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psnet.ahrq.gov/issue/efficiency-and-thoroughness-trade-offs-high-volume-organisational-routines-ethnographic-study
June 14, 2017 - Study
Efficiency and thoroughness trade-offs in high-volume organisational routines: an ethnographic study of prescribing safety in primary care.
Citation Text:
Grant S, Guthrie B. Efficiency and thoroughness trade-offs in high-volume organisational routines: an ethnographic study of pre…
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psnet.ahrq.gov/issue/patient-safety-and-telephone-medicine-some-lessons-closed-claim-case-review
May 18, 2022 - Study
Patient safety and telephone medicine: some lessons from closed claim case review.
Citation Text:
Katz HP, Kaltsounis D, Halloran L, et al. Patient safety and telephone medicine : some lessons from closed claim case review. J Gen Intern Med. 2008;23(5):517-22. doi:10.1007/s11606-…
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psnet.ahrq.gov/issue/association-label-drug-use-and-adverse-drug-events-adult-population
February 03, 2011 - Study
Classic
Association of off-label drug use and adverse drug events in an adult population.
Citation Text:
Eguale T, Buckeridge DL, Verma A, et al. Association of Off-label Drug Use and Adverse Drug Events in an Adult Population. JAMA Intern Med. 2016;176(1)…
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psnet.ahrq.gov/issue/effect-computerized-provider-order-entry-systems-clinical-care-and-work-processes-emergency
May 25, 2011 - Review
The effect of computerized provider order entry systems on clinical care and work processes in emergency departments: a systematic review of the quantitative literature.
Citation Text:
Georgiou A, Prgomet M, Paoloni R, et al. The effect of computerized provider order entry syst…
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psnet.ahrq.gov/issue/simulation-based-assessment-management-critical-events-board-certified-anesthesiologists
February 19, 2010 - Study
Simulation-based assessment of the management of critical events by board-certified anesthesiologists.
Citation Text:
Weinger MB, Banerjee A, Burden AR, et al. Simulation-based assessment of the management of critical events by board-certified anesthesiologists. Anesthesiology. 201…
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psnet.ahrq.gov/issue/potential-safety-gaps-order-entry-and-automated-drug-alerts-nationwide-survey-va-physician
March 10, 2011 - Study
Potential safety gaps in order entry and automated drug alerts: a nationwide survey of VA physician self-reported practices with computerized order entry.
Citation Text:
Spina JR, Glassman PA, Simon B, et al. Potential safety gaps in order entry and automated drug alerts: a natio…
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psnet.ahrq.gov/issue/variations-gps-decisions-investigate-suspected-lung-cancer-factorial-experiment-using
August 03, 2022 - Study
Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia vignettes.
Citation Text:
Sheringham J, Sequeira R, Myles J, et al. Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia …
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psnet.ahrq.gov/issue/clinical-decision-support-systems-could-be-modified-reduce-alert-fatigue-while-still
December 21, 2022 - Commentary
Clinical decision support systems could be modified to reduce 'alert fatigue' while still minimizing the risk of litigation.
Citation Text:
Kesselheim AS, Cresswell K, Phansalkar S, et al. Clinical decision support systems could be modified to reduce 'alert fatigue' while stil…
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psnet.ahrq.gov/issue/tackling-ambulatory-safety-risks-through-patient-engagement-what-10000-patients-and-families
March 20, 2017 - Study
Tackling ambulatory safety risks through patient engagement: what 10,000 patients and families say about safety-related knowledge, behaviors, and attitudes after reading visit notes.
