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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41537/psn-pdf
    December 30, 2014 - Deaths due to medical error: jumbo jets or just small propeller planes? December 30, 2014 Shojania KG. Deaths due to medical error: jumbo jets or just small propeller planes? BMJ Qual Saf. 2012;21(9). doi:10.1136/bmjqs-2012-001368. https://psnet.ahrq.gov/issue/deaths-due-medical-error-jumbo-jets-or-just-small-prop…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38960/psn-pdf
    September 23, 2009 - Connected care: reducing errors through automated vital signs data upload. September 23, 2009 Smith LB, Banner L, Lozano D, et al. Connected care: reducing errors through automated vital signs data upload. Comput Inform Nurs. 2009;27(5):318-23. doi:10.1097/NCN.0b013e3181b21d65. https://psnet.ahrq.gov/issue/connect…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34679/psn-pdf
    February 09, 2011 - Patient complaints and malpractice risk. February 9, 2011 Hickson GB, Federspiel CF, Pichert JW, et al. Patient complaints and malpractice risk. JAMA. 2002;287(22):2951-7. https://psnet.ahrq.gov/issue/patient-complaints-and-malpractice-risk This study examines the association between physicians’ patient complaint …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60257/psn-pdf
    April 23, 2020 - When We Do Harm: A Doctor Confronts Medical Error. April 23, 2020 Ofri D. Boston, MA: Beacon Press; 2020. ISBN 9780807037881. https://psnet.ahrq.gov/issue/when-we-do-harm-doctor-confronts-medical-error Human and system failures combine to result in preventable patient harm. This book highlights the need for frontl…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73123/psn-pdf
    April 01, 2020 - Digital Healthcare Research. April 1, 2020 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/digital-healthcare-research An understanding of the impact that digital tools can have on clinical decision making, patient self-care, and health system improvement is still emerging. This website hi…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36371/psn-pdf
    October 27, 2010 - Inappropriate surgeries resulting from misdiagnosis of early amyotrophic lateral sclerosis. October 27, 2010 Srinivasan J, Scala S, Jones R, et al. Inappropriate surgeries resulting from misdiagnosis of early amyotrophic lateral sclerosis. Muscle Nerve. 2006;34(3):359-60. https://psnet.ahrq.gov/issue/inappropriate…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35663/psn-pdf
    June 25, 2010 - Effects of critical care nurses' work hours on vigilance and patients' safety. June 25, 2010 Scott LD, Rogers AE, Hwang W-T, et al. Effects of critical care nurses' work hours on vigilance and patients' safety. Am J Crit Care. 2006;15(1):30-7. https://psnet.ahrq.gov/issue/effects-critical-care-nurses-work-hours-vi…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45512/psn-pdf
    October 05, 2016 - When doctors get the wrong patient. October 5, 2016 Whitman E. Mod Healthc. September 25, 2016. https://psnet.ahrq.gov/issue/when-doctors-get-wrong-patient Misidentification of patients can result in problems such as medication administration delays, blood transfusion mismatches, and wrong-patient surgery. This ma…

  9. University of Texas - Austin | Digital Healthcare Research

    digital.ahrq.gov/organization/university-texas-austin
    January 01, 2023 - University of Texas - Austin Clinical Decision Support for Collaborative Diet Goal Setting in Primary Care Description The research developed and evaluated a user-centered clinical decision support tool for collaborative diet goal setting in the primary care setting, finding i…

  10. USA, TX, Austin | Digital Healthcare Research

    digital.ahrq.gov/location/usa-tx-austin
    January 01, 2023 - USA, TX, Austin Clinical Decision Support for Collaborative Diet Goal Setting in Primary Care Description The research developed and evaluated a user-centered clinical decision support tool for collaborative diet goal setting in the primary care setting, finding it feasible to…

  11. Using workflow modeling to identify areas to improve genetic test processes in the University of Maryland Translational Pharmacogenomics Project. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-linked-decision-support-communicating-genomic-data/citation/workflow
    January 01, 2023 - Using workflow modeling to identify areas to improve genetic test processes in the University of Maryland Translational Pharmacogenomics Project. Citation Cutting EM, Overby CL, Banchero M, et al. Using workflow modeling to identify areas to improve genetic test processes in the University of Marylan…

  12. 2015 | Digital Healthcare Research

    digital.ahrq.gov/year-survey/2015
    January 01, 2015 - 2015 Health Information Technology and Provider Communication Description This is a questionnaire designed to be completed by physicians, nurse practitioners, and physician assistants in a perioperative/operative and hospital setting. The tool includes questions to assess the …

  13. Documentation-based clinical decision support to improve antibiotic prescribing for acute respiratory infections in primary care: a cluster randomised controlled trial. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/evaluating-smart-forms-and-quality-dashboards-electronic-health-record-ehr-13
    January 01, 2023 - Documentation-based clinical decision support to improve antibiotic prescribing for acute respiratory infections in primary care: a cluster randomised controlled trial. Citation Linder JA, Schnipper JL, Tsurikova R, et al. Documentation-based clinical decision support to improve antibiotic prescribing…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866284/psn-pdf
    February 26, 2025 - AJR Podcast Series on Diagnostic Excellence and Error. February 26, 2025 Deng F, ed. AJR Am J Roentgenol. July 2024-February 2025. https://psnet.ahrq.gov/issue/ajr-podcast-series-diagnostic-excellence-and-error Reducing diagnostic errors relies on a variety of professionals across the spectrum of care. This podcast…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40170/psn-pdf
    March 01, 2011 - Prevention of surgical malpractice claims by a surgical safety checklist. March 1, 2011 de Vries EN, Eikens-Jansen MP, Hamersma AM, et al. Prevention of surgical malpractice claims by use of a surgical safety checklist. Ann Surg. 2011;253(3):624-8. doi:10.1097/SLA.0b013e3182068880. https://psnet.ahrq.gov/issue/pre…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43577/psn-pdf
    October 01, 2014 - The State of VA Health Care. October 1, 2014 Hearing Before the Committee on Veterans' Affairs United States Senate. 113th Cong (September 9, 2014). https://psnet.ahrq.gov/issue/state-va-health-care In this hearing Veterans Affairs leadership provide an update on the current investigation into data and scheduling…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39375/psn-pdf
    March 24, 2010 - Medication reconciliation and hypertension control. March 24, 2010 Persell SD, Bailey SC, Tang J, et al. Medication reconciliation and hypertension control. Am J Med. 2010;123(2):182.e9-182.e15. doi:10.1016/j.amjmed.2009.06.027. https://psnet.ahrq.gov/issue/medication-reconciliation-and-hypertension-control Medica…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43714/psn-pdf
    December 17, 2014 - ER doctor discusses role in Ebola patient's initial misdiagnosis. December 17, 2014 Dunklin R, Thompson S. Dallas Morning News. December 6, 2014. https://psnet.ahrq.gov/issue/er-doctor-discusses-role-ebola-patients-initial-misdiagnosis This news article reports on the widely publicized delayed diagnosis of Ebola a…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42591/psn-pdf
    July 16, 2015 - Underreporting of robotic surgery complications. July 16, 2015 Cooper M, Ibrahim AM, Lyu H, et al. Underreporting of robotic surgery complications. J Healthc Qual. 2015;37(2):133-8. doi:10.1111/jhq.12036. https://psnet.ahrq.gov/issue/underreporting-robotic-surgery-complications By cross-referencing court records a…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60685/psn-pdf
    July 15, 2020 - Latent bias and the implementation of artificial intelligence in medicine. July 15, 2020 Decamp M, Lindvall C. Latent bias and the implementation of artificial intelligence in medicine. J Am Med Inform Assoc. 2020;27(12):2020-2023. doi:10.1093/jamia/ocaa094. https://psnet.ahrq.gov/issue/latent-bias-and-implementat…
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