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psnet.ahrq.gov/issue/my-brothers-keeper-must-physician-disclose-anothers-medical-error-and-potential-negligence
February 01, 2023 - Commentary
My brother's keeper: must a physician disclose another's medical error and potential negligence?
Citation Text:
Liang BA, Smith C by DS. My brother's keeper: must a physician disclose another's medical error and potential negligence? J Clin Anesth. 2007;19(7):558-562. doi:10…
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psnet.ahrq.gov/issue/identifying-cross-contaminants-and-specimen-mix-ups-surgical-pathology
July 22, 2020 - Review
Identifying cross contaminants and specimen mix-ups in surgical pathology.
Citation Text:
Hunt JL. Identifying cross contaminants and specimen mix-ups in surgical pathology. Adv Anat Pathol. 2008;15(4):211-7. doi:10.1097/PAP.0b013e31817bf596.
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psnet.ahrq.gov/issue/development-expert-system-classification-medical-errors
June 22, 2009 - Commentary
Development of an expert system for classification of medical errors.
Citation Text:
Kopec D, Levy K, Kabir M, et al. Development of an expert system for classification of medical errors. Stud Health Technol Inform. 2005;114:110-6.
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psnet.ahrq.gov/issue/medical-error-and-systems-signaling-conceptual-and-linguistic-definition
July 12, 2019 - Commentary
Medical error and systems of signaling: conceptual and linguistic definition.
Citation Text:
Smorti A, Cappelli F, Zarantonello R, et al. Medical error and systems of signaling: conceptual and linguistic definition. Intern Emerg Med. 2014;9(6):681-8. doi:10.1007/s11739-014-110…
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psnet.ahrq.gov/issue/importance-failing-forward-all-us-will-fail-and-make-mistakes-how-can-they-benefit-us-and-our
July 27, 2016 - Newspaper/Magazine Article
The importance of failing forward. All of us will fail and make mistakes, but how can they benefit us and our organizations?
Citation Text:
Hofmann PB. The importance of failing forward. All of us will fail and make mistakes, but how can they benefit us and ou…
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psnet.ahrq.gov/issue/interruptions-wild-development-sociotechnical-systems-model-interruptions-emergency
August 31, 2016 - Review
Interruptions in the wild: development of a sociotechnical systems model of interruptions in the emergency department through a systematic review.
Citation Text:
Werner N, Holden RJ. Interruptions in the wild: Development of a sociotechnical systems model of interruptions in the e…
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psnet.ahrq.gov/issue/enhancing-medication-use-safety-benefits-learning-your-peers
May 07, 2008 - Study
Enhancing medication use safety: benefits of learning from your peers.
Citation Text:
Kazandjian VA, Ogunbo S, Wicker KG, et al. Enhancing medication use safety: benefits of learning from your peers. Qual Saf Health Care. 2009;18(5):331-5. doi:10.1136/qshc.2008.027938.
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psnet.ahrq.gov/issue/workarounds-use-healthcare-case-study-electronic-medication-administration-system
June 29, 2011 - Study
Workarounds in the use of IS in healthcare: a case study of an electronic medication administration system.
Citation Text:
Yang Z, Ng B-Y, Kankanhalli A, et al. Workarounds in the use of IS in healthcare: A case study of an electronic medication administration system. Internation…
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psnet.ahrq.gov/issue/high-fidelity-simulation-research-tool
February 19, 2020 - Review
High fidelity simulation as a research tool.
Citation Text:
Littlewood KE. High fidelity simulation as a research tool. Best Pract Res Clin Anaesthesiol. 2011;25(4):473-87. doi:10.1016/j.bpa.2011.08.001.
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psnet.ahrq.gov/issue/scandal-sentinel-event-recognizing-hidden-cost-quality-trade-offs
November 04, 2020 - Commentary
Scandal as a sentinel event—recognizing hidden cost–quality trade-offs.
