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psnet.ahrq.gov/issue/evaluation-symptom-checkers-self-diagnosis-and-triage-audit-study
December 08, 2021 - Study
Classic
Evaluation of symptom checkers for self diagnosis and triage: audit study.
Citation Text:
Semigran HL, Linder JA, Gidengil C, et al. Evaluation of symptom checkers for self diagnosis and triage: audit study. BMJ. 2015;351:h3480. doi:10.1136/bmj.h34…
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psnet.ahrq.gov/issue/insurance-claims-wrong-side-wrong-organ-wrong-procedure-or-wrong-person-surgical-errors
October 20, 2021 - Study
Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years.
Citation Text:
Vacheron C-H, Acker A, Autran M, et al. Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors:…
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psnet.ahrq.gov/issue/its-two-worlds-apart-analysis-vulnerable-patient-handover-practices-discharge-hospital
January 15, 2025 - Study
"It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital.
Citation Text:
Groene RO, Orrego C, Suñol R, et al. "It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital. BMJ Qu…
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psnet.ahrq.gov/issue/triad-ix-can-patient-testimonial-safely-help-ensure-prehospital-appropriate-critical-versus
April 03, 2017 - Study
TRIAD IX: can a patient testimonial safely help ensure prehospital appropriate critical versus end-of-life care?
Citation Text:
Mirarchi FL, Cammarata C, Cooney TE, et al. TRIAD IX: can a patient testimonial safely help ensure prehospital appropriate critical versus end-of-life car…
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psnet.ahrq.gov/issue/electronic-patient-identification-sample-labeling-reduces-wrong-blood-tube-errors
September 20, 2012 - Study
Emerging Classic
Electronic patient identification for sample labeling reduces wrong blood in tube errors.
Citation Text:
Kaufman RM, Dinh A, Cohn CS, et al. Electronic patient identification for sample labeling reduces wrong blood in tube errors. Transfus…
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psnet.ahrq.gov/issue/characteristics-disease-specific-and-generic-diagnostic-pitfalls-qualitative-study
December 02, 2020 - Study
Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study.
Citation Text:
Schiff GD, Volodarskaya M, Ruan E, et al. Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. JAMA Netw Open. 2022;5(1):e2144531. doi:10.10…
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psnet.ahrq.gov/issue/systematic-review-exploring-content-and-outcomes-interventions-improve-psychological-safety
October 28, 2020 - Review
Classic
A systematic review exploring the content and outcomes of interventions to improve psychological safety, speaking up and voice behaviour.
Citation Text:
O’Donovan R, McAuliffe E. A systematic review exploring the content and outcomes of interventi…
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psnet.ahrq.gov/issue/impact-teamwork-and-communication-training-interventions-safety-culture-and-patient-safety
October 07, 2020 - Review
Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review.
Citation Text:
Alsabri M, Boudi Z, Lauque D, et al. Impact of teamwork and communication training interventions on safety culture and pat…
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psnet.ahrq.gov/issue/exploring-theory-barriers-and-enablers-patient-and-public-involvement-across-health-social
February 17, 2021 - Review
Classic
Exploring the theory, barriers and enablers for patient and public involvement across health, social care and patient safety: a systematic review of reviews.
Citation Text:
Ocloo J, Garfield S, Franklin BD, et al. Exploring the theory, barriers an…
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psnet.ahrq.gov/issue/are-operating-room-distractions-interruptions-and-disruptions-associated-performance-and
December 02, 2020 - Review
Are operating room distractions, interruptions, and disruptions associated with performance and patient safety? A systematic review and meta-analysis.
Citation Text:
Mcmullan RD, Urwin R, Gates PJ, et al. Are operating room distractions, interruptions and disruptions associated wi…
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psnet.ahrq.gov/web-mm/need-eat
February 10, 2021 - Tentative nil per os leads to poor outcomes in older adults with aspiration pneumonia.
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psnet.ahrq.gov/node/50755/psn-pdf
December 18, 2019 - Tentative nil per os leads to poor outcomes in older adults with aspiration
pneumonia.
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psnet.ahrq.gov/node/867672/psn-pdf
February 26, 2025 - This common cognitive bias leads to premature closure, or the
acceptance of a diagnosis before it is
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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - Cases
Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads
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psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
June 14, 2023 - The heterogeneity of the US healthcare system leads to substantial variability in the criteria for admission
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psnet.ahrq.gov/perspective/conversation-charles-ornstein
October 01, 2009 - When we are lucky, breathless coverage of a single case later leads to more thoughtful analyses of the
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psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
October 01, 2009 - When we are lucky, breathless coverage of a single case later leads to more thoughtful analyses of the
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psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
September 27, 2017 - Misidentifying the Unidentified – John Doe and the EHR
Citation Text:
Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/node/865570/psn-pdf
April 10, 2024 - Risk Mitigation Using the Anesthesia Risk Alert Program:
Applying a Proactive Approach With Data Review &
Collaborating With a Second Practitioner
April 10, 2024
https://psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-
approach-data
Summary
North American Partners…
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psnet.ahrq.gov/perspective/patient-safety-and-evolution-webmm-and-psnet
April 01, 2008 - Patient Safety and the Evolution of WebM&M and PSNet
September 1, 2019
View more articles from the same authors.
Citation Text:
Ranji SR, Wachter R. Patient Safety and the Evolution of WebM&M and PSNet. PSNet [internet]. Rockville (MD): Agency for Healthcare Resea…