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psnet.ahrq.gov/issue/patient-handoffs-and-multi-specialty-trainee-perspectives-across-institution-informing
February 23, 2022 - Study
Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs.
Citation Text:
Williams SR, Sebok-Syer SS, Caretta-Weyer H, et al. Patient handoffs and multi-specialty t…
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psnet.ahrq.gov/issue/multistate-point-prevalence-survey-health-care-associated-infections
November 14, 2018 - Study
Multistate point-prevalence survey of health care-associated infections.
Citation Text:
Magill SS, Edwards JR, Bamberg W, et al. Multistate point-prevalence survey of health care-associated infections. N Engl J Med. 2014;370(13):1198-208. doi:10.1056/NEJMoa1306801.
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psnet.ahrq.gov/issue/speaking-about-patient-safety-concerns-and-unprofessional-behaviour-among-residents
December 21, 2017 - Study
'Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two scales.
Citation Text:
Martinez W, Etchegaray J, Thomas EJ, et al. 'Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two…
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psnet.ahrq.gov/issue/guidance-health-care-leaders-during-recovery-stage-covid-19-pandemic-consensus-statement
December 21, 2017 - Commentary
Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement.
Citation Text:
Geerts JM, Kinnair D, Taheri P, et al. Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement. JAMA Ne…
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psnet.ahrq.gov/issue/ed-misdiagnosis-cerebrovascular-events-era-modern-neuroimaging-meta-analysis
August 19, 2020 - Review
ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging: a meta-analysis.
Citation Text:
Tarnutzer AA, Lee S-H, Robinson K, et al. ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging: A meta-analysis. Neurology. 2017;88(15):1468-1477. do…
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digital.ahrq.gov/ahrq-funded-projects/e-prescribing-impact-patient-safety-use-and-cost
January 01, 2023 - E-Prescribing Impact on Patient Safety, Use, and Cost
Project Final Report ( PDF , 372.31 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ.…
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psnet.ahrq.gov/issue/characterization-adverse-events-detected-large-health-care-delivery-system-using-enhanced
May 25, 2013 - Study
Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval.
Citation Text:
Kennerly DA, Kudyakov R, da Graca B, et al. Characterization of adverse events detected in a large health care delivery…
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psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-when-witnessing-error
April 14, 2011 - Review
Emerging Classic
Hierarchy and medical error: speaking up when witnessing an error.
Citation Text:
Peadon R (R), Hurley J, Hutchinson M. Hierarchy and medical error: speaking up when witnessing an error. Safety Sci. 2020;125:104648. doi:10.1016/j.ssci.202…
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psnet.ahrq.gov/issue/implementation-electronic-triggers-identify-diagnostic-errors-emergency-departments
September 25, 2024 - Study
Implementation of electronic triggers to identify diagnostic errors in emergency departments.
Citation Text:
Vaghani V, Gupta A, Mir U, et al. Implementation of electronic triggers to identify diagnostic errors in emergency departments. JAMA Intern Med. 2025;185(2):143-151. doi:10.…
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psnet.ahrq.gov/issue/addressing-veteran-health-related-social-needs-how-joint-commission-standards-accelerated
November 24, 2021 - Commentary
Addressing veteran health-related social needs: how Joint Commission standards accelerated integration and expansion of tools and services in the Veterans Health Administration.
Citation Text:
List JM, Russell LE, Hausmann LRM, et al. Addressing veteran health-related social n…
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psnet.ahrq.gov/issue/medication-related-emergency-department-visits-pediatrics-prospective-observational-study
October 16, 2013 - Study
Medication-related emergency department visits in pediatrics: a prospective observational study.
Citation Text:
Zed PJ, Black KJL, Fitzpatrick EA, et al. Medication-related emergency department visits in pediatrics: a prospective observational study. Pediatrics. 2015;135(3):435-43.…
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psnet.ahrq.gov/issue/patient-record-review-incidence-consequences-and-causes-diagnostic-adverse-events
July 02, 2014 - Study
Patient record review of the incidence, consequences, and causes of diagnostic adverse events.
Citation Text:
Zwaan L, de Bruijne M, Wagner C, et al. Patient record review of the incidence, consequences, and causes of diagnostic adverse events. Arch Intern Med. 2010;170(12):1015-21…
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psnet.ahrq.gov/issue/accuracy-proprietary-large-language-model-labeling-obstetric-incident-reports
September 23, 2020 - Study
Accuracy of a proprietary large language model in labeling obstetric incident reports.
Citation Text:
Johnson J, Brown C, Lee GM, et al. Accuracy of a proprietary large language model in labeling obstetric incident reports. Jt Comm J Qual Patient Saf. 2024;50(12):877-881. doi:10.10…
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psnet.ahrq.gov/issue/emergency-department-visits-adverse-events-related-dietary-supplements
December 19, 2017 - Study
Classic
Emergency department visits for adverse events related to dietary supplements.
Citation Text:
Geller AI, Shehab N, Weidle NJ, et al. Emergency Department Visits for Adverse Events Related to Dietary Supplements. N Engl J Med. 2015;373(16):1531-40. …
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psnet.ahrq.gov/issue/vital-signs-epidemiology-sepsis-prevalence-health-care-factors-and-opportunities-prevention
September 23, 2020 - Study
Vital signs: epidemiology of sepsis: prevalence of health care factors and opportunities for prevention.
Citation Text:
Novosad SA, Sapiano MRP, Grigg C, et al. Vital Signs: Epidemiology of Sepsis: Prevalence of Health Care Factors and Opportunities for Prevention. MMWR Morb Mortal…
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psnet.ahrq.gov/issue/assessing-national-electronic-injury-surveillance-system-cooperative-adverse-drug-event
February 27, 2019 - Government Resource
Assessing the National Electronic Injury Surveillance System—Cooperative Adverse Drug Event Surveillance Project—six sites, United States, January 1–June 15, 2004.
Citation Text:
Prevention C for DC and. Assessing the National Electronic Injury Surveillance System-C…
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psnet.ahrq.gov/issue/paid-malpractice-claims-adverse-events-inpatient-and-outpatient-settings
June 24, 2009 - Study
Paid malpractice claims for adverse events in inpatient and outpatient settings.
Citation Text:
Bishop TF, Ryan AM, Ryan AK, et al. Paid malpractice claims for adverse events in inpatient and outpatient settings. JAMA. 2011;305(23):2427-31. doi:10.1001/jama.2011.813.
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psnet.ahrq.gov/issue/does-computerized-provider-order-entry-reduce-prescribing-errors-hospital-inpatients
February 15, 2012 - Review
Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review.
Citation Text:
Reckmann MH, Westbrook JI, Koh Y, et al. Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review. J…
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psnet.ahrq.gov/issue/burden-serious-harms-diagnostic-error-usa
June 03, 2020 - Study
Burden of serious harms from diagnostic error in the USA.
Citation Text:
Newman-Toker DE, Nassery N, Schaffer AC, et al. Burden of serious harms from diagnostic error in the USA. BMJ Qual Saf. 2024;33(2):109-120. doi:10.1136/bmjqs-2021-014130.
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psnet.ahrq.gov/issue/preventable-and-mitigable-adverse-events-cancer-care-measuring-risk-and-harm-across-continuum
July 19, 2017 - Study
Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum.
Citation Text:
Lipitz-Snyderman A, Pfister D, Classen D, et al. Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum. Cancer. 2017…