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psnet.ahrq.gov/issue/computerized-triggers-big-data-detect-delays-follow-chest-imaging-results
March 19, 2018 - Study
Computerized triggers of big data to detect delays in follow-up of chest imaging results.
Citation Text:
Murphy DR, Meyer AND, Bhise V, et al. Computerized Triggers of Big Data to Detect Delays in Follow-up of Chest Imaging Results. Chest. 2016;150(3):613-20. doi:10.1016/j.chest.20…
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psnet.ahrq.gov/issue/adverse-drug-event-detection-pediatric-oncology-and-hematology-patients-using-medication
November 16, 2022 - Study
Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify patient harm in a specialized pediatric patient population.
Citation Text:
Call RJ, Burlison JD, Robertson JJ, et al. Adverse drug event detection in pediatric oncology…
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psnet.ahrq.gov/issue/boosting-medical-diagnostics-pooling-independent-judgments
June 21, 2016 - Study
Boosting medical diagnostics by pooling independent judgments.
Citation Text:
Kurvers RHJM, Herzog SM, Hertwig R, et al. Boosting medical diagnostics by pooling independent judgments. Proc Natl Acad Sci U S A. 2016;113(31):8777-8782. doi:10.1073/pnas.1601827113.
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psnet.ahrq.gov/issue/computer-based-simulation-reduce-ehr-related-chemotherapy-ordering-errors
October 27, 2021 - Study
Computer-based simulation to reduce EHR-related chemotherapy ordering errors.
Citation Text:
Wyatt KD, Freedman EB, Arteaga GM, et al. Computer‐based simulation to reduce EHR‐related chemotherapy ordering errors. Cancer Med. 2020;9(23):8844-8851. doi:10.1002/cam4.3496.
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psnet.ahrq.gov/issue/impact-sars-cov-2-hospital-acquired-infection-rates-united-states-predictions-and-early
August 15, 2012 - Study
Impact of SARS-CoV-2 on hospital acquired infection rates in the United States: predictions and early results.
Citation Text:
McMullen KM, Smith BA, Rebmann T. Impact of SARS-CoV-2 on hospital acquired infection rates in the United States: predictions and early results. Am J Infect…
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psnet.ahrq.gov/issue/qualitative-exploration-mental-health-service-user-and-carer-perspectives-safety-issues-uk
March 31, 2021 - Study
A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services.
Citation Text:
Berzins K, Baker J, Louch G, et al. A qualitative exploration of mental health service user and carer perspectives on safety issues in UK men…
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psnet.ahrq.gov/issue/incidence-and-root-cause-analysis-wrong-site-pain-management-procedures-multicenter-study
April 29, 2020 - Study
Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study.
Citation Text:
Cohen SP, Hayek SM, Datta S, et al. Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Anesthesiology. 2010;112(3):711-8. d…
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psnet.ahrq.gov/issue/physicians-views-interventions-reduce-medical-errors-does-evidence-effectiveness-matter
February 18, 2011 - Study
Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter?
Citation Text:
Rosen AB, Blendon RJ, DesRoches CM, et al. Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? Acad Med. 2005;80(2):1…
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psnet.ahrq.gov/issue/what-do-emergency-department-physicians-and-nurses-feel-qualitative-study-emotions-triggers
January 25, 2023 - Study
What do emergency department physicians and nurses feel? A qualitative study of emotions, triggers, regulation strategies, and effects on patient care.
Citation Text:
Isbell LM, Boudreaux ED, Chimowitz H, et al. What do emergency department physicians and nurses feel? A qualitative…
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psnet.ahrq.gov/issue/characteristics-disease-specific-and-generic-diagnostic-pitfalls-qualitative-study
December 02, 2020 - Study
Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study.
Citation Text:
Schiff GD, Volodarskaya M, Ruan E, et al. Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. JAMA Netw Open. 2022;5(1):e2144531. doi:10.10…
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psnet.ahrq.gov/issue/does-patient-centered-design-guarantee-patient-safety-using-human-factors-engineering-find
November 23, 2016 - Study
Does patient-centered design guarantee patient safety?: Using human factors engineering to find a balance between provider and patient needs.
Citation Text:
France DJ, Throop P, Walczyk B, et al. Does Patient-Centered Design Guarantee Patient Safety? J Patient Saf. 2008;1(3):145-15…
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psnet.ahrq.gov/issue/implementation-peer-messengers-deliver-feedback-observational-study-promote-professionalism
October 28, 2020 - Study
Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in nursing.
Citation Text:
Baldwin CA, Hanrahan K, Edmonds SW, et al. Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in…
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psnet.ahrq.gov/issue/exploring-patient-safety-outcomes-people-learning-disabilities-acute-hospital-settings
March 02, 2022 - Review
Exploring patient safety outcomes for people with learning disabilities in acute hospital settings: a scoping review.
Citation Text:
Louch G, Albutt AK, Harlow-Trigg J, et al. Exploring patient safety outcomes for people with learning disabilities in acute hospital settings: a sco…
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psnet.ahrq.gov/issue/vital-signs-are-still-vital-instability-discharge-and-risk-post-discharge-adverse-outcomes
September 23, 2020 - Study
Vital signs are still vital: instability on discharge and the risk of post-discharge adverse outcomes.
Citation Text:
Nguyen OK, Makam AN, Clark C, et al. Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse Outcomes. J Gen Intern Med. 2017;3…
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psnet.ahrq.gov/issue/patterns-medication-incidents-10-yr-experience-cross-national-anaesthesia-incident-reporting
January 15, 2025 - Study
Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting system.
Citation Text:
Sanduende-Otero Y, Villalón-Coca J, Romero-García E, et al. Patterns in medication incidents: A 10-yr experience of a cross-national anaesthesia incident r…
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psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
March 27, 2024 - This study suggests that a significant minority of small acute subdural hematomas may be missed, and
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
July 30, 2020 - the pre-test probability of COVID-19 is 50%. 54 Hence, the Infectious Diseases Society of America suggests
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psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon
April 01, 2006 - The health care quality literature suggests that this broader professional focus benefits us all—not
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psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
January 01, 2024 - Failure to do so in this case suggests implicit bias, perhaps due to the patient's age cultural or communication
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psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacists-promote-culture-safety
April 01, 2006 - The health care quality literature suggests that this broader professional focus benefits us all—not