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psnet.ahrq.gov/issue/cognitive-health-system
September 04, 2024 - Commentary
The cognitive health system.
Citation Text:
Coiera E. The cognitive health system. Lancet. 2020;395(10222):463-466. doi:10.1016/s0140-6736(19)32987-3.
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psnet.ahrq.gov/issue/mindless-mindful-practice-cognitive-bias-and-clinical-decision-making
November 23, 2016 - Commentary
From mindless to mindful practice—cognitive bias and clinical decision making.
Citation Text:
Croskerry P. From mindless to mindful practice--cognitive bias and clinical decision making. N Engl J Med. 2013;368(26):2445-2448. doi:10.1056/NEJMp1303712.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mcdonald-cj-et-al-1984
January 01, 2023 - McDonald CJ et al. 1984 "Reminders to physicians from an introspective computer medical record."
Reference
McDonald CJ, Hui SL, Smith DM, et al. Reminders to physicians from an introspective computer medical record. Ann Intern Med 1984;100(1):130-138.
Abstract
"We developed a computer-stored m…
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psnet.ahrq.gov/issue/ai-ecosystem-ensuring-generative-ai-safe-and-effective
January 16, 2019 - Commentary
AI as an ecosystem — ensuring generative AI is safe and effective.
Citation Text:
Coiera E, Fraile-Navarro D. AI as an ecosystem — ensuring generative AI is safe and effective. NEJM AI. 2024;1(9):AIp2400611. doi:10.1056/aip2400611.
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psnet.ahrq.gov/issue/policy-and-future-adverse-event-detection-using-information-technology
August 31, 2011 - Commentary
Policy and the future of adverse event detection using information technology.
Citation Text:
Bates DW, Evans S, Murff HJ, et al. Policy and the future of adverse event detection using information technology. J Am Med Inform Assoc. 2003;10(2):226-8.
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psnet.ahrq.gov/issue/nurse-driven-system-improving-patient-quality-outcomes
October 12, 2011 - Commentary
A nurse-driven system for improving patient quality outcomes.
Citation Text:
Johnson K, Hallsey D, Meredith RL, et al. A nurse-driven system for improving patient quality outcomes. J Nurs Care Qual. 2006;21(2):168-175.
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psnet.ahrq.gov/issue/medical-error-second-victim-0
February 17, 2017 - Commentary
Medical error: the second victim.
Citation Text:
McCay L, Wu AW. Medical error: the second victim. Br J Hosp Med (Lond). 2012;73(10):C146-148.
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psnet.ahrq.gov/issue/re-engineered-discharge-red-toolkit
June 20, 2014 - Toolkit
Re-Engineered Discharge (RED) Toolkit.
Citation Text:
Re-Engineered Discharge (RED) Toolkit. Jack B, Paasche-Orlow M, Mitchell S, Forsythe S, Martin J. Rockville, MD: Agency for Healthcare Research and Quality; September 2015. AHRQ Publication No. 12(13)-0084.
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psnet.ahrq.gov/issue/diagnostic-errors-primary-care-lessons-learned
September 12, 2011 - Study
Diagnostic errors in primary care: lessons learned.
Citation Text:
Ely JW, Kaldjian LC, D'Alessandro DM. Diagnostic errors in primary care: lessons learned. J Am Board Fam Med. 2012;25(1):87-97. doi:10.3122/jabfm.2012.01.110174.
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psnet.ahrq.gov/issue/independent-double-checks-worth-effort-if-used-judiciously-and-properly
January 23, 2019 - Newspaper/Magazine Article
Independent double checks: worth the effort if used judiciously and properly.
Citation Text:
Independent double checks: worth the effort if used judiciously and properly. ISMP Medication Safety Alert! Acute Care Edition. June 6, 2019;24:1-7.
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psnet.ahrq.gov/issue/diagnostic-excellence-through-lens-patient-centeredness
June 24, 2020 - Commentary
Diagnostic excellence through the lens of patient-centeredness.
Citation Text:
Berwick DM. Diagnostic Excellence Through the Lens of Patient-Centeredness. JAMA. 2021;326(21):2127-2128. doi:10.1001/jama.2021.19513.
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psnet.ahrq.gov/issue/pediatric-readiness-emergency-department
March 14, 2018 - Organizational Policy/Guidelines
Pediatric Readiness in the Emergency Department.
Citation Text:
Remick K, Gausche-Hill M, Joseph MM, et al. Pediatric Readiness in the Emergency Department. Pediatrics. 2018;142(5):e20182459. doi:10.1542/peds.2018-2459.
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psnet.ahrq.gov/issue/health-care-leader-action-guide-reduce-avoidable-readmissions
March 14, 2018 - Book/Report
Health Care Leader Action Guide to Reduce Avoidable Readmissions.
Citation Text:
Health Care Leader Action Guide to Reduce Avoidable Readmissions. Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The John Hartford Foundation, Healt…
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psnet.ahrq.gov/issue/eliminating-cauti-interim-data-report-national-patient-safety-imperative
August 01, 2012 - Government Resource
Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative.
Citation Text:
Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative. Rockville, MD: Agency for Healthcare Research and Quality; July 2013. AHRQ Publication No. 13…
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psnet.ahrq.gov/issue/patient-safety-education-what-was-what-and-what-will-be
April 10, 2019 - Commentary
Patient safety education: what was, what is, and what will be?
Citation Text:
Klamen D, Sanserino K, Skolnik PJ. Patient Safety Education: What Was, What Is, and What Will Be? Teach Learn Med. 2013;25(sup1). doi:10.1080/10401334.2013.842906.
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psnet.ahrq.gov/issue/role-automation-complex-system-failures
June 28, 2013 - Commentary
The role of automation in complex system failures.
Citation Text:
Perry SJ, Wears RL, Cook RI. The role of automation in complex system failures. J Patient Saf. 2005;1(1):56-61. https://journals.lww.com/journalpatientsafety/Fulltext/2005/03000/The_Role_of_Automation_in_Compl…
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psnet.ahrq.gov/issue/measurement-and-training-teamstepps-dimensions-using-medical-team-performance-assessment-tool
March 09, 2009 - Commentary
Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool.
Citation Text:
Lineberry M, Bryan E, Brush T, et al. Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool. Jt Comm J Qual Pat…
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psnet.ahrq.gov/issue/systematic-systems-analysis-practical-approach-patient-safety-reviews
October 27, 2015 - Book/Report
Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews.
Citation Text:
Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews. Duchscherer C, Davies JM. Calgary, Alberta, Canada: Health Quality Council of Alberta; 2012.
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psnet.ahrq.gov/issue/im-er-doctor-heres-what-i-found-when-i-asked-chatgpt-diagnose-my-patients
November 06, 2012 - Newspaper/Magazine Article
I’m an ER doctor: here’s what I found when I asked ChatGPT to diagnose my patients.
Citation Text:
I’m an ER doctor: here’s what I found when I asked ChatGPT to diagnose my patients. Tamayo-Sarver J. Fast Company. March 13, 2023.
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psnet.ahrq.gov/issue/documenting-day-discussion-ahead-crest-wave-creating-national-agenda-systemic-change-enhanced
April 28, 2021 - Book/Report
Documenting a Day of Discussion: Ahead of the Crest of the Wave Creating the National Agenda for Systemic Change for Enhanced Clinician Well-Being.
Citation Text:
Documenting a Day of Discussion: Ahead of the Crest of the Wave Creating the National Agenda for Systemic Change …