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psnet.ahrq.gov/issue/time-out-charting-path-improving-performance-measurement
March 06, 2005 - Commentary
Classic
Time out—charting a path for improving performance measurement.
Citation Text:
MacLean CH, Kerr EA, Qaseem A. Time Out - Charting a Path for Improving Performance Measurement. N Engl J Med. 2018;378(19):1757-1761. doi:10.1056/NEJMp1802595.
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psnet.ahrq.gov/issue/participating-multisite-study-exploring-operational-failures-encountered-frontline-nurses
July 05, 2017 - Commentary
Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned.
Citation Text:
Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures Encountered by Frontline Nurses: Lessons Lea…
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psnet.ahrq.gov/issue/improving-team-performance-during-preprocedure-time-out-pediatric-interventional-radiology
August 04, 2021 - Study
Improving team performance during the preprocedure time-out in pediatric interventional radiology.
Citation Text:
Gottumukkala R, Street M, Fitzpatrick M, et al. Improving team performance during the preprocedure time-out in pediatric interventional radiology. Jt Comm J Qual Patien…
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psnet.ahrq.gov/issue/testing-technology-acceptance-model-evaluating-healthcare-professionals-intention-use-adverse
March 24, 2019 - Study
Testing the technology acceptance model for evaluating healthcare professionals' intention to use an adverse event reporting system.
Citation Text:
Wu J-H, Shen W-S, Lin L-M, et al. Testing the technology acceptance model for evaluating healthcare professionals' intention to use …
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psnet.ahrq.gov/issue/reasons-persistence-adverse-events-era-safer-surgery-qualitative-approach
October 29, 2014 - Study
Reasons for the persistence of adverse events in the era of safer surgery―a qualitative approach.
Citation Text:
Kaderli R, Seelandt JC, Umer M, et al. Reasons for the persistence of adverse events in the era of safer surgery--a qualitative approach. Swiss Med Wkly. 2013;143:w13…
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psnet.ahrq.gov/issue/improvement-detection-wrong-patient-errors-when-radiologists-include-patient-photographs
June 13, 2015 - Study
Improvement in detection of wrong-patient errors when radiologists include patient photographs in their interpretation of portable chest radiographs.
Citation Text:
Tridandapani S, Olsen K, Bhatti P. Improvement in Detection of Wrong-Patient Errors When Radiologists Include Patient…
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psnet.ahrq.gov/issue/errors-allies-error-management-training-health-professions-education
January 22, 2016 - Commentary
Errors as allies: error management training in health professions education.
Citation Text:
King A, Holder MG, Ahmed RA. Errors as allies: error management training in health professions education. BMJ Qual Saf. 2013;22(6):516-9. doi:10.1136/bmjqs-2012-000945.
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psnet.ahrq.gov/issue/twitter-tool-enhance-student-engagement-during-interprofessional-patient-safety-course
July 08, 2020 - Study
Twitter as a tool to enhance student engagement during an interprofessional patient safety course.
Citation Text:
Mckay M, Sanko JS, Shekhter I, et al. Twitter as a tool to enhance student engagement during an interprofessional patient safety course. J Interprof Care. 2014;28(6):56…
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psnet.ahrq.gov/issue/relating-faults-diagnostic-reasoning-diagnostic-errors-and-patient-harm
April 30, 2014 - Study
Relating faults in diagnostic reasoning with diagnostic errors and patient harm.
Citation Text:
Zwaan L, Thijs A, Wagner C, et al. Relating faults in diagnostic reasoning with diagnostic errors and patient harm. Acad Med. 2012;87(2):149-156. doi:10.1097/ACM.0b013e31823f71e6.
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psnet.ahrq.gov/issue/patients-experiences-dental-diagnostic-failures-qualitative-study-using-social-media
September 06, 2017 - Study
Patients' experiences of dental diagnostic failures: a qualitative study using social media.
