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Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases and complaints in Canada. | PSNet

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April 16, 2019 - Study Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases and complaints in Canada. Citation Text: Kwan JL, Calder LA, Bowman CL, et al. Characteristics and contributing factors of diagnostic error in surgery: analysis of closed …

The effect of a clinical decision support for pending laboratory results at emergency department discharge. | PSNet

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April 24, 2018 - Study The effect of a clinical decision support for pending laboratory results at emergency department discharge. Citation Text: Driver BE, Scharber SK, Fagerstrom ET, et al. The Effect of a Clinical Decision Support for Pending Laboratory Results at Emergency Department Discharge. J Eme…

Effect of a hospital-wide measure on the readmissions reduction program. | PSNet

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February 14, 2017 - Study Effect of a hospital-wide measure on the readmissions reduction program. Citation Text: Zuckerman RB, Maddox KEJ, Sheingold SH, et al. Effect of a Hospital-wide Measure on the Readmissions Reduction Program. N Engl J Med. 2017;377(16):1551-1558. doi:10.1056/NEJMsa1701791. Copy Ci…

Chief of Residents for Quality Improvement and Patient Safety: a recipe for a new role in graduate medical education. | PSNet

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August 13, 2014 - Commentary Chief of Residents for Quality Improvement and Patient Safety: a recipe for a new role in graduate medical education. Citation Text: Ferraro K, Zernzach R, Maturo S, et al. Chief of Residents for Quality Improvement and Patient Safety: A Recipe for a New Role in Graduate Medic…

Teaching quality improvement and patient safety in residency education: strategies for meaningful resident quality and safety initiatives. | PSNet

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September 23, 2020 - Commentary Teaching quality improvement and patient safety in residency education: strategies for meaningful resident quality and safety initiatives. Citation Text: Morrison RJ, Bowe SN, Brenner MJ. Teaching Quality Improvement and Patient Safety in Residency Education: Strategies for Me…

Rural emergency medical services clinicians' perceptions and preferences in receiving clinical feedback from hospitals: a qualitative needs assessment. | PSNet

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June 02, 2021 - Study Rural emergency medical services clinicians' perceptions and preferences in receiving clinical feedback from hospitals: a qualitative needs assessment. Citation Text: Schneider K, Williams M, Mohr NM, et al. Rural emergency medical services clinicians' perceptions and preferences i…

Patient-led training on patient safety: a pilot study to test the feasibility and acceptability of an educational intervention. | PSNet

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April 24, 2017 - Study Patient-led training on patient safety: a pilot study to test the feasibility and acceptability of an educational intervention. Citation Text: Jha V, Winterbottom A, Symons J, et al. Patient-led training on patient safety: a pilot study to test the feasibility and acceptability …

Interventions to increase patient safety in long-term care facilities-umbrella review. | PSNet

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September 01, 2021 - Review Interventions to increase patient safety in long-term care facilities-umbrella review. Citation Text: Świtalski J, Wnuk K, Tatara T, et al. Interventions to increase patient safety in long-term care facilities-umbrella review. Int J Environ Res Public Health. 2022;19(22):15354. do…

How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals. | PSNet

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March 15, 2016 - Study How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals. Citation Text: George J, Parker VA, Sullivan JL, et al. How hospitals select their patient safety priorities. Health Care Manag Rev. 2020;45(4):E56-E67. doi:…

Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. | PSNet

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November 30, 2022 - Study Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. Citation Text: Dadlez NM, Adelman JS, Bundy DG, et al. Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. Ped Qual Saf. 2020;5(3):e299-e305. doi:10.1097/pq9.…

Diagnostic errors in pediatric critical care: a systematic review. | PSNet

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April 06, 2016 - Review Diagnostic errors in pediatric critical care: a systematic review. Citation Text: Cifra CL, Custer J, Singh H, et al. Diagnostic errors in pediatric critical care: a systematic review. Pediatr Crit Care Med. 2021;22(8):701-712. doi:10.1097/pcc.0000000000002735. Copy Citation …

Application of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based simulation study. | PSNet

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May 11, 2022 - Study Application of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based simulation study. Citation Text: Carayon P, Hoonakker P, Hundt AS, et al. Application of human factors to improve usability of clinical decision support f…

Efficiency and safety of speech recognition for documentation in the electronic health record. | PSNet

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February 14, 2024 - Study Efficiency and safety of speech recognition for documentation in the electronic health record. Citation Text: Hodgson T, Magrabi F, Coiera E. Efficiency and safety of speech recognition for documentation in the electronic health record. J Am Med Inform Assoc. 2017;24(6):1127-1133. …

Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. | PSNet

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July 27, 2016 - Review Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. Citation Text: Canan C, Polinski JM, Alexander C, et al. Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. J Am Med Inform Assoc.…

Pharmacist-led educational interventions provided to healthcare providers to reduce medication errors: a systematic review and meta-analysis. | PSNet

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October 14, 2020 - Study Pharmacist-led educational interventions provided to healthcare providers to reduce medication errors: a systematic review and meta-analysis. Citation Text: Jaam M, Naseralallah LM, Hussain TA, et al. Pharmacist-led educational interventions provided to healthcare providers to redu…

Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. | PSNet

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May 04, 2022 - Commentary Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. Citation Text: Schneider J, Wirth A. Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. Biomed Instrum Technol. 2021;55(1):21-28. doi:10.2345/0899-8205-…

Leveraging a safety event management system to improve organizational learning and safety culture. | PSNet

psnet.ahrq.gov/issue/leveraging-safety-event-management-system-improve-organizational-learning-and-safety-culture

August 01, 2018 - Study Leveraging a safety event management system to improve organizational learning and safety culture. Citation Text: Dawson R, Saulnier T, Campbell A, et al. Leveraging a safety event management system to improve organizational learning and safety culture. Hosp Pediatr. 2022;12(4):407…

Optimizing the use of dose error reduction software on intravenous infusion pumps. | PSNet

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August 02, 2015 - Study Optimizing the use of dose error reduction software on intravenous infusion pumps. Citation Text: Hughes K, Cole M, Tims D, et al. Optimizing the use of dose error reduction software on intravenous infusion pumps. Hosp Pediatr. 2024;14(6):448-454. doi:10.1542/hpeds.2023-007385. C…

The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study. | PSNet

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August 24, 2016 - Study The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study. Citation Text: Pontefract SK, Coleman JJ, Vallance HK, et al. The impact of computerised physician order entry and clin…

Views of children, parents, and health-care providers on pediatric disclosure of medical errors. | PSNet

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April 08, 2020 - Study Views of children, parents, and health-care providers on pediatric disclosure of medical errors. Citation Text: Koller D, Espin S. Views of children, parents, and health-care providers on pediatric disclosure of medical errors. J Child Health Care. 2018;22(4):577-590. doi:10.1177/1…

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