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psnet.ahrq.gov/node/60716/psn-pdf
July 22, 2020 - A spike in people dying at home suggests coronavirus
deaths in Houston may be higher than reported.
July 22, 2020
Ornstein C, Hixenbaugh M. A spike in people dying at home suggests coronavirus deaths in Houston may
be higher than reported. ProPublica and NBC News. 2020;July 8.
https://psnet.ahrq.gov/issue/spike-pe…
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psnet.ahrq.gov/node/43699/psn-pdf
November 26, 2014 - Diagnosing overdiagnosis: conceptual challenges and
suggested solutions.
November 26, 2014
Hofmann B. Diagnosing overdiagnosis: conceptual challenges and suggested solutions. Eur J Epidemiol.
2014;29(9):599-604. doi:10.1007/s10654-014-9920-5.
https://psnet.ahrq.gov/issue/diagnosing-overdiagnosis-conceptual-challen…
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psnet.ahrq.gov/node/836728/psn-pdf
March 15, 2022 - Survey suggests disrespectful behaviors persist in
healthcare: practitioners speak up (yet again) – Parts I
and II.
March 15, 2022
ISMP Medication Safety Alert! Acute care edition. February 24, 2022; 27(4):1-5; March 10, 2022; 27(5):1-5.
https://psnet.ahrq.gov/issue/survey-suggests-disrespectful-behaviors-persist-…
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psnet.ahrq.gov/primer/teamwork-training
September 07, 2019 - crews found that attending surgeons were significantly less likely to acknowledge fatigue or accept suggestions
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psnet.ahrq.gov/issue/structure-and-outcomes-interdisciplinary-rounds-hospitalized-medicine-patients-systematic
January 23, 2017 - Review
Structure and outcomes of interdisciplinary rounds in hospitalized medicine patients: a systematic review and suggested taxonomy.
Citation Text:
Bhamidipati S, Elliott DJ, Justice EM, et al. Structure and outcomes of interdisciplinary rounds in hospitalized medicine patients: A sy…
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psnet.ahrq.gov/periodic-issue/periodic-issue-339
April 27, 2022 - general practitioner suggested a correct diagnosis, an incorrect diagnosis, or lacked a diagnostic suggestion … Researchers found that diagnostic suggestions in the referral letter did not influence subsequent diagnostic … The authors share overarching system improvement suggestions and high-priority recommendations to initiate
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psnet.ahrq.gov/node/45041/psn-pdf
September 28, 2016 - Structure and outcomes of interdisciplinary rounds in
hospitalized medicine patients: a systematic review and
suggested taxonomy.
September 28, 2016
Bhamidipati S, Elliott DJ, Justice EM, et al. Structure and outcomes of interdisciplinary rounds in
hospitalized medicine patients: A systematic review and suggested …
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psnet.ahrq.gov/node/43353/psn-pdf
July 16, 2014 - Survey suggests possible downward trend in identifying
key drugs/drug classes as high-alert medications.
July 16, 2014
ISMP Medication Safety Alert! Acute care edition. July 3, 2014;19:1-3,5-6.
https://psnet.ahrq.gov/issue/survey-suggests-possible-downward-trend-identifying-key-drugsdrug-classes-
high-alert
This …
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psnet.ahrq.gov/perspective/response-failure-report-march-2007
June 01, 2007 - Several of these ideas have been long-standing suggestions of groups concerned with medication safety
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psnet.ahrq.gov/periodic-issue/periodic-issue-286
April 28, 2021 - In-depth analysis resulted in more suggestions for reform targeted at the federal, regional, health system … Root cause analysis resulted in suggestions at the department or ward level.
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psnet.ahrq.gov/node/842919/psn-pdf
February 01, 2023 - Specific suggestions include reminding caregivers
about diabetes, wearing a diabetes identification … Specific suggestions include having your doctor
explain what you can expect after leaving the hospital
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psnet.ahrq.gov/node/867805/psn-pdf
February 26, 2025 - We should be reinforcing the use of safety tools with electronic health
records, making specific suggestions
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psnet.ahrq.gov/node/865345/psn-pdf
March 27, 2024 - The limits of clinician vigilance as an AI safety bulwark.
March 27, 2024
Adler-Milstein J, Redelmeier DA, Wachter RM. The limits of clinician vigilance as an AI safety bulwark.
JAMA. 2024;331(14):1173-1174. doi:10.1001/jama.2024.3620.
https://psnet.ahrq.gov/issue/limits-clinician-vigilance-ai-safety-bulwark
Human…
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psnet.ahrq.gov/issue/survey-suggests-disrespectful-behaviors-persist-healthcare-practitioners-speak-yet-again
February 23, 2022 - Newspaper/Magazine Article
Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II.
Citation Text:
Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II. ISMP Medicatio…
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psnet.ahrq.gov/issue/spike-people-dying-home-suggests-coronavirus-deaths-houston-may-be-higher-reported
January 30, 2019 - Newspaper/Magazine Article
A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported.
Citation Text:
Ornstein C, Hixenbaugh M. A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported. ProPublica and NBC N…
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psnet.ahrq.gov/primer/pharmacists-role-medication-safety
March 14, 2018 - patients take medication as it is prescribed Reviewing how patients are using medications can result in suggestions
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psnet.ahrq.gov/node/867637/psn-pdf
February 26, 2025 - Patient safety incident reporting and learning guidelines
implemented by health care professionals in specialized
care units: scoping review.
February 26, 2025
Gqaleni TM, Mkhize SW, Chironda G. Patient safety incident reporting and learning guidelines
implemented by health care professionals in specialized care u…
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psnet.ahrq.gov/node/854381/psn-pdf
October 11, 2023 - Addressing bias in acute postoperative pain
management.
October 11, 2023
Harbell MW, Maloney J, Anderson MA, et al. Addressing bias in acute postoperative pain management.
Curr Pain Headache Rep. 2023;27(9):407-415. doi:10.1007/s11916-023-01135-0.
https://psnet.ahrq.gov/issue/addressing-bias-acute-postoperative-pa…
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psnet.ahrq.gov/node/867436/psn-pdf
January 08, 2025 - diagnostic errors and combining AI with clinician expertise, with the ultimate
decision to follow AI’s suggestion
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psnet.ahrq.gov/node/33586/psn-pdf
September 07, 2019 - A WebM&M provided several additional suggestions on how to minimize
alert fatigue in CPOE systems: