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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership.pdf
June 03, 2021 - None of the authors has any affiliation or financial involvement that conflicts with the material presented
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psnet.ahrq.gov/issue/rise-human-factors-optimising-performance-individuals-and-teams-improve-patients-outcomes
July 10, 2024 - Commentary
The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes.
Citation Text:
Casali G, Cullen W, Lock G. The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. J Thorac Dis. 2019;11(…
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psnet.ahrq.gov/issue/medication-errors-emergency-departments-systematic-review-and-meta-analysis-prevalence-and
April 02, 2014 - Review
Medication errors in emergency departments: a systematic review and meta-analysis of prevalence and severity
Citation Text:
Nguyen PTL, Phan TAT, Vo VBN, et al. Medication errors in emergency departments: a systematic review and meta-analysis of prevalence and severity. Int J Clin…
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psnet.ahrq.gov/issue/clinical-case-electronic-health-record-drug-alert-fatigue-consequences-patient-outcome
August 02, 2023 - Commentary
A clinical case of electronic health record drug alert fatigue: consequences for patient outcome.
Citation Text:
Carspecken W, Sharek PJ, Longhurst CA, et al. A clinical case of electronic health record drug alert fatigue: consequences for patient outcome. Pediatrics. 2013;131…
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psnet.ahrq.gov/issue/opioid-abuse-chronic-pain-misconceptions-and-mitigation-strategies
November 18, 2016 - Review
Opioid abuse in chronic pain—misconceptions and mitigation strategies.
Citation Text:
Volkow ND, McLellan T. Opioid Abuse in Chronic Pain--Misconceptions and Mitigation Strategies. New Engl J Med. 2016;374(13):1253-1263. doi:10.1056/NEJMra1507771.
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psnet.ahrq.gov/issue/preventing-harm-icu-building-culture-safety-and-engaging-patients-and-families
March 14, 2022 - Review
Preventing harm in the ICU—building a culture of safety and engaging patients and families.
Citation Text:
Thornton KC, Schwarz JJ, Gross K, et al. Preventing Harm in the ICU-Building a Culture of Safety and Engaging Patients and Families. Crit Care Med. 2017;45(9):1531-1537. doi:…
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psnet.ahrq.gov/issue/accuracy-safer-dx-instrument-identify-diagnostic-errors-primary-care
April 13, 2017 - Study
Accuracy of the Safer Dx Instrument to identify diagnostic errors in primary care.
Citation Text:
Al-Mutairi A, Meyer AND, Thomas EJ, et al. Accuracy of the Safer Dx Instrument to Identify Diagnostic Errors in Primary Care. J Gen Intern Care. 2016;31(6):602-608. doi:10.1007/s11606-…
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psnet.ahrq.gov/issue/miscount-incidents-novel-approach-exploring-risk-factors-unintentionally-retained-surgical
June 11, 2014 - Study
Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items.
Citation Text:
Judson TJ, Howell MD, Guglielmi C, et al. Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. Jt Comm…
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psnet.ahrq.gov/issue/diagnostic-delays-infectious-diseases
December 15, 2021 - Study
Diagnostic delays in infectious diseases.
Citation Text:
Suneja M, Beekmann SE, Dhaliwal G, et al. Diagnostic delays in infectious diseases. Diagnosis (Berl). 2022;9(3):332-339. doi:10.1515/dx-2021-0092.
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psnet.ahrq.gov/issue/understanding-context-specificity-effect-contextual-factors-clinical-reasoning
August 19, 2020 - Study
Understanding context specificity: the effect of contextual factors on clinical reasoning.
Citation Text:
Konopasky A, Artino AR, Battista A, et al. Understanding context specificity: the effect of contextual factors on clinical reasoning. Diagnosis (Berl). 2020;79(3):257-264. doi:…
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psnet.ahrq.gov/issue/errors-cancer-diagnosis-current-understanding-and-future-directions
November 18, 2009 - Review
Errors in cancer diagnosis: current understanding and future directions.
