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psnet.ahrq.gov/node/73257/psn-pdf
December 01, 2021 - Peer Review of a Report on Strategies to Improve Patient
Safety. … May 12, 2021
Washington DC: National Academies of Sciences, Engineering, and Medicine; 2021. … https://psnet.ahrq.gov/issue/peer-review-report-strategies-improve-patient-safety
The Patient Safety … the Institute of
Medicine (now the National Academy of Medicine (NAM)). … This publication reflects NAM’s review of the
draft report.
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psnet.ahrq.gov/node/47301/psn-pdf
September 02, 2018 - How common are cognitive errors in cases presented at
emergency medicine resident morbidity and mortality … How common are cognitive errors in cases presented at emergency medicine
resident morbidity and mortality … This retrospective review of cases presented at one hospital's emergency medicine morbidity and mortality … diagnostic-errors
https://psnet.ahrq.gov/issue/cognitive-biases-associated-medical-decisions-systematic-review … https://psnet.ahrq.gov/issue/cognitive-biases-associated-medical-decisions-systematic-review
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psnet.ahrq.gov/issue/improving-patient-care-cognitive-psychology-missed-diagnoses
October 03, 2012 - collection entitled “Quality Grand Rounds,” a series of articles published in the Annals of Internal Medicine … June 16, 2010
Nurse–patient ratios as a patient safety strategy: a systematic review. … December 5, 2012
Narrative review: do state laws make it easier to say "I'm sorry"? … May 16, 2018
The thinking doctor: clinical decision making in contemporary medicine. … 2016
The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine
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psnet.ahrq.gov/issue/analysis-critical-incident-reports-using-natural-language-processing
June 14, 2023 - processing (NLP) has been used to categorize patient safety reports and reduce the burden of manual review … A literature review. … December 20, 2017
Emergency medicine quality improvement and patient safety curriculum … November 30, 2012
A survey of the use of time-out protocols in emergency medicine. … May 25, 2011
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Hospitals
Hospital Medicine
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psnet.ahrq.gov/issue/effect-pharmacists-medication-errors-emergency-department
September 23, 2020 - This study found that using pharmacists to prospectively review medication orders reduced the likelihood … March 23, 2022
A literature review of the training offered to qualified prescribers to … March 6, 2015
Emergency department discharge prescription interventions by emergency medicine … April 4, 2011
Effect of emergency medicine pharmacists on medication-error reporting … More
See More About The Topic
Emergency Departments
Pharmacists
Emergency Medicine
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psnet.ahrq.gov/issue/care-clinician-after-adverse-event
March 03, 2021 - Review
Care of the clinician after an adverse event. … physical and psychological reactions of second victims, the increased awareness of human error in medicine … 12, 2019
Artificial intelligence systems for complex decision-making in acute care medicine … : a review. … See More About The Topic
Hospitals
Health Care Executives and Administrators
Medicine
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psnet.ahrq.gov/issue/making-use-mortality-data-improve-quality-and-safety-general-practice-review-current
November 17, 2010 - Review
Making use of mortality data to improve quality and safety in general practice … : a review of current approaches. … Making use of mortality data to improve quality and safety in general practice: a review of current approaches … August 27, 2008
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Family Medicine … Primary Care
General Internal Medicine
Quality Improvement Strategies
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psnet.ahrq.gov/issue/theres-science-team-development-interventions-organizations
January 15, 2020 - Review
There's a science for that: team development interventions in organizations … This review examines the effectiveness of team training and team building strategies for improving team … Hacking teamwork in health care: addressing adverse effects of ad hoc team composition in critical care medicine … October 7, 2013
Uncertainty in decision making in medicine: a scoping review and thematic … A systematic review.
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psnet.ahrq.gov/issue/laboratory-medicine-handoff-gaps-experienced-primary-care-practices-report-shared-networks
September 01, 2012 - Study
Laboratory medicine handoff gaps experienced by primary care practices: a report … Laboratory medicine handoff gaps experienced by primary care practices: A report from the shared networks … Download Citation
Related Resources From the Same Author(s)
Directed peer review … September 1, 2012
Artificial intelligence versus clinicians: systematic review of design … The safety implications of missed test results for hospitalised patients: a systematic review
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psnet.ahrq.gov/issue/self-reported-patient-safety-competence-among-new-graduates-medicine-nursing-and-pharmacy
February 14, 2015 - Study
Self-reported patient safety competence among new graduates in medicine, nursing … Self-reported patient safety competence among new graduates in medicine, nursing and pharmacy. … educational interventions provided to healthcare providers to reduce medication errors: a systematic review … 9, 2017
The role of morbidity and mortality rounds in medical education: a scoping review … May 18, 2016
Educating medical trainees on medication reconciliation: a systematic review
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psnet.ahrq.gov/issue/prospective-review-adverse-events-during-interhospital-transfers-neonates-dedicated-neonatal
March 03, 2011 - Study
A prospective review of adverse events during interhospital transfers of neonates … A prospective review of adverse events during interhospital transfers of neonates by a dedicated neonatal … A prospective review of adverse events during interhospital transfers of neonates by a dedicated neonatal … Same Author(s)
Adverse events associated with the use of complementary and alternative medicine … December 31, 2014
Retrieval medicine: a review and guide for UK practitioners.
