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psnet.ahrq.gov/issue/connecting-dots-leveraging-visual-analytics-make-sense-patient-safety-event-reports
May 29, 2024 - Commentary
'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports.
Citation Text:
Ratwani RM, Fong A. 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. J Am Med Inform Assoc. 2015;22(2):312-7. doi:1…
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psnet.ahrq.gov/issue/strengthening-use-artificial-intelligence-within-healthcare-delivery-organizations-balancing
September 18, 2024 - Commentary
Strengthening the use of artificial intelligence within healthcare delivery organizations: balancing regulatory compliance and patient safety.
Citation Text:
Sendak MP, Liu VX, Beecy A, et al. Strengthening the use of artificial intelligence within healthcare delivery organiza…
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psnet.ahrq.gov/issue/associations-between-perceived-crisis-mode-work-climate-and-poor-information-exchange-within
October 19, 2022 - Study
Associations between perceived crisis mode work climate and poor information exchange within hospitals.
Citation Text:
Patterson ME, Bogart MS, Starr KR. Associations between perceived crisis mode work climate and poor information exchange within hospitals. J Hosp Med. 2015;10(3):1…
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psnet.ahrq.gov/issue/human-factors-systems-approach-healthcare-quality-and-patient-safety
October 03, 2013 - Commentary
Human factors systems approach to healthcare quality and patient safety.
Citation Text:
Carayon P, Wetterneck TB, Rivera-Rodriguez J, et al. Human factors systems approach to healthcare quality and patient safety. Appl Ergon. 2014;45(1):14-25. doi:10.1016/j.apergo.2013.04.02…
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psnet.ahrq.gov/issue/promoting-patient-safety-through-prospective-risk-identification-example-peri-operative-care
September 23, 2020 - Study
Promoting patient safety through prospective risk identification: example from peri-operative care.
Citation Text:
Smith AF, Boult M, Woods I, et al. Promoting patient safety through prospective risk identification: example from peri-operative care. Qual Saf Health Care. 2010;19(…
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psnet.ahrq.gov/issue/retained-foreign-bodies-risk-and-outcomes-national-level
May 29, 2019 - Study
Retained foreign bodies: risk and outcomes at the national level.
Citation Text:
Al-Qurayshi ZH, Hauch AT, Slakey DP, et al. Retained foreign bodies: risk and outcomes at the national level. J Am Coll Surg. 2015;220(4):749-759. doi:10.1016/j.jamcollsurg.2014.12.015.
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psnet.ahrq.gov/issue/risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk-stratification-system
January 18, 2013 - Study
Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system.
Citation Text:
Moffatt-Bruce SD, Cook CH, Steinberg SM, et al. Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. J Surg Res. 2014;190(…
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psnet.ahrq.gov/issue/diagnostic-error-mental-health-review
October 19, 2012 - Review
Diagnostic error in mental health: a review.
Citation Text:
Bradford A, Meyer AND, Khan S, et al. Diagnostic error in mental health: a review. BMJ Qual Saf. 2024;33(10):663-672. doi:10.1136/bmjqs-2023-016996.
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DOI Google Scholar BibTeX EndNote X3…
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psnet.ahrq.gov/issue/medication-errors-and-trainees-advice-learners-and-organizations
April 10, 2019 - Commentary
Medication errors and trainees: advice for learners and organizations.
Citation Text:
Wheeler JS, Duncan R, Hohmeier K. Medication Errors and Trainees: Advice for Learners and Organizations. Ann Pharmacother. 2017;51(12):1138-1141. doi:10.1177/1060028017725092.
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psnet.ahrq.gov/issue/resident-hesitation-operating-room-does-uncertainty-equal-incompetence
September 24, 2016 - Study
Resident hesitation in the operating room: does uncertainty equal incompetence?
Citation Text:
Ott M, Schwartz A, Goldszmidt M, et al. Resident hesitation in the operating room: does uncertainty equal incompetence? Med Educ. 2018;52(8):851-860. doi:10.1111/medu.13530.
