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psnet.ahrq.gov/web-mm/dressed-failure
September 01, 2011 - DRESSed for Failure
Citation Text:
Abramson EL, Kaushal R. DRESSed for Failure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
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psnet.ahrq.gov/issue/emergency-medical-services-responders-perceptions-effect-stress-and-anxiety-patient-safety
January 22, 2016 - Study
Emergency medical services responders' perceptions of the effect of stress and anxiety on patient safety in the out-of-hospital emergency care of children: a qualitative study.
Citation Text:
Guise J-M, Hansen M, O'Brien K, et al. Emergency medical services responders' perceptions …
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psnet.ahrq.gov/issue/effect-computerized-provider-order-entry-systems-clinical-care-and-work-processes-emergency
May 25, 2011 - Review
The effect of computerized provider order entry systems on clinical care and work processes in emergency departments: a systematic review of the quantitative literature.
Citation Text:
Georgiou A, Prgomet M, Paoloni R, et al. The effect of computerized provider order entry syst…
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psnet.ahrq.gov/issue/effect-computerized-provider-order-entry-clinical-decision-support-adverse-drug-events-long
February 26, 2009 - Study
Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting.
Citation Text:
Gurwitz JH, Field T, Rochon P, et al. Effect of computerized provider order entry with clinical decision support on adverse drug events …
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psnet.ahrq.gov/issue/national-cost-adverse-drug-events-resulting-inappropriate-medication-related-alert-overrides
July 02, 2019 - Study
The national cost of adverse drug events resulting from inappropriate medication-related alert overrides in the United States.
Citation Text:
Slight SP, Seger DL, Franz C, et al. The national cost of adverse drug events resulting from inappropriate medication-related alert override…
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psnet.ahrq.gov/node/74045/psn-pdf
November 03, 2021 - ‘They treat me like I’m old and stupid’: seniors decry
health providers’ age bias.
November 3, 2021
Graham J. Kaiser Health News. October 20, 2021.
https://psnet.ahrq.gov/issue/they-treat-me-im-old-and-stupid-seniors-decry-health-providers-age-bias
Implicit biases permeate decision making and can impede safe and e…
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psnet.ahrq.gov/node/44565/psn-pdf
October 14, 2015 - How to use online clinician rating systems.
October 14, 2015
Razmaria AA, Livingston EH. JAMA PATIENT PAGE. How to Use Online Clinician Rating Systems. JAMA.
2015;314(13):1418. doi:10.1001/jama.2015.11957.
https://psnet.ahrq.gov/issue/how-use-online-clinician-rating-systems
Clinician rating sites may not always pr…
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psnet.ahrq.gov/issue/leveraging-consistent-communication-tools-and-organizational-values-promote-accountability
January 18, 2023 - Commentary
Leveraging consistent communication tools and organizational values to promote accountability among health care providers.
Citation Text:
Baldwin CA, Krumm AM. Leveraging consistent communication tools and organizational values to promote accountability among health care provi…
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psnet.ahrq.gov/issue/use-public-health-law-framework-improve-medication-safety-anesthesia-providers
December 22, 2018 - Commentary
Use of a public health law framework to improve medication safety by anesthesia providers.
Citation Text:
Litman RS. Use of a public health law framework to improve medication safety by anesthesia providers. J Patient Saf Risk Manag. 2019;24(4):158-165. doi:10.1177/25160435188…
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psnet.ahrq.gov/issue/medmarx-5th-anniversary-data-report-chartbook-2003-findings-and-trends-1999-2003
August 24, 2015 - Book/Report
MEDMARX 5th Anniversary Data Report: A Chartbook of 2003 Findings and Trends 1999-2003.
Citation Text:
MEDMARX 5th Anniversary Data Report: A Chartbook of 2003 Findings and Trends 1999-2003. Hicks RW, Santell JP, Cousins DD, et al. Rockville, MD: USP Center for …
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psnet.ahrq.gov/issue/determining-patients-comfort-inquiring-about-healthcare-providers-hand-washing-behavior
September 03, 2011 - Study
Determining a patient's comfort in inquiring about healthcare providers' hand-washing behavior.
Citation Text:
Clare CA, Afzal O, Knapp K, et al. Determining a patient's comfort in inquiring about healthcare providers' hand-washing behavior. J Patient Saf. 2013;9(2):68-74. doi:10.…
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psnet.ahrq.gov/issue/quantification-anesthesia-providers-hand-hygiene-busy-metropolitan-operating-room-what-would
September 20, 2023 - Study
Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would Semmelweis think?
Citation Text:
Biddle C, Shah J. Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would Semmelweis think? Am J …
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psnet.ahrq.gov/issue/faces-errors-case-based-approach-educating-providers-policy-makers-and-public-about-patient
March 13, 2013 - Commentary
The faces of errors: a case-based approach to educating providers, policy makers, and the public about patient safety.
Citation Text:
Wachter R, Shojania KG. The faces of errors: a case-based approach to educating providers, policymakers, and the public about patient safety. J…
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psnet.ahrq.gov/issue/medicaid-program-payment-adjustment-provider-preventable-conditions-including-health-care
July 07, 2021 - Government Resource
Medicaid program; payment adjustment for provider-preventable conditions including health care–acquired conditions.
Citation Text:
Medicaid program; payment adjustment for provider-preventable conditions including health care–acquired conditions. Centers for Medic…
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psnet.ahrq.gov/issue/beyond-our-walls-impact-patient-and-provider-coordination-across-continuum-outcomes-surgical
March 24, 2021 - Study
Beyond our walls: impact of patient and provider coordination across the continuum on outcomes for surgical patients.
Citation Text:
Weinberg DB, Gittell JH, Lusenhop W, et al. Beyond our walls: impact of patient and provider coordination across the continuum on outcomes for surg…
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psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
September 18, 2024 - SPOTLIGHT CASE
Diagnostic Delay in the Emergency Department
Citation Text:
Marshall K, Singh H. Diagnostic Delay in the Emergency Department. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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Format:…
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psnet.ahrq.gov/node/49506/psn-pdf
March 01, 2006 - The Wet Read
March 1, 2006
Arenson RL. The Wet Read. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/wet-read
Case Objectives
Appreciate the limitations of radiology resident emergency coverage.
Understand the rate of discrepancy between radiology resident preliminary reads and attending
radiologists' fina…
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psnet.ahrq.gov/node/33837/psn-pdf
July 01, 2017 - In Conversation With… Michelle Mello, MPhil, JD, PhD
July 1, 2017
In Conversation With… Michelle Mello, MPhil, JD, PhD. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
Editor's note: Michelle Mello is Professor of Law at Stanford Law School and Professor of Healt…
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psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-home-residents
July 23, 2024 - Missouri Quality Initiative (MOQI) Reduces Hospitalizations Among Nursing Home Residents
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July 28, 2021
Innovation
Contact
…
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psnet.ahrq.gov/node/49634/psn-pdf
September 01, 2011 - Situational (Un)Awareness
September 1, 2011
Abramson EL, Kaushal R. Situational (Un)Awareness. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/situational-unawareness
The Case
A 75-year-old man was admitted on a Tuesday evening with abdominal pain, jaundice, and elevated liver
function tests, including a bi…