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  1. Role of cognition in generating and mitigating clinical errors. | PSNet

    psnet.ahrq.gov/issue/role-cognition-generating-and-mitigating-clinical-errors
    January 07, 2015 - Review Role of cognition in generating and mitigating clinical errors. Citation Text: Patel VL, Kannampallil TG, Shortliffe EH. Role of cognition in generating and mitigating clinical errors. BMJ Qual Saf. 2015;24(7):468-474. doi:10.1136/bmjqs-2014-003482. Copy Citation Format: …

  2. When health care moves online, many patients are left behind. | PSNet

    psnet.ahrq.gov/issue/when-health-care-moves-online-many-patients-are-left-behind
    August 19, 2020 - Newspaper/Magazine Article When health care moves online, many patients are left behind. Citation Text: Renault M. When health care moves online, many patients are left behind. Wired Online. 2020;(June 8, 2020). Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…

  3. What can we learn from coroners’ reports on preventable deaths? | PSNet

    psnet.ahrq.gov/issue/what-can-we-learn-coroners-reports-preventable-deaths
    October 28, 2020 - Commentary What can we learn from coroners’ reports on preventable deaths? Citation Text: Jeraj S. What can we learn from coroners’ reports on preventable deaths? BMJ. 2024;386:q1943. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  4. Measuring and Improving Ambulatory Patient Safety with an Electronic Dashboard - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/measuring-and-improving-ambulatory-patient-safety-electronic-dashboard/annual-summary/2012
    January 01, 2012 - Measuring and Improving Ambulatory Patient Safety with an Electronic Dashboard - 2012 Project Name Measuring and Improving Ambulatory Patient Safety with an Electronic Dashboard Principal Investigator Sarkar, Urmimala Organization University of California, San Francisco …

  5. What to do with healthcare incident reporting systems. | PSNet

    psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems
    November 12, 2014 - Review What to do with healthcare incident reporting systems. Citation Text: Pham JC, Girard T, Pronovost PJ. What to do with healthcare Incident Reporting Systems. J Public Health Res. 2013;2(3). doi:10.4081/jphr.2013.e27. Copy Citation Format: DOI Google Scholar BibTeX E…

  6. Headline-grabbing study brings attention back to medical errors. | PSNet

    psnet.ahrq.gov/issue/headline-grabbing-study-brings-attention-back-medical-errors
    August 16, 2017 - Journal Article Headline-grabbing study brings attention back to medical errors. Citation Text: Abbasi J. Headline-Grabbing Study Brings Attention Back to Medical Errors. JAMA. 2016;316(7):698-700. doi:10.1001/jama.2016.8073. Copy Citation Format: DOI Google Scholar PubMed …

  7. Creating a fair and just culture: one institution's path toward organizational change. | PSNet

    psnet.ahrq.gov/issue/creating-fair-and-just-culture-one-institutions-path-toward-organizational-change
    July 23, 2014 - Commentary Creating a fair and just culture: one institution's path toward organizational change. Citation Text: Connor M, Duncombe D, Barclay E, et al. Creating a fair and just culture: one institution's pat toward organizational change. Jt Comm J Qual Patient Saf. 2007;33(10):617-24. …

  8. Nurses' safety motivation: examining predictors of nurses' willingness to report medication errors. | PSNet

    psnet.ahrq.gov/issue/nurses-safety-motivation-examining-predictors-nurses-willingness-report-medication-errors
    October 10, 2015 - Study Nurses' safety motivation: examining predictors of nurses' willingness to report medication errors. Citation Text: Farag A, Lose D, Gedney-Lose A. Nurses' Safety Motivation: Examining Predictors of Nurses' Willingness to Report Medication Errors. West J Nurs Res. 2019;41(7):954-972…

  9. Safety of clinical and non-clinical decision makers in telephone triage: a narrative review. | PSNet

    psnet.ahrq.gov/issue/safety-clinical-and-non-clinical-decision-makers-telephone-triage-narrative-review
    July 05, 2017 - Review Safety of clinical and non-clinical decision makers in telephone triage: a narrative review. Citation Text: Wheeler SQ, Greenberg ME, Mahlmeister L, et al. Safety of clinical and non-clinical decision makers in telephone triage: a narrative review. J Telemed Telecare. 2015;21(6):3…

  10. Value of Health Information Exchange in Ambulatory Care | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/value-health-information-exchange-ambulatory-care
    January 01, 2023 - Value of Health Information Exchange in Ambulatory Care Project Final Report ( PDF , 97.39 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 necessarily represent the views of AHRQ…

