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psnet.ahrq.gov/issue/interprofessional-clinical-event-debriefing-does-it-make-difference-attitudes-emergency
April 06, 2022 - Study
Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings.
Citation Text:
Rose SC, Ashari NA, Davies JM, et al. Interprofessional clinical event debriefing-does it make a difference? At…
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psnet.ahrq.gov/issue/racial-bias-pain-assessment-and-treatment-recommendations-and-false-beliefs-about-biological
July 20, 2022 - Study
Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites.
Citation Text:
Hoffman KM, Trawalter S, Axt JR, et al. Racial bias in pain assessment and treatment recommendations, and false beliefs about biolo…
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psnet.ahrq.gov/issue/when-order-sets-do-not-align-clinician-workflow-assessing-practice-patterns-electronic-health
March 24, 2019 - Study
When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record.
Citation Text:
Li RC, Wang JK, Sharp C, et al. When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. BMJ Q…
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psnet.ahrq.gov/issue/breakdowns-initial-patient-provider-encounter-are-frequent-source-diagnostic-error-among
January 23, 2019 - Review
Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims database.
Citation Text:
Liberman AL, Skillings J, Greenberg P, et al. Breakdowns in the initial patient-provid…
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psnet.ahrq.gov/issue/caring-our-own-deploying-systemwide-second-victim-rapid-response-team
September 19, 2016 - Study
Classic
Caring for our own: deploying a systemwide second victim rapid response team.
Citation Text:
Scott SD, Hirschinger LE, Cox KR, et al. Caring for our own: deploying a systemwide second victim rapid response team. Jt Comm J Qual Saf. 2010;36(5):233-2…
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psnet.ahrq.gov/issue/peer-support-interprofessional-health-care-providers-aftermath-patient-safety-incidents-cross
September 22, 2021 - Study
Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross-sectional study.
Citation Text:
Vanhaecht K, Zeeman G, Schouten L, et al. Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cr…
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psnet.ahrq.gov/issue/return-investment-vendor-computerized-physician-order-entry-four-community-hospitals
November 26, 2014 - Study
Return on investment for vendor computerized physician order entry in four community hospitals: the importance of decision support.
Citation Text:
Zimlichman E, Keohane C, Franz C, et al. Return on investment for vendor computerized physician order entry in four community hospita…
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psnet.ahrq.gov/issue/patient-and-caregiver-perspectives-causes-and-prevention-ambulatory-adverse-events
November 24, 2021 - Study
Patient and caregiver perspectives on causes and prevention of ambulatory adverse events: multilingual qualitative study.
Citation Text:
Sharma AE, Tran AS, Dy M, et al. Patient and caregiver perspectives on causes and prevention of ambulatory adverse events: multilingual qualitati…
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psnet.ahrq.gov/issue/structured-override-reasons-drug-drug-interaction-alerts-electronic-health-records
April 29, 2018 - Study
Structured override reasons for drug–drug interaction alerts in electronic health records.
Citation Text:
Wright A, McEvoy D, Aaron S, et al. Structured override reasons for drug-drug interaction alerts in electronic health records. J Am Med Info Asso. 2019;26(10):934-942. doi:10.1…
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psnet.ahrq.gov/issue/impact-covid-19-pandemic-cancer-care-global-collaborative-study
April 21, 2021 - Study
Emerging Classic
Impact of the COVID-19 pandemic on cancer care: a global collaborative study.
Citation Text:
Jazieh AR, Akbulut H, Curigliano G, et al. Impact of the COVID-19 pandemic on cancer care: a global collaborative study. JCO Glob Oncol. 2020;6)(6…
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psnet.ahrq.gov/issue/using-text-mining-techniques-identify-health-care-providers-patient-safety-problems
July 27, 2022 - Study
Using text mining techniques to identify health care providers with patient safety problems: exploratory study.
Citation Text:
Hendrickx I, Voets T, van Dyk P, et al. Using text mining techniques to identify health care providers with patient safety problems: exploratory study. J M…
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psnet.ahrq.gov/issue/changes-perceptions-antibiotic-stewardship-among-neonatal-intensive-care-unit-providers-over
September 29, 2021 - Study
Changes in perceptions of antibiotic stewardship among neonatal intensive care unit providers over the course of a learning collaborative: a prospective, multisite, mixed-methods evaluation.
Citation Text:
Qureshi N, Kroger J, Zangwill KM, et al. Changes in perceptions of antibioti…
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psnet.ahrq.gov/issue/its-two-worlds-apart-analysis-vulnerable-patient-handover-practices-discharge-hospital
January 15, 2025 - Study
"It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital.
Citation Text:
Groene RO, Orrego C, Suñol R, et al. "It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital. BMJ Qu…
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psnet.ahrq.gov/issue/what-do-emergency-department-physicians-and-nurses-feel-qualitative-study-emotions-triggers
January 25, 2023 - Study
What do emergency department physicians and nurses feel? A qualitative study of emotions, triggers, regulation strategies, and effects on patient care.
Citation Text:
Isbell LM, Boudreaux ED, Chimowitz H, et al. What do emergency department physicians and nurses feel? A qualitative…
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psnet.ahrq.gov/issue/understanding-how-design-and-implementation-online-consultations-affect-primary-care-quality
October 05, 2022 - Review
Understanding how the design and implementation of online consultations affect primary care quality: systematic review of evidence with recommendations for designers, providers, and researchers.
Citation Text:
Darley S, Coulson T, Peek N, et al. Understanding how the design and im…
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psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
March 22, 2009 - The Role of Health Literacy in Patient Safety
Michael S. Wolf, PhD, MPH; Stacy Cooper Bailey, MPH | March 1, 2009
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Wolf MS, Bailey SC. The Role of Health Literacy in Patient Safety…
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psnet.ahrq.gov/node/43268/psn-pdf
June 11, 2014 - Medication Safety Program.
June 11, 2014
Atlanta, GA: Centers for Disease Control and Prevention.
https://psnet.ahrq.gov/issue/medication-safety-program
This Web site provides information for providers and patients to reduce risks related to adverse drug
events, including links to fact sheets, research, and govern…
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psnet.ahrq.gov/node/41855/psn-pdf
August 01, 2016 - Safety and Reliability in Pediatrics.
August 1, 2016
Jacobs BR, Coppes MJ, eds. Pediatr Clin North Am. 2012;59(6):1233-1388.
https://psnet.ahrq.gov/issue/safety-and-reliability-pediatrics
Articles in this special issue explore strategies to improve safety in pediatric care, including computerized
provider order en…
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psnet.ahrq.gov/node/33897/psn-pdf
January 25, 2016 - Reducing Errors in Health Care: Translating Research
Into Practice.
January 25, 2016
Rockville, MD: Agency of Healthcare Research and Quality; AHRQ Publication No. 00-PO58.
https://psnet.ahrq.gov/issue/reducing-errors-health-care-translating-research-practice
This fact sheet on medical errors provides information …
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psnet.ahrq.gov/node/35082/psn-pdf
June 15, 2011 - Misadventures in Health Care: Inside Stories.
June 15, 2011
Bogner MS, ed. New York, NY: Psychology Press; 2013. ISBN: 9780805833775.
https://psnet.ahrq.gov/issue/misadventures-health-care-inside-stories
This book is a collection of eleven stories in which health care providers describe incidents of medical error
…