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psnet.ahrq.gov/web-mm/fluidity-diagnostic-wet-reads
April 24, 2018 - To bridge this care gap, we implemented an innovative system-wide solution—the UCSF Relay Center—in 2011
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psnet.ahrq.gov/node/73650/psn-pdf
August 25, 2021 - educational efforts, achieving more timely, reliable
diagnoses for rare conditions will likely require innovative
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psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
February 23, 2011 - be found and, especially as technology advances, more active research is needed to find additional innovative
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psnet.ahrq.gov/web-mm/too-tight-control
March 20, 2013 - June 12, 2013
Assessing system thinking in senior pharmacy students using the innovative
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psnet.ahrq.gov/node/49829/psn-pdf
May 01, 2018 - though it requires further evaluation in the health care setting, offers some
promise.(25) Another innovative
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psnet.ahrq.gov/node/50928/psn-pdf
February 21, 2020 - systematic-review-computerized-prescriber-order-entry-and-clinical-decision-support
https://psnet.ahrq.gov/issue/avoiding-chemotherapy-prescribing-errors-analysis-and-innovative-strategies
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psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
January 01, 2016 - The real promise of wrong patient error reduction lies with innovative technology solutions.
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psnet.ahrq.gov/node/49677/psn-pdf
February 01, 2013 - Creation of an innovative inpatient medical procedure
service and a method to evaluate house staff competency
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psnet.ahrq.gov/node/33651/psn-pdf
June 01, 2007 - They told their story about how they have implemented a really
innovative multidisciplinary skin care
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psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
August 05, 2009 - Although we are still far away from such a vision, this case highlights the importance of pursuing innovative
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psnet.ahrq.gov/issue/creating-high-reliability-health-care-system-improving-performance-core-processes-care-johns
January 27, 2016 - Study
Creating a high-reliability health care system: improving performance on core processes of care at Johns Hopkins Medicine.
Citation Text:
Pronovost P, Armstrong M, Demski R, et al. Creating a high-reliability health care system: improving performance on core processes of care at Jo…
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psnet.ahrq.gov/issue/tempos-management-primary-care-key-factor-classifying-adverse-events-and-improving-quality
March 15, 2017 - Study
'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety.
Citation Text:
Amalberti R, Brami J. 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. BMJ Qual Saf.…
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psnet.ahrq.gov/issue/miscarriage-treatment-related-morbidities-and-adverse-events-hospitals-ambulatory-surgery
August 10, 2022 - Study
Miscarriage treatment-related morbidities and adverse events in hospitals, ambulatory surgery centers, and office-based settings.
Citation Text:
Roberts SCM, Beam N, Liu G, et al. Miscarriage treatment-related morbidities and adverse events in hospitals, ambulatory surgery centers,…
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psnet.ahrq.gov/issue/latent-safety-threats-and-countermeasures-operating-theater-national-situ-simulation-based
February 22, 2023 - Study
Latent safety threats and countermeasures in the operating theater: a national in situ simulation-based observational study.
Citation Text:
Long JA, Webster CS, Holliday T, et al. Latent safety threats and countermeasures in the operating theater: a national in situ simulation-base…
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psnet.ahrq.gov/issue/moving-beyond-weekend-effect-how-can-we-best-target-interventions-improve-patient-care
September 09, 2015 - Commentary
Moving beyond the weekend effect: how can we best target interventions to improve patient care?
Citation Text:
Marang-van de Mheen PJ, Vincent CA. Moving beyond the weekend effect: how can we best target interventions to improve patient care? BMJ Qual Saf. 2021;30(7):525-528. …
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psnet.ahrq.gov/issue/overrides-medication-alerts-ambulatory-care
September 01, 2016 - Study
Overrides of medication alerts in ambulatory care.
Citation Text:
Isaac T, Weissman JS, Davis RB, et al. Overrides of medication alerts in ambulatory care. Arch Intern Med. 2009;169(3):305-311. doi:10.1001/archinternmed.2008.551.
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psnet.ahrq.gov/issue/medical-crisis-checklists-emergency-department-simulation-based-multi-institutional
February 16, 2022 - Study
Medical crisis checklists in the emergency department: a simulation-based multi-institutional randomised controlled trial.
Citation Text:
Dryver E, Lundager Forberg J, Hård af Segerstad C, et al. Medical crisis checklists in the emergency department: a simulation-based multi-instit…
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psnet.ahrq.gov/issue/structured-approach-ehr-surveillance-diagnostic-error-acute-care-exploratory-analysis-two
October 16, 2024 - Study
A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined case cohorts.
Citation Text:
Malik MA, Motta-Calderon D, Piniella N, et al. A structured approach to EHR surveillance of diagnostic error in acute car…
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psnet.ahrq.gov/issue/unscheduled-radiologic-examination-orders-electronic-health-record-novel-resource-targeting
March 30, 2022 - Study
Unscheduled radiologic examination orders in the electronic health record: a novel resource for targeting ambulatory diagnostic errors in radiology.
Citation Text:
Lacson R, Healey MJ, Cochon LR, et al. Unscheduled Radiologic Examination Orders in the Electronic Health Record: A No…
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psnet.ahrq.gov/issue/framework-evaluating-appropriateness-clinical-decision-support-alerts-and-responses
March 21, 2017 - Study
A framework for evaluating the appropriateness of clinical decision support alerts and responses.
Citation Text:
McCoy AB, Waitman LR, Lewis JB, et al. A framework for evaluating the appropriateness of clinical decision support alerts and responses. J Am Med Inform Assoc. 2012;19…