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psnet.ahrq.gov/issue/confused-and-bewildered-hospital-adverse-event-discovery-pay-performance-and-big-data-tools
September 23, 2020 - Commentary
The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies.
Citation Text:
Furrow BR. The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technolog…
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psnet.ahrq.gov/issue/hospital-autopsy-endangered-or-extinct
November 21, 2021 - Study
Hospital autopsy: endangered or extinct?
Citation Text:
Turnbull A, Osborn M, Nicholas N. Hospital autopsy: Endangered or extinct? J Clin Pathol. 2015;68(8):601-604. doi:10.1136/jclinpath-2014-202700.
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psnet.ahrq.gov/issue/tension-between-needing-improve-care-and-knowing-how-do-it
June 03, 2010 - Commentary
Classic
The tension between needing to improve care and knowing how to do it.
Citation Text:
Auerbach AD, Landefeld S, Shojania KG. The tension between needing to improve care and knowing how to do it. N Engl J Med. 2007;357(6):608-13.
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psnet.ahrq.gov/issue/healthcare-scandals-and-failings-doctors-do-official-inquiries-hold-profession-account
November 13, 2019 - Review
Healthcare scandals and the failings of doctors: do official inquiries hold the profession to account?
Citation Text:
Mannion R, Davies H, Powell M, et al. Healthcare scandals and the failings of doctors. J Health Organ Manag. 2019;33(2):221-240. doi:10.1108/JHOM-04-2018-0126.
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psnet.ahrq.gov/issue/mind-overlap-how-system-problems-contribute-cognitive-failure-and-diagnostic-errors
August 14, 2019 - Study
Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors.
Citation Text:
Gupta A, Harrod M, Quinn M, et al. Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. Diagnosis (Berl). 2018;5(3):151-156. doi:10.15…
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psnet.ahrq.gov/issue/automated-identification-diagnostic-labelling-errors-medicine
September 23, 2020 - Study
Automated identification of diagnostic labelling errors in medicine.
Citation Text:
Hautz WE, Kündig MM, Tschanz R, et al. Automated identification of diagnostic labelling errors in medicine. Diagnosis. 2021;9(2):241-249. doi:10.1515/dx-2021-0039.
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psnet.ahrq.gov/issue/medical-costs-alzheimers-disease-misdiagnosis-among-us-medicare-beneficiaries
August 20, 2018 - Study
Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries.
Citation Text:
Hunter CA, Kirson NY, Desai U, et al. Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries. Alzheimers Dement. 2015;11(8):887-95. doi:10.1016/j.jalz.2015.0…
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psnet.ahrq.gov/issue/advancing-next-generation-handover-research-and-practice-cognitive-load-theory
November 10, 2021 - Commentary
Advancing the next generation of handover research and practice with cognitive load theory.
Citation Text:
Young JQ, Wachter R, Cate OT, et al. Advancing the next generation of handover research and practice with cognitive load theory. BMJ Qual Saf. 2016;25(2):66-70. doi:10.11…
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psnet.ahrq.gov/issue/enhancing-patient-safety-and-resident-education-during-academic-year-end-transfer-outpatients
March 25, 2017 - Commentary
Enhancing patient safety and resident education during the academic year-end transfer of outpatients: lessons from the suicide of a psychiatric patient.
Citation Text:
Young JQ, Eisendrath SJ. Enhancing patient safety and resident education during the academic year-end trans…
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psnet.ahrq.gov/issue/prioritizing-patient-safety-interventions-small-and-rural-hospitals
October 14, 2009 - Study
Prioritizing patient safety interventions in small and rural hospitals.
Citation Text:
Casey M, Wakefield M, Coburn AF, et al. Prioritizing patient safety interventions in small and rural hospitals. Jt Comm J Qual Patient Saf. 2006;32(12):693-702.
