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psnet.ahrq.gov/node/72516/psn-pdf
November 25, 2020 - frequently presents with other non-specific ECG changes that can mimic patterns seen in
acute coronary syndromes … Alternatively, the clinician may have suspected acute
coronary syndrome, however there were no clinical … was no history of chest pain or other ischemic symptoms to
suggest the presence of an acute coronary syndrome
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psnet.ahrq.gov/web-mm/lethal-vertigo
September 20, 2011 - even though it is an inconsistent symptom of central vertigo and can sometimes be seen in peripheral syndromes … Acute vestibular syndrome. N Engl J Med. 1998;339:680-5.[ go to PubMed ]
5.
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psnet.ahrq.gov/web-mm/routine-goes-awry
September 23, 2020 - success rate although it can be lower for children with associated comorbidities such as craniofacial syndromes … , Down syndrome, and neurologic delay/cerebral palsy.
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psnet.ahrq.gov/issue/developing-culture-collaboration-operating-room-more-effective-communication
June 27, 2018 - September 1, 2021
Nurse burnout syndrome and work environment impact patient safety grade … Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe acute respiratory syndrome
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psnet.ahrq.gov/issue/reduced-verification-medication-alerts-increases-prescribing-errors
January 09, 2019 - Study
Reduced verification of medication alerts increases prescribing errors.
Citation Text:
Lyell D, Magrabi F, Coiera E. Reduced Verification of Medication Alerts Increases Prescribing Errors. Appl Clin Inform. 2019;10(1):66-76. doi:10.1055/s-0038-1677009.
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psnet.ahrq.gov/node/49583/psn-pdf
April 01, 2009 - man was admitted at 11:00 PM on a Saturday night with the provisional diagnosis of acute
coronary syndrome … medication administration.(10) Many patients admitted to the hospital for evolving acute coronary
syndromes
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psnet.ahrq.gov/issue/identity-crisis-examination-costs-and-benefits-unique-patient-identifier-us-health-care
May 21, 2014 - Book/Report
Identity Crisis: An Examination of the Costs and Benefits of a Unique Patient Identifier for the US Health Care System.
Citation Text:
Identity Crisis: An Examination of the Costs and Benefits of a Unique Patient Identifier for the US Health Care System. Hillestad R, Bigelow …
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psnet.ahrq.gov/issue/problems-health-information-technology-and-their-effects-care-delivery-and-patient-outcomes
February 14, 2024 - Review
Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review.
Citation Text:
Kim MO, Coiera E, Magrabi F. Problems with health information technology and their effects on care delivery and patient outcomes: a systematic r…
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psnet.ahrq.gov/issue/heroism-safe-design-leveraging-technology
August 17, 2017 - Commentary
From heroism to safe design: leveraging technology.
Citation Text:
Pronovost P, Bo-Linn GW, Sapirstein A. From heroism to safe design: leveraging technology. Anesthesiology. 2014;120(3):526-9. doi:10.1097/ALN.0000000000000127.
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psnet.ahrq.gov/issue/more-algorithms-analysis-safety-events-involving-ml-enabled-medical-devices-reported-fda
May 01, 2019 - Study
More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA.
Citation Text:
Lyell D, Wang Y, Coiera E, et al. More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA. J Am Med Inform…
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psnet.ahrq.gov/issue/effect-cognitive-load-and-task-complexity-automation-bias-electronic-prescribing
May 01, 2019 - Study
The effect of cognitive load and task complexity on automation bias in electronic prescribing.
Citation Text:
Lyell D, Magrabi F, Coiera E. The Effect of Cognitive Load and Task Complexity on Automation Bias in Electronic Prescribing. Hum Factors. 2018;60(7):1008-1021. doi:10.1177/…
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psnet.ahrq.gov/issue/what-are-implications-patient-safety-and-experience-major-healthcare-it-breakdown-qualitative
December 14, 2022 - Study
What are the implications for patient safety and experience of a major healthcare IT breakdown? A qualitative study.
Citation Text:
Scantlebury A, Sheard L, Fedell C, et al. What are the implications for patient safety and experience of a major healthcare IT breakdown? A qualitativ…
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psnet.ahrq.gov/issue/decoding-laboratory-test-names-major-challenge-appropriate-patient-care
April 24, 2018 - Study
Decoding laboratory test names: a major challenge to appropriate patient care.
Citation Text:
Passiment E, Meisel JL, Fontanesi J, et al. Decoding laboratory test names: a major challenge to appropriate patient care. J Gen Intern Med. 2013;28(3):453-8. doi:10.1007/s11606-012-2253-8…
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psnet.ahrq.gov/issue/rate-occult-specimen-provenance-complications-routine-clinical-practice
January 05, 2012 - Study
Rate of occult specimen provenance complications in routine clinical practice.
Citation Text:
Pfeifer JD, Liu J. Rate of occult specimen provenance complications in routine clinical practice. Am J Clin Pathol. 2013;139(1):93-100. doi:10.1309/AJCP50WEZHWIFCIV.
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psnet.ahrq.gov/issue/automated-identification-extreme-risk-events-clinical-incident-reports
November 03, 2015 - Study
Automated identification of extreme-risk events in clinical incident reports.
Citation Text:
Ong M-S, Magrabi F, Coiera E. Automated identification of extreme-risk events in clinical incident reports. J Am Med Inform Assoc. 2012;19(e1):e110-8.
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psnet.ahrq.gov/issue/safety-through-redundancy-case-study-hospital-patient-transfers
November 03, 2015 - Study
Safety through redundancy: a case study of in-hospital patient transfers.
Citation Text:
Ong M-S, Coiera E. Safety through redundancy: a case study of in-hospital patient transfers. Qual Saf Health Care. 2010;19(5):e32. doi:10.1136/qshc.2009.035972.
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psnet.ahrq.gov/issue/last-orders-follow-tests-ordered-day-hospital-discharge
November 03, 2015 - Study
Last orders: follow-up of tests ordered on the day of hospital discharge.
Citation Text:
Ong M-S, Magrabi F, Jones G, et al. Last Orders: Follow-up of Tests Ordered on the Day of Hospital Discharge. Arch Intern Med. 2012;172(17):1347-9. doi:10.1001/archinternmed.2012.2836.
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psnet.ahrq.gov/issue/experiences-diagnostic-delay-among-underserved-racial-and-ethnic-patients-systematic-review
November 03, 2015 - Review
Experiences with diagnostic delay among underserved racial and ethnic patients: a systematic review of the qualitative literature.
Citation Text:
Faugno E, Galbraith AA, Walsh KE, et al. Experiences with diagnostic delay among underserved racial and ethnic patients: a systematic r…
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psnet.ahrq.gov/issue/systematic-review-failures-handoff-communication-during-intrahospital-transfers
November 03, 2015 - Review
A systematic review of failures in handoff communication during intrahospital transfers.
Citation Text:
Ong M-S, Coiera E. A systematic review of failures in handoff communication during intrahospital transfers. Jt Comm J Qual Patient Saf. 2011;37(6):274-284.
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…
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psnet.ahrq.gov/issue/using-fda-reports-inform-classification-health-information-technology-safety-problems
November 03, 2015 - Study
Using FDA reports to inform a classification for health information technology safety problems.
Citation Text:
Magrabi F, Ong M-S, Runciman WB, et al. Using FDA reports to inform a classification for health information technology safety problems. J Am Med Inform Assoc. 2012;19(1):4…