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psnet.ahrq.gov/issue/evaluation-physician-informatics-tool-improve-patient-handoffs
January 07, 2015 - Study
Evaluation of a physician informatics tool to improve patient handoffs.
Citation Text:
Flanagan ME, Patterson ES, Frankel RM, et al. Evaluation of a physician informatics tool to improve patient handoffs. J Am Med Inform Assoc. 2009;16(4):509-15. doi:10.1197/jamia.M2892.
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psnet.ahrq.gov/issue/its-sending-message-bottle-qualitative-study-consequences-one-way-communication-technologies
December 02, 2020 - Study
It's like sending a message in a bottle: a qualitative study of the consequences of one-way communication technologies in hospitals.
Citation Text:
Lafferty M, Harrod M, Krein SL, et al. It’s like sending a message in a bottle: a qualitative study of the consequences of one-way com…
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psnet.ahrq.gov/issue/prevalence-incivility-hospitals-and-effects-incivility-patient-safety-culture-and-outcomes
March 24, 2019 - Review
The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and outcomes: a systematic review and meta-analysis.
Citation Text:
Freedman B, Li WW, Liang Z, et al. The prevalence of incivility in hospitals and the effects of incivility on patie…
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psnet.ahrq.gov/issue/development-and-evaluation-checklist-support-decision-making-cancer-multidisciplinary-team
September 25, 2011 - Study
Development and evaluation of a checklist to support decision making in cancer multidisciplinary team meetings: MDT-QuIC.
Citation Text:
Lamb BW, Sevdalis N, Vincent C, et al. Development and evaluation of a checklist to support decision making in cancer multidisciplinary team me…
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psnet.ahrq.gov/issue/multidisciplinary-approach-gi-cancer-results-change-diagnosis-and-management-patients
December 21, 2014 - Study
The multidisciplinary approach to GI cancer results in change of diagnosis and management of patients. Multidisciplinary care impacts diagnosis and management of patients.
Citation Text:
Meguid C, Schulick RD, Schefter TE, et al. The Multidisciplinary Approach to GI Cancer Results …
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psnet.ahrq.gov/issue/frequency-and-significance-discrepancies-surgical-count
March 02, 2011 - Study
The frequency and significance of discrepancies in the surgical count.
Citation Text:
Greenberg CC, Regenbogen SE, Lipsitz SR, et al. The Frequency and Significance of Discrepancies in the Surgical Count. Ann Surg. 2009;248(2). doi:10.1097/sla.0b013e318181c9a3.
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psnet.ahrq.gov/issue/reflecting-diagnostic-errors-taking-second-look-not-enough
September 26, 2016 - Study
Reflecting on diagnostic errors: taking a second look is not enough.
Citation Text:
Monteiro SD, Sherbino J, Patel A, et al. Reflecting on Diagnostic Errors: Taking a Second Look is Not Enough. J Gen Intern Med. 2015;30(9):1270-4. doi:10.1007/s11606-015-3369-4.
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psnet.ahrq.gov/issue/medicares-hospital-acquired-condition-reduction-program-and-community-diversity-united-states
May 13, 2020 - Study
Medicare's Hospital-Acquired Condition Reduction Program and community diversity in the United States: the need to account for racial and ethnic segregation.
Citation Text:
Hamadi H, Tafili A, Apatu E, et al. Medicare' Hospital-Acquired Condition Reduction Program and Community Div…
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psnet.ahrq.gov/issue/reduced-postdischarge-incidents-after-implementation-hospital-home-transition-intervention
September 06, 2023 - Study
Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for children with medical complexity.
Citation Text:
Huth K, Hotz A, Emara N, et al. Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention…
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psnet.ahrq.gov/issue/hospital-home-setting-regulatory-course-ensure-safe-high-quality-care
June 30, 2021 - Commentary
Hospital at Home: setting a regulatory course to ensure safe, high-quality care.