  11. Healthcare Cost and Utilization Project (HCUP) NEDS Notes

    hcup-us.ahrq.gov/db/vars/died_visit/nedsnote.jsp
    May 01, 2015 - Healthcare Cost and Utilization Project (HCUP) NEDS Notes An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol …

  12. Primary Care Visual Error Reporting Tool (pdf file)

    digital.ahrq.gov/sites/default/files/docs/resource/b4_singh_017020_archives_17_part1.pdf
    September 01, 2009 - Primary Care Visual Error Reporting Tool Primary Care Visual Error Reporting Tool …

  13. IV Push Gap Analysis Tool (GAT) helps uncover national priorities for safe injection practices. | PSNet

    psnet.ahrq.gov/issue/iv-push-gap-analysis-tool-gat-helps-uncover-national-priorities-safe-injection-practices
    August 14, 2019 - Newspaper/Magazine Article IV Push Gap Analysis Tool (GAT) helps uncover national priorities for safe injection practices. Citation Text: IV Push Gap Analysis Tool (GAT) helps uncover national priorities for safe injection practices. ISMP Medication Safety Alert! Acute Care Edition. Augu…

  14. Pediatric antidepressant medication errors in a national error reporting database. | PSNet

    psnet.ahrq.gov/issue/pediatric-antidepressant-medication-errors-national-error-reporting-database
    September 21, 2008 - Study Pediatric antidepressant medication errors in a national error reporting database. Citation Text: Rinke ML, Bundy DG, Shore AD, et al. Pediatric antidepressant medication errors in a national error reporting database. J Dev Behav Pediatr. 2010;31(2):129-36. doi:10.1097/DBP.0b013e…

  15. Interruptions in clinical nursing practice. | PSNet

    psnet.ahrq.gov/issue/interruptions-clinical-nursing-practice
    September 26, 2018 - Study Interruptions in clinical nursing practice. Citation Text: Sørensen EE, Brahe L. Interruptions in clinical nursing practice. J Clin Nurs. 2014;23(9-10):1274-82. doi:10.1111/jocn.12329. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML…

  16. Near misses: paradoxical realities in everyday clinical practice. | PSNet

    psnet.ahrq.gov/issue/near-misses-paradoxical-realities-everyday-clinical-practice
    May 04, 2012 - Study Near misses: paradoxical realities in everyday clinical practice. Citation Text: Jeffs L, Affonso DD, Macmillan K. Near misses: paradoxical realities in everyday clinical practice. Int J Nurs Pract. 2008;14(6):486-94. doi:10.1111/j.1440-172X.2008.00724.x. Copy Citation Fo…

  17. Medication reconciliation and hypertension control. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-and-hypertension-control
    December 19, 2017 - Study Medication reconciliation and hypertension control. Citation Text: Persell SD, Bailey SC, Tang J, et al. Medication reconciliation and hypertension control. Am J Med. 2010;123(2):182.e9-182.e15. doi:10.1016/j.amjmed.2009.06.027. Copy Citation Format: DOI Google Schol…

  18. Errors in otolaryngology revisited. | PSNet

    psnet.ahrq.gov/issue/errors-otolaryngology-revisited
    August 11, 2010 - Study Errors in otolaryngology revisited. Citation Text: Shah RK, Boss EF, Brereton J, et al. Errors in otolaryngology revisited. Otolaryngol Head Neck Surg. 2014;150(5):779-784. doi:10.1177/0194599814521985. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

  19. Parenteral nutrition errors and potential errors reported over the past 10 years. | PSNet

    psnet.ahrq.gov/issue/parenteral-nutrition-errors-and-potential-errors-reported-over-past-10-years
    June 20, 2018 - Study Parenteral nutrition errors and potential errors reported over the past 10 years. Citation Text: Guenter P, Ayers P, Boullata JI, et al. Parenteral Nutrition Errors and Potential Errors Reported Over the Past 10 Years. Nutr Clin Pract. 2017;32(6):826-830. doi:10.1177/08845336177158…

  20. Detecting adverse drug reactions on paediatric wards: intensified surveillance versus computerised screening of laboratory values. | PSNet

    psnet.ahrq.gov/issue/detecting-adverse-drug-reactions-paediatric-wards-intensified-surveillance-versus
    May 10, 2023 - Study Detecting adverse drug reactions on paediatric wards: intensified surveillance versus computerised screening of laboratory values. Citation Text: Haffner S, von Laue N, Wirth S, et al. Detecting adverse drug reactions on paediatric wards: intensified surveillance versus computeri…
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