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Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students. | PSNet

psnet.ahrq.gov/issue/using-nam-diagnostic-process-framework-teach-clinical-reasoning-computerized-case

December 07, 2022 - Same Author(s) A structured approach to EHR surveillance of diagnostic error in acute care … Related Resources Considering the safety and quality of artificial intelligence in health care

After-Visit Confusion | PSNet

psnet.ahrq.gov/web-mm/after-visit-confusion

August 21, 2007 - appointments, and completing health care–related forms online. … They are tools for improved care, not solutions in themselves. … team in models of care moving forward (e.g., patient-centered medical homes). … The impact of eHealth on the quality and safety of health care: a systematic overview. … Providers Quality and Safety Professionals Critical Care View More

Literacy and misunderstanding prescription drug labels. | PSNet

psnet.ahrq.gov/issue/literacy-and-misunderstanding-prescription-drug-labels

September 17, 2010 - In this study, researchers surveyed patients in three urban primary care clinics serving predominantly … February 26, 2014 Primary care physician communication at hospital discharge reduces … E-prescribing: a focused review and new approach to addressing safety in pharmacies and primary care … Clinic or Office Risk Managers Quality and Safety Professionals Family Medicine Primary Care

How, when, and why bad apples spoil the barrel: negative group members and dysfunctional groups. | PSNet

psnet.ahrq.gov/issue/how-when-and-why-bad-apples-spoil-barrel-negative-group-members-and-dysfunctional-groups

August 08, 2018 - Team-based care is a widely used model in healthcare. … December 4, 2013 View More Related Resources Roadmap to Health Care … Quality April 26, 2023 CHaMP: A model for building a center to support health care … February 15, 2023 National patient safety goal to improve health care equity.

Diagnostic error in pediatrics: a narrative review. | PSNet

psnet.ahrq.gov/issue/diagnostic-error-pediatrics-narrative-review

June 08, 2022 - Reducing diagnostic errors in pediatric care remains a critical area of research and quality improvement … October 21, 2020 Communication with patients and families regarding health care-associated … Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care … July 22, 2020 Eliminating explicit and implicit biases in health care: evidence and research … August 26, 2020 Signs and symptoms to determine if a patient presenting in primary care

The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations. | PSNet

psnet.ahrq.gov/issue/frequency-diagnostic-errors-outpatient-care-estimations-three-large-observational-studies

April 09, 2013 - Classic The frequency of diagnostic errors in outpatient care … The frequency of diagnostic errors in outpatient care: estimations from three large observational studies … Researchers compiled several studies to estimate the frequency of these errors in outpatient care across … Two studies used a trigger approach to review unusual patterns of return visits in primary care and one … A recent AHRQ WebM&M commentary describes a delayed diagnosis in outpatient care.

A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: what works for whom and why? | PSNet

psnet.ahrq.gov/issue/realist-synthesis-pharmacist-conducted-medication-reviews-primary-care-after-leaving-hospital

December 16, 2020 - Review A realist synthesis of pharmacist-conducted medication reviews in primary care … A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital … A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital … Same Author(s) Incidence, nature and causes of avoidable significant harm in primary care … studies: identifying what contributes to successful interventions to promote hand hygiene in patient care

Reporting and using near-miss events to improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes. | PSNet

psnet.ahrq.gov/issue/reporting-and-using-near-miss-events-improve-patient-safety-diverse-primary-care-practices

June 22, 2011 - Reporting and using near-miss events to improve patient safety in diverse primary care … Reporting and Using Near-miss Events to Improve Patient Safety in Diverse Primary Care Practices: A Collaborative … November 14, 2011 Reporting of hazards and near-misses in the ambulatory care setting … 11, 2008 View More See More About The Topic Hospitals Ambulatory Care … Health Care Executives and Administrators Primary Care Near Miss View More

Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. | PSNet

psnet.ahrq.gov/issue/radiographers-experience-preventing-patient-safety-incidents-context-radiological

December 20, 2017 - Related Resources From the Same Author(s) Patient preferences for participation in patient care … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … September 30, 2011 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … A questionnaire study of blood collection practices in primary health care. … Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care

In Conversation with... Kathleen Sanford and Sue Schuelke about Virtual Nursing | PSNet

psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing

August 30, 2023 - The virtual nurses are part of the care team. … Imagine what we could do with equity of care if people had a virtual care coordinator whom they could … other care settings. … Virtual nurses would bring up missed care, which may have increased the perception that missed care was … The explosion of virtual nursing care.

