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psnet.ahrq.gov/node/38079/psn-pdf
February 15, 2011 - Development and evaluation of the Institute for
Healthcare Improvement global trigger tool.
February 15, 2011
Classen DC, Lloyd RC, Provost LP, et al. Development and Evaluation of the Institute for Healthcare
Improvement Global Trigger Tool. J Patient Saf. 2008;4(3). doi:10.1097/pts.0b013e318183a475.
https://psne…
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effectivehealthcare.ahrq.gov/sites/default/files/linking-evidence-reviews-tools.pdf
May 29, 2025 - Tool for Linking Evidence Reviews to Organizational Guideline Planning
Tool for Linking Evidence Reviews to Organizational
Guideline Planning
Accompanies Methods Report: Linking Evidence Reviews to Organizational
Guideline Planning: A Pilot Test of an Interactive, Web-Based Presentation
and Discussion of Evidence…
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psnet.ahrq.gov/node/61039/psn-pdf
October 21, 2020 - A machine learning-based clinical decision support
system to identify prescriptions with a high risk of
medication error.
October 21, 2020
Corny J, Rajkumar A, Martin O, et al. A machine learning–based clinical decision support system to identify
prescriptions with a high risk of medication error. J Am Med Inform …
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psnet.ahrq.gov/node/45240/psn-pdf
June 15, 2016 - Is technology the best medicine? Three practice
theoretical perspectives on medication administration
technologies in nursing.
June 15, 2016
Boonen MJ, Vosman FJ, Niemeijer AR. Is technology the best medicine? Three practice theoretical
perspectives on medication administration technologies in nursing. Nurs Inq. 2…
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psnet.ahrq.gov/node/60670/psn-pdf
July 08, 2020 - Patient safety concerns in COVID-19–related events: a
study of 343 event reports from 71 hospitals in
Pennsylvania.
July 8, 2020
Taylor M, Kepner S, Gardner LA, et al. Patient safety concerns in COVID-19–related events: a study of 343
event reports from 71 hospitals in Pennsylvania. Patient Saf. 2020;2(2):16-27. d…
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psnet.ahrq.gov/node/73115/psn-pdf
April 07, 2021 - Can decision support combat incompleteness and bias in
routine primary care data?
April 7, 2021
Kostopoulou O, Tracey C, Delaney BC. Can decision support combat incompleteness and bias in routine
primary care data? J Am Med Inform Assoc. 2021;28(7):1461-1467. doi:10.1093/jamia/ocab025.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/866113/psn-pdf
June 12, 2024 - Reducing the risk of delayed colorectal cancer diagnoses
through an ambulatory safety net collaborative.
June 12, 2024
Moyal-Smith R, Elam M, Boulanger J, et al. Reducing the risk of delayed colorectal cancer diagnoses
through an ambulatory safety net collaborative. Jt Comm J Qual Patient Saf. 2024;50(10):690-699.
…
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psnet.ahrq.gov/node/47415/psn-pdf
December 05, 2018 - Blinding or information control in diagnosis: could it
reduce errors in clinical decision-making?
December 5, 2018
Lockhart JJ, Satya-Murti S. Blinding or information control in diagnosis: could it reduce errors in clinical
decision-making? Diagnosis (Berl). 2018;5(4):179-189. doi:10.1515/dx-2018-0030.
https://psn…
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psnet.ahrq.gov/node/47334/psn-pdf
November 14, 2018 - Safety work and risk management as burdens of
treatment in primary care: insights from a focused
ethnographic study of patients with multimorbidity.
November 14, 2018
Daker-White G, Hays R, Blakeman T, et al. Safety work and risk management as burdens of treatment in
primary care: insights from a focused ethnograp…
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psnet.ahrq.gov/node/74757/psn-pdf
February 09, 2022 - Characteristics of disease-specific and generic diagnostic
pitfalls: a qualitative study.
February 9, 2022
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:10.1001/jamanetworkopen.2021.44531.