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psnet.ahrq.gov/issue/diagnostic-reasoning-endangered-competency-internal-medicine-training
September 04, 2019 - Commentary
Diagnostic reasoning: an endangered competency in internal medicine training.
Citation Text:
Simpkin AL, Vyas JM, Armstrong KA. Diagnostic Reasoning: An Endangered Competency in Internal Medicine Training. Ann Intern Med. 2017;167(7):507-508. doi:10.7326/M17-0163.
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psnet.ahrq.gov/issue/danger-discharge-summaries-abbreviations-create-confusion-both-author-and-recipient
March 15, 2017 - Study
Danger in discharge summaries: abbreviations create confusion for both author and recipient.
Citation Text:
Coghlan A, Turner S, Coverdale S. Danger in discharge summaries: abbreviations create confusion for both author and recipient. Intern Med J. 2023;53(4):550-558. doi:10.1111/i…
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psnet.ahrq.gov/issue/improving-diagnostic-performance-through-feedback-diagnosis-learning-cycle
December 16, 2020 - Commentary
Improving diagnostic performance through feedback: the Diagnosis Learning Cycle.
Citation Text:
Fernandez Branson C, Williams M, Chan TM, et al. Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. BMJ Qual Saf. 2021;30(12):1002-1009. doi:10.1136/bm…
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psnet.ahrq.gov/issue/improving-safety-culture-adult-medical-units-through-multidisciplinary-teamwork-and
February 18, 2011 - Study
Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.
Citation Text:
Blegen MA, Sehgal NL, Alldredge BK, et al. Improving safety culture on adult medical units through multidisciplinary teamwork and c…
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psnet.ahrq.gov/issue/teaching-students-administer-medications-safely
December 04, 2019 - Commentary
Teaching students to administer medications safely.
Citation Text:
Koharchik L, Flavin PM. Teaching Students to Administer Medications Safely. Am J Nurs. 2017;117(1):62-66. doi:10.1097/01.NAJ.0000511573.73435.72.
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psnet.ahrq.gov/issue/advancing-diagnostic-safety-research-results-systematic-research-priority-setting-exercise
April 05, 2023 - Commentary
Advancing diagnostic safety research: results of a systematic research priority setting exercise.
Citation Text:
Zwaan L, El-Kareh R, Meyer AND, et al. Advancing diagnostic safety research: results of a systematic research priority setting exercise. J Gen Intern Med. 2021;36(1…
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psnet.ahrq.gov/issue/controlled-trial-smart-infusion-pumps-improve-medication-safety-critically-ill-patients
March 13, 2019 - Study
Classic
A controlled trial of smart infusion pumps to improve medication safety in critically ill patients.
Citation Text:
Rothschild JM, Keohane C, Cook F, et al. A controlled trial of smart infusion pumps to improve medication safety in critically ill …
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psnet.ahrq.gov/issue/application-iv-medication-harm-index-assess-nature-harm-averted-smart-infusion-safety-systems
January 23, 2017 - Study
Application of the IV Medication Harm Index to assess the nature of harm averted by "smart" infusion safety systems.
Citation Text:
Williams CK, Maddox RR, Heape E, et al. Application of the IV Medication Harm Index to Assess the Nature of Harm Averted by "Smart" Infusion Safety …
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psnet.ahrq.gov/issue/economic-evaluation-patient-safety-literature-review-methods
March 05, 2025 - Review
Economic evaluation in patient safety: a literature review of methods.
Citation Text:
de Rezende BA, Or Z, Com-Ruelle L, et al. Economic evaluation in patient safety: a literature review of methods. BMJ Qual Saf. 2012;21(6):457-65. doi:10.1136/bmjqs-2011-000191.
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psnet.ahrq.gov/issue/structural-racism-and-covid-19-experience-united-states
June 08, 2022 - Commentary
Structural racism and the COVID-19 experience in the United States.
Citation Text:
Dickinson KL, Roberts JD, Banacos N, et al. Structural racism and the COVID-19 experience in the United States. Health Secur. 2021;19(S1):s14-s26. doi:10.1089/hs.2021.0031.
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