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psnet.ahrq.gov/issue/automated-identification-postoperative-complications-within-electronic-medical-record-using March 09, 2011 - Study 
 
 
 
 
 
 
 
 
 
            Classic
           
 
 Automated identification of postoperative complications within an electronic medical record using natural language processing. 
 
 
 
 
 Citation Text: 
 Murff HJ, FitzHenry F, Matheny ME, et al. Automated identification of postoperative complications within a…  
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psnet.ahrq.gov/issue/relationship-between-organizational-leadership-safety-and-learning-patient-safety-events November 27, 2009 - Study 
 
 
 
 
 
 
 
 
 
 The relationship between organizational leadership for safety and learning from patient safety events.   
 
 
 
 
 Citation Text: 
 Ginsburg LR, Chuang Y-T, Berta WB, et al. The relationship between organizational leadership for safety and learning from patient safety events. Health Serv Res. …  
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psnet.ahrq.gov/issue/exploring-barriers-and-facilitators-psychological-safety-primary-care-teams-qualitative-study August 25, 2021 - Study 
 
 
 
 
 
 
 
 
 
 Exploring the barriers and facilitators of psychological safety in primary care teams: a qualitative study. 
 
 
 
 
 Citation Text: 
 Remtulla R, Hagana A, Houbby N, et al. Exploring the barriers and facilitators of psychological safety in primary care teams: a qualitative study. BMC Health S…  
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psnet.ahrq.gov/issue/high-profile-investigations-hospital-safety-problems-england-did-not-prompt-patients-switch July 11, 2012 - Study 
 
 
 
 
 
 
 
 
 
 High-profile investigations into hospital safety problems in England did not prompt patients to switch providers.   
 
 
 
 
 Citation Text: 
 Laverty AA, Smith PC, Pape UJ, et al. High-profile investigations into hospital safety problems in England did not prompt patients to switch providers.…  
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psnet.ahrq.gov/issue/bridging-feedback-gap-sociotechnical-approach-informing-clinicians-patients-subsequent January 21, 2019 - Commentary 
 
 
 
 
 
 
 
 
 
 Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes. 
 
 
 
 
 Citation Text: 
 Cifra CL, Sittig DF, Singh H. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients’ subsequent …  
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psnet.ahrq.gov/issue/when-disasters-strike-emergency-department-case-series-and-narrative-review September 30, 2020 - Commentary 
 
 
 
 
 
 
 
 
 
 When disasters strike the emergency department: a case series and narrative review. 
 
 
 
 
 Citation Text: 
 Barten DG, Klokman VW, Cleef S, et al. When disasters strike the emergency department: a case series and narrative review. Int J Emerg Med. 2021;14(1):49. doi:10.1186/s12245-021-…  
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psnet.ahrq.gov/issue/systems-approach-morbidity-and-mortality-conference July 22, 2020 - Study 
 
 
 
 
 
 
 
 
 
            Classic
           
 
 A systems approach to morbidity and mortality conference.   
 
 
 
 
 Citation Text: 
 Szostek JH, Wieland ML, Loertscher LL, et al. A systems approach to morbidity and mortality conference. Am J Med. 2010;123(7):663-668. doi:10.1016/j.amjmed.2010.03.010. 
 Co…  
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psnet.ahrq.gov/issue/evaluation-effectiveness-and-safety-pharmacist-independent-prescribers-care-homes-cluster December 15, 2021 - Study 
 
 
 
 
 
 
 
 
 
 Evaluation of effectiveness and safety of pharmacist independent prescribers in care homes: cluster randomised controlled trial. 
 
 
 
 
 Citation Text: 
 Holland R, Bond CM, Alldred DP, et al. Evaluation of effectiveness and safety of pharmacist independent prescribers in care homes: cluster…  
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psnet.ahrq.gov/issue/exploring-new-avenues-assess-sharp-end-patient-safety-analysis-nationally-aggregated-peer December 21, 2014 - Study 
 
 
 
 
 
 
 
 
 
 Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. 
 
 
 
 
 Citation Text: 
 Meeks DW, Meyer AND, Rose B, et al. Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer revi…  
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psnet.ahrq.gov/issue/analysis-lawsuits-related-diagnostic-errors-point-care-ultrasound-internal-medicine October 27, 2021 - Study 
 
 
 
 
 
 
 
 
 
 Analysis of lawsuits related to diagnostic errors from point-of-care ultrasound in internal medicine, paediatrics, family medicine and critical care in the USA. 
 
 
 
 
 Citation Text: 
 Reaume M, Farishta M, Costello JA, et al. Analysis of lawsuits related to diagnostic errors from point-of-…  
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psnet.ahrq.gov/issue/assessing-patients-2019-experiences-medical-injury-reconciliation-processes-item-generation June 16, 2021 - Study 
 
 
 
 
 
 
 
 
 
 Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire. 
 
 
 
 
 Citation Text: 
 Schulz-Moore JS, Bismark M, Jenkinson C, et al. Assessing patients 2019 experiences with medical injury reconciliation processes: item …  
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psnet.ahrq.gov/issue/inviting-patients-identify-diagnostic-concerns-through-structured-evaluation-their-online March 03, 2021 - Study 
 
 
 
 
 
 
 
 
 
 Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes. 
 
 
 
 
 Citation Text: 
 Giardina TD, Choi DT, Upadhyay DK, et al. Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes. J Am Me…  
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psnet.ahrq.gov/issue/vital-signs-are-still-vital-instability-discharge-and-risk-post-discharge-adverse-outcomes September 23, 2020 - Study 
 
 
 
 
 
 
 
 
 
 Vital signs are still vital: instability on discharge and the risk of post-discharge adverse outcomes. 
 
 
 
 
 Citation Text: 
 Nguyen OK, Makam AN, Clark C, et al. Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse Outcomes. J Gen Intern Med. 2017;3…  
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psnet.ahrq.gov/issue/correlates-missed-or-late-versus-timely-diagnosis-dementia-healthcare-settings March 09, 2022 - Study 
 
 
 
 
 
 
 
 
 
 Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. 
 
 
 
 
 Citation Text: 
 Chen Y, Power MC, Grodstein F, et al. Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. Alzheimers Dement. 2024;20(8):5551-5560. doi:10.100…  
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psnet.ahrq.gov/issue/effects-refined-evidence-based-toolkit-and-mentored-implementation-medication-reconciliation April 12, 2023 - Study 
 
 
 
 
 
 
 
 
 
 Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study. 
 
 
 
 
 Citation Text: 
 Schnipper JL, Reyes Nieva H, Mallouk M, et al. Effects of a refined evidence-based toolkit and mentored implementation…  
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psnet.ahrq.gov/issue/use-fmea-analysis-reduce-risk-errors-prescribing-and-administering-drugs-paediatric-wards March 08, 2023 - Study 
 
 
 
 
 
 
 
 
 
 Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report.   
 
 
 
 
 Citation Text: 
 Lago P, Bizzarri G, Scalzotto F, et al. Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in p…  
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psnet.ahrq.gov/issue/effects-resident-work-hours-sleep-duration-and-work-experience-randomized-order-safety-trial March 10, 2021 - Study 
 
 
 
 
 
 
 
 
 
 Effects on resident work hours, sleep duration and work experience in a Randomized Order Safety Trial Evaluating Resident-physician Schedules (ROSTERS). 
 
 
 
 
 Citation Text: 
 Barger LK, Sullivan JP, Blackwell T, et al. Effects on resident work hours, sleep duration, and work experience in…  
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psnet.ahrq.gov/issue/using-automated-methods-detect-safety-problems-health-information-technology-scoping-review April 07, 2019 - Review 
 
 
 
 
 
 
 
 
 
 Using automated methods to detect safety problems with health information technology: a scoping review. 
 
 
 
 
 Citation Text: 
 Surian D, Wang Y, Coiera E, et al. Using automated methods to detect safety problems with health information technology: a scoping review. J Am Med Inform Assoc. …  
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psnet.ahrq.gov/issue/impact-providing-patients-access-electronic-health-records-quality-and-safety-care-systematic July 27, 2022 - Review 
 
 
 
 
 
 
 
 
 
            Emerging Classic
           
 
 Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis. 
 
 
 
 
 Citation Text: 
 Neves AL, Freise L, Laranjo L, et al. Impact of providing patients access to electronic …  
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psnet.ahrq.gov/issue/expanding-scope-critical-care-rapid-response-teams-feasible-approach-identify-adverse-events September 03, 2014 - Study 
 
 
 
 
 
 
 
 
 
 Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A prospective observational cohort. 
 
 
 
 
 Citation Text: 
 Amaral ACK-B, McDonald A, Coburn NG, et al. Expanding the scope of Critical Care Rapid Response Teams: a feasible approach t…