…
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psnet.ahrq.gov/node/37219/psn-pdf
June 16, 2011 - Workforce perceptions of hospital safety culture:
development and validation of the patient safety climate
in healthcare organizations survey.
June 16, 2011
Singer SJ, Meterko M, Baker LC, et al. Workforce perceptions of hospital safety culture: development and
validation of the patient safety climate in healthcar…
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psnet.ahrq.gov/node/47448/psn-pdf
October 10, 2018 - Ten principles for more conservative, care-full diagnosis.
October 10, 2018
Schiff G, Martin SA, Eidelman DH, et al. Ten Principles for More Conservative, Care-Full Diagnosis. Ann
Intern Med. 2018;169(9):643-645. doi:10.7326/M18-1468.
https://psnet.ahrq.gov/issue/ten-principles-more-conservative-care-full-diagnosis…
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psnet.ahrq.gov/node/48191/psn-pdf
August 28, 2019 - To catch a killer: electronic sepsis alert tools reaching a
fever pitch?
August 28, 2019
Ruppel H, Liu V. To catch a killer: electronic sepsis alert tools reaching a fever pitch? BMJ Qual Saf.
2019;28(9):693-696. doi:10.1136/bmjqs-2019-009463.
https://psnet.ahrq.gov/issue/catch-killer-electronic-sepsis-alert-tools…
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psnet.ahrq.gov/node/44242/psn-pdf
January 08, 2016 - Interpretive diagnostic error reduction in surgical
pathology and cytology: guideline from the College of
American Pathologists Pathology and Laboratory Quality
Center and the Association of Directors of Anatomic and
Surgical Pathology.
January 8, 2016
Nakhleh RE, Nosé V, Colasacco C, et al. Interpretive Diagnost…
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psnet.ahrq.gov/node/864852/psn-pdf
March 20, 2024 - Prevalence of triggers and patient harm identified by
Global Trigger Tool in specialized palliative care.
March 20, 2024
Fredheim OMS, Klingenberg E, Lindahl AK. Prevalence of triggers and patient harm identified by Global
Trigger Tool in specialized palliative care. J Palliat Med. 2024;27(6):742-748. doi:10.1089/j…
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psnet.ahrq.gov/node/47035/psn-pdf
April 18, 2018 - General internists in pursuit of diagnostic excellence in
primary care: a #ProudtobeGIM thread that unites us all.
April 18, 2018
Kwan JL, Singh H. General Internists in Pursuit of Diagnostic Excellence in Primary Care: a
#ProudtobeGIM Thread That Unites Us All. J Gen Intern Med. 2018;33(4):395-396. doi:10.1007/s11…
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psnet.ahrq.gov/node/60713/psn-pdf
July 22, 2020 - Assessment of health information technology-related
outpatient diagnostic delays in the US Veterans Affairs
health care system: a qualitative study of aggregated root
cause analysis data.
July 22, 2020
Powell L, Sittig DF, Chrouser K, et al. Assessment of health information technology-related outpatient
diagnosti…
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psnet.ahrq.gov/node/34671/psn-pdf
June 15, 2011 - Confidential clinician-reported surveillance of adverse
events among medical inpatients.
June 15, 2011
Weingart SN, Ship AN, Aronson MD. Confidential clinician-reported surveillance of adverse events among
medical inpatients. J Gen Intern Med. 2003;15(7). doi:10.1046/j.1525-1497.2000.06269.x.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/36486/psn-pdf
June 13, 2011 - Design and implementation of an application and
associated services to support interdisciplinary
medication reconciliation efforts at an integrated
healthcare delivery network.
June 13, 2011
Poon EG, Blumenfeld B, Hamann C, et al. Design and Implementation of an Application and Associated
Services to Support Inte…
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psnet.ahrq.gov/node/73892/psn-pdf
September 29, 2021 - Safety trade-offs in home care during COVID-19: a mixed
methods study capturing the perspective of frontline
workers.
September 29, 2021
Osei-Poku G, Szczerepa O, Potter A, et al. Safety trade-offs in home care during COVID-19: a mixed
methods study capturing the perspective of frontline workers. Patient Safety. 2…