne J, Happel O. Why and how to approach user experience in safety-critical domains: the example of health care. Hum Factors. 2020;63(5):821-832.…
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psnet.ahrq.gov/issue/listening-women-recommendations-women-color-improve-experiences-pregnancy-and-birth-care
August 12, 2019 - Study
Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care.
Citation Text:
Altman MR, McLemore MR, Oseguera T, et al. Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care. J Midwif…
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psnet.ahrq.gov/issue/improving-patient-handovers-hospital-primary-care-systematic-review
March 06, 2013 - Review
Improving patient handovers from hospital to primary care: a systematic review.
Citation Text:
Hesselink G, Schoonhoven L, Barach P, et al. Improving patient handovers from hospital to primary care: a systematic review. Ann Intern Med. 2013;157(6):417. doi:10.7326/0003-4819-157-6-…
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psnet.ahrq.gov/issue/improving-safety-evaluating-impact-supply-chain-and-drug-shortages-health-systems
November 04, 2020 - Commentary
Improving safety by evaluating the impact of the supply chain and drug shortages on health-systems.
Citation Text:
Patel V, Cieslak K, Hertig JB. Improving safety by evaluating the impact of the supply chain and drug shortages on health-systems. Hosp Pharm. 2023;58(2):120-124.…
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psnet.ahrq.gov/issue/teaching-medical-error-disclosure-physicians-training-scoping-review
June 09, 2015 - Review
Teaching medical error disclosure to physicians-in-training: a scoping review.
Citation Text:
Stroud L, Wong BM, Hollenberg E, et al. Teaching medical error disclosure to physicians-in-training: a scoping review. Acad Med. 2013;88(6):884-92. doi:10.1097/ACM.0b013e31828f898f.
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psnet.ahrq.gov/issue/protocol-based-computer-reminders-quality-care-and-non-perfectability-man
April 24, 2018 - Study
Classic
Protocol-based computer reminders, the quality of care and the non-perfectability of man.
Citation Text:
McDonald CJ. Protocol-based computer reminders, the quality of care and the non-perfectability of man. N Engl J Med. 1976;295(24):1351-5.
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psnet.ahrq.gov/issue/improvement-patient-safety-may-precede-policy-changes-trends-patient-safety-indicators-united
November 01, 2017 - Study
Improvement in patient safety may precede policy changes: trends in patient safety indicators in the United States, 2000-2013.
Citation Text:
Tedesco D, Moghavem N, Weng Y, et al. Improvement in patient safety may precede policy changes: trends in patient safety indicators in the U…
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psnet.ahrq.gov/issue/promises-project
January 30, 2019 - Multi-use Website
The PROMISES Project.
Citation Text:
The PROMISES Project. Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School; Health…
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psnet.ahrq.gov/issue/how-physicians-think-case-based-diagnostic-simulation-exercise
August 14, 2019 - Study
How physicians think: a case-based diagnostic simulation exercise.
Citation Text:
Gupta A, Quinn M, Saint S, et al. The variability in how physicians think: a casebased diagnostic simulation exercise. Diagnosis (Berl). 2021;8(2):167-175. doi:10.1515/dx-2020-0010.
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psnet.ahrq.gov/issue/five-year-audit-adherence-anaesthesia-pre-induction-checklist
May 19, 2021 - Study
Five-year audit of adherence to an anaesthesia pre-induction checklist.
Citation Text:
Fuchs A, Frick S, Huber M, et al. Five‐year audit of adherence to an anaesthesia pre‐induction checklist. Anaesthesia. 2022;77(7):751-762. doi:10.1111/anae.15704.
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psnet.ahrq.gov/issue/effectiveness-artificial-intelligence-ai-clinical-decision-support-systems-and-care-delivery
March 20, 2024 - Review
Effectiveness of artificial intelligence (AI) in clinical decision support systems and care delivery.
Citation Text:
Ouanes K, Farhah N. Effectiveness of artificial intelligence (AI) in clinical decision support systems and care delivery. J Med Syst. 2024;48(1):74. doi:10.1007/s10…
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psnet.ahrq.gov/issue/patient-safety-leadership-walkroundstm-partners-healthcare-learning-implementation
January 04, 2017 - Study
Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation.
Citation Text:
Frankel A, Grillo SP, Baker EG, et al. Patient Safety Leadership WalkRounds at Partners Healthcare: learning from implementation. Jt Comm J Qual Patient Saf. 2005;31(8):423-37…
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psnet.ahrq.gov/issue/detection-adverse-events-surgical-patients-using-trigger-tool-approach
February 15, 2011 - Study
Detection of adverse events in surgical patients using the Trigger Tool approach.
Citation Text:
Griffin FA, Classen DC. Detection of adverse events in surgical patients using the Trigger Tool approach. Qual Saf Health Care. 2008;17(4):253-258. doi:10.1136/qshc.2007.025080.
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psnet.ahrq.gov/issue/lessons-learnt-incidents-reported-postgraduate-trainees-dutch-general-practice-prospective
February 23, 2011 - Study
Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospective cohort study.
Citation Text:
Zwart DLM, Heddema WS, Vermeulen MI, et al. Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospecti…
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psnet.ahrq.gov/issue/managing-interruptions-improve-diagnostic-decision-making-strategies-and-recommended-research
February 24, 2021 - Commentary
Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda.
Citation Text:
Sloane JF, Donkin C, Newell BR, et al. Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda. J Gen Inter…
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psnet.ahrq.gov/issue/patients-diagnostic-collaborators-sharing-visit-notes-promote-accuracy-and-safety
April 15, 2020 - Commentary
Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety.
Citation Text:
Blease CR, Bell SK. Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety. Diagnosis (Berl). 2019;6(3):213-221. doi:10.1515/dx-2018-0106.…
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psnet.ahrq.gov/issue/association-between-implementation-medical-team-training-program-and-surgical-morbidity
July 03, 2014 - Study
Association between implementation of a medical team training program and surgical morbidity.
Citation Text:
Young-Xu Y, Neily J, Mills PD, et al. Association between implementation of a medical team training program and surgical morbidity. Arch Surg. 2011;146(12):1368-73. doi:10.1…
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psnet.ahrq.gov/issue/improving-bar-coded-medication-administration-system-department-veterans-affairs
November 18, 2009 - Study
Improving the bar-coded medication administration system at the Department of Veterans Affairs.
Citation Text:
Mills PD, Neily J, Mims E, et al. Improving the bar-coded medication administration system at the Department of Veterans Affairs. Am J Health Syst Pharm. 2006;63(15):144…
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psnet.ahrq.gov/issue/experience-learning-everyday-work-daily-safety-huddles-multi-method-study
June 23, 2021 - Study
Experience of learning from everyday work in daily safety huddles: a multi-method study.
Citation Text:
Wahl K, Stenmarker M, Ros A. Experience of learning from everyday work in daily safety huddles—a multi-method study. BMC Health Serv Res. 2022;22(1):1101. doi:10.1186/s12913-022-…