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psnet.ahrq.gov/node/45041/psn-pdf
September 28, 2016 - Structure and outcomes of interdisciplinary rounds in
hospitalized medicine patients: a systematic review … Structure and outcomes of interdisciplinary rounds in
hospitalized medicine patients: A systematic review … https://psnet.ahrq.gov/issue/structure-and-outcomes-interdisciplinary-rounds-hospitalized-medicine- … This systematic review
found wide variation in rounding activities and the composition of interdisciplinary … https://psnet.ahrq.gov/issue/structure-and-outcomes-interdisciplinary-rounds-hospitalized-medicine-patients-systematic
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psnet.ahrq.gov/issue/educational-agenda-diagnostic-error-reduction
February 27, 2019 - Review
Educational agenda for diagnostic error reduction. … This review outlines an educational approach to enhance clinical and diagnostic reasoning skills for … August 20, 2018
Diagnostic error in medicine: analysis of 583 physician-reported errors … February 23, 2022
Diagnostic reasoning in cardiovascular medicine. … June 12, 2019
Teaching medical error disclosure to physicians-in-training: a scoping review
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psnet.ahrq.gov/node/852275/psn-pdf
January 01, 2024 - Improving emergency medicine clinician awareness of
prehospital-administered medications. … Improving emergency medicine clinician awareness of prehospital-
administered medications. … https://psnet.ahrq.gov/issue/improving-emergency-medicine-clinician-awareness-prehospital-administered … Although most ED providers reported they "always"
review the triage note, MAE rates did not improve … https://psnet.ahrq.gov/issue/review-article-improving-hospital-clinical-handover-between-paramedics-and-emergency
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psnet.ahrq.gov/issue/guidance-patient-safety-ophthalmology-royal-college-ophthalmologists
November 12, 2014 - Review
Guidance on patient safety in ophthalmology from the Royal College of Ophthalmologists … This review article offers a guide to the safe delivery of ophthalmology services in the United Kingdom … Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society … of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of … Academic Emergency Medicine.
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psnet.ahrq.gov/issue/cost-poor-blood-specimen-quality-and-errors-preanalytical-processes
April 22, 2009 - Review
The cost of poor blood specimen quality and errors in preanalytical processes … A systematic review. … August 2, 2015
The value of autopsies in the era of high-tech medicine: discrepant findings … When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine … Hospitals
Health Care Providers
Quality and Safety Professionals
Pathology and Laboratory Medicine
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psnet.ahrq.gov/issue/safety-numbers-evidence-based-development-medicine-management-learning-tool
June 30, 2013 - Special or Theme Issue
Safety in Numbers: Evidence-based Development of a Medicine … Citation Text:
Safety in Numbers: Evidence-based Development of a Medicine Management Learning Tool … July 11, 2018
Diagnostic Error in Medicine. … October 24, 2018
Medication errors involving nursing students: a systematic review. … A literature review.
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psnet.ahrq.gov/node/41465/psn-pdf
January 31, 2013 - Emergency department discharge prescription
interventions by emergency medicine pharmacists. … Emergency department discharge prescription interventions
by emergency medicine pharmacists. … An earlier systematic review found that ED pharmacists were able to consistently identify potential … https://psnet.ahrq.gov/issue/clinical-pharmacists-and-inpatient-medical-care-systematic-review
https … national-patient-safety-goals
https://psnet.ahrq.gov/issue/effect-clinical-pharmacists-care-emergency-department-systematic-review
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psnet.ahrq.gov/node/865974/psn-pdf
May 29, 2024 - Minimizing bias when using artificial intelligence in
critical care medicine. … Minimizing bias when using artificial intelligence in critical care medicine. … https://psnet.ahrq.gov/issue/minimizing-bias-when-using-artificial-intelligence-critical-care-medicine … This review details potential sources of bias across the AI
lifecycle and proposes strategies to reduce … algorithmic-bias-playbook
https://psnet.ahrq.gov/issue/unmasking-bias-artificial-intelligence-systematic-review-bias-detection-and-mitigation
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psnet.ahrq.gov/issue/fallible-medicine-responding-errors-emergency-care
July 01, 2015 - Newspaper/Magazine Article
Fallible medicine: responding to errors in emergency care … Citation Text:
Fallible medicine: responding to errors in emergency care. Whitehead S. … Copy URL
Cite
Citation
Citation Text:
Fallible medicine … April 29, 2020
A review of adverse event reports from emergency departments in … July 14, 2010
Medical error identification, disclosure, and reporting: do emergency medicine