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psnet.ahrq.gov/node/46531/psn-pdf
January 24, 2019 - Tracking progress in improving diagnosis: a framework
for defining undesirable diagnostic events.
January 24, 2019
Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining
Undesirable Diagnostic Events. J Gen Intern Med. 2018;33(7):1187-1191. doi:10.1007/s11606-018-4304-2.
ht…
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psnet.ahrq.gov/node/37630/psn-pdf
February 15, 2011 - The Accreditation Council for Graduate Medical
Education's limits on residents' work hours and patient
safety.
February 15, 2011
Jagsi R, Weinstein DF, Shapiro J, et al. The Accreditation Council for Graduate Medical Education's limits
on residents' work hours and patient safety. A study of resident experiences an…
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psnet.ahrq.gov/node/46191/psn-pdf
July 19, 2017 - Performance of a trigger tool for identifying adverse
events in oncology.
July 19, 2017
Lipitz-Snyderman A, Classen D, Pfister D, et al. Performance of a Trigger Tool for Identifying Adverse
Events in Oncology. J Oncol Pract. 2017;13(3). doi:10.1200/jop.2016.016634.
https://psnet.ahrq.gov/issue/performance-trigger…
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psnet.ahrq.gov/node/41974/psn-pdf
February 01, 2013 - Prevalence of copied information by attendings and
residents in critical care progress notes.
February 1, 2013
Thornton D, Schold JD, Venkateshaiah L, et al. Prevalence of copied information by attendings and
residents in critical care progress notes. Crit Care Med. 2013;41(2):382-8.
doi:10.1097/CCM.0b013e3182711a…
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psnet.ahrq.gov/node/44683/psn-pdf
June 21, 2016 - Physician spending and subsequent risk of malpractice
claims: observational study.
June 21, 2016
Jena AB, Schoemaker L, Bhattacharya J, et al. Physician spending and subsequent risk of malpractice
claims: observational study. BMJ. 2015;351:h5516. doi:10.1136/bmj.h5516.
https://psnet.ahrq.gov/issue/physician-spendi…
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psnet.ahrq.gov/node/43002/psn-pdf
March 12, 2014 - Exposure to media information about a disease can cause
doctors to misdiagnose similar-looking clinical cases.
March 12, 2014
Schmidt HG, Mamede S, Van den Berge K, et al. Exposure to media information about a disease can
cause doctors to misdiagnose similar-looking clinical cases. Acad Med. 2014;89(2):285-91.
doi…
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psnet.ahrq.gov/node/43514/psn-pdf
April 25, 2016 - A qualitative analysis of physician perspectives on
missed and delayed outpatient diagnosis: the focus on
system-related factors.
April 25, 2016
Sarkar U, Simchowitz B, Bonacum D, et al. A Qualitative Analysis of Physician Perspectives on Missed and
Delayed Outpatient Diagnosis: The Focus on System-Related Factors…
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psnet.ahrq.gov/node/43583/psn-pdf
October 08, 2014 - Emergency hospitalizations for unsupervised prescription
medication ingestions by young children.
October 8, 2014
Lovegrove MC, Mathew J, Hampp C, et al. Emergency hospitalizations for unsupervised prescription
medication ingestions by young children. Pediatrics. 2014;134(4):e1009-16. doi:10.1542/peds.2014-0840.
h…
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psnet.ahrq.gov/node/41795/psn-pdf
September 07, 2016 - Drug shortage-associated increase in catheter-related
blood stream infection in children.
September 7, 2016
Ralls MW, Blackwood A, Arnold MA, et al. Drug shortage-associated increase in catheter-related blood
stream infection in children. Pediatrics. 2012;130(5):e1369-73. doi:10.1542/peds.2011-3894.
https://psnet.…
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psnet.ahrq.gov/node/46578/psn-pdf
April 29, 2018 - Clinical decision support alert malfunctions: analysis and
empirically derived taxonomy.