Mistakes We Make in Dialysis. | PSNet

psnet.ahrq.gov/issue/mistakes-we-make-dialysis

April 04, 2018 - Insufficient application of new evidence to inform treatment decisions can hinder safe care delivery … Stroke hospitalization after misdiagnosis of "benign dizziness" is lower in specialty care … healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity care

Electronic health record-based triggers to detect potential delays in cancer diagnosis. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-based-triggers-detect-potential-delays-cancer-diagnosis

January 19, 2012 - or bright red blood per rectum, but automatically excluded those that already received appropriate care … Author(s) Electronic health record-based surveillance of diagnostic errors in primary care … January 19, 2012 Types and origins of diagnostic errors in primary care settings. … June 21, 2016 Identifying diagnostic errors in primary care using an electronic screening … June 10, 2018 Exploring situational awareness in diagnostic errors in primary care.

GPT versus resident physicians — a benchmark based on official board scores. | PSNet

psnet.ahrq.gov/issue/gpt-versus-resident-physicians-benchmark-based-official-board-scores

November 03, 2021 - Before large language models (LLM) can be integrated into clinical care, they must be shown to perform … December 2, 2020 Prevalence of inappropriate antibiotic prescriptions among US ambulatory care … Hospitals Operating Room Ambulatory Clinic or Office Internal Medicine Mental Health Care

Machine learning in medicine. | PSNet

psnet.ahrq.gov/issue/machine-learning-medicine

March 13, 2024 - Machine learning in health care is in the early stage of application. … machine learning and its potential to enhance clinical decision-making as a tool for safe value-based care … Resources From the Same Author(s) To do no harm - and the most good - with AI in health care … December 22, 2018 Perspective Health Care Data Science … February 18, 2011 View More See More About The Topic Health Care Providers

The randomized AMBORA trial: impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment with new oral anticancer agents. | PSNet

psnet.ahrq.gov/issue/randomized-ambora-trial-impact-pharmacologicalpharmaceutical-care-medication-safety-and

November 03, 2021 - Emerging Classic The randomized AMBORA trial: impact of pharmacological/pharmaceutical care … randomized controlled study, patients taking oral chemotherapy drugs were randomized to receive usual care … (control) or additional intensive pharmacological/ pharmaceutical care (intervention). … May 5, 2021 Impact of the COVID-19 pandemic on cancer care: a global collaborative study … 2023 Use of therapeutic outcomes monitoring method for performing of pharmaceutical care

Dental Patient Safety Foundation. | PSNet

psnet.ahrq.gov/issue/dental-patient-safety-foundation

October 28, 2020 - Dentistry, like other areas of health care, is intrinsically risky . … Six Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care … April 11, 2018 Ambulatory Care Patient Safety 2017–2018. … November 4, 2015 View More See More About The Topic Ambulatory Care … Health Care Providers Dentistry Epidemiology of Errors and Adverse Events Online Education

Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health Administration (VHA). | PSNet

psnet.ahrq.gov/issue/standardizing-patient-safety-event-reporting-between-care-delivered-or-purchased-veterans

June 26, 2024 - Study Standardizing patient safety event reporting between care delivered or purchased … Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health … Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health … improvement lessons learned from National Implementation of the "Patient Safety Events in Community Care … March 15, 2016 A systematic review of patient safety measures in adult primary care.

Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. | PSNet

psnet.ahrq.gov/issue/closing-loop-guide-safer-ambulatory-referrals-ehr-era

July 12, 2017 - Recommendations to improve this process include interoperability between primary care and subspecialty … May 25, 2022 A Framework for Safe, Reliable, and Effective Care. … January 6, 2015 Shining a Light: Safer Health Care Through Transparency. … October 3, 2017 Order from Chaos: Accelerating Care Integration. … Health Care Providers Information Professionals Primary Care Diagnostic Errors View

Use of heuristics during the clinical decision process from family care physicians in real conditions. | PSNet

psnet.ahrq.gov/issue/use-heuristics-during-clinical-decision-process-family-care-physicians-real-conditions

March 09, 2022 - Study Use of heuristics during the clinical decision process from family care physicians … Use of heuristics during the clinical decision process from family care physicians in real conditions … Use of heuristics during the clinical decision process from family care physicians in real conditions … critical care units and hospital emergency services. … March 3, 2021 The diagnostic moment: a study in US primary care.

Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives. | PSNet

psnet.ahrq.gov/issue/analysis-suicides-reported-adverse-events-psychiatry-resulted-nine-quality-improvement

October 21, 2020 - and intervention training, and improving communications with families, caregivers, and other health care … Related Resources From the Same Author(s) What safety events are reported for ambulatory care … October 21, 2020 Factors that affect opioid quality improvement initiatives in primary care … November 24, 2021 Burnout and its relationship to self-reported quality of patient care … March 3, 2019 Nursing staff's perceptions of patient safety in psychiatric inpatient care

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