Citation Text:
DeCherrie LV, Leff B, Levine DM, et al. Hospital at Home: setting a regulatory course to ensure safe, high-quality care. Jt Comm J Qual Patient Saf. 2022;48(3):180-184. doi:10.1016/…
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psnet.ahrq.gov/issue/challenging-hierarchy-healthcare-teams-ways-flatten-gradients-improve-teamwork-and-patient
October 29, 2017 - Review
Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care.
Citation Text:
Green B, Oeppen RS, Smith DW, et al. Challenging hierarchy in healthcare teams - ways to flatten gradients to improve teamwork and patient care. Br J Oral Maxi…
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psnet.ahrq.gov/issue/reducing-drug-prescription-errors-and-adverse-drug-events-application-probabilistic-machine
March 12, 2025 - Study
Reducing drug prescription errors and adverse drug events by application of a probabilistic, machine-learning based clinical decision support system in an inpatient setting.
Citation Text:
Segal G, Segev A, Brom A, et al. Reducing drug prescription errors and adverse drug events by…
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psnet.ahrq.gov/issue/mobile-physician-reporting-clinically-significant-events-novel-way-improve-handoff
September 14, 2011 - Study
Mobile physician reporting of clinically significant events—a novel way to improve handoff communication and supervision of resident on call activities.
Citation Text:
Nabors C, Peterson SJ, Aronow WS, et al. Mobile physician reporting of clinically significant events-a novel way t…
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psnet.ahrq.gov/issue/effects-workload-work-complexity-and-repeated-alerts-alert-fatigue-clinical-decision-support
March 04, 2015 - Study
Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system.
Citation Text:
Ancker JS, Edwards A, Nosal S, et al. Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system. B…
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psnet.ahrq.gov/issue/intensive-care-medicine-2050-preventing-harm
November 25, 2020 - Commentary
Intensive care medicine in 2050: preventing harm.
Citation Text:
Beet C, Benoit D, Bion J. Intensive care medicine in 2050: preventing harm. Intensive Care Med. 2019;45(4):505-507. doi:10.1007/s00134-018-5353-z.
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psnet.ahrq.gov/issue/bridging-gap-between-culture-and-safety-critical-care-context-role-work-debate-spaces
July 15, 2020 - Study
Bridging the gap between culture and safety in a critical care context: the role of work debate spaces.
Citation Text:
Leuridan G. Bridging the gap between culture and safety in a critical care context: the role of work debate spaces. Safety Sci. 2020;129:104839. doi:10.1016/j.ssci…
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psnet.ahrq.gov/issue/impact-pharmacist-led-interventions-medication-related-problems-among-patients-treated-cancer
May 10, 2017 - Review
Impact of pharmacist-led interventions on medication-related problems among patients treated for cancer: a systematic review and meta-analysis of randomized control trials.
Citation Text:
Fentie AM, Huluka SA, Gebremariam GT, et al. Impact of pharmacist-led interventions on medica…
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psnet.ahrq.gov/issue/communication-relating-family-members-involvement-and-understandings-about-patients
June 16, 2021 - Study
Communication relating to family members' involvement and understandings about patients' medication management in hospital.
Citation Text:
Manias E. Communication relating to family members' involvement and understandings about patients' medication management in hospital. Health Ex…
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psnet.ahrq.gov/issue/analysis-electronic-health-record-related-patient-safety-incidents
August 19, 2020 - Study
An analysis of electronic health record–related patient safety incidents.
Citation Text:
Palojoki S, Mäkelä M, Lehtonen L, et al. An analysis of electronic health record-related patient safety incidents. Health Informatics J. 2017;23(2):134-145. doi:10.1177/1460458216631072.
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psnet.ahrq.gov/issue/moving-toward-improved-teamwork-cancer-care-role-psychological-safety-team-communication
October 19, 2012 - Review
Moving toward improved teamwork in cancer care: the role of psychological safety in team communication.
Citation Text:
Jain AK, Fennell ML, Chagpar AB, et al. Moving Toward Improved Teamwork in Cancer Care: The Role of Psychological Safety in Team Communication. J Oncol Pract. 201…