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psnet.ahrq.gov/issue/ambiguity-and-workarounds-contributors-medical-error
December 23, 2008 - Commentary
Ambiguity and workarounds as contributors to medical error.
Citation Text:
Spear SJ, Schmidhofer M. Ambiguity and workarounds as contributors to medical error. Ann Intern Med. 2005;142(8):627-630.
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psnet.ahrq.gov/issue/identification-and-prioritization-health-it-patient-safety-measures
September 29, 2017 - Book/Report
Classic
Identification and Prioritization of Health IT Patient Safety Measures.
Citation Text:
Identification and Prioritization of Health IT Patient Safety Measures. Washington, DC: National Quality Forum; February 2016.
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psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-reliable
August 15, 2012 - Study
Is failure mode and effect analysis reliable?
Citation Text:
Shebl NA, Franklin BD, Barber N. Is failure mode and effect analysis reliable? J Patient Saf. 2009;5(2):86-94. doi:10.1097/PTS.0b013e3181a6f040.
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psnet.ahrq.gov/issue/applying-lean-methods-improve-quality-and-safety-surgical-sterile-instrument-processing
September 16, 2015 - Study
Applying Lean methods to improve quality and safety in surgical sterile instrument processing.
Citation Text:
Blackmore C, Bishop R, Luker S, et al. Applying lean methods to improve quality and safety in surgical sterile instrument processing. Jt Comm J Qual Patient Saf. 2013;39(…
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psnet.ahrq.gov/issue/applying-lean-sigma-solutions-mistake-proof-chemotherapy-preparation-process
September 02, 2015 - Commentary
Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process.
Citation Text:
Aboumatar HJ, Winner L, Davis RO, et al. Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process. Jt Comm J Qual Patient Saf. 2010;36(2):79-86.
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psnet.ahrq.gov/issue/clinical-reasoning-curriculum-medical-students-interim-analysis
March 02, 2022 - Study
A clinical reasoning curriculum for medical students: an interim analysis.
Citation Text:
Connor DM, Narayana S, Dhaliwal G. A clinical reasoning curriculum for medical students: an interim analysis. Diagnosis (Berl). 2022;9(2):265-273. doi:10.1515/dx-2021-0112.
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psnet.ahrq.gov/issue/diagnostic-difficulty-and-error-primary-care-systematic-review
April 07, 2021 - Review
Diagnostic difficulty and error in primary care—a systematic review.
Citation Text:
Kostopoulou O, Delaney B, Munro CW. Diagnostic difficulty and error in primary care--a systematic review. Fam Pract. 2008;25(6):400-413. doi:10.1093/fampra/cmn071.
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psnet.ahrq.gov/issue/improving-handoffs-emergency-department
July 19, 2017 - Commentary
Improving handoffs in the emergency department.
Citation Text:
Cheung DS, Kelly JJ, Beach C, et al. Improving handoffs in the emergency department. Ann Emerg Med. 2010;55(2):171-80. doi:10.1016/j.annemergmed.2009.07.016.
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psnet.ahrq.gov/issue/doing-right-our-patients-when-things-go-wrong-ambulatory-setting
August 14, 2017 - Commentary
Doing right by our patients when things go wrong in the ambulatory setting.
Citation Text:
Schiff G, Griswold P, Ellis BR, et al. Doing right by our patients when things go wrong in the ambulatory setting. Jt Comm J Qual Patient Saf. 2014;40(2):91-96.
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psnet.ahrq.gov/issue/considering-safety-and-quality-artificial-intelligence-health-care
August 12, 2020 - Commentary
Considering the safety and quality of artificial intelligence in health care.
Citation Text:
Ross P, Spates K. Considering the Safety and Quality of Artificial Intelligence in Health Care. Jt Comm J Qual Patient Saf. 2020;46(10):596-599. doi:10.1016/j.jcjq.2020.08.002.
