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psnet.ahrq.gov/issue/discrepancy-between-emergency-department-admission-diagnosis-and-hospital-discharge-diagnosis
December 08, 2021 - Study
Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality.
Citation Text:
Bastakoti M, Muhailan M, Nassar A, et al. Discrepancy between emergency department adm…
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psnet.ahrq.gov/issue/171-billion-problem-annual-cost-measurable-medical-errors
May 26, 2021 - Study
Classic
The $17.1 billion problem: the annual cost of measurable medical errors.
Citation Text:
Van Den Bos J, Rustagi K, Gray T, et al. The $17.1 Billion Problem: The Annual Cost Of Measurable Medical Errors. Health Aff. 2011;30(4):596-603. doi:10.1377/hl…
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psnet.ahrq.gov/issue/stroke-hospitalization-after-misdiagnosis-benign-dizziness-lower-specialty-care-general
May 12, 2021 - Study
Stroke hospitalization after misdiagnosis of "benign dizziness" is lower in specialty care than general practice: a population-based cohort analysis of missed stroke using SPADE methods.
Citation Text:
Chang T-P, Bery AK, Wang Z, et al. Stroke hospitalization after misdiagnosis of …
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psnet.ahrq.gov/issue/symptom-disease-pair-analysis-diagnostic-error-spade-conceptual-framework-and-methodological
October 23, 2019 - Review
Classic
Symptom–Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological approach for unearthing misdiagnosis-related harms using big data.
Citation Text:
Liberman AL, Newman-Toker DE. Symptom-Disease Pair Analysis of D…
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psnet.ahrq.gov/issue/electronic-patient-identification-sample-labeling-reduces-wrong-blood-tube-errors
September 20, 2012 - Study
Emerging Classic
Electronic patient identification for sample labeling reduces wrong blood in tube errors.
Citation Text:
Kaufman RM, Dinh A, Cohn CS, et al. Electronic patient identification for sample labeling reduces wrong blood in tube errors. Transfus…
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digital.ahrq.gov/ahrq-funded-projects/medication-monitoring-vulnerable-populations-information-technology-mmiti
January 01, 2023 - Medication Monitoring for Vulnerable Populations via Information Technology (MMITI)
Project Final Report ( PDF , 323.72 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessaril…
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psnet.ahrq.gov/issue/evolving-factors-hospital-safety-systematic-review-and-meta-analysis-hospital-adverse-events
February 02, 2022 - Review
Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events.
Citation Text:
Sauro KM, Machan M, Whalen-Browne L, et al. Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. J Patient Saf. 2…
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psnet.ahrq.gov/issue/factors-influencing-medication-errors-prehospital-paramedic-environment-mixed-method
August 25, 2021 - Review
Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review.
Citation Text:
Walker D, Moloney C, SueSee B, et al. Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. …
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psnet.ahrq.gov/issue/usability-human-factors-based-clinical-decision-support-emergency-department-lessons-learned
January 08, 2020 - Study
Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation.
Citation Text:
Salwei ME, Hoonakker PLT, Carayon P, et al. Usability of a human factors-based clinical decision support in the emergency departme…
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psnet.ahrq.gov/issue/boosting-medical-diagnostics-pooling-independent-judgments
June 21, 2016 - Study
Boosting medical diagnostics by pooling independent judgments.
Citation Text:
Kurvers RHJM, Herzog SM, Hertwig R, et al. Boosting medical diagnostics by pooling independent judgments. Proc Natl Acad Sci U S A. 2016;113(31):8777-8782. doi:10.1073/pnas.1601827113.
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psnet.ahrq.gov/issue/understanding-how-design-and-implementation-online-consultations-affect-primary-care-quality
October 05, 2022 - Review
Understanding how the design and implementation of online consultations affect primary care quality: systematic review of evidence with recommendations for designers, providers, and researchers.
Citation Text:
Darley S, Coulson T, Peek N, et al. Understanding how the design and im…
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psnet.ahrq.gov/issue/adverse-events-experienced-homecare-patients-scoping-review-literature
October 19, 2022 - Review
Adverse events experienced by homecare patients: a scoping review of the literature.
Citation Text:
Masotti P, McColl MA, Green M. Adverse events experienced by homecare patients: a scoping review of the literature. Int J Health Care Qual. 2010;22(2):115-125. doi:10.1093/intqhc/…
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psnet.ahrq.gov/issue/analysis-clinical-decision-support-system-malfunctions-case-series-and-survey
April 29, 2018 - Study
Analysis of clinical decision support system malfunctions: a case series and survey.
Citation Text:
Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093…
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psnet.ahrq.gov/issue/quasi-experimental-evaluation-effectiveness-large-scale-readmission-reduction-program
January 07, 2015 - Study
Quasi-experimental evaluation of the effectiveness of a large-scale readmission reduction program.
Citation Text:
Jenq GY, Doyle MM, Belton BM, et al. Quasi-Experimental Evaluation of the Effectiveness of a Large-Scale Readmission Reduction Program. JAMA Intern Med. 2016;176(5):681…
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psnet.ahrq.gov/issue/effects-multimodal-transitional-care-intervention-patients-high-risk-readmission-target-read
August 18, 2021 - Study
Effects of a multimodal transitional care intervention in patients at high risk of readmission: the TARGET-READ randomized clinical trial.
Citation Text:
Donzé JD, John G, Genné D, et al. Effects of a multimodal transitional care intervention in patients at high risk of readmission…
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psnet.ahrq.gov/issue/medication-overdoses-leading-emergency-department-visits-among-children
March 05, 2008 - Study
Medication overdoses leading to emergency department visits among children.
Citation Text:
Schillie SF, Shehab N, Thomas KE, et al. Medication overdoses leading to emergency department visits among children. Am J Prev Med. 2009;37(3):181-7. doi:10.1016/j.amepre.2009.05.018.
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psnet.ahrq.gov/issue/benefits-and-risks-using-smart-pumps-reduce-medication-error-rates-systematic-review
July 16, 2019 - Review
Benefits and risks of using smart pumps to reduce medication error rates: a systematic review.
Citation Text:
Ohashi K, Dalleur O, Dykes PC, et al. Benefits and risks of using smart pumps to reduce medication error rates: a systematic review. Drug Saf. 2014;37(12):1011-1020. doi:1…
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psnet.ahrq.gov/issue/improving-medication-safety-accurate-preadmission-medication-lists-and-postdischarge
June 26, 2019 - Study
Improving medication safety with accurate preadmission medication lists and postdischarge education.
Citation Text:
Gardella JE, Cardwell TB, Nnadi M. Improving medication safety with accurate preadmission medication lists and postdischarge education. Jt Comm J Qual Patient Saf. …
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psnet.ahrq.gov/issue/what-patients-think-doctors-know-beliefs-about-provider-knowledge-barriers-safe-medication
November 26, 2014 - Study
What patients think doctors know: beliefs about provider knowledge as barriers to safe medication use.
Citation Text:
Serper M, McCarthy D, Patzer RE, et al. What patients think doctors know: beliefs about provider knowledge as barriers to safe medication use. Patient Educ Couns.…
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psnet.ahrq.gov/issue/validation-hospital-administrative-dataset-adverse-event-screening
May 21, 2009 - Study
Validation of hospital administrative dataset for adverse event screening.
Citation Text:
Verelst S, Jacques J, Van den Heede K, et al. Validation of Hospital Administrative Dataset for adverse event screening. Qual Saf Health Care. 2010;19(5):e25. doi:10.1136/qshc.2009.034306.
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