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psnet.ahrq.gov/issue/effect-systems-intervention-quality-and-safety-patient-handoffs-internal-medicine-residency
May 08, 2017 - Study
Effect of a systems intervention on the quality and safety of patient handoffs in an internal medicine residency program.
Citation Text:
Graham KL, Marcantonio ER, Huang GC, et al. Effect of a systems intervention on the quality and safety of patient handoffs in an internal medicin…
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psnet.ahrq.gov/node/850938/psn-pdf
June 21, 2023 - AI in medicine needs to be carefully deployed to counter
bias – and not entrench it.
June 21, 2023
Levi R, Gorenstein D. Health Shots. National Public Radio. June 6, 2023.
https://psnet.ahrq.gov/issue/ai-medicine-needs-be-carefully-deployed-counter-bias-and-not-entrench-it
Systemic biases are present in data …
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psnet.ahrq.gov/node/47645/psn-pdf
April 17, 2019 - When a nurse is prosecuted for a fatal medical mistake,
does it make medicine safer?
April 17, 2019
Gordon M. Health Shots. National Public Radio. April 10, 2019.
https://psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer
Punitive responses to medical errors persist despit…
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psnet.ahrq.gov/node/46073/psn-pdf
May 30, 2018 - The burnout crisis in American medicine.
May 30, 2018
Xu R. The Atlantic. May 11, 2018.
https://psnet.ahrq.gov/issue/burnout-crisis-american-medicine
Clinician burnout is a growing concern in health care. This magazine article illustrates how ineffective
electronic health record systems contribute to the problem a…
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psnet.ahrq.gov/node/43820/psn-pdf
February 18, 2015 - Care of the clinician after an adverse event.
February 18, 2015
Pratt SD, Jachna BR. Care of the clinician after an adverse event. Int J Obstet Anesth. 2014;24(1):54-63.
doi:10.1016/j.ijoa.2014.10.001.
https://psnet.ahrq.gov/issue/care-clinician-after-adverse-event
Spotlighting the emotional impact adverse events …
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psnet.ahrq.gov/node/47943/psn-pdf
May 20, 2019 - Governing the safety of artificial intelligence in
healthcare.
May 20, 2019
Macrae C. Governing the safety of artificial intelligence in healthcare. BMJ Qual Saf. 2019;28(6):495-498.
doi:10.1136/bmjqs-2019-009484.
https://psnet.ahrq.gov/issue/governing-safety-artificial-intelligence-healthcare
The unintended risk…
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psnet.ahrq.gov/node/45281/psn-pdf
September 01, 2016 - Screen flashes and pop-up reminders: 'alert fatigue'
spreads through medicine.
September 1, 2016
Luthra S. Kaiser Health News. June 15, 2016.
https://psnet.ahrq.gov/issue/screen-flashes-and-pop-reminders-alert-fatigue-spreads-through-medicine
Alert fatigue is known to contribute to medical error. This news article…
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psnet.ahrq.gov/node/853962/psn-pdf
September 27, 2023 - Diagnosing fast and slow: cognitive bias in obstetrics.
September 27, 2023
Atallah F, Gomes C, Minkoff H. Diagnosing fast and slow: cognitive bias in obstetrics. Obstet Gynecol.
2023;142(3):727-732. doi:10.1097/aog.0000000000005303.
https://psnet.ahrq.gov/issue/diagnosing-fast-and-slow-cognitive-bias-obstetrics
Re…
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psnet.ahrq.gov/node/73853/psn-pdf
September 22, 2021 - Incidence of prescription errors in patients discharged
from the emergency department.
September 22, 2021
Gregory H, Cantley M, Calhoun C, et al. Incidence of prescription errors in patients discharged from the
emergency department. Am J Emerg Med. 2021;46:266-270. doi:10.1016/j.ajem.2020.07.061.
https://psnet.ahr…
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psnet.ahrq.gov/node/40811/psn-pdf
June 25, 2012 - Utility of clinical examination in the diagnosis of
emergency department patients admitted to the
department of medicine of an academic hospital.
June 25, 2012
Paley L, Zornitzki T, Cohen J, et al. Utility of clinical examination in the diagnosis of emergency department
patients admitted to the department of medic…
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psnet.ahrq.gov/node/44330/psn-pdf
September 02, 2015 - Health Literacy: Past, Present, and Future: Workshop
Summary.
September 2, 2015
Alper J; Roundtable on Health Literacy; Board on Population Health and Public Health Practice; Institute of
Medicine. Washington, DC: National Academies of Sciences, Engineering, and Medicine; 2015. ISBN:
9780309371544.
https://psnet.…
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psnet.ahrq.gov/node/73643/psn-pdf
August 01, 2022 - ECHO-Care Transitions Successfully Reduces Patient
Readmissions from Skilled Nursing Facilities, Reduces
Length of Stay
August 25, 2021
https://psnet.ahrq.gov/innovation/echo-care-transitions-successfully-reduces-patient-readmissions-skilled-
nursing
Summary
ECHO-Care Transitions (ECHO-CT) intends to ensure cont…
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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 Management Learning Tool.
Citation Text:
Safety in Numbers: Evidence-based Development of a Medicine Management Learning Tool. Holland K, ed. Nurse Educ Pract. 2013;13(2):e1-e87.
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psnet.ahrq.gov/issue/improvedx
November 08, 2017 - Newsletter/Journal
ImproveDX.
Citation Text:
ImproveDX. Society to Improve Diagnosis in Medicine.
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February 2…
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psnet.ahrq.gov/issue/identifying-and-preventing-medication-errors
September 29, 2017 - Multi-use Website
Identifying and Preventing Medication Errors.
Citation Text:
Identifying and Preventing Medication Errors. Institute of Medicine; IOM
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psnet.ahrq.gov/issue/minnesota-hospitals-are-testing-ways-reduce-return-trips
January 18, 2012 - Newspaper/Magazine Article
Minnesota hospitals are testing ways to reduce return trips.
Citation Text:
Minnesota hospitals are testing ways to reduce return trips. Lerner M. Lerner M. Star Tribune. October 11, 2012.
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psnet.ahrq.gov/issue/first-do-no-harm-1
May 03, 2023 - Newsletter/Journal
FIRST Do No Harm.
Citation Text:
FIRST Do No Harm. Wakefield, MA: Quality and Patient Safety Division, Massachusetts Board of Registration in Medicine.
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psnet.ahrq.gov/issue/nam-action-collaborative-clinician-well-being-and-resilience
June 15, 2011 - Multi-use Website
NAM Action Collaborative on Clinician Well-Being and Resilience.
Citation Text:
NAM Action Collaborative on Clinician Well-Being and Resilience. Washington, DC: National Academy of Medicine.
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psnet.ahrq.gov/issue/diagnostic-error-overconfidence-problem
January 16, 2013 - Special or Theme Issue
Diagnostic Error: Is Overconfidence the Problem.
Citation Text:
Diagnostic Error: Is Overconfidence the Problem. Graber ML, Berner ES, eds. Amer J Med. 2008;121(5 Suppl):S1-S46.
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psnet.ahrq.gov/issue/shifting-risks-night
July 06, 2011 - Newspaper/Magazine Article
Shifting the risks at night.
Citation Text:
Shifting the risks at night. Boodman SG. Washington Post. June 7, 2011:E7.
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