April 29, 2018
Wright A, Ai A, Ash JS, et al. Clinical decision support alert malfunctions: analysis and empirically derived
taxonomy. J Am Med Inform Assoc. 2018;25(5):496-506. doi:10.1093/jamia/ocx106.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/39354/psn-pdf
September 20, 2011 - Sustaining reductions in catheter related bloodstream
infections in Michigan intensive care units: observational
study.
September 20, 2011
Pronovost P, Goeschel CA, Colantuoni E, et al. Sustaining reductions in catheter related bloodstream
infections in Michigan intensive care units: observational study. BMJ. 2010…
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psnet.ahrq.gov/node/43064/psn-pdf
January 01, 2015 - Leadership, safety climate, and continuous quality
improvement: impact on process quality and patient
safety.
December 12, 2014
McFadden KL, Stock GN, Gowen CR. Leadership, safety climate, and continuous quality improvement:
impact on process quality and patient safety. Health Care Manage Rev. 2015;40(1):24-34.
d…
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psnet.ahrq.gov/node/46594/psn-pdf
November 01, 2017 - Peers without fears? Barriers to effective communication
among primary care physicians and oncologists about
diagnostic delays in cancer.
November 1, 2017
Lipitz-Snyderman A, Kale M, Robbins L, et al. Peers without fears? Barriers to effective communication
among primary care physicians and oncologists about diagn…
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psnet.ahrq.gov/node/40526/psn-pdf
June 15, 2011 - Critical drug–drug interactions for use in electronic health
records systems with computerized physician order
entry: review of leading approaches.
June 15, 2011
Classen DC, Phansalkar S, Bates DW. Critical Drug-Drug Interactions for Use in Electronic Health Records
Systems With Computerized Physician Order Entry.…
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psnet.ahrq.gov/node/41706/psn-pdf
November 08, 2012 - Improving medication safety with accurate preadmission
medication lists and postdischarge education.
November 8, 2012
Gardella JE, Cardwell TB, Nnadi M. Improving medication safety with accurate preadmission medication
lists and postdischarge education. Jt Comm J Qual Patient Saf. 2012;38(10):452-458.
https://psne…
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psnet.ahrq.gov/node/38558/psn-pdf
February 18, 2011 - Medication discrepancies upon hospital to skilled nursing
facility transitions.
February 18, 2011
Tjia J, Bonner A, Briesacher BA, et al. Medication discrepancies upon hospital to skilled nursing facility
transitions. J Gen Intern Med. 2009;24(5):630-5. doi:10.1007/s11606-009-0948-2.
https://psnet.ahrq.gov/issue/m…
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psnet.ahrq.gov/node/41298/psn-pdf
November 27, 2012 - Patient safety culture and the association with safe
resident care in nursing homes.
November 27, 2012
Thomas KS, Hyer K, Castle NG, et al. Patient safety culture and the association with safe resident care in
nursing homes. Gerontologist. 2012;52(6):802-811. doi:10.1093/geront/gns007.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/41884/psn-pdf
December 21, 2014 - Supratherapeutic dosing of acetaminophen among
hospitalized patients.
December 21, 2014
Zhou L, Maviglia SM, Mahoney LM, et al. Supratherapeutic dosing of acetaminophen among hospitalized
patients. Arch Intern Med. 2012;172(22):1721-8.
https://psnet.ahrq.gov/issue/supratherapeutic-dosing-acetaminophen-among-hospit…
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psnet.ahrq.gov/node/45437/psn-pdf
September 01, 2018 - Decreasing malpractice claims by reducing preventable
perinatal harm.
September 1, 2018
Riley W, Meredith LW, Price R, et al. Decreasing Malpractice Claims by Reducing Preventable Perinatal
Harm. Health Serv Res. 2016;51(suppl 3):2453-2471. doi:10.1111/1475-6773.12551.
https://psnet.ahrq.gov/issue/decreasing-malpr…
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psnet.ahrq.gov/node/864850/psn-pdf
March 20, 2024 - Assessing the impact of real-time random safety audits
through full propensity score matching on reliable data
from the clinical information system.
March 20, 2024
Bodí M, Samper MA, Sirgo G, et al. Assessing the impact of real-time random safety audits through full
propensity score matching on reliable data from …