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psnet.ahrq.gov/issue/decreasing-misdiagnoses-urinary-tract-infections-pediatric-emergency-department
October 26, 2022 - Study
Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department.
Citation Text:
Ostrow O, Prodanuk M, Foong Y, et al. Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. Pediatrics. 2022;150(1):e2021055866. doi:10.1542/pe…
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psnet.ahrq.gov/issue/mobile-situ-obstetric-emergency-simulation-and-teamwork-training-improve-maternal-fetal
July 09, 2008 - Study
Mobile in situ obstetric emergency simulation and teamwork training to improve maternal–fetal safety in hospitals.
Citation Text:
Guise J-M, Lowe NK, Deering S, et al. Mobile in situ obstetric emergency simulation and teamwork training to improve maternal-fetal safety in hospitals.…
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psnet.ahrq.gov/issue/beyond-team-understanding-interprofessional-work-two-north-american-icus
January 14, 2014 - Study
Beyond the team: understanding interprofessional work in two North American ICUs.
Citation Text:
Alexanian JA, Kitto S, Rak KJ, et al. Beyond the Team: Understanding Interprofessional Work in Two North American ICUs. Crit Care Med. 2015;43(9):1880-6. doi:10.1097/CCM.000000000000113…
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psnet.ahrq.gov/issue/effects-enhanced-discharge-planning-intervention-hospitalized-older-adults-randomized-trial
September 21, 2016 - Study
Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial.
Citation Text:
Altfeld SJ, Shier GE, Rooney M, et al. Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial. Gerontologist.…
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psnet.ahrq.gov/issue/patient-perspectives-delays-diagnosis-and-treatment-cancer-qualitative-analysis-free-text
March 08, 2023 - Study
Patient perspectives on delays in diagnosis and treatment of cancer: a qualitative analysis of free-text data.
Citation Text:
Parsonage RK, Hiscock J, Law R-J, et al. Patient perspectives on delays in diagnosis and treatment of cancer: a qualitative analysis of free-text data. Br J…
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psnet.ahrq.gov/issue/impact-rapid-response-team-outcome-patients-transferred-ward-icu-single-center-study
May 27, 2011 - Study
The impact of rapid response team on outcome of patients transferred from the ward to the ICU: a single-center study.
Citation Text:
Karpman C, Keegan MT, Jensen J, et al. The impact of rapid response team on outcome of patients transferred from the ward to the ICU: a single-cent…
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psnet.ahrq.gov/issue/impacts-using-community-health-volunteers-coach-medication-safety-behaviors-among-rural
September 15, 2011 - Study
The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses.
Citation Text:
Wang C-J, Fetzer SJ, Yang Y-C, et al. The impacts of using community health volunteers to coach medication safety behaviors among rural e…
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psnet.ahrq.gov/issue/mr-smiths-been-our-problem-child-today-anticipatory-management-communication-amc-va-end-shift
January 22, 2016 - Study
"Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs.
Citation Text:
Bergman AA, Flanagan ME, Ebright PR, et al. "Mr Smith's been our problem child today…": anticipatory management communication (…
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psnet.ahrq.gov/issue/quality-measures-patients-risk-adverse-outcomes-veterans-health-administration-expert-panel
June 22, 2022 - Commentary
Quality measures for patients at risk of adverse outcomes in the Veterans Health Administration: expert panel recommendations.
Citation Text:
Chang ET, Newberry S, Rubenstein LV, et al. Quality Measures for Patients at Risk of Adverse Outcomes in the Veterans Health Administra…
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psnet.ahrq.gov/issue/why-didnt-you-call-me-factors-junior-learners-consider-when-deciding-whether-call-their
July 14, 2021 - Study
Why didn't you call me? Factors junior learners consider when deciding whether to call their supervisor.