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digital.ahrq.gov/ahrq-funded-projects/using-information-technology-provide-measurement-based-care-chronic-illness/annual-summary/2011
January 01, 2011 - Using Information Technology to Provide Measurement Based Care for Chronic Illness - 2011
Project Name
Using Information Technology to Provide Measurement Based Care for Chronic Illness
Principal Investigator
Trivedi, Madhukar
Organization
University of Texas Southwestern Med…
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psnet.ahrq.gov/issue/what-are-we-doing-when-we-double-check
June 10, 2020 - Commentary
What are we doing when we double check?
Citation Text:
Pfeiffer Y, Zimmermann C, Schwappach DLB. What are we doing when we double check? BMJ Qual Saf. 2020;29(7):536-540. doi:10.1136/bmjqs-2019-009680.
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psnet.ahrq.gov/issue/understanding-barriers-physician-error-reporting-and-disclosure-systemic-approach-systemic
January 12, 2022 - Review
Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem.
Citation Text:
Perez B, Knych SA, Weaver SJ, et al. Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem…
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psnet.ahrq.gov/issue/falling-through-cracks-invisible-hospital-cleaning-workforce
June 19, 2013 - Commentary
Falling through the cracks: the invisible hospital cleaning workforce.
Citation Text:
Hacker CE, Debono D, Travaglia J, et al. Falling through the cracks: the invisible hospital cleaning workforce. J Health Organ Manag. 2022;36(8):981-986. doi:10.1108/jhom-02-2022-0035.
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psnet.ahrq.gov/issue/correlation-between-hospital-rating-agencies-data-analysis-and-recommendation
April 05, 2023 - Study
Correlation between hospital rating agencies' data: an analysis and recommendation.
Citation Text:
Sondheim SE, Mattie A, Vigil J, et al. Correlation between hospital rating agencies’ data: An analysis and recommendation. J Healthc Risk Manag. 2020;40(3):18-24. doi:10.1002/jhrm.214…
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psnet.ahrq.gov/issue/every-error-treasure-improving-medication-use-nonpunitive-reporting-system
August 17, 2016 - Study
Every error a treasure: improving medication use with a nonpunitive reporting system.
Citation Text:
Lehmann DF, Page N, Kirschman K, et al. Every Error a Treasure: Improving Medication Use with a Nonpunitive Reporting System. Jt Comm J Qual Patient Saf. 2016;33(7):401-407. doi:10.…
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psnet.ahrq.gov/issue/national-efforts-improve-health-information-system-safety-canada-united-states-america-and
July 14, 2009 - Review
National efforts to improve health information system safety in Canada, the United States of America and England.
Citation Text:
Kushniruk AW, Bates DW, Bainbridge M, et al. National efforts to improve health information system safety in Canada, the United States of America and …
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psnet.ahrq.gov/issue/using-met-service-manage-hemorrhage-post-percutaneous-liver-biopsy
January 05, 2017 - Study
Using an MET service to manage hemorrhage post-percutaneous liver biopsy.
Citation Text:
Jones D, Bellomo R, Leong T. Using an MET service to manage hemorrhage post-percutaneous liver biopsy. Jt Comm J Qual Patient Saf. 2006;32(8):459-62, 417.
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psnet.ahrq.gov/issue/physician-motivation-listening-what-pay-performance-programs-and-quality-improvement
January 02, 2017 - Commentary
Physician motivation: listening to what pay-for-performance programs and quality improvement collaboratives are telling us.
Citation Text:
Herzer KR, Pronovost P. Physician Motivation: Listening to What Pay-for-Performance Programs and Quality Improvement Collaboratives Are Te…
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psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-food-and-drug-administration-1998-2005
June 07, 2016 - Study
Serious adverse drug events reported to the Food and Drug Administration, 1998-2005.
Citation Text:
Moore TJ, Cohen MR, Furberg CD. Serious adverse drug events reported to the Food and Drug Administration, 1998-2005. Arch Intern Med. 2007;167(16):1752-9.
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