Citation Text:
Singh H, Sethi S, Raber M, et al. Errors in cancer diagnosis: current understanding and future directions. J Clin Oncol. 2007;25(31):5009-18.
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digital.ahrq.gov/ahrq-funded-projects/developing-guide-identifying-and-remediating-unintended-consequences
January 01, 2023 - Developing a Guide to Identifying and Remediating Unintended Consequences of Implementing Health Information Technology
Project Final Report ( PDF , 880.22 KB)
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psnet.ahrq.gov/issue/evaluating-accuracy-electronic-pediatric-drug-dosing-rules
May 08, 2017 - Study
Evaluating the accuracy of electronic pediatric drug dosing rules.
Citation Text:
Kirkendall E, Spooner A, Logan JR. Evaluating the accuracy of electronic pediatric drug dosing rules. J Am Med Inform Assoc. 2014;21(e1):e43-9. doi:10.1136/amiajnl-2013-001793.
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psnet.ahrq.gov/issue/catch-killer-electronic-sepsis-alert-tools-reaching-fever-pitch
November 15, 2023 - Commentary
To catch a killer: electronic sepsis alert tools reaching a fever pitch?
Citation Text:
Ruppel H, Liu V. To catch a killer: electronic sepsis alert tools reaching a fever pitch? BMJ Qual Saf. 2019;28(9):693-696. doi:10.1136/bmjqs-2019-009463.
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digital.ahrq.gov/sites/default/files/docs/survey/document-workflow-assessment-guide-hospital.pdf
January 26, 2009 - Document Workflow Assessment Guide - Hospital
Document Workflow Assessment Guide: Hospital
HealthInsight, Salt Lake City UT
This is an interview guide designed to be conducted with staff in an inpatient setting. The
tool includes questions to assess user's needs of health information exchange.
Permission has been…
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psnet.ahrq.gov/issue/misunderstanding-prescription-drug-warning-labels-among-patients-low-literacy
February 28, 2011 - Study
Misunderstanding of prescription drug warning labels among patients with low literacy.
Citation Text:
Wolf MS, Davis TC, Tilson HH, et al. Misunderstanding of prescription drug warning labels among patients with low literacy. Am J Health Syst Pharm. 2006;63(11):1048-55.
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psnet.ahrq.gov/issue/literacy-and-misunderstanding-prescription-drug-labels
September 17, 2010 - Study
Classic
Literacy and misunderstanding prescription drug labels.
Citation Text:
Davis TC, Wolf MS, Bass PF, et al. Literacy and misunderstanding prescription drug labels. Ann Intern Med. 2006;145(12):887-94.
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psnet.ahrq.gov/issue/walking-tightrope-communicating-overdiagnosis-modern-healthcare
September 23, 2020 - Commentary
Walking the tightrope: communicating overdiagnosis in modern healthcare.
Citation Text:
McCaffery KJ, Jansen J, Scherer LD, et al. Walking the tightrope: communicating overdiagnosis in modern healthcare. BMJ. 2016;352:i348. doi:10.1136/bmj.i348.
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psnet.ahrq.gov/issue/medication-errors-school-nurse-second-victim
October 19, 2022 - Commentary
Medication errors: the school nurse as second victim.
Citation Text:
Stillwater AR. Medication Errors: The School Nurse as Second Victim. NASN School Nurse. 2018;33(3):163-166. doi:10.1177/1942602x17747294.
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psnet.ahrq.gov/issue/family-and-hospitals-journey-and-commitment-improving-diagnostic-safety
July 06, 2022 - Commentary
A family and hospital's journey and commitment to improving diagnostic safety.
Citation Text:
Wyner D, Wyner F, Brumbaugh D, et al. A family and hospital's journey and commitment to improving diagnostic safety. Pediatrics. 2021;148(6):e2021053091. doi:10.1542/peds.2021-053091.…