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psnet.ahrq.gov/issue/potential-unintended-consequences-due-medicares-no-pay-errors-rule-randomized-controlled
July 02, 2014 - Study
Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents.
Citation Text:
Mookherjee S, Vidyarthi AR, Ranji SR, et al. Potential Unintended Consequences Due to Medica…
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psnet.ahrq.gov/issue/does-suggested-diagnosis-general-practitioners-referral-question-impact-diagnostic-reasoning
September 14, 2022 - Study
Does a suggested diagnosis in a general practitioners' referral question impact diagnostic reasoning: an experimental study.
Citation Text:
Staal J, Speelman M, Brand R, et al. Does a suggested diagnosis in a general practitioners’ referral question impact diagnostic reasoning: an …
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psnet.ahrq.gov/issue/adequacy-hospital-discharge-summaries-documenting-tests-pending-results-and-outpatient-follow
September 23, 2020 - Study
Classic
Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers.
Citation Text:
Were MC, Li X, Kesterson J, et al. Adequacy of hospital discharge summaries in documenting tests with pending re…
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psnet.ahrq.gov/issue/adverse-medication-events-related-hospitalization-united-states-comparison-between-adults
February 02, 2022 - Study
Adverse medication events related to hospitalization in the United States: a comparison between adults with intellectual and developmental disabilities and those without.
Citation Text:
Erickson SR, Kamdar N, Wu C-H. Adverse Medication Events Related to Hospitalization in the Unite…
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psnet.ahrq.gov/issue/assessing-controlled-substance-prescribing-errors-pediatric-teaching-hospital-analysis-safety
August 02, 2010 - Study
Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to home.
Citation Text:
Lee BH, Lehmann CU, Jackson E, et al. Assessing controlled substance prescr…
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psnet.ahrq.gov/issue/delivering-high-quality-cancer-care-charting-new-course-system-crisis
August 15, 2012 - Book/Report
Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis.
Citation Text:
Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. Levit L, Balogh E, Nass S, Ganz PA, eds. Committee on Improving the Quality of Cancer Care: Add…
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psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine
October 31, 2011 - Study
The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals.
Citation Text:
Wu RC, Lo V, Morra D, et al. The intended and unintended consequences of communi…
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psnet.ahrq.gov/issue/hacking-teamwork-health-care-addressing-adverse-effects-ad-hoc-team-composition-critical-care
October 11, 2023 - Study
Hacking teamwork in health care: addressing adverse effects of ad hoc team composition in critical care medicine.
Citation Text:
McLeod PL, Cunningham QW, DiazGranados D, et al. Hacking teamwork in health care: Addressing adverse effects of ad hoc team composition in critical care …
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psnet.ahrq.gov/issue/separating-residents-inpatient-and-outpatient-responsibilities-improving-patient-safety
September 04, 2016 - Study
Separating residents' inpatient and outpatient responsibilities: improving patient safety, learning environments, and relationships with continuity patients.
Citation Text:
Bates CK, Yang J, Huang GC, et al. Separating Residents' Inpatient and Outpatient Responsibilities: Improving…
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psnet.ahrq.gov/issue/effects-resident-duty-hour-reform-surgical-and-procedural-patient-safety-indicators-among
November 26, 2014 - Study
Effects of resident duty hour reform on surgical and procedural patient safety indicators among hospitalized Veterans Health Administration and Medicare patients.
Citation Text:
Rosen AK, Loveland SA, Romano PS, et al. Effects of resident duty hour reform on surgical and procedura…
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psnet.ahrq.gov/issue/application-trigger-tool-near-real-time-inform-quality-improvement-activities-prospective
September 26, 2012 - Study
Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward.
Citation Text:
Wong BM, Dyal S, Etchells E, et al. Application of a trigger tool in near real time to inform quality improvement activities: a p…
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psnet.ahrq.gov/issue/association-residency-work-hour-reform-long-term-quality-and-costs-care-us-physicians
June 21, 2016 - Study
Association of residency work hour reform with long term quality and costs of care of US physicians: observational study.
Citation Text:
Jena AB, Farid M, Blumenthal D, et al. Association of residency work hour reform with long term quality and costs of care of US physicians: obser…
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psnet.ahrq.gov/issue/i-guess-ill-wait-hear-communication-blood-test-results-primary-care-qualitative-study
November 16, 2022 - Study
'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study.
Citation Text:
Watson J, Salisbury C, Whiting PF, et al. ‘I guess I’ll wait to hear’— communication of blood test results in primary care a qualitative study. Br J Gen Pract. 2022;…
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psnet.ahrq.gov/issue/july-effect-impact-academic-year-end-changeover-patient-outcomes-systematic-review
April 12, 2023 - Review
Classic
"July Effect": impact of the academic year-end changeover on patient outcomes. A systematic review.
Citation Text:
Young JQ, Ranji SR, Wachter R, et al. "July effect": impact of the academic year-end changeover on patient outcomes: a systematic …
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psnet.ahrq.gov/issue/consensus-statement-effective-communication-urgent-diagnoses-and-significant-unexpected
November 16, 2022 - Organizational Policy/Guidelines
Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the College of American Pathologists and Association of Directors of Anatomic and Surgical Pathology.
Cit…
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psnet.ahrq.gov/issue/immunising-physicians-against-availability-bias-diagnostic-reasoning-randomised-controlled
April 28, 2021 - Study
'Immunising' physicians against availability bias in diagnostic reasoning: a randomised controlled experiment.
Citation Text:
Mamede S, de Carvalho-Filho MA, de Faria RMD, et al. ‘Immunising’ physicians against availability bias in diagnostic reasoning: a randomised controlled expe…
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psnet.ahrq.gov/issue/healthcare-fragmentation-multimorbidity-potentially-inappropriate-medication-and-mortality
April 12, 2019 - Study
Healthcare fragmentation, multimorbidity, potentially inappropriate medication, and mortality: a Danish nationwide cohort study.
Citation Text:
Prior A, Vestergaard CH, Vedsted P, et al. Healthcare fragmentation, multimorbidity, potentially inappropriate medication, and mortality: …
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psnet.ahrq.gov/issue/identifying-and-prioritizing-educational-content-malpractice-claims-database-clinical
September 20, 2023 - Study
Identifying and prioritizing educational content from a malpractice claims database for clinical reasoning education in the vocational training of general practitioners.
Citation Text:
van Sassen CGM, van den Berg PJ, Mamede S, et al. Identifying and prioritizing educational conten…
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psnet.ahrq.gov/issue/teamwork-part-1-divided-we-fall-part-2-cursed-knowledge-building-culture-psychological-safety
August 02, 2015 - Commentary
Emerging Classic
Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem.
Citation Text:
Rosenbaum L. Divided We Fall. N Engl J Med. 2019;380(7):684-688. doi:10…
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psnet.ahrq.gov/issue/racial-bias-pain-assessment-and-treatment-recommendations-and-false-beliefs-about-biological
July 20, 2022 - Study
Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites.
Citation Text:
Hoffman KM, Trawalter S, Axt JR, et al. Racial bias in pain assessment and treatment recommendations, and false beliefs about biolo…