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Controversies in diagnosis: contemporary debates in the diagnostic safety literature. | PSNet

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December 21, 2018 - Review Controversies in diagnosis: contemporary debates in the diagnostic safety literature. Citation Text: Bergl PA, Wijesekera TP, Nassery N, et al. Controversies in diagnosis: contemporary debates in the diagnostic safety literature. Diagnosis (Berl). 2020;7(1):3-9. doi:10.1515/dx-201…

Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. | PSNet

psnet.ahrq.gov/issue/improving-situation-awareness-reduce-unrecognized-clinical-deterioration-and-serious-safety

December 02, 2014 - Study Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. Citation Text: Brady PW, Muething S, Kotagal U, et al. Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. Pediatrics. 2013;131(…

Can we rely on patients' reports of adverse events? | PSNet

psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events

December 29, 2014 - Study Classic Can we rely on patients' reports of adverse events? Citation Text: Zhu J, Stuver SO, Epstein AM, et al. Can we rely on patients' reports of adverse events? Med Care. 2011;49(10):948-55. doi:10.1097/MLR.0b013e31822047a8. Copy Citation Format…

The effect of a clinical decision support for pending laboratory results at emergency department discharge. | PSNet

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April 24, 2018 - Study The effect of a clinical decision support for pending laboratory results at emergency department discharge. Citation Text: Driver BE, Scharber SK, Fagerstrom ET, et al. The Effect of a Clinical Decision Support for Pending Laboratory Results at Emergency Department Discharge. J Eme…

Sex differences in operating room care giver perceptions of patient safety: a pilot study from the Veterans Health Administration Medical Team Training Program. | PSNet

psnet.ahrq.gov/issue/sex-differences-operating-room-care-giver-perceptions-patient-safety-pilot-study-veterans

June 14, 2011 - Study Sex differences in operating room care giver perceptions of patient safety: a pilot study from the Veterans Health Administration Medical Team Training Program. Citation Text: Carney BT, Mills PD, Bagian JP, et al. Sex differences in operating room care giver perceptions of patie…

A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals. | PSNet

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April 20, 2011 - Study A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals. Citation Text: Mills PD, Watts V, Miller S, et al. A checklist to identify inpatient suicide hazards in veterans affairs hospitals. Jt Comm J Qual Patient Saf. 2010;36(2):87-93. Copy Citation For…

The value from investments in health information technology at the U.S. Department of Veterans Affairs. | PSNet

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February 10, 2015 - Study The value from investments in health information technology at the U.S. Department of Veterans Affairs. Citation Text: Byrne CM, Mercincavage LM, Pan EC, et al. The value from investments in health information technology at the U.S. Department of Veterans Affairs. Health Aff (Millw…

Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. | PSNet

psnet.ahrq.gov/issue/evaluating-patient-safety-learning-laboratory-create-interdisciplinary-ecosystem-health-care

December 21, 2022 - Study Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. Citation Text: Atkinson MK, Benneyan JC, Bambury EA, et al. Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care …

Systems engineering analysis of diagnostic referral closed-loop processes. | PSNet

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December 07, 2022 - Study Systems engineering analysis of diagnostic referral closed-loop processes. Citation Text: Nehls N, Yap TS, Salant T, et al. Systems engineering analysis of diagnostic referral closed-loop processes. BMJ Open Qual. 2021;10(4):e001603. doi:10.1136/bmjoq-2021-001603. Copy Citation …

Patient safety strategies targeted at diagnostic errors: a systematic review. | PSNet

psnet.ahrq.gov/issue/patient-safety-strategies-targeted-diagnostic-errors-systematic-review

March 20, 2013 - Review Patient safety strategies targeted at diagnostic errors: a systematic review. Citation Text: McDonald KM, Matesic B, Contopoulos-Ioannidis DG, et al. Patient safety strategies targeted at diagnostic errors: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):381-389. doi:10.7…

The correlation between neonatal intensive care unit safety culture and quality of care. | PSNet

psnet.ahrq.gov/issue/correlation-between-neonatal-intensive-care-unit-safety-culture-and-quality-care

