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psnet.ahrq.gov/node/46695/psn-pdf
January 10, 2018 - Predicting the future—big data, machine learning, and
clinical medicine.
January 10, 2018
Obermeyer Z, Emanuel EJ. Predicting the future—big data, machine learning, and clinical medicine. N Engl
J Med. 2016;375(13):1216-1219. doi:10.1056/nejmp1606181.
https://psnet.ahrq.gov/issue/predicting-future-big-data-machine…
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psnet.ahrq.gov/node/43979/psn-pdf
April 29, 2015 - The Report of the Morecambe Bay Investigation.
April 29, 2015
Kirkup B. London, UK: The Stationery Office; 2015. ISBN: 9780108561306.
https://psnet.ahrq.gov/issue/report-morecambe-bay-investigation
Sharing information about large-scale investigations into failures can provide insights on factors that
contribute to…
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psnet.ahrq.gov/node/43587/psn-pdf
November 05, 2014 - Influence of a systems-based approach to prescribing
errors in a pediatric resident clinic.
November 5, 2014
Condren M, Honey BL, Carter SM, et al. Influence of a systems-based approach to prescribing errors in a
pediatric resident clinic. Acad Pediatr. 2014;14(5):485-90. doi:10.1016/j.acap.2014.03.018.
https://ps…
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psnet.ahrq.gov/node/45398/psn-pdf
August 15, 2016 - Incorporating indications into medication ordering—time
to enter the age of reason.
August 15, 2016
Schiff G, Seoane-Vazquez E, Wright A. Incorporating Indications into Medication Ordering--Time to Enter
the Age of Reason. N Engl J Med. 2016;375(4):306-9. doi:10.1056/NEJMp1603964.
https://psnet.ahrq.gov/issue/inco…
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psnet.ahrq.gov/node/43686/psn-pdf
November 26, 2014 - Tools for primary care patient safety: a narrative review.
November 26, 2014
Spencer R, Campbell S. Tools for primary care patient safety: a narrative review. BMC Fam Pract.
2014;15:166. doi:10.1186/1471-2296-15-166.
https://psnet.ahrq.gov/issue/tools-primary-care-patient-safety-narrative-review
Proven methods to …
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psnet.ahrq.gov/node/44620/psn-pdf
November 04, 2015 - Laboratory testing in general practice: a patient safety
blind spot.
November 4, 2015
Elder NC. Laboratory testing in general practice: a patient safety blind spot. BMJ Qual Saf.
2015;24(11):667-70. doi:10.1136/bmjqs-2015-004644.
https://psnet.ahrq.gov/issue/laboratory-testing-general-practice-patient-safety-blind…
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psnet.ahrq.gov/node/40811/psn-pdf
June 25, 2012 - Utility of clinical examination in the diagnosis of
emergency department patients admitted to the
department of medicine of an academic hospital.
June 25, 2012
Paley L, Zornitzki T, Cohen J, et al. Utility of clinical examination in the diagnosis of emergency department
patients admitted to the department of medic…
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psnet.ahrq.gov/node/44046/psn-pdf
August 21, 2015 - Development of an instrument to measure the unintended
consequences of EHRs.
August 21, 2015
Carrington JM, Gephart SM, Verran JA, et al. Development of an Instrument to Measure the Unintended
Consequences of EHRs. West J Nurs Res. 2015;37(7):842-58. doi:10.1177/0193945915576083.
https://psnet.ahrq.gov/issue/devel…
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psnet.ahrq.gov/node/44015/psn-pdf
September 09, 2015 - Safety of clinical and non-clinical decision makers in
telephone triage: a narrative review.
September 9, 2015
Wheeler SQ, Greenberg ME, Mahlmeister L, et al. Safety of clinical and non-clinical decision makers in
telephone triage: a narrative review. J Telemed Telecare. 2015;21(6):305-22.
doi:10.1177/1357633X1557…
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psnet.ahrq.gov/node/38776/psn-pdf
March 04, 2011 - Medication administration errors in nursing homes using
an automated medication dispensing system.