Citation Text:
Bell SK, Folcarelli P, Fossa A, et al. Tackling Ambulatory Safety Risks Through Pati…
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psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
May 16, 2022 - In Conversation With... Remle P. Crowe, PhD
May 16, 2022
Also Read the Essay
Citation Text:
In Conversation With.. Remle P. Crowe, PhD . PSNet [internet]. 2022.In Conversation With... Remle P. Crowe, PhD . PSNet [internet]. Rockville (MD): Agency for Healthcare …
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psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
May 16, 2022 - Identifying Safety Events in the Prehospital Setting
May 16, 2022
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Crowe RP, Mossburg SE, Dowell P. Identifying Safety Events in the Prehospital Setting. PSNet [internet]. Rockvi…
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psnet.ahrq.gov/node/867532/psn-pdf
January 15, 2025 - Maternal Health Indicators.
January 15, 2025
Maternal Health Indicators. Agency for Healthcare Quality and Research. 2024.
https://psnet.ahrq.gov/issue/maternal-health-indicators
Maternal health care faces a variety of patient safety challenges. This set of quality indicators supports the
epidemiological or resear…
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psnet.ahrq.gov/node/73201/psn-pdf
March 04, 2024 - Diagnostic Safety Supplemental Item Set for Medical
Office SOPS.
March 4, 2024
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/diagnostic-safety-supplemental-item-set-medical-office-sops
Safe diagnosis in medical offices is challenged by staff workload, communication, and poor inform…
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psnet.ahrq.gov/node/36110/psn-pdf
April 04, 2024 - Sentinel Event Data Summary.
April 4, 2024
Joint Commission.
https://psnet.ahrq.gov/issue/sentinel-event-statistics-1995-2019
This website provides sentinel event data reported to The Joint Commission, which includes information on
sentinel events reported from January through December 2023. Falls, wrong surgery a…
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psnet.ahrq.gov/node/37596/psn-pdf
May 01, 2016 - Patient Safety Organization (PSO) Program.
May 1, 2016
Agency for Healthcare Research and Quality
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program
In order to encourage "voluntary, provider-driven initiatives to improve the safety and quality of patient
care," the Agency for Healthcare Research…
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psnet.ahrq.gov/node/867695/psn-pdf
March 05, 2025 - The Future of Patient and Family Engagement in Quality
and Patient Safety.
March 5, 2025
The Future of Patient and Family Engagement in Quality and Patient Safety. Front Health Serv. 2024.
https://psnet.ahrq.gov/issue/future-patient-and-family-engagement-quality-and-patient-safety
Patient and family engagement in …
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psnet.ahrq.gov/node/836868/psn-pdf
April 06, 2022 - HEAR Her Concerns.
April 6, 2022
National Center for Chronic Disease Prevention and Health Promotion, Division of Reproductive Health;
Centers for Disease Control and Prevention.
https://psnet.ahrq.gov/issue/hear-her-concerns
Maternal harm during and after pregnancy is a sentinel event. This campaign encoura…
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psnet.ahrq.gov/node/60624/psn-pdf
June 24, 2020 - The patient died: what about involvement in the
investigation process?
June 24, 2020
Wiig S, Hibbert PD, Braithwaite J. The patient died: what about involvement in the investigation process?
Int J Qual Health Care. 2020;32(5):342-346. doi:10.1093/intqhc/mzaa034.
https://psnet.ahrq.gov/issue/patient-died-what-about…
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psnet.ahrq.gov/node/43286/psn-pdf
June 25, 2014 - Codifying knowledge to improve patient safety: a
qualitative study of practice-based interventions.
June 25, 2014
Turner S, Higginson J, Oborne A, et al. Codifying knowledge to improve patient safety: a qualitative study
of practice-based interventions. Soc Sci Med. 2014;113:169-76. doi:10.1016/j.socscimed.2014.05.…
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psnet.ahrq.gov/node/44873/psn-pdf
March 21, 2016 - Malpractice Risks in Communication Failures: 2015
Annual Benchmarking Report.
March 21, 2016
Cambridge, MA: CRICO Strategies; 2016.
https://psnet.ahrq.gov/issue/malpractice-risks-communication-failures-2015-annual-benchmarking-report
Communication failures are known to contribute to medical errors. Analyzing more …