November 20, 2019 - Study The correlation between neonatal intensive care unit safety culture and quality of care. Citation Text: Profit J, Sharek PJ, Cui X, et al. The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care. J Patient Saf. 2020;16(4):e310-e316. doi:10.1097/PTS.0…

The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. | PSNet

psnet.ahrq.gov/issue/new-electronic-health-records-unknown-queue-caused-multiple-events-patient-harm

October 12, 2022 - Book/Report The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. Citation Text: The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. Washington, DC: VA Office of the Inspector General; July 14 2022. Report No. 22-011…

Engaging residents and fellows to improve institution-wide quality: the first six years of a novel financial incentive program. | PSNet

psnet.ahrq.gov/issue/engaging-residents-and-fellows-improve-institution-wide-quality-first-six-years-novel

May 05, 2010 - Study Engaging residents and fellows to improve institution-wide quality: the first six years of a novel financial incentive program. Citation Text: Vidyarthi A, Green AL, Rosenbluth G, et al. Engaging residents and fellows to improve institution-wide quality: the first six years of a no…

Trauma resuscitation errors and computer-assisted decision support. | PSNet

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. Copy Citation F…

Ambulatory computerized prescribing and preventable adverse drug events. | PSNet

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June 11, 2014 - Study Ambulatory computerized prescribing and preventable adverse drug events. Citation Text: Overhage JM, Gandhi TK, Hope C, et al. Ambulatory Computerized Prescribing and Preventable Adverse Drug Events. J Patient Saf. 2016;12(2):69-74. doi:10.1097/PTS.0000000000000194. Copy Citation…

Prescribers' interactions with medication alerts at the point of prescribing: a multi-method, in situ investigation of the human–computer interaction. | PSNet

psnet.ahrq.gov/issue/prescribers-interactions-medication-alerts-point-prescribing-multi-method-situ-investigation

January 07, 2015 - Study Prescribers' interactions with medication alerts at the point of prescribing: a multi-method, in situ investigation of the human–computer interaction. Citation Text: Russ AL, Zillich AJ, McManus S, et al. Prescribers' interactions with medication alerts at the point of prescribin…

Hospital-acquired SARS-CoV-2 infection: lessons for public health. | PSNet

psnet.ahrq.gov/issue/hospital-acquired-sars-cov-2-infection-lessons-public-health

November 25, 2020 - Commentary Hospital-acquired SARS-CoV-2 infection: lessons for public health. Citation Text: Richterman A, Meyerowitz EA, Cevik M. Hospital-acquired SARS-CoV-2 infection: lessons for public health. JAMA. 2020;324(21):2155. doi:10.1001/jama.2020.21399. Copy Citation Format: …

Effects of learning climate and registered nurse staffing on medication errors. | PSNet

psnet.ahrq.gov/issue/effects-learning-climate-and-registered-nurse-staffing-medication-errors

February 15, 2011 - Study Effects of learning climate and registered nurse staffing on medication errors. Citation Text: Chang YK, Mark BA. Effects of Learning Climate and Registered Nurse Staffing on Medication Errors. Nurs Res. 2010;60(1). doi:10.1097/nnr.0b013e3181ff73cc. Copy Citation Format: …

Effectiveness of patient safety training in equipping medical students to recognise safety hazards and propose robust interventions. | PSNet

psnet.ahrq.gov/issue/effectiveness-patient-safety-training-equipping-medical-students-recognise-safety-hazards-and

March 23, 2011 - Study Effectiveness of patient safety training in equipping medical students to recognise safety hazards and propose robust interventions. Citation Text: Hall LW, Scott SD, Cox KR, et al. Effectiveness of patient safety training in equipping medical students to recognise safety hazards…

The You CAN campaign: teamwork training for patients and families in ambulatory oncology. | PSNet

psnet.ahrq.gov/issue/you-can-campaign-teamwork-training-patients-and-families-ambulatory-oncology

September 01, 2016 - Study The You CAN campaign: teamwork training for patients and families in ambulatory oncology. Citation Text: Weingart SN, Simchowitz B, Eng TK, et al. The You CAN campaign: teamwork training for patients and families in ambulatory oncology. Jt Comm J Qual Patient Saf. 2009;35(2):63-71.…

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