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psnet.ahrq.gov/issue/influence-house-staff-experience-teaching-hospital-mortality-july-phenomenon-revisited
March 04, 2015 - Study
Influence of house-staff experience on teaching-hospital mortality: the "July Phenomenon" revisited.
Citation Text:
van Walraven C, Jennings A, Wong J, et al. Influence of house-staff experience on teaching-hospital mortality: the "July phenomenon" revisited. J Hosp Med. 2011;6(7…
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psnet.ahrq.gov/issue/communication-about-medical-errors
December 16, 2020 - Commentary
Communication about medical errors.
Citation Text:
Kaldjian LC. Communication about medical errors. Patient Educ Couns. 2021;104(5):989-993. doi:10.1016/j.pec.2020.11.035.
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psnet.ahrq.gov/issue/strategies-developing-and-recognizing-faculty-working-quality-improvement-and-patient-safety
June 28, 2023 - Commentary
Strategies for developing and recognizing faculty working in quality improvement and patient safety.
Citation Text:
Coleman DL, Wardrop RM, Levinson WS, et al. Strategies for Developing and Recognizing Faculty Working in Quality Improvement and Patient Safety. Acad Med. 2017;9…
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psnet.ahrq.gov/issue/quality-improvement-initiative-reduce-serious-safety-events-and-improve-patient-safety
July 24, 2017 - Study
Quality improvement initiative to reduce serious safety events and improve patient safety culture.
Citation Text:
Muething S, Goudie A, Schoettker PJ, et al. Quality improvement initiative to reduce serious safety events and improve patient safety culture. Pediatrics. 2012;130(2):e…
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psnet.ahrq.gov/issue/overdiagnosis-and-overtreatment-quality-problem-insights-healthcare-improvement-research
May 25, 2022 - Commentary
Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research.
Citation Text:
Armstrong N. Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. BMJ Qual Saf. 2018;27(7):571-575. doi:10.1136/b…
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psnet.ahrq.gov/issue/simulation-based-approach-training-heuristic-clinical-decision-making
January 31, 2024 - Study
A simulation-based approach to training in heuristic clinical decision-making.
Citation Text:
Altabbaa G, Raven AD, Laberge J. A simulation-based approach to training in heuristic clinical decision-making. Diagnosis (Berl). 2019;6(2):91-99. doi:10.1515/dx-2018-0084.
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psnet.ahrq.gov/issue/cognitive-forcing-tool-mitigate-cognitive-bias-randomised-control-trial
November 07, 2018 - Study
A cognitive forcing tool to mitigate cognitive bias—a randomised control trial.
Citation Text:
O'Sullivan ED, Schofield SJ. A cognitive forcing tool to mitigate cognitive bias - a randomised control trial. BMC Med Educ. 2019;19(1):12. doi:10.1186/s12909-018-1444-3.
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psnet.ahrq.gov/issue/distributed-cognition-and-role-nurses-diagnostic-safety-emergency-department
April 13, 2011 - Book/Report
Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department.
Citation Text:
Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department. Manojlovich M, Krein SL, Kronick SL, et al. Rockville, MD: Agency for H…
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psnet.ahrq.gov/issue/checklists-reduce-diagnostic-errors
September 18, 2024 - Commentary
Checklists to reduce diagnostic errors.
Citation Text:
Ely JW, Graber ML, Croskerry P. Checklists to reduce diagnostic errors. Acad Med. 2011;86(3):307-313. doi:10.1097/ACM.0b013e31820824cd.
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psnet.ahrq.gov/issue/power-saying-i-dont-know-psychological-safety-and-participatory-strategies-healthcare-leaders
August 31, 2011 - Commentary
Power of saying ‘I Don’t Know’: psychological safety and participatory strategies for healthcare leaders.
Citation Text:
Hunt DF. Power of saying ‘I Don’t Know’: psychological safety and participatory strategies for healthcare leaders. BMJ Lead. 2024;Epub Jan 17. doi:10.1136/l…