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psnet.ahrq.gov/issue/review-fdas-approach-medical-product-shortages
June 22, 2011 - Book/Report
A Review of FDA’s Approach to Medical Product Shortages. … Citation Text:
A Review of FDA’s Approach to Medical Product Shortages. … Linkedin
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A Review … July 10, 2019
Medicine Safety: Take Care. … View More
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Outpatient Pharmacy
Policy Makers
Medicine
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psnet.ahrq.gov/issue/prospective-study-factors-influencing-outcome-patients-after-medical-emergency-team-review
March 05, 2010 - A prospective study of factors influencing the outcome of patients after a Medical Emergency Team review … A prospective study of factors influencing the outcome of patients after a Medical Emergency Team review … A prospective study of factors influencing the outcome of patients after a Medical Emergency Team review … View More
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General Hospitals
Critical Care
Emergency Medicine … General Internal Medicine
Hospital Medicine
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psnet.ahrq.gov/issue/taking-detour-positive-and-negative-effects-supervisors-interruptions-during-admission-case
November 21, 2018 - Taking a detour: positive and negative effects of supervisors' interruptions during admission case review … Taking a detour: positive and negative effects of supervisors' interruptions during admission case review … The intended and unintended consequences of communication systems on general internal medicine … See More About The Topic
Hospitals
Health Care Providers
General Internal Medicine … Hospital Medicine
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/issue/establishing-ambulatory-medicine-quality-and-safety-oversight-structure-leveraging-fractal
July 01, 2017 - Commentary
Establishing an ambulatory medicine quality and safety oversight structure … Establishing an Ambulatory Medicine Quality and Safety Oversight Structure: Leveraging the Fractal Model … September 28, 2016
Improving patient safety culture in primary care: a systematic review … Measuring experiences and outcomes of patient safety in primary care: a systematic review … April 22, 2015
Routinely recorded patient safety events in primary care: a literature review
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psnet.ahrq.gov/issue/using-voluntary-reports-physicians-learn-diagnostic-errors-emergency-medicine
February 17, 2016 - Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine … Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. … February 17, 2016
Patient-initiated second opinions: systematic review of characteristics … July 15, 2015
Cognitive interventions to reduce diagnostic error: a narrative review. … Interventions to improve follow-up of laboratory test results pending at discharge: a systematic review
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psnet.ahrq.gov/issue/improving-patient-safety-through-systematic-evaluation-patient-outcomes
August 25, 2011 - Review
Improving patient safety through the systematic evaluation of patient outcomes … patient safety metrics: developing a structured program for improving patient care in the Department of Medicine … Beyond crisis resource management: new frontiers in human factors training for acute care medicine … December 13, 2013
Leadership and patient safety: a review of the literature. … Health Care Executives and Administrators
Safety Scientists
Policy Makers
General Internal Medicine
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psnet.ahrq.gov/issue/evolution-error-error-management-cognitive-constraints-and-adaptive-decision-making-biases
June 03, 2020 - Review
The evolution of error: error management, cognitive constraints, and adaptive … This review describes a framework to prevent errors through understanding decision-making under uncertainty … Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review … September 14, 2022
Diagnostic Error in Medicine. … November 27, 2013
Diagnostic errors and reflective practice in medicine.
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psnet.ahrq.gov/node/37988/psn-pdf
July 13, 2010 - Simulation in graduate medical education 2008: a review
for emergency medicine. … Simulation in graduate medical education 2008: a review for
emergency medicine. … https://psnet.ahrq.gov/issue/simulation-graduate-medical-education-2008-review-emergency-medicine
This … https://psnet.ahrq.gov/issue/simulation-graduate-medical-education-2008-review-emergency-medicine
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psnet.ahrq.gov/issue/interventions-reduce-nurses-medication-administration-errors-inpatient-settings-systematic
October 13, 2021 - Review
Interventions to reduce nurses' medication administration errors in inpatient … settings: a systematic review and meta-analysis. … Interventions to reduce nurses' medication administration errors in inpatient settings: A systematic review … June 27, 2016
"First, know thyself": cognition and error in medicine. … Topic
Hospitals
Health Care Executives and Administrators
Information Professionals
Medicine
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psnet.ahrq.gov/node/43782/psn-pdf
September 28, 2016 - The use of technology for urgent clinician to clinician
communications: a systematic review of the literature … -
literature
Pagers have been a mainstay for urgent clinician–clinician communication for many decades … https://psnet.ahrq.gov/issue/use-technology-urgent-clinician-clinician-communications-systematic-review-literature … https://psnet.ahrq.gov/issue/use-technology-urgent-clinician-clinician-communications-systematic-review-literature … ://psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine
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psnet.ahrq.gov/node/47212/psn-pdf