Citation Text:
Obadan-Udoh E, Howard R, Valmadrid LC, et al. Patients' experiences of dental diagnostic failures: a qualitative study using social media. J Patient Saf. 2024;20(3):177-185. …
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psnet.ahrq.gov/issue/performance-evaluation-chatgpt-detecting-diagnostic-errors-and-their-contributing-factors
September 13, 2023 - Study
Performance evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case reports of diagnostic errors.
Citation Text:
Harada Y, Suzuki T, Harada T, et al. Performance evaluation of ChatGPT in detecting diagnostic errors and their cont…
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psnet.ahrq.gov/issue/changes-prognosis-after-first-postoperative-complication
June 29, 2022 - Study
Changes in prognosis after the first postoperative complication.
Citation Text:
Silber JH, Rosenbaum PR, Trudeau ME, et al. Changes in prognosis after the first postoperative complication. Med Care. 2005;43(2):122-31.
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psnet.ahrq.gov/issue/safety-part-quality-proposal-continuum-performance-measurement
February 25, 2009 - Study
Safety is part of quality: a proposal for a continuum in performance measurement.
Citation Text:
Kazandjian VA, Wicker KG, Matthes N, et al. Safety is part of quality: a proposal for a continuum in performance measurement. J Eval Clin Pract. 2008;14(2):354-359. doi:10.1111/j.1365…
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psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing
January 08, 2020 - Commentary
Cognitive testing of older clinicians prior to recredentialing.
Citation Text:
Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA. 2020;323(2):179-180. doi:10.1001/jama.2019.18665.
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psnet.ahrq.gov/issue/patient-safety-dentistry-development-candidate-never-event-list-primary-care
April 12, 2017 - Study
Patient safety in dentistry: development of a candidate 'never event' list for primary care.
Citation Text:
Black I, Bowie P. Patient safety in dentistry: development of a candidate 'never event' list for primary care. Br Dent J. 2017;222(10):782-788. doi:10.1038/sj.bdj.2017.456.
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psnet.ahrq.gov/issue/identification-and-characterization-adverse-drug-events-primary-care
July 16, 2015 - Study
Identification and characterization of adverse drug events in primary care.
Citation Text:
Trinkley KE, Weed HG, Beatty SJ, et al. Identification and Characterization of Adverse Drug Events in Primary Care. Am J Med Qual. 2017;32(5):518-525. doi:10.1177/1062860616665695.
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psnet.ahrq.gov/issue/perceptions-effective-and-ineffective-nurse-physician-communication-hospitals
June 28, 2017 - Study
Perceptions of effective and ineffective nurse–physician communication in hospitals.
Citation Text:
Robinson P, Gorman G, Slimmer LW, et al. Perceptions of effective and ineffective nurse-physician communication in hospitals. Nurs Forum. 2010;45(3):206-16. doi:10.1111/j.1744-6198…
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psnet.ahrq.gov/issue/causes-near-misses-critical-care-neonates-and-children
July 19, 2023 - Study
Causes of near misses in critical care of neonates and children.
Citation Text:
Tourgeman-Bashkin O, Shinar D, Zmora E. Causes of near misses in critical care of neonates and children. Acta Paediatr. 2008;97(3):299-303. doi:10.1111/j.1651-2227.2007.00616.x.
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psnet.ahrq.gov/issue/influences-adoption-patient-safety-innovation-primary-care-qualitative-exploration-staff
April 25, 2018 - Study
Influences on the adoption of patient safety innovation in primary care: a qualitative exploration of staff perspectives.
Citation Text:
Litchfield I, Gill P, Avery T, et al. Influences on the adoption of patient safety innovation in primary care: a qualitative exploration of staff…
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psnet.ahrq.gov/issue/systematic-review-performance-characteristics-clinical-event-monitor-signals-used-detect
March 28, 2012 - Review
A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse drug events in the hospital setting.
Citation Text:
Handler S, Altman RL, Perera S, et al. A systematic review of the performance characteristics of clinical event mon…