-
psnet.ahrq.gov/node/46710/psn-pdf
January 30, 2018 - This
commentary reviews cognitive factors that can contribute to radiologic misinterpretations.
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psnet.ahrq.gov/node/44394/psn-pdf
August 24, 2018 - medication orders can inadvertently be given to the wrong patient in the
community pharmacy setting and reviews
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psnet.ahrq.gov/node/45729/psn-pdf
September 20, 2017 - workflow management systems to automate compounded
sterile solution processes, this newsletter article reviews
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psnet.ahrq.gov/node/46319/psn-pdf
August 09, 2017 - This data brief reviews federal
Medicare statistics on opioid use by older Americans to highlight patient
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psnet.ahrq.gov/node/45436/psn-pdf
August 31, 2016 - This commentary
reviews how an otolaryngology ward implemented a simple cognitive aid to improve patient
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psnet.ahrq.gov/node/47108/psn-pdf
June 06, 2018 - curriculum, this commentary provides an introduction to how cognitive bias affects health care
delivery and reviews
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psnet.ahrq.gov/node/47499/psn-pdf
November 07, 2018 - This
commentary reviews factors that contribute to defensive medicine, underscores the role the blame
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psnet.ahrq.gov/node/46862/psn-pdf
February 21, 2018 - This article reviews the use of systems thinking models to address failure and discusses how
small problems
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psnet.ahrq.gov/node/45727/psn-pdf
August 03, 2017 - They describe a plan to conduct systematic reviews to inform future guidelines.
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psnet.ahrq.gov/node/45818/psn-pdf
September 29, 2017 - This commentary reviews a national plan to curb adverse drug events and applies those
recommendations
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psnet.ahrq.gov/node/46445/psn-pdf
December 19, 2017 - This commentary
reviews the evidence applied to determine ACGME work hour policies.
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psnet.ahrq.gov/node/47080/psn-pdf
May 02, 2018 - trainees who learn in
environments where patients receive unsafe care may perpetuate poor practices and reviews
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psnet.ahrq.gov/node/47017/psn-pdf
November 28, 2018 - year-study-clinical-peer-review-best-practices-us-hospitals
https://psnet.ahrq.gov/issue/longitudinal-study-clinical-peer-reviews-impact-quality-and-safety-us-hospitals
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psnet.ahrq.gov/node/46099/psn-pdf
May 31, 2017 - This quality improvement report
reviews the results of an initiative that used plan-do-study-act cycles
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psnet.ahrq.gov/node/44799/psn-pdf
July 11, 2017 - This special issue includes studies, commentaries, and reviews
exploring consequences of health IT,
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psnet.ahrq.gov/node/44844/psn-pdf
March 02, 2016 - Quality
Chasm—which launched 15 years of focus on systems-oriented approaches to patient safety—and reviews
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psnet.ahrq.gov/node/43413/psn-pdf
October 20, 2014 - morbidity-and-mortality-conference-adverse-event-surveillance-tool-paediatric-
intensive-care
In this study, applying standardized chart reviews
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psnet.ahrq.gov/node/44216/psn-pdf
April 25, 2016 - This
commentary reviews challenges to safe medication use and recommends ways to reduce risks, including
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psnet.ahrq.gov/node/47693/psn-pdf
January 23, 2019 - This commentary reviews a single-
center project that used smartphone technology to enhance cardiac
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psnet.ahrq.gov/node/44105/psn-pdf
April 29, 2015 - This commentary reviews a process to guide evaluation teams in developing a
collective understanding