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psnet.ahrq.gov/issue/shifting-and-sharing-academic-physicians-strategies-navigating-underperformance-and-failure
August 21, 2019 - Study
Shifting and sharing: academic physicians' strategies for navigating underperformance and failure.
Citation Text:
LaDonna KA, Ginsburg S, Watling C. Shifting and Sharing: Academic Physicians' Strategies for Navigating Underperformance and Failure. Acad Med. 2018;93(11):1713-1718. d…
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psnet.ahrq.gov/issue/operating-manual-based-usability-evaluation-medical-devices-effective-patient-safety
September 24, 2016 - Study
Operating manual-based usability evaluation of medical devices: an effective patient safety screening method.
Citation Text:
Turley JP, Johnson TR, Smith DP, et al. Operating manual-based usability evaluation of medical devices: an effective patient safety screening method. Jt Comm…
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psnet.ahrq.gov/issue/what-we-know-about-designing-effective-improvement-intervention-too-often-fail-put-practice
September 06, 2017 - Commentary
What we know about designing an effective improvement intervention (but too often fail to put into practice).
Citation Text:
Marshall M, de Silva D, Cruickshank L, et al. What we know about designing an effective improvement intervention (but too often fail to put into practic…
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psnet.ahrq.gov/issue/perceptual-and-interpretive-error-diagnostic-radiology-causes-and-potential-solutions
November 13, 2024 - Commentary
Perceptual and interpretive error in diagnostic radiology—causes and potential solutions.
Citation Text:
Degnan AJ, Ghobadi EH, Hardy P, et al. Perceptual and Interpretive Error in Diagnostic Radiology-Causes and Potential Solutions. Acad Radiol. 2019;26(6):833-845. doi:10.101…
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psnet.ahrq.gov/issue/accuracy-computer-aided-diagnosis-melanoma-meta-analysis
June 26, 2019 - Review
Emerging Classic
Accuracy of computer-aided diagnosis of melanoma: a meta-analysis.
Citation Text:
Dick V, Sinz C, Mittlböck M, et al. Accuracy of Computer-Aided Diagnosis of Melanoma. JAMA Dermatol. 2019;155(11):1291-1299. doi:10.1001/jamadermatol.2019.1…
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psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-rounds-implementation-and-impact
March 27, 2024 - Study
Psychiatry morbidity and mortality rounds: implementation and impact.
Citation Text:
Goldman S, Demaso DR, Kemler B. Psychiatry morbidity and mortality rounds: implementation and impact. Acad Psychiatry. 2009;33(5):383-8. doi:10.1176/appi.ap.33.5.383.
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psnet.ahrq.gov/issue/evaluation-12-strategies-obtaining-second-opinions-improve-interpretation-breast
November 03, 2015 - Study
Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study.
Citation Text:
Elmore JG, Tosteson AN, Pepe MS, et al. Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histo…
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psnet.ahrq.gov/issue/approaches-reducing-most-important-patient-errors-primary-health-care-patient-and
April 12, 2011 - Study
Approaches to reducing the most important patient errors in primary health-care: patient and professional perspectives.
Citation Text:
Buetow S, Kiata L, Liew T, et al. Approaches to reducing the most important patient errors in primary health-care: patient and professional persp…
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psnet.ahrq.gov/issue/engaging-physicians-teamwork-training-quality-and-safety-or-why-dont-your-physicians-get
July 21, 2021 - May 12, 2021
Enhancing Your Medication Error Reporting Program to Improve Global Medication
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psnet.ahrq.gov/issue/patient-safety-practices-leaders-can-turn-barriers-accelerators
September 07, 2011 - October 6, 2011
Economic impact of medication error: a systematic review.
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psnet.ahrq.gov/node/36036/psn-pdf
April 29, 2018 - Rapid response team activation by patients can mitigate
errors.
April 29, 2018
ISMP Medication Safety Alert! Acute care edition. June 1, 2006.
https://psnet.ahrq.gov/issue/rapid-response-team-activation-patients-can-mitigate-errors
This article discusses one hospital's initiative to empower patients and their fami…
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psnet.ahrq.gov/node/37922/psn-pdf
May 02, 2018 - Epidural-IV route mix-ups: reducing the risk of deadly
errors.
May 2, 2018
ISMP Medication Safety Alert! Acute Care Edition. July 3, 2008;13:1-3.
https://psnet.ahrq.gov/issue/epidural-iv-route-mix-ups-reducing-risk-deadly-errors
This article reports on the potentially fatal error of administering epidural medicati…
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psnet.ahrq.gov/issue/errors-surgery-case-control-study
May 01, 2024 - Study
Errors in surgery: a case control study.
Citation Text:
Marsh KM, Turrentine FE, Schenk WG, et al. Errors in surgery: a case control study. Ann Surg. 2022;276(5):e347-e352. doi:10.1097/sla.0000000000005664.
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psnet.ahrq.gov/issue/care-approach-reducing-diagnostic-errors
November 06, 2013 - Commentary
The CARE approach to reducing diagnostic errors.
Citation Text:
Rush JL, Helms SE, Mostow EN. The CARE approach to reducing diagnostic errors. Int J Dermatol. 2017;56(6):669-673. doi:10.1111/ijd.13532.
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psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
December 23, 2020 - May 27, 2011
Medication errors with the use of allopurinol and colchicine: a retrospective
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psnet.ahrq.gov/issue/interorganizational-health-information-exchange-related-patient-safety-incidents-descriptive
November 10, 2021 - May 22, 2024
Enhanced free-text search for aggregated medication error report analysis
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psnet.ahrq.gov/issue/listen-me-i-really-am-sick-patient-and-family-narratives-clinical-deterioration-and-during
June 25, 2018 - January 4, 2012
Use of an audit with feedback implementation strategy to promote medication … error reporting by nurses.
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psnet.ahrq.gov/issue/implementing-patient-and-family-involvement-interventions-promoting-patient-safety-systematic
February 02, 2022 - February 10, 2021
How effective are electronic medication systems in reducing medication … error rates and associated harm among hospital inpatients?
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psnet.ahrq.gov/issue/effect-hospital-electronic-health-record-adoption-nurse-assessed-quality-care-and-patient
March 28, 2012 - Related Resources
How effective are electronic medication systems in reducing medication … error rates and associated harm among hospital inpatients?
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psnet.ahrq.gov/node/72755/psn-pdf
February 17, 2021 - Renal medication-related clinical decision support (CDS)
alerts and overrides in the inpatient setting following
implementation of a commercial electronic health record:
implications for designing more effective alerts.
February 17, 2021
Shah SN, Amato MG, Garlo KG, et al. Renal medication-related clinical decisio…