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psnet.ahrq.gov/issue/non-clinical-errors-using-voice-recognition-dictation-software-radiology-reports
December 29, 2014 - Study
Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit.
Citation Text:
Chang CA, Strahan R, Jolley D. Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit. J Digit Imaging. …
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psnet.ahrq.gov/issue/nurse-staffing-hospitals-there-business-case-quality
February 18, 2011 - Study
Classic
Nurse staffing in hospitals: is there a business case for quality?
Citation Text:
Needleman J, Buerhaus P, Stewart M, et al. Nurse staffing in hospitals: is there a business case for quality? Health Aff (Millwood). 2006;25(1):204-11.
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psnet.ahrq.gov/issue/foundational-science-learning-health-systems
June 26, 2019 - Commentary
The foundational science of learning health systems.
Citation Text:
Kilbourne AM, Borsky AE, O'Brien RW, et al. The foundational science of learning health systems. Health Serv Res. 2024;59(6):e14374. doi:10.1111/1475-6773.14374.
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psnet.ahrq.gov/issue/wrong-patient
December 23, 2008 - Commentary
Classic
The wrong patient.
Citation Text:
Chassin MR, Becher EC. The wrong patient. Ann Intern Med. 2002;136(11):826-833.
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psnet.ahrq.gov/issue/using-telehealth-improve-quality-and-safety-findings-ahrq-portfolio
May 07, 2014 - Book/Report
Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio.
Citation Text:
Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio. Dixon BE, Hook JM, McGowan JJ, for AHRQ National Resource Center for Health IT. Rockville, MD: Ag…
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psnet.ahrq.gov/issue/association-face-face-handoffs-and-outcomes-hospitalized-internal-medicine-patients
March 12, 2025 - Study
Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients.
Citation Text:
Schouten WM, Burton C, Jones LKD, et al. Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. J Hosp Med. 2015;10(3):137-41. doi:10.…
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psnet.ahrq.gov/issue/towards-safer-transitions-curriculum-teach-and-assess-hospital-hospice-handoffs
March 20, 2024 - Commentary
Towards safer transitions: a curriculum to teach and assess hospital-to-hospice handoffs.
Citation Text:
Darrah NJ, O'Connor NR. Toward Safer Transitions: A Curriculum to Teach and Assess Hospital-to-Hospice Handoffs. J Pain Symptom Manage. 2016;51(6):959-962.e2. doi:10.1016/j…
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psnet.ahrq.gov/issue/infrastructure-provide-safer-higher-quality-and-more-equitable-telehealth
February 12, 2020 - Commentary
An infrastructure to provide safer, higher quality, and more equitable telehealth.
Citation Text:
Kobeissi MM, Hickey JV. An infrastructure to provide safer, higher quality, and more equitable telehealth. Jt Comm J Qual Patient Saf. 2023;49(4):213-222. doi:10.1016/j.jcjq.2023.…
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psnet.ahrq.gov/issue/human-computer-collaboration-skin-cancer-recognition
June 26, 2019 - Study
Classic
Human-computer collaboration for skin cancer recognition.
Citation Text:
Tschandl P, Rinner C, Apalla Z, et al. Human–computer collaboration for skin cancer recognition. Nat Med. 2020;26(8):1229-1234. doi:10.1038/s41591-020-0942-0.
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psnet.ahrq.gov/issue/decade-health-information-technology-usability-challenges-and-path-forward
January 16, 2019 - Commentary
Emerging Classic
A decade of health information technology usability challenges and the path forward.
Citation Text:
Ratwani RM, Reider J, Singh H. A Decade of Health Information Technology Usability Challenges and the Path Forward. JAMA. 2019;321(8):…
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psnet.ahrq.gov/issue/patient-safety-ambulatory-settings
June 08, 2011 - Book/Report
Classic
Patient Safety in Ambulatory Settings.
Citation Text:
Patient Safety in Ambulatory Settings. Shekelle PG, Sarkar U, Shojania K, et al. Technical Brief No. 27. Rockville, MD: Agency for Healthcare Research and Quality; October 2016. AHRQ Publi…
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psnet.ahrq.gov/issue/safety-emergency-care-systems-results-survey-clinicians-65-us-emergency-departments
June 07, 2008 - Study
The safety of emergency care systems: results of a survey of clinicians in 65 US emergency departments.
Citation Text:
Magid DJ, Sullivan AF, Cleary PD, et al. The safety of emergency care systems: Results of a survey of clinicians in 65 US emergency departments. Ann Emerg Med. 2…
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psnet.ahrq.gov/issue/medical-error-second-victim
March 23, 2011 - Commentary
Classic
Medical error: the second victim.
Citation Text:
Wu AW. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ. 2000;320(7237):726-727.
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psnet.ahrq.gov/issue/influence-electronic-prescribing-has-medication-errors-and-preventable-adverse-drug-events
August 18, 2010 - Study
The influence that electronic prescribing has on medication errors and preventable adverse drug events: an interrupted time-series study.
Citation Text:
van Doormaal J, van den Bemt PMLA, Zaal RJ, et al. The influence that electronic prescribing has on medication errors and preve…
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psnet.ahrq.gov/issue/practical-guide-failure-mode-and-effects-analysis-health-care-making-most-team-and-its
March 04, 2015 - Commentary
A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings.
Citation Text:
Ashley L, Armitage G, Neary M, et al. A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its …
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-outputs-are-they-valid
November 25, 2009 - Study
Failure mode and effects analysis outputs: are they valid?
Citation Text:
Shebl NA, Franklin BD, Barber N. Failure mode and effects analysis outputs: are they valid? BMC Health Serv Res. 2012;12:150. doi:10.1186/1472-6963-12-150.
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psnet.ahrq.gov/issue/complementary-approach-promoting-professionalism-identifying-measuring-and-addressing
June 27, 2018 - Study
Classic
A complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional behaviors.
Citation Text:
Hickson GB, Pichert JW, Webb LE, et al. A complementary approach to promoting professionalism: identifying, mea…
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psnet.ahrq.gov/issue/professional-development-course-improves-unprofessional-physician-behavior
August 12, 2020 - Study
A professional development course improves unprofessional physician behavior.
Citation Text:
Swiggart WH, Bills JL, Penberthy JK, et al. A professional development course improves unprofessional physician behavior. Jt Comm J Qual Patient Saf. 2019;46(2). doi:10.1016/j.jcjq.2019.11.…
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psnet.ahrq.gov/issue/integrating-safety-i-and-safety-ii-conceptual-frameworks-enhance-safety-measurement-and
September 27, 2023 - Commentary
Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management.
Citation Text:
Lounsbury O, Brant K, Stockwell DC. Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management. J Patient Saf Risk M…
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psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-stoelting-conference-2019-perioperative-deterioration
October 19, 2022 - Meeting/Conference Proceedings
The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to-rescue.
Citation Text:
Lin D, Peden CJ, Langness SM, et al. The Anesthesia Patient Safety Found…