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psnet.ahrq.gov/issue/resident-physicians-clinical-training-and-error-rate-roles-autonomy-consultation-and
July 13, 2010 - Study
Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarity with the literature.
Citation Text:
Naveh E, Katz-Navon T, Stern Z. Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarit…
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psnet.ahrq.gov/issue/effect-us-drug-enforcement-administrations-rescheduling-hydrocodone-combination-analgesic
August 04, 2021 - Study
Effect of US Drug Enforcement Administration's rescheduling of hydrocodone combination analgesic products on opioid analgesic prescribing.
Citation Text:
Jones CM, Lurie PG, Throckmorton DC. Effect of US Drug Enforcement Administration's Rescheduling of Hydrocodone Combination Anal…
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psnet.ahrq.gov/issue/making-transition-nursing-bedside-shift-reports
September 29, 2017 - Study
Making the transition to nursing bedside shift reports.
Citation Text:
Wakefield DS, Ragan R, Brandt J, et al. Making the transition to nursing bedside shift reports. Jt Comm J Qual Patient Saf. 2012;38(6):243-53.
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psnet.ahrq.gov/issue/multicenter-development-implementation-and-patient-safety-impacts-simulation-based-module
June 03, 2013 - Study
Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents.
Citation Text:
Johnson DP, Zimmerman K, Staples B, et al. Multicenter development, implementation, and patient safety impacts of a simulation-…
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psnet.ahrq.gov/issue/top-six-standardized-safety-practices-us-army-medical-department-treatment-facilities
March 18, 2020 - Study
The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide.
Citation Text:
Hartstein B, Munante M, Toor PA. The Top Six: Standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. NEJM Catal Innov Car…
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psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-incidence-adverse-drug-events-pediatric-inpatients
October 19, 2022 - Study
Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients.
Citation Text:
Holdsworth MT, Fichtl RE, Raisch DW, et al. Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients.…
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psnet.ahrq.gov/issue/closing-loop-mixed-methods-study-about-resident-learning-outcome-feedback-after-patient
November 17, 2016 - Study
"Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs.
Citation Text:
Shenvi EC, Feupe SF, Yang H, et al. "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. Diagnos…
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psnet.ahrq.gov/issue/effect-prescriber-education-medication-related-patient-harm-hospital-systematic-review
January 07, 2015 - Review
The effect of prescriber education on medication-related patient harm in the hospital: a systematic review.
Citation Text:
Bos JM, van den Bemt PMLA, de Smet PAGM, et al. The effect of prescriber education on medication-related patient harm in the hospital: a systematic review. Br…
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psnet.ahrq.gov/issue/cracking-code-quality-interrelationships-culture-nurse-demographics-advocacy-and-patient
December 01, 2011 - Study
Cracking the code for quality: the interrelationships of culture, nurse demographics, advocacy, and patient outcomes.
Citation Text:
DiCuccio MH, Colbert AM, Triolo PK, et al. Cracking the Code for Quality. J Nurs Admin. 2020;50(3):152-158. doi:10.1097/nna.0000000000000859.
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psnet.ahrq.gov/issue/perceptual-gaps-between-clinicians-and-technologists-health-information-technology-related
March 11, 2020 - Study
Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observational study.
Citation Text:
Ndabu T, Mulgund P, Sharman R, et al. Perceptual gaps between clinicians and technologists on health information technology-related…
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psnet.ahrq.gov/issue/action-patient-safety-can-reduce-health-inequalities
February 05, 2020 - Commentary
Action on patient safety can reduce health inequalities.
Citation Text:
Wade C, Malhotra AM, McGuire P, et al. Action on patient safety can reduce health inequalities. BMJ. 2022;376:e067090. doi:10.1136/bmj-2021-067090.
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psnet.ahrq.gov/issue/diagnostic-delays-among-covid-19-patients-second-concurrent-diagnosis
March 08, 2023 - Study
Diagnostic delays among COVID-19 patients with a second concurrent diagnosis.
Citation Text:
Freund O, Azolai L, Sror N, et al. Diagnostic delays among COVID‐19 patients with a second concurrent diagnosis. J Hosp Med. 2023;18(4):321-328. doi:10.1002/jhm.13063.
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psnet.ahrq.gov/issue/implementation-diagnostic-pauses-ambulatory-setting
January 31, 2024 - Study
Implementation of diagnostic pauses in the ambulatory setting.
Citation Text:
Huang GC, Kriegel G, Wheaton C, et al. Implementation of diagnostic pauses in the ambulatory setting. BMJ Qual Saf. 2018;27(6):492-497. doi:10.1136/bmjqs-2017-007192.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-summary.html
August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
Summary of Survey Findings
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Table of Contents
Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
Introdu…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication5.html
July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act
Discussion
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Table of Contents
Electronic Test Result Communication in the Era of the 21st Century Cures Act
Introduction
Methods
Results
Discussion
Conclusions
References
Appendix A. Da…
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psnet.ahrq.gov/issue/are-verbal-orders-threat-patient-safety
July 31, 2008 - Review
Are verbal orders a threat to patient safety?
Citation Text:
Wakefield DS, Wakefield BJ. Are verbal orders a threat to patient safety? Qual Saf Health Care. 2009;18(3):165-168. doi:10.1136/qshc.2009.034041.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses2.html
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
The Theory of Distributed Cognition
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Table of Contents
Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Introduction
The Theory of Dis…
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psnet.ahrq.gov/issue/alternative-medications-medications-use-high-risk-medications-elderly-and-potentially-harmful
April 27, 2011 - Review
Alternative medications for medications in the Use of High-Risk Medications in the Elderly and Potentially Harmful Drug–Disease Interactions in the Elderly quality measures.
Citation Text:
Hanlon JT, Semla TP, Schmader KE. Alternative Medications for Medications in the Use of High…
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psnet.ahrq.gov/issue/competition-and-health-plan-performance-evidence-health-maintenance-organization-insurance
July 14, 2009 - Study
Competition and health plan performance: evidence from health maintenance organization insurance markets.
Citation Text:
Scanlon D, Swaminathan S, Chernew M, et al. Competition and health plan performance: evidence from health maintenance organization insurance markets. Med Care.…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0242-table4.pdf
January 01, 2010 - Follow-up Visits for Children Who Are Obese or Overweight with a Weight-Related Comorbidity: Table 4
Table 4: Evidence for Follow-up Visits for Children Who Are Overweight
Type of Evidence
Key Findings
Level of
Evidence
(USPSTF
Ranking*)
Citations
Expert
recommendation
The complexity of tre…