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  1. 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
  2. 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(…
  3. 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…
  4. 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…
  5. 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. Copy Citation Format: …
  6. 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:…
  7. 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-…
  8. 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…
  9. 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. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML E…
  10. 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:…
  11. 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. Copy Citation Format: Google Schola…
  12. 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) × Disclaimer Disclaimer details Close Project Description Annual Summaries Pub…
  13. 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. Copy Citation For…
  14. 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. Copy Citation Format: …
  15. 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…
  16. 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. Copy Ci…
  17. 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. Copy Citation Format: Google Scho…
  18. 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. Copy Citation Format: …
  19. 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. Copy Citation Format: DOI Google Scholar BibTeX EndNote …
  20. 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.…