Citation Text:
Bloche G. Scandal as a Sentinel Event--Recognizing Hidden Cost-Quality Trade-offs. N Engl J Med. 2016;374(11):1001-3. doi:10.1056/NEJMp1502629.
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psnet.ahrq.gov/issue/leveraging-consistent-communication-tools-and-organizational-values-promote-accountability
January 18, 2023 - Commentary
Leveraging consistent communication tools and organizational values to promote accountability among health care providers.
Citation Text:
Baldwin CA, Krumm AM. Leveraging consistent communication tools and organizational values to promote accountability among health care provi…
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psnet.ahrq.gov/issue/piece-my-mind-art-constructive-worrying
June 10, 2020 - Commentary
A piece of my mind. The art of constructive worrying.
Citation Text:
John CC. The Art of Constructive Worrying. JAMA. 2018;319(22):2273-2274. doi:10.1001/jama.2018.6670.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-medication-errors-japan-jade-study
September 25, 2019 - Study
Incidence of adverse drug events and medication errors in Japan: the JADE Study.
Citation Text:
Sakuma M, Bates DW, Morimoto T. Clinical prediction rule to identify high-risk inpatients for adverse drug events: the JADE Study. Pharmacoepidemiol Drug Saf. 2012;21(11). doi:10.1002/pd…
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psnet.ahrq.gov/issue/objective-study-impact-electronic-medical-record-outcomes-trauma-patients
October 13, 2018 - Study
An objective study of the impact of the electronic medical record on outcomes in trauma patients.
Citation Text:
Schenarts PJ, Goettler CE, White MA, et al. An objective study of the impact of the electronic medical record on outcomes in trauma patients. Am Surg. 2012;78(11):1249…
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psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-hospitalised-patients
March 20, 2024 - Study
Potentially inappropriate prescribing to hospitalised patients.
Citation Text:
Radosević N, Gantumur M, Vlahović-Palcevski V. Potentially inappropriate prescribing to hospitalised patients. Pharmacoepidemiol Drug Saf. 2008;17(7):733-7.
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/invitation-letter-ny.html
March 01, 2021 - EvidenceNOW: Recruitment Letter
New York City Cooperative
Resource: Recruitment Letter—New York City Cooperative (PDF, 157 KB, 1 page)
This document provides an example of an EvidenceNOW Cooperative's recruitment letter.
Institution of origin: New York University School of Medicine
Permissions: Use…
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www.ahrq.gov/data/infographics/spinal-stenosis-pain.html
August 01, 2018 - Growing Pain of Spinal Stenosis
Growing Pain of Spinal Stenosis (PDF, 261 KB)
Sources: AHRQ Healthcare Cost and Utilization Project (HCUP) data, (first chart); Friedly JL, Comstack BA, Turner JA, et al., A Randomized Trial of Epidural Steroid Injections for Spinal Stenosis, New England Journal of Medici…
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psnet.ahrq.gov/node/40757/psn-pdf
February 08, 2012 - Patient Safety During Perinatal and Neonatal Care.
February 8, 2012
Am J Perinatol. 2012;29:1-70.
https://psnet.ahrq.gov/issue/patient-safety-during-perinatal-and-neonatal-care
This special issue examines patient safety in perinatal and neonatal medicine and discusses how to
improve care in these settings.
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digital.ahrq.gov/organization/feinstein-institute-medical-research
January 01, 2023 - Feinstein Institute for Medical Research
Implementation of a Novel Multi-Platform Evidence-Based Clinical Decision Support System
Description
This research demonstrated the feasibility of a web-based clinical decision support platform that is electronic health record-agnostic …
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digital.ahrq.gov/organization/beckman-research-institute-city-hope
January 01, 2023 - Beckman Research Institute - City of Hope
Empowering Cancer Patients Through Innovations in Information Technology-Based Reporting of Precision Medicine
Description
This research provided patients direct access to their cancer genomic sequencing results through a web-based por…