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psnet.ahrq.gov/issue/novel-approach-assessing-bias-during-team-based-clinical-decision-making
April 10, 2024 - Study
A novel approach for assessing bias during team-based clinical decision-making.
Citation Text:
Pool N, Hebdon M, de Groot E, et al. A novel approach for assessing bias during team-based clinical decision-making. Front in Public Health. 2023;11:1014773. doi:10.3389/fpubh.2023.101477…
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psnet.ahrq.gov/issue/effects-racial-bias-pulse-oximetry-children-and-how-address-algorithmic-bias-clinical
May 08, 2017 - Commentary
Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine.
Citation Text:
Gray KD, Subramaniam HL, Huang ES. Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. JAMA …
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psnet.ahrq.gov/issue/diagnostic-accuracy-pediatric-teledermatology-using-parent-submitted-photographs-randomized
November 16, 2022 - Study
Diagnostic accuracy of pediatric teledermatology using parent-submitted photographs: a randomized clinical trial.
Citation Text:
O'Connor DM, Jew OS, Perman MJ, et al. Diagnostic Accuracy of Pediatric Teledermatology Using Parent-Submitted Photographs: A Randomized Clinical Trial. …
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psnet.ahrq.gov/issue/trauma-resuscitation-errors-and-computer-assisted-decision-support
January 28, 2010 - Study
Trauma resuscitation errors and computer-assisted decision support.
Citation Text:
FitzGerald M, Cameron P, Mackenzie CF, et al. Trauma resuscitation errors and computer-assisted decision support. Arch Surg. 2011;146(2):218-25. doi:10.1001/archsurg.2010.333.
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psnet.ahrq.gov/issue/effect-behavioral-interventions-inappropriate-antibiotic-prescribing-among-primary-care
August 02, 2015 - Study
Effect of behavioral interventions on inappropriate antibiotic prescribing among primary care practices: a randomized clinical trial.
Citation Text:
Meeker D, Linder JA, Fox CR, et al. Effect of Behavioral Interventions on Inappropriate Antibiotic Prescribing Among Primary Care Pra…
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psnet.ahrq.gov/issue/optimizing-post-acute-care-patient-safety-scoping-review-multifactorial-fall-prevention
January 12, 2022 - Review
Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults.
Citation Text:
Leland NE, Lekovitch C, Martínez J, et al. Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention int…
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psnet.ahrq.gov/issue/serious-experience-events-applying-patient-safety-concepts-improve-patient-experience
August 04, 2021 - Commentary
Serious experience events: applying patient safety concepts to improve patient experience.
Citation Text:
Donnelly LF, Uhlhorn E, Bargmann-Losche J, et al. Serious experience events: applying patient safety concepts to improve patient experience. J Patient Exp. 2022;9:23743735…
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psnet.ahrq.gov/issue/using-ecological-systems-theory-understand-blackwhite-disparities-maternal-morbidity-and
February 08, 2023 - Study
Emerging Classic
Using the ecological systems theory to understand black/white disparities in maternal morbidity and mortality in the United States.
Citation Text:
Noursi S, Saluja B, Richey L. Using the ecological systems theory to understand black/white …
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psnet.ahrq.gov/issue/overstating-inpatient-deaths-due-medical-error-erodes-trust-healthcare-and-patient-safety
April 01, 2020 - Commentary
Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement.
Citation Text:
Gunderson CG, Rodwin BA. Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. J Hosp Med. 2022;…
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psnet.ahrq.gov/issue/proposed-approach-allegations-sexual-boundary-violation-health-care
October 19, 2022 - Study
A proposed approach to allegations of sexual boundary violation in health care.
Citation Text:
Cooper WO, Foster JJ, Hickson GB, et al. A proposed approach to allegations of sexual boundary violation in health care. Jt Comm J Qual Patient Saf. 2023;49(12):671-679. doi:10.1016/j.jcj…
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psnet.ahrq.gov/issue/prevalence-potentially-harmful-multidrug-interactions-medication-lists-elderly-ambulatory
May 27, 2011 - Study
Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients.
Citation Text:
Anand TV, Wallace BK, Chase HS. Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients. BMC Geriatr. 2021…
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psnet.ahrq.gov/issue/using-online-quiz-based-reinforcement-system-teach-healthcare-quality-and-patient-safety-and
December 07, 2011 - Study
Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care transitions at the University of California.
Citation Text:
Shaikh U, Afsar-Manesh N, Amin AN, et al. Using an online quiz-based reinforcement system to teach healthcare quality …
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psnet.ahrq.gov/web-mm/pregnant-danger
January 12, 2011 - e.g., CT scan) might have detected the aortic dissection before the discharge and subsequent tragic outcome … The mother and fetus in this case suffered a tragic outcome at a hospital that appeared to lack a structured … It is unclear whether the outcome would have been different elsewhere. … Aortic dissection in pregnancy: analysis of risk factors and outcome.
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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
April 01, 2008 - judgment and errors in technique occurred, and the attending surgeon was ultimately responsible for the outcome … Approach to Improving Patient Safety
Errors in both judgement and technique led to this adverse outcome … understandings about the allowable number and location of cannulation attempts, could also have improved the outcome … Following these best practices could have resulted in a much better outcome for the patient in this case
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psnet.ahrq.gov/node/49546/psn-pdf
October 17, 2007 - https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
Luckily, this case has a good outcome … student or practicing team level through critical incident root cause analysis and
http://www.acgme.org/outcome … Available at:
http://www.acgme.org/outcome/. Accessed September 27, 2007.
13. … cmd=retrieve&db=pubmed&dopt=abstract&list_uids=9032162
http://www.acgme.org/outcome/
http://www.ama-assn.org
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psnet.ahrq.gov/issue/barbers-civility
October 07, 2015 - June 16, 2011
The relationship of the emotional climate of work and threat to patient outcome
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psnet.ahrq.gov/issue/applying-toyota-production-system-using-patient-safety-alert-system-reduce-error
June 21, 2015 - June 23, 2015
Effect of outcome on physician judgments of appropriateness of care.
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psnet.ahrq.gov/issue/medical-and-surgical-comanagement-after-elective-hip-and-knee-arthroplasty-randomized
January 22, 2014 - 25, 2011
Evaluating implementation of a rapid response team: considering alternative outcome
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psnet.ahrq.gov/issue/latency-ecg-displays-hospital-telemetry-systems-science-advisory-american-heart-association
March 14, 2018 - A clinical case of electronic health record drug alert fatigue: consequences for patient outcome
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psnet.ahrq.gov/issue/safety-climate-and-medical-errors-62-us-emergency-departments
June 16, 2009 - March 10, 2011
EMS helicopter crashes: what influences fatal outcome?