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psnet.ahrq.gov/issue/speak-addressing-paradox-plaguing-patient-centered-care
October 17, 2018 - Commentary
Speak up! Addressing the paradox plaguing patient-centered care.
Citation Text:
Mazor KM, Smith KM, Fisher K, et al. Speak Up! Addressing the Paradox Plaguing Patient-Centered Care. Ann Intern Med. 2016;164(9):618-9. doi:10.7326/M15-2416.
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psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-pediatric-inpatients
January 19, 2011 - Study
Classic
Medication errors and adverse drug events in pediatric inpatients.
Citation Text:
Kaushal R, Bates DW, Landrigan C, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA. 2001;285(16):2114-20.
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psnet.ahrq.gov/issue/understanding-test-results-follow-ambulatory-setting-analysis-multiple-perspectives
May 20, 2019 - Study
Understanding test results follow-up in the ambulatory setting: analysis of multiple perspectives.
Citation Text:
Ai A, Desai S, Shellman A, et al. Understanding Test Results Follow-Up in the Ambulatory Setting: Analysis of Multiple Perspectives. Jt Comm J Qual Patient Saf. 2018;44…
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psnet.ahrq.gov/issue/how-perform-root-cause-analysis-workup-and-future-prevention-medical-errors-review
August 03, 2017 - Review
How to perform a root cause analysis for workup and future prevention of medical errors: a review.
Citation Text:
Charles R, Hood B, DeRosier JM, et al. How to perform a root cause analysis for workup and future prevention of medical errors: a review. Patient Saf Surg. 2016;10:20.…
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psnet.ahrq.gov/issue/impact-computerized-physician-medication-order-entry-hospitalized-patients-systematic-review
February 14, 2024 - Review
The impact of computerized physician medication order entry in hospitalized patients—a systematic review.
Citation Text:
Eslami S, de Keizer NF, Abu-Hanna A. The impact of computerized physician medication order entry in hospitalized patients--a systematic review. Int J Med Info…
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psnet.ahrq.gov/issue/validation-mobile-app-reducing-errors-administration-medications-emergency
September 23, 2020 - Study
Validation of a mobile app for reducing errors of administration of medications in an emergency.
Citation Text:
Baumann D, Dibbern N, Sehner S, et al. Validation of a mobile app for reducing errors of administration of medications in an emergency. J Clin Monit Comput. . 2019;33(3):…
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psnet.ahrq.gov/issue/controlled-trial-smart-infusion-pumps-improve-medication-safety-critically-ill-patients
March 13, 2019 - Study
Classic
A controlled trial of smart infusion pumps to improve medication safety in critically ill patients.
Citation Text:
Rothschild JM, Keohane C, Cook F, et al. A controlled trial of smart infusion pumps to improve medication safety in critically ill …
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psnet.ahrq.gov/issue/dual-process-models-clinical-reasoning-central-role-knowledge-diagnostic-expertise
March 08, 2017 - Commentary
Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise.
Citation Text:
Norman G, Pelaccia T, Wyer P, et al. Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise. J Eval Clin Pract. 2024;30(5)…
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psnet.ahrq.gov/issue/selecting-indicators-patient-safety-health-system-level-oecd-countries
June 28, 2011 - Study
Selecting indicators for patient safety at the health system level in OECD countries.
Citation Text:
McLoughlin V, Millar J, Mattke S, et al. Selecting indicators for patient safety at the health system level in OECD countries. Int J Qual Health Care. 2006;18 Suppl 1:14-20.
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psnet.ahrq.gov/issue/computerised-provider-order-entry-and-residency-education-academic-medical-centre
June 09, 2015 - Study
Computerised provider order entry and residency education in an academic medical centre.
Citation Text:
Wong BM, Kuper A, Robinson N, et al. Computerised provider order entry and residency education in an academic medical centre. Med Educ. 2012;46(8):795-806. doi:10.1111/j.1365-2…
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psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals
February 18, 2011 - Study
The costs of adverse drug events in community hospitals.
Citation Text:
Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in community hospitals. Jt Comm J Qual Patient Saf. 2012;38(3):120-6.
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psnet.ahrq.gov/issue/idea4ps-development-research-oriented-learning-healthcare-system
April 24, 2018 - Commentary
IDEA4PS: the development of a research-oriented learning healthcare system.
Citation Text:
Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044.…
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psnet.ahrq.gov/issue/governing-quality-and-safety-healthcare-conceptual-framework
September 03, 2011 - Commentary
Governing the quality and safety of healthcare: a conceptual framework.
Citation Text:
Brown A, Dickinson H, Kelaher M. Governing the quality and safety of healthcare: A conceptual framework. Soc Sci Med. 2018;202:99-107. doi:10.1016/j.socscimed.2018.02.020.
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psnet.ahrq.gov/issue/etiology-diagnostic-errors-controlled-trial-system-1-versus-system-2-reasoning
July 02, 2014 - Study
The etiology of diagnostic errors: a controlled trial of System 1 versus System 2 reasoning.
Citation Text:
Norman GR, Sherbino J, Dore KL, et al. The etiology of diagnostic errors: a controlled trial of system 1 versus system 2 reasoning. Acad Med. 2014;89(2):277-84. doi:10.1097…
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psnet.ahrq.gov/issue/rapid-response-systems-systematic-review-and-meta-analysis
January 29, 2018 - Review
Rapid response systems: a systematic review and meta-analysis.
Citation Text:
Maharaj R, Raffaele I, Wendon J. Rapid response systems: a systematic review and meta-analysis. Crit Care. 2015;19(1). doi:10.1186/s13054-015-0973-y.
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psnet.ahrq.gov/issue/national-quality-forum-30-safe-practices-priority-and-progress-iowa-hospitals
November 17, 2010 - Study
National Quality Forum 30 safe practices: priority and progress in Iowa hospitals.
Citation Text:
Ward MM, Evans TC, Spies AJ, et al. National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. Am J Med Qual. 2006;21(2):101-8.
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psnet.ahrq.gov/issue/emotional-impact-patient-safety-incidents-family-physicians-and-their-office-staff
December 11, 2013 - Study
Emotional impact of patient safety incidents on family physicians and their office staff.
Citation Text:
O'Beirne M, Sterling P, Palacios-Derflingher L, et al. Emotional impact of patient safety incidents on family physicians and their office staff. J Am Board Fam Med. 2012;25(2)…
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psnet.ahrq.gov/issue/formal-medicine-reconciliation-within-emergency-department-reduces-medication-error-rates
May 01, 2019 - Study
Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admissions.
Citation Text:
Mills PR, McGuffie AC. Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admiss…
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psnet.ahrq.gov/issue/overview-intravenous-related-medication-administration-errors-reported-medmarxr-national
April 14, 2021 - Study
An overview of intravenous-related medication administration errors as reported to MEDMARX(R), a national medication error-reporting program.
Citation Text:
Hicks RW, Becker SC. An overview of intravenous-related medication administration errors as reported to MEDMARX, a national…
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psnet.ahrq.gov/issue/discrepant-perceptions-communication-teamwork-and-situation-awareness-among-surgical-team
August 12, 2020 - Study
Discrepant perceptions of communication, teamwork and situation awareness among surgical team members.
Citation Text:
Wauben LSGL, van Doorn CMD-, van Wijngaarden JDH, et al. Discrepant perceptions of communication, teamwork and situation awareness among surgical team members. In…