March 4, 2011
van den Bemt PMLA, Idzinga JC, Robertz H, et al. Medication administration errors in nursing homes using
an automated medication dispensing system. J Am Med Inform Assoc. 2009;16(4):486-92.
doi:10.1197/…
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psnet.ahrq.gov/node/44954/psn-pdf
January 07, 2019 - Snowball in a Blizzard: A Physician's Notes on
Uncertainty in Medicine.
January 7, 2019
Hatch S. New York, NY: Basic Books; 2016. ISBN: 9780465050642.
https://psnet.ahrq.gov/issue/snowball-blizzard-physicians-notes-uncertainty-medicine
Uncertainty is often present in various areas of medical practice. This book pr…
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psnet.ahrq.gov/node/43459/psn-pdf
August 27, 2014 - Serious Reportable Events.
August 27, 2014
Nova Scotia Department of Health and Wellness.
https://psnet.ahrq.gov/issue/serious-reportable-events
Incident reporting systems are an important method for capturing, analyzing, and learning about a broad
range of potential safety issues. This Web site provides access to…
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psnet.ahrq.gov/node/46551/psn-pdf
October 25, 2017 - Inpatient notes: diagnostic excellence starts with an
incessant watch.
October 25, 2017
Dhaliwal G. Annals for Hospitalists Inpatient Notes - Diagnostic Excellence Starts With an Incessant Watch.
Ann Intern Med. 2017;167(8):HO2-HO3. doi:10.7326/m17-2447.
https://psnet.ahrq.gov/issue/inpatient-notes-diagnostic-exce…
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psnet.ahrq.gov/node/38747/psn-pdf
September 16, 2009 - Examination of how a survey can spur culture changes
using a quality improvement approach: a region-wide
approach to determining a patient safety culture.
September 16, 2009
Pringle J, Weber RJ, Rice K, et al. Examination of how a survey can spur culture changes using a quality
improvement approach: a region-wide …
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psnet.ahrq.gov/node/45010/psn-pdf
March 30, 2016 - Most dangerous time at the hospital? It may be when you
leave.
March 30, 2016
Khullar D. New York Times. March 17, 2016.
https://psnet.ahrq.gov/issue/most-dangerous-time-hospital-it-may-be-when-you-leave
Preventing readmissions after hospital discharge is a national policy priority. This newspaper article
discuss…
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psnet.ahrq.gov/node/43390/psn-pdf
July 30, 2014 - Hazards tied to medical records rush.
July 30, 2014
Rowland C.
https://psnet.ahrq.gov/issue/hazards-tied-medical-records-rush
Government incentives have led to rapid development and adoption of electronic health records (EHRs).
This newspaper article examines some of the unintended consequences of implementing ele…
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psnet.ahrq.gov/node/46928/psn-pdf
May 16, 2018 - Serious incidents after death: content analysis of
incidents reported to a national database.
May 16, 2018
Yardley IE, Carson-Stevens A, Donaldson LJ. Serious incidents after death: content analysis of incidents
reported to a national database. J R Soc Med. 2017;111(2):57-64. doi:10.1177/0141076817744561.
https://…
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psnet.ahrq.gov/node/61097/psn-pdf
November 04, 2020 - Obstetrician-gynecologist views of pregnancy-related
medication safety.
November 4, 2020
SteelFisher GK, Hero JO, Caporello HL, et al. Obstetrician-gynecologist views of pregnancy-related
medication safety. J Womens Health (Larchmt). 2020;29(8):1113-1121. doi:10.1089/jwh.2019.8007.
https://psnet.ahrq.gov/issue/obs…
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psnet.ahrq.gov/node/39237/psn-pdf
April 14, 2011 - Improving follow-up of abnormal cancer screens using
electronic health records: trust but verify test result
communication.
April 14, 2011
Singh H, Wilson L, Petersen L, et al. Improving follow-up of abnormal cancer screens using electronic
health records: trust but verify test result communication. BMC Med Inform…
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psnet.ahrq.gov/node/838025/psn-pdf
September 07, 2022 - Opportunities to mine EHRs for malpractice risk
management and patient safety.
September 7, 2022
Adler-Milstein J, Sarkar U, Wachter RM. Opportunities to mine EHRs for malpractice risk management and
patient safety. J Patient Saf Risk Manag. 2022;27(4):160-162. doi:10.1177/25160435221097422.
https://psnet.ahrq.gov…