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psnet.ahrq.gov/issue/preventing-delayed-and-missed-care-applying-artificial-intelligence-trigger-radiology-imaging
April 06, 2022 - Study
Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up.
Citation Text:
Domingo J, Galal G, Huang J. Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. NEJM Catal Innov…
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psnet.ahrq.gov/issue/optimising-surgical-training-use-feedback-reduce-errors-during-simulated-surgical-procedure
February 19, 2014 - Study
Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure.
Citation Text:
Boyle E, Al-Akash M, Gallagher AG, et al. Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure. Postgrad Med J. 201…
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psnet.ahrq.gov/issue/influence-resident-involvement-surgical-outcomes
October 11, 2017 - Study
The influence of resident involvement on surgical outcomes.
Citation Text:
Raval M, Wang X, Cohen ME, et al. The influence of resident involvement on surgical outcomes. J Am Coll Surg. 2011;212(5):889-98. doi:10.1016/j.jamcollsurg.2010.12.029.
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psnet.ahrq.gov/issue/poor-resident-attending-intraoperative-communication-may-compromise-patient-safety
September 23, 2020 - Study
Poor resident–attending intraoperative communication may compromise patient safety.
Citation Text:
Belyansky I, Martin TR, Prabhu AS, et al. Poor resident-attending intraoperative communication may compromise patient safety. J Surg Res. 2011;171(2):386-94. doi:10.1016/j.jss.2011.…
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psnet.ahrq.gov/issue/opportunities-improve-informed-consent-ahrq-training-modules
December 31, 2014 - Study
Opportunities to improve informed consent with AHRQ training modules.
Citation Text:
Shoemaker SJ, Brach C, Edwards A, et al. Opportunities to Improve Informed Consent with AHRQ Training Modules. Jt Comm J Qual Patient Saf. 2018;44(6):343-352. doi:10.1016/j.jcjq.2017.11.010.
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psnet.ahrq.gov/issue/working-fixed-operating-room-team-consecutive-similar-cases-and-effect-case-duration-and
January 07, 2015 - Study
Working with a fixed operating room team on consecutive similar cases and the effect on case duration and turnover time.
Citation Text:
Stepaniak PS, Vrijland WW, de Quelerij M, et al. Working with a fixed operating room team on consecutive similar cases and the effect on case dura…
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psnet.ahrq.gov/issue/fall-related-injuries-acute-care-reducing-risk-harm
March 28, 2018 - December 12, 2023
Patient falls while under supervision: trends from incident reporting
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psnet.ahrq.gov/issue/interview-jerry-gurwitz
August 11, 2010 - September 24, 2014
A comparative analysis of incident reporting lag times in academic
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-medical-errors-and-adverse-events
October 18, 2006 - August 5, 2020
Self-Reported Learning (SRL), a voluntary incident reporting system experience
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psnet.ahrq.gov/issue/safety-issues-and-concerns-neurological-patient-emergency-department
March 19, 2014 - May 8, 2019
Establishing a global learning community for incident-reporting systems.
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psnet.ahrq.gov/issue/cultural-transformation-toward-patient-safety-one-conversation-time
November 16, 2022 - June 5, 2019
Using incident reports to assess communication failures and patient outcomes
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/administrative-data-validity_research.pdf
January 01, 2007 - yielding a positive predictive value of 97%.2 However, the purpose of the study was to
investigate incident
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effectivehealthcare.ahrq.gov/sites/default/files/upenn-final-report-2005-certs-ce-supplement.pdf
January 01, 2005 - yielding a positive predictive value of 97%.2 However, the purpose of the study was to
investigate incident
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effectivehealthcare-admin.ahrq.gov/sites/default/files/upenn-final-report-2005-certs-ce-supplement.pdf
January 01, 2005 - yielding a positive predictive value of 97%.2 However, the purpose of the study was to
investigate incident
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effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/administrative-data-validity_research.pdf
January 01, 2007 - yielding a positive predictive value of 97%.2 However, the purpose of the study was to
investigate incident
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psnet.ahrq.gov/web-mm/forgotten-med
July 01, 2006 - The incident led to an internal review of the case.
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psnet.ahrq.gov/web-mm/its-all-syringe
February 01, 2013 - and their families.( 12 ) In the case of the mixed-up syringe, could the patient have prevented the incident
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psnet.ahrq.gov/periodic-issue/periodic-issue-317
November 30, 2021 - calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident … This retrospective study found that the majority of dose calculation errors reported to the Norwegian Incident
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psnet.ahrq.gov/periodic-issue/periodic-issue-403
August 30, 2023 - Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident … Researchers analyzed two years of incident reports (IR) to ascertain potential system issues contributing
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-3.html
August 01, 2023 - This method allowed researchers to aggregate similar MDOs that were not identified through traditional incident … characterize MDOs, including clinician surveys, 101 morbidity and mortality conference reviews, 102,103 incident