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psnet.ahrq.gov/issue/direct-observation-depression-screening-identifying-diagnostic-error-and-improving-accuracy
December 08, 2021 - Study
Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients.
Citation Text:
Schwartz A, Peskin S, Spiro A, et al. Direct observation of depression screening: identifying diagnostic error and improving acc…
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psnet.ahrq.gov/issue/clinician-identified-problems-and-solutions-delayed-diagnosis-primary-care-prioritize-study
December 14, 2016 - Study
Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study.
Citation Text:
Car LT, Papachristou N, Bull A, et al. Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study. BMC Fam Pract. 2016;17…
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psnet.ahrq.gov/issue/physicians-failed-write-flawless-prescriptions-when-computerized-physician-order-entry-system
January 21, 2015 - Study
Physicians failed to write flawless prescriptions when computerized physician order entry system crashed.
Citation Text:
Hsu C-C, Chou C-L, Chen T-J, et al. Physicians Failed to Write Flawless Prescriptions When Computerized Physician Order Entry System Crashed. Clin Ther. 2015;37(…
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psnet.ahrq.gov/issue/barriers-and-motivators-making-error-reports-family-medicine-offices-report-american-academy
July 14, 2010 - Study
Barriers and motivators for making error reports from family medicine offices: a report from the American Academy of Family Physicians National Research Network (AAFP NRN).
Citation Text:
Elder NC, Graham D, Brandt E, et al. Barriers and motivators for making error reports from f…
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psnet.ahrq.gov/issue/adverse-drug-events-resulting-patient-errors-older-adults
March 11, 2011 - Study
Adverse drug events resulting from patient errors in older adults.
Citation Text:
Field TS, Mazor KM, Briesacher BA, et al. Adverse Drug Events Resulting from Patient Errors in Older Adults. J Am Geriatr Soc. 2007;55(2):271-276. doi:10.1111/j.1532-5415.2007.01047.x.
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psnet.ahrq.gov/issue/barriers-and-facilitators-patient-engagement-patient-safety-patients-and-healthcare
June 09, 2021 - Review
Barriers and facilitators to patient engagement in patient safety from patients and healthcare professionals' perspectives: a systematic review and meta-synthesis.
Citation Text:
Chegini Z, Arab‐Zozani M, Shariful Islam SM, et al. Barriers and facilitators to patient engagement in…
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psnet.ahrq.gov/issue/rising-drug-allergy-alert-overrides-electronic-health-records-observational-retrospective
July 06, 2022 - Study
Rising drug allergy alert overrides in electronic health records: an observational retrospective study of a decade of experience.
Citation Text:
Topaz M, Seger DL, Slight SP, et al. Rising drug allergy alert overrides in electronic health records: an observational retrospective stu…
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psnet.ahrq.gov/issue/empirical-model-estimate-potential-impact-medication-safety-alerts-patient-safety-health-care
September 01, 2016 - Study
An empirical model to estimate the potential impact of medication safety alerts on patient safety, health care utilization, and cost in ambulatory care.
Citation Text:
Weingart SN, Simchowitz B, Padolsky H, et al. An empirical model to estimate the potential impact of medication sa…
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psnet.ahrq.gov/issue/patient-safety-perceptions-primary-care-providers-after-implementation-electronic-medical
December 21, 2014 - Study
Patient safety perceptions of primary care providers after implementation of an electronic medical record system.
Citation Text:
McGuire MJ, Noronha G, Samal L, et al. Patient safety perceptions of primary care providers after implementation of an electronic medical record system. …
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psnet.ahrq.gov/issue/consensus-statement-effective-communication-urgent-diagnoses-and-significant-unexpected
November 16, 2022 - Organizational Policy/Guidelines
Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the College of American Pathologists and Association of Directors of Anatomic and Surgical Pathology.
Cit…
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psnet.ahrq.gov/issue/high-profile-investigations-hospital-safety-problems-england-did-not-prompt-patients-switch
July 11, 2012 - Study
High-profile investigations into hospital safety problems in England did not prompt patients to switch providers.
Citation Text:
Laverty AA, Smith PC, Pape UJ, et al. High-profile investigations into hospital safety problems in England did not prompt patients to switch providers.…
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psnet.ahrq.gov/issue/training-safe-opioid-prescribing-and-treatment-opioid-use-disorder-internal-medicine
March 17, 2021 - Study
Training in safe opioid prescribing and treatment of opioid use disorder in internal medicine residencies: a national survey of program directors.
Citation Text:
Windish DM, Catalanotti JS, Zaas A, et al. Training in safe opioid prescribing and treatment of opioid use disorder in i…
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psnet.ahrq.gov/issue/association-inpatient-hospital-experience-patient-safety-indicators-cross-sectional-canadian
February 17, 2017 - Study
Association of inpatient hospital experience with patient safety indicators: a cross-sectional, Canadian study.
Citation Text:
Kemp KA, Santana MJ, Southern DA, et al. Association of inpatient hospital experience with patient safety indicators: a cross-sectional, Canadian study. BM…
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psnet.ahrq.gov/issue/nicu-medication-errors-identifying-risk-profile-medication-errors-neonatal-intensive-care
September 21, 2008 - Study
NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit.
Citation Text:
Stavroudis TA, Shore AD, Morlock L, et al. NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit. J Pe…
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psnet.ahrq.gov/issue/design-and-implementation-automated-email-notification-system-results-tests-pending-discharge
March 04, 2015 - Study
Design and implementation of an automated email notification system for results of tests pending at discharge.
Citation Text:
Dalal A, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification system for results of tests pending at discharge. J Am M…
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psnet.ahrq.gov/issue/preventable-adverse-drug-events-causing-hospitalisation-identifying-root-causes-and
March 05, 2008 - Study
Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross-sectional observational study.
Citation Text:
de Lemos J, Loewen PS, Nagle C, et al. Preventable adverse drug e…
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psnet.ahrq.gov/issue/association-between-measured-teamwork-and-medical-errors-observational-study-prehospital-care
May 18, 2022 - Study
Association between measured teamwork and medical errors: an observational study of prehospital care in the USA
Citation Text:
Herzberg S, Hansen M, Schoonover A, et al. Association between measured teamwork and medical errors: an observational study of prehospital care in the USA.…
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psnet.ahrq.gov/issue/incidence-adverse-drug-events-two-large-academic-long-term-care-facilities
February 11, 2009 - Study
The incidence of adverse drug events in two large academic long-term care facilities.
Citation Text:
Gurwitz JH, Field TS, Judge J, et al. The incidence of adverse drug events in two large academic long-term care facilities. Am J Med. 2005;118(3). doi:10.1016/j.amjmed.2004.09.018.…
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psnet.ahrq.gov/issue/pediatric-airway-management-and-prehospital-patient-safety-results-national-delphi-survey
March 22, 2017 - Study
Pediatric airway management and prehospital patient safety: results of a national Delphi survey by the Children's Safety Initiative-Emergency Medical Services for Children.
Citation Text:
Hansen M, Meckler G, OʼBrien K, et al. Pediatric Airway Management and Prehospital Patient Saf…
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psnet.ahrq.gov/issue/patient-and-family-engagement-catheter-associated-urinary-tract-infection-cauti-prevention
February 07, 2022 - Review
Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review.
Citation Text:
Mangal S, Pho A, Arcia A, et al. Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic revie…