July 11, 2018 - Medicine and the rise of the robots: a qualitative review of
recent advances of artificial intelligence … https://psnet.ahrq.gov/issue/medicine-and-rise-robots-qualitative-review-recent-advances-artificial- … This review
discusses these considerations and suggests approaches that leaders and clinicians should … https://psnet.ahrq.gov/issue/medicine-and-rise-robots-qualitative-review-recent-advances-artificial-intelligence-health … https://psnet.ahrq.gov/issue/medicine-and-rise-robots-qualitative-review-recent-advances-artificial-intelligence-health
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psnet.ahrq.gov/issue/teaching-internal-medicine-residents-quality-improvement-and-patient-safety-lean-thinking
March 28, 2012 - Commentary
Teaching internal medicine residents quality improvement and patient safety … Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach … Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach … July 13, 2010
Systematic review: effects of resident work hours on patient safety. … March 2, 2011
Effects of work hour reduction on residents' lives: a systematic review
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psnet.ahrq.gov/issue/developing-team-cognition-role-simulation
November 01, 2017 - Review
Developing team cognition: a role for simulation. … December 30, 2008
Toward a definition of teamwork in emergency medicine. … Hacking teamwork in health care: addressing adverse effects of ad hoc team composition in critical care medicine … May 8, 2024
The use of simulation in emergency medicine: a research agenda. … More
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Hospitals
Health Care Providers
Educators
Medicine
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psnet.ahrq.gov/issue/surveying-care-teams-after-hospital-deaths-identify-preventable-harm-and-opportunities
April 17, 2024 - This study reports the results of a mortality review survey in hospital medicine and intensive care units … Researchers identified five deaths that would not have come to light through other hospital case review … The authors conclude that frontline care team surveys can augment existing hospital mortality review … May 24, 2015
The influence of the causes and contexts of medical errors on emergency medicine … More
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Hospitals
Facility and Group Administrators
Medicine
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psnet.ahrq.gov/issue/body-evidence-do-autopsy-findings-impact-medical-malpractice-claim-outcomes
August 19, 2020 - Two physicians completed a blinded review of the claim to determine whether there was major, minor or … A systematic review and meta-analysis. … Conducting safety research safely: a policy-based approach for conducting research with peer review … , paediatrics, family medicine and critical care in the USA. … March 1, 2011
WebM&M Cases
Defensive Medicine: "Glowing
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psnet.ahrq.gov/node/33570/psn-pdf
June 15, 2024 - diagnostic error
accounted for 17% of preventable errors in hospitalized patients, and a systematic review … analysis-surgical-errors-closed-malpractice-claims-4-liability-insurers
https://psnet.ahrq.gov/issue/patient-safety-and-telephone-medicine-some-lessons-closed-claim-case-review … Current Context
The National Academy of Medicine (formerly the Institute of Medicine) released a report … https://psnet.ahrq.gov/issue/cognitive-interventions-reduce-diagnostic-error-narrative-review
https: … //psnet.ahrq.gov/issue/system-related-interventions-reduce-diagnostic-errors-narrative-review
https:/
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psnet.ahrq.gov/issue/critical-behavior-improve-quality-and-patient-safety-health-care-speaking
March 13, 2019 - Related Resources
Artificial intelligence systems for complex decision-making in acute care medicine … : a review. … February 15, 2017
Structure and outcomes of interdisciplinary rounds in hospitalized medicine … patients: a systematic review and suggested taxonomy. … View More
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Hospitals
Health Care Providers
Medicine
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psnet.ahrq.gov/node/46484/psn-pdf
August 20, 2018 - Defining and measuring diagnostic uncertainty in
medicine: a systematic review. … Defining and Measuring Diagnostic Uncertainty in Medicine: A
Systematic Review. … https://psnet.ahrq.gov/issue/defining-and-measuring-diagnostic-uncertainty-medicine-systematic-review … This systematic review of 123 studies sought to characterize diagnostic uncertainty. … https://psnet.ahrq.gov/issue/defining-and-measuring-diagnostic-uncertainty-medicine-systematic-review
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psnet.ahrq.gov/issue/impact-simulation-based-closed-loop-communication-training-medical-errors-pediatric-emergency
July 22, 2020 - A retrospective chart review of all emergency severity index (ESI) level 1 patients (n=9) seen in the … May 3, 2017
Controlled interventions to reduce burnout in physicians: a systematic review … May 29, 2024
Improving emergency medicine clinician awareness of prehospital-administered … training interventions on safety culture and patient safety in emergency departments: a systematic review … January 26, 2022
Pediatric crisis resource management training improves emergency medicine
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psnet.ahrq.gov/issue/new-evidence-based-estimate-patient-harms-associated-hospital-care
October 19, 2022 - Review
A new, evidence-based estimate of patient harms associated with hospital care … The seminal 1999 Institute of Medicine study estimated that as many as 98,000 patients may die each … July 24, 2009
Simulation in graduate medical education 2008: a review for emergency medicine … Part 2: a review of strategies and activities for improving medication safety 2002-2008. … Hospital Medicine
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