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psnet.ahrq.gov/issue/trust-verify-five-approaches-ensure-safe-medical-apps
September 27, 2023 - View more articles from the same authors. … This commentary describes five strategies to improve the functionality of mobile health applications, … January 17, 2024
Second victim experiences of health care learners and the influence … of the training environment on postevent adaptation. … Google: the evidence on consumer-facing digital tools for diagnosis.
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psnet.ahrq.gov/issue/rising-frequency-it-blackouts-indicates-increasing-relevance-it-emergency-concepts-ensure
October 12, 2022 - Review
The rising frequency of IT blackouts indicates the increasing relevance of … The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of IT Emergency Concepts to Ensure … November 10, 2021
COVID-19: the dark side and the sunny side for patient safety. … October 14, 2020
Supporting the emotional well-being of health care workers during the … September 30, 2011
Diagnostic accuracy of physician-staffed emergency medical teams:
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psnet.ahrq.gov/issue/implementation-structured-hospital-wide-morbidity-and-mortality-rounds-model
January 20, 2015 - View more articles from the same authors. … This pre–post study assessed the impact of implementing a structured method to enhance morbidity and … January 20, 2015
Effect of restriction of the number of concurrently open records in … March 5, 2025
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Surveying care teams … March 15, 2016
The influence of the causes and contexts of medical errors on emergency
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psnet.ahrq.gov/issue/appropriateness-outpatient-antibiotic-prescribing-among-privately-insured-us-patients-icd-10
January 29, 2020 - View more articles from the same authors. … Prescribing unnecessary antibiotics increases the risk of resistant infections and can lead to patient … 7 XML Endnote tagged PubMedId RIS
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Related Resources From the … December 18, 2014
Containing COVID-19 in the emergency department: the role of improved … May 11, 2019
Overdiagnosis in primary care: framing the problem and finding solutions
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psnet.ahrq.gov/issue/comparison-military-and-civilian-methods-determining-potentially-preventable-deaths
October 19, 2022 - View more articles from the same authors. … The authors note widely varying review processes, data inclusion, and preventability assessment , and … Same Author(s)
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … and mortality conference: the impact of a just culture. … May 8, 2024
Surveying care teams after in-hospital deaths to identify preventable harm
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psnet.ahrq.gov/issue/medication-reconciliation-admission-and-discharge-analysis-prevalence-and-associated-risk
December 02, 2020 - View more articles from the same authors. … These findings underscore the challenge of correctly capