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psnet.ahrq.gov/node/33875/psn-pdf
March 01, 2019 - In Conversation With… Susan Haas, MD, MSc
March 1, 2019
In Conversation With… Susan Haas, MD, MSc. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
Editor's note: Dr. Haas is an obstetrician–gynecologist and co-Principal Investigator for Ariadne Labs'
work focused on health…
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psnet.ahrq.gov/perspective/conversation-joel-willis-do-pa-ma-mphil-and-neal-sikka-md
May 14, 2020 - As a family medicine physician, I call my patients all the time to discuss their lab work and what is … their visit is complete, accurate, and identifies the need for any necessary ancillary services (i.e. lab
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psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
May 14, 2020 - their visit is complete, accurate, and identifies the need for any necessary ancillary services (i.e. lab … As a family medicine physician, I call my patients all the time to discuss their lab work and what is
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psnet.ahrq.gov/issue/gross-negligence-manslaughter-and-doctors-ethical-concerns-following-case-dr-bawa-garba
May 01, 2024 - Commentary
Gross negligence manslaughter and doctors: ethical concerns following the case of Dr Bawa-Garba.
Citation Text:
Samanta A, Samanta J. Gross negligence manslaughter and doctors: ethical concerns following the case of Dr Bawa-Garba. J Med Ethics. 2019;45(1):10-14. doi:10.1136/me…
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psnet.ahrq.gov/perspective/conversation-john-g-reiling-phd
June 01, 2014 - Robert Wachter, Editor, AHRQ WebM&M : Tell us what the National Learning Lab was.
Dr. … The Learning Lab participants were a collection of the leadership in the country focused on safety. … JR : There were four core principles as a result of the National Learning Lab.
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psnet.ahrq.gov/node/33698/psn-pdf
August 01, 2010 - I
mean, how often when a patient is scheduled to be in a cath lab at 10:00 AM does it actually happen … Looking at those systems
across what we call the customer–supplier relationship between the cath lab
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psnet.ahrq.gov/node/33684/psn-pdf
May 01, 2009 - errors (mishandling or
unavailability of important information, including errors handling results of lab … up with the large
volume of tasks we face daily (prescription refills, communication to patients of lab
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psnet.ahrq.gov/node/49533/psn-pdf
March 01, 2007 - Hospital policy does not call for notification to clinicians
by the microbiology lab when a "preliminary … report microbiological data chronologically based upon the time of the sample, not at the time when the lab
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psnet.ahrq.gov/node/49436/psn-pdf
February 26, 2004 - Once the specimen was labeled and sent to the lab, this error would normally have been undetectable … Paradoxically, since inadequately labeled samples give the lab some degree of warning, they afford less
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psnet.ahrq.gov/issue/thoughtless-design-electronic-health-record-drives-overuse-purposeful-design-can-nudge
July 17, 2024 - Commentary
Emerging Classic
Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care.
Citation Text:
Vaughn VM, Linder JA. Thoughtless design of the electronic health record drives overuse, but purp…
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psnet.ahrq.gov/issue/staying-safe-while-getting-well
February 05, 2014 - Newspaper/Magazine Article
Staying safe while getting well.
Citation Text:
Staying safe while getting well. Salamon M. Harvard Women's Health Watch. August 1, 2023
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psnet.ahrq.gov/issue/toward-more-proactive-approaches-safety-electronic-health-record-era
December 06, 2023 - Commentary
Toward more proactive approaches to safety in the electronic health record era.
Citation Text:
Sittig DF, Singh H. Toward More Proactive Approaches to Safety in the Electronic Health Record Era. Jt Comm J Qual Patient Saf. 2017;43(10):540-547. doi:10.1016/j.jcjq.2017.06.005.
…
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psnet.ahrq.gov/issue/clinical-decision-support-25-year-retrospective-and-25-year-vision
May 20, 2019 - Review
Clinical decision support: a 25 year retrospective and a 25 year vision.
Citation Text:
Middleton B, Sittig DF, Wright A. Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision. Yearb Med Inform. 2016;Suppl 1:S103-16. doi:10.15265/IYS-2016-s034.
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…
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psnet.ahrq.gov/issue/new-unintended-adverse-consequences-electronic-health-records
March 20, 2019 - Review
New unintended adverse consequences of electronic health records.
Citation Text:
Sittig DF, Wright A, Ash J, et al. New Unintended Adverse Consequences of Electronic Health Records. Yearb Med Inform. 2016;(1):7-12.
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psnet.ahrq.gov/issue/resolving-productivity-paradox-health-information-technology-time-optimism
November 16, 2022 - Commentary
Resolving the productivity paradox of health information technology: a time for optimism.
Citation Text:
Wachter R, Howell MD. Resolving the Productivity Paradox of Health Information Technology: A Time for Optimism. JAMA. 2018;320(1):25-26. doi:10.1001/jama.2018.5605.
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psnet.ahrq.gov/issue/physician-burnout-electronic-health-record-era-are-we-ignoring-real-cause
October 04, 2023 - Commentary
Physician burnout in the electronic health record era: are we ignoring the real cause?
Citation Text:
Downing L, Bates DW, Longhurst CA. Physician Burnout in the Electronic Health Record Era: Are We Ignoring the Real Cause? Ann Intern Med. 2018;169(1):50-51. doi:10.7326/M18-01…
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psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
February 01, 2004 - (an elevated white blood cell count with a very high percentage of "bands") were reported from the lab … July 30, 2014
WebM&M Cases
Amended Lab Results: Communication … Providers
Quality and Safety Professionals
Pathology and Laboratory Medicine
Missed or Critical Lab
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psnet.ahrq.gov/node/857060/psn-pdf
November 27, 2023 - The Role of Undergraduate Nursing Education in Patient
Safety
November 27, 2023
Stanley J, Gale B, Mossburg S. The Role of Undergraduate Nursing Education in Patient Safety. PSNet
[internet]. 2023.
https://psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
Introduction
Nurses are a li…
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psnet.ahrq.gov/issue/enabling-learning-healthcare-system-automated-computer-protocols-produce-replicable-and
September 23, 2020 - Commentary
Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.
Citation Text:
Morris AH, Stagg B, Lanspa M, et al. Enabling a learning healthcare system with automated computer protocols that produce replicab…
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psnet.ahrq.gov/issue/improving-safety-health-information-technology-requires-shared-responsibility-it-time-we-all
August 20, 2014 - Commentary
Improving the safety of health information technology requires shared responsibility: it is time we all step up.
Citation Text:
Sittig DF, Belmont E, Singh H. Improving the safety of health information technology requires shared responsibility: It is time we all step up. Healt…