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psnet.ahrq.gov/issue/linking-acknowledgement-action-closing-loop-non-urgent-clinically-significant-test-results
July 02, 2019 - Study
Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record.
Citation Text:
Dalal A, Pesterev BM, Eibensteiner K, et al. Linking acknowledgement to action: closing the loop on non-urgent, clinically signific…
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psnet.ahrq.gov/issue/racial-and-ethnic-differences-emergency-department-diagnostic-imaging-us-childrens-hospitals
April 22, 2020 - Study
Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019.
Citation Text:
Marin JR, Rodean J, Hall M, et al. Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019. JAMA Net…
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digital.ahrq.gov/funding-mechanism/policy-relevant-evaluations-inform-development-health-it-meaningful-use-objectives
January 01, 2023 - Policy Relevant Evaluations to Inform Development of Health IT Meaningful Use Objectives (R18)
Adoption of a portal for the primary care management of pediatric asthma: a mixed-methods implementation study.
Citation
Fiks AG, DuRivage N, Mayne SL, et al. Adoption of a portal fo…
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psnet.ahrq.gov/issue/enabling-enacting-and-elaborating-factors-safety-culture-associated-patient-safety-multilevel
September 21, 2022 - Study
The enabling, enacting, and elaborating factors of safety culture associated with patient safety: a multilevel analysis.
Citation Text:
Lee SE, Dahinten VS. The enabling, enacting, and elaborating factors of safety culture associated with patient safety: a multilevel analysis. J Nu…
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psnet.ahrq.gov/issue/bracing-storm-one-health-care-systems-planning-covid-19-surge
July 22, 2020 - Commentary
Bracing for the storm: one health care system's planning for the COVID-19 surge.
Citation Text:
Kim CS, Meo N, Little D, et al. Bracing for the storm: one health care system's planning for the COVID-19 surge. Jt Comm J Qual Patient Saf. 2021;47(1):60-68. doi:10.1016/j.jcjq.202…
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psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and
September 25, 2024 - Study
Classic
Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error.
Citation Text:
Edmondson AC. Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences o…
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psnet.ahrq.gov/issue/assessment-impact-just-culture-quality-and-safety-us-hospitals
April 13, 2017 - Study
Emerging Classic
An assessment of the impact of just culture on quality and safety in US hospitals.
Citation Text:
Edwards MT. An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. Am J Med Qual. 2018;33(5):502-508. doi:10.1177…
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psnet.ahrq.gov/issue/qualitative-analysis-outpatient-medication-use-community-settings-observed-safety
October 26, 2022 - Study
A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety.
Citation Text:
Lyson HC, Sharma AE, Cherian R, et al. A Qualitative Analysis of Outpatient Medication Use in Community Setting…
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psnet.ahrq.gov/issue/designing-distractions-human-factors-approach-decreasing-interruptions-centralised-medication
July 27, 2018 - Study
Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station.
Citation Text:
Colligan L, Guerlain S, Steck SE, et al. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication…
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psnet.ahrq.gov/issue/im-concerned-multi-site-assessment-emergency-medicine-resident-speaking-behaviors
December 02, 2020 - Study
“I’m concerned”: a multi-site assessment of emergency medicine resident speaking up behaviors.
Citation Text:
Feldman N, Volz N, Snow T, et al. “I’m concerned”: A multi-site assessment of emergency medicine resident speaking up behaviors. J Patient Saf Risk Manag. 2022;27(5):229-23…
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psnet.ahrq.gov/issue/mixed-methods-systematic-review-interventions-address-incivility-nursing
December 02, 2020 - Review
A mixed-methods systematic review of interventions to address incivility in nursing.
Citation Text:
Olsen JM, Aschenbrenner A, Merkel R, et al. A mixed-methods systematic review of interventions to address incivility in nursing. J Nurs Educ. 2020;59(6):319-326. doi:10.3928/0148483…
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psnet.ahrq.gov/issue/leadership-and-high-reliability-transformation-qualitative-study-truman-va-medical-center
May 31, 2023 - Study
Leadership and the high reliability transformation: a qualitative study at Truman VA medical center.
Citation Text:
Leonard C, Gilmartin HM, Starr LM, et al. Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. J Healthc Risk Manag. 2…
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psnet.ahrq.gov/issue/deficiencies-quality-management-processes-and-delays-communication-test-results-and-follow
March 01, 2023 - Book/Report
Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Follow-Up Care at the Phoenix VA Health Care System in Arizona.
Citation Text:
Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Fol…
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psnet.ahrq.gov/issue/effectiveness-and-risks-long-term-opioid-therapy-chronic-pain-systematic-review-national
March 04, 2011 - Review
The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention Workshop.
Citation Text:
Chou R, Turner JA, Devine EB, et al. The effectiveness and risks of long-term opioid therapy for chroni…
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psnet.ahrq.gov/issue/emergency-department-trigger-tool-novel-approach-screening-quality-and-safety-events
August 24, 2022 - Study
The emergency department trigger tool: a novel approach to screening for quality and safety events.
Citation Text:
Griffey RT, Schneider RM, Todorov AA. The emergency department trigger tool: a novel approach to screening for quality and safety events. Ann Emerg Med. 2020;76(2):230…
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psnet.ahrq.gov/issue/it-depends-who-you-ask-divergences-staff-and-external-stakeholder-narratives-about-causes
August 05, 2020 - Study
It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure.
Citation Text:
Hald EJ, Gillespie A, Reader TW. It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthca…
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psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-safety
July 01, 2017 - Commentary
Classic
Paying the piper: investing in infrastructure for patient safety.
Citation Text:
Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8.
Co…
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psnet.ahrq.gov/issue/false-dawns-and-new-horizons-patient-safety-research-and-practice
July 24, 2024 - Commentary
False dawns and new horizons in patient safety research and practice.
Citation Text:
Mannion R, Braithwaite J. False Dawns and New Horizons in Patient Safety Research and Practice. Int J Health Policy Manag. 2017;6(12). doi:10.15171/ijhpm.2017.115.
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psnet.ahrq.gov/issue/does-app-day-keep-doctor-away-ai-symptom-checker-applications-entrenched-bias-and
March 14, 2018 - Commentary
Does an app a day keep the doctor away? AI symptom checker applications, entrenched bias, and professional responsibility.
Citation Text:
Zawati M'n H, Lang M. Does an app a day keep the doctor away? AI symptom checker applications, entrenched bias, and professional responsibi…
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psnet.ahrq.gov/issue/hospital-computerized-provider-order-entry-adoption-and-quality-examination-united-states
May 20, 2020 - Study
Hospital computerized provider order entry adoption and quality: an examination of the United States.
Citation Text:
Kazley AS, Diana ML. Hospital computerized provider order entry adoption and quality: an examination of the United States. Health Care Manage Rev. 2011;36(1):86-94…