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psnet.ahrq.gov/issue/systems-approach-sharp-end
April 21, 2021 - Commentary
The systems approach at the sharp end.
Citation Text:
Cross SRH. The systems approach at the sharp end. Future Healthc J. 2019;5(3):176-180. doi:10.7861/futurehosp.5-3-176.
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psnet.ahrq.gov/issue/medication-safety-acute-care-australia-where-are-we-now-part-2-review-strategies-and
January 04, 2010 - Review
Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.
Citation Text:
Semple SJ, Roughead EE. Medication safety in acute care in Australia: where are we now? Part 2: a review of stra…
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psnet.ahrq.gov/issue/checking-lists-systematic-review-electronic-checklist-use-health-care
August 08, 2018 - Review
Checking the lists: a systematic review of electronic checklist use in health care.
Citation Text:
Kramer HS, Drews FA. Checking the lists: A systematic review of electronic checklist use in health care. J Biomed Inform. 2017;71S:S6-S12. doi:10.1016/j.jbi.2016.09.006.
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psnet.ahrq.gov/issue/unintended-adverse-consequences-clinical-decision-support-system-two-cases
October 23, 2018 - Commentary
Unintended adverse consequences of a clinical decision support system: two cases.
Citation Text:
Stone EG. Unintended adverse consequences of a clinical decision support system: two cases. J Am Med Inform Assoc. 2018;25(5):564-567. doi:10.1093/jamia/ocx096.
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psnet.ahrq.gov/issue/medication-safety-acute-care-australia-where-are-we-now-part-1-review-extent-and-causes
October 14, 2009 - Review
Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and causes of medication problems 2002-2008.
Citation Text:
Roughead EE, Semple SJ. Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and c…
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psnet.ahrq.gov/issue/2013-annual-hospital-acquired-condition-rate-and-estimates-cost-savings-and-deaths-averted
May 01, 2017 - Book/Report
Classic
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013.
Citation Text:
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013. R…
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psnet.ahrq.gov/issue/us-food-and-drug-administration-precertification-pilot-program-digital-health-software
September 25, 2008 - Commentary
Emerging Classic
U.S. Food and Drug Administration Precertification pilot program for digital health software: weighing the benefits and risks.
Citation Text:
Lee TT, Kesselheim AS. U.S. Food and Drug Administration Precertification Pilot Program for …
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psnet.ahrq.gov/issue/conditions-influence-impact-malpractice-litigation-risk-physicians-behavior-regarding-patient
January 07, 2015 - Study
Conditions that influence the impact of malpractice litigation risk on physicians' behavior regarding patient safety.
Citation Text:
Renkema E, Broekhuis M, Ahaus K. Conditions that influence the impact of malpractice litigation risk on physicians' behavior regarding patient safet…
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psnet.ahrq.gov/issue/drug-related-harms-hospitalized-medicare-beneficiaries-results-healthcare-cost-and
September 15, 2011 - Study
Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008.
Citation Text:
Shamliyan TA, Kane RL. Drug-Related Harms in Hospitalized Medicare Beneficiaries: Results From the Healthcare Cost and Utilization Project,…
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psnet.ahrq.gov/issue/safety-learning-among-young-newly-employed-workers-three-sectors-challenge-assumed-order
August 12, 2020 - Study
Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things.
Citation Text:
Grytnes R, Nielsen ML, Jørgensen A, et al. Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things…
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psnet.ahrq.gov/issue/misdiagnosis-acute-myocardial-infarction-systematic-review-literature
July 28, 2021 - Review
Misdiagnosis of acute myocardial infarction: a systematic review of the literature.
Citation Text:
Kwok CS, Bennett S, Azam Z, et al. Misdiagnosis of acute myocardial infarction: a systematic review of the literature. Crit Pathw Cardiol. 2021;20(3):155-162. doi:10.1097/hpc.0000000…
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psnet.ahrq.gov/issue/multistep-approach-improving-biopsy-site-identification-dermatology-physician-staff-and
October 12, 2022 - Study
A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus.
Citation Text:
Alam M, Lee A, Ibrahimi OA, et al. A multistep approach to improving biopsy site identification in dermatology: physician, st…
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psnet.ahrq.gov/issue/clinical-and-financial-implications-second-opinion-surgical-pathology-review
August 04, 2021 - Study
Clinical and financial implications of second-opinion surgical pathology review.
Citation Text:
Johnson SM, Samulski TD, O’Connor SM, et al. Clinical and financial implications of second-opinion surgical pathology review. Am J Clin Pathol. 2021;156(4):559-568. doi:10.1093/ajcp/aqaa…
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psnet.ahrq.gov/issue/effectiveness-facilitated-introduction-standard-operating-procedure-routine-processes
February 04, 2015 - Study
Effectiveness of facilitated introduction of a standard operating procedure into routine processes in the operating theatre: a controlled interrupted time series.
Citation Text:
Morgan L, New S, Robertson ER, et al. Effectiveness of facilitated introduction of a standard operating …
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psnet.ahrq.gov/issue/towards-more-patient-centered-approach-medication-safety
January 22, 2025 - Review
Towards a more patient-centered approach to medication safety.
Citation Text:
Lee JL, Dy SM, Gurses AP, et al. Towards a More Patient-Centered Approach to Medication Safety. J Patient Exp. 2018;5(2):83-87. doi:10.1177/2374373517727532.
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psnet.ahrq.gov/issue/errors-mri-evaluation-musculoskeletal-tumors-and-tumorlike-lesions
September 04, 2019 - Study
Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions.
Citation Text:
Heck RK, O'Malley AM, Kellum EL, et al. Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. Clin Orthop Relat Res. 2007;459:28-33.
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psnet.ahrq.gov/issue/teaching-good-ward-round
October 28, 2020 - Commentary
Teaching a 'good' ward round.
Citation Text:
Powell N, Bruce CG, Redfern O. Teaching a 'good' ward round. Clin Med (Lond). 2015;15(2):135-138. doi:10.7861/clinmedicine.15-2-135.
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psnet.ahrq.gov/issue/infection-control-deficiencies-were-widespread-and-persistent-nursing-homes-prior-covid-19
April 29, 2020 - Book/Report
Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic.
Citation Text:
Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. Washington, DC: United States Government Accoun…
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psnet.ahrq.gov/issue/controlled-trial-smart-infusion-pumps-improve-medication-safety-critically-ill-patients
March 13, 2019 - Study
Classic
A controlled trial of smart infusion pumps to improve medication safety in critically ill patients.
Citation Text:
Rothschild JM, Keohane C, Cook F, et al. A controlled trial of smart infusion pumps to improve medication safety in critically ill …
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psnet.ahrq.gov/issue/clinical-progress-note-situation-awareness-clinical-deterioration-hospitalized-children
January 19, 2022 - Commentary
Clinical progress note: situation awareness for clinical deterioration in hospitalized children.
Citation Text:
Sosa T, Galligan MM, Brady PW. Clinical progress note: situation awareness for clinical deterioration in hospitalized children. J Hosp Med. 2022;17(3):199-202. doi:1…