Citation Text:
Alibhai KM, Zabolotniuk TR, Raîche I, et al. Why didn't you call me? Factors junior learners consider when deciding whether to call their supervisor. J Surg Educ.…
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psnet.ahrq.gov/issue/assessment-basic-patient-safety-skills-residents-entering-first-year-clinical-training
February 21, 2018 - Study
An assessment of basic patient safety skills in residents entering the first year of clinical training.
Citation Text:
Comunale ME, Sandoval M, Broussard LT. An Assessment of Basic Patient Safety Skills in Residents Entering the First Year of Clinical Training. J Patient Saf. 2018;…
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psnet.ahrq.gov/issue/implementation-diagnostic-pauses-ambulatory-setting
January 31, 2024 - Study
Implementation of diagnostic pauses in the ambulatory setting.
Citation Text:
Huang GC, Kriegel G, Wheaton C, et al. Implementation of diagnostic pauses in the ambulatory setting. BMJ Qual Saf. 2018;27(6):492-497. doi:10.1136/bmjqs-2017-007192.
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psnet.ahrq.gov/issue/medication-safety-alert-fatigue-may-be-reduced-interaction-design-and-clinical-role-tailoring
December 31, 2014 - Review
Emerging Classic
Medication safety alert fatigue may be reduced via interaction design and clinical role tailoring: a systematic review.
Citation Text:
Hussain MI, Reynolds TL, Zheng K. Medication safety alert fatigue may be reduced via interaction design…
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psnet.ahrq.gov/issue/addressing-ambulatory-safety-and-malpractice-massachusetts-promises-project
August 14, 2017 - Commentary
Addressing ambulatory safety and malpractice: the Massachusetts PROMISES project.
Citation Text:
Schiff G, Nieva HR, Griswold P, et al. Addressing Ambulatory Safety and Malpractice: The Massachusetts PROMISES Project. Health Serv Res. 2016;51 Suppl 3:2634-2641. doi:10.1111/147…
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psnet.ahrq.gov/issue/influences-physical-layout-and-space-patient-safety-and-communication-ambulatory-oncology
August 25, 2021 - Study
Influences of physical layout and space on patient safety and communication in ambulatory oncology practices: a multisite, mixed method investigation.
Citation Text:
Fauer AJ. Influences of physical layout and space on patient safety and communication in ambulatory oncology practic…
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psnet.ahrq.gov/issue/additional-cost-perioperative-medication-errors
July 24, 2024 - Study
The additional cost of perioperative medication errors
Citation Text:
Langlieb ME, Sharma P, Hocevar M, et al. The additional cost of perioperative medication errors. J Patient Saf. 2023;19(6):375-378. doi:10.1097/pts.0000000000001136.
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psnet.ahrq.gov/issue/preanalytical-errors-primary-healthcare-questionnaire-study-information-search-procedures
July 07, 2010 - Study
Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test request management and test tube labelling.
Citation Text:
Söderberg J, Brulin C, Grankvist K, et al. Preanalytical errors in primary healthcare: a questionnaire study of info…
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psnet.ahrq.gov/issue/association-hospital-public-quality-reporting-electronic-health-record-medication-safety
October 21, 2020 - Study
Association of hospital public quality reporting with electronic health record medication safety performance.
Citation Text:
Holmgren AJ, Bates DW. Association of hospital public quality reporting with electronic health record medication safety performance. JAMA Netw Open. 2021;4(9…
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psnet.ahrq.gov/issue/association-electronic-health-record-design-and-use-factors-clinician-stress-and-burnout
January 23, 2017 - Study
Classic
Association of electronic health record design and use factors with clinician stress and burnout.
Citation Text:
Kroth PJ, Morioka-Douglas N, Veres S, et al. Association of electronic health record design and use factors with clinician stress and b…
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psnet.ahrq.gov/issue/human-error-and-problem-causality-analysis-accidents
August 25, 2021 - Commentary
Classic
Human error and the problem of causality in analysis of accidents.
Citation Text:
Rasmussen J. Human error and the problem of causality in analysis of accidents. Philos Trans R Soc Lond B Biol Sci. 1990;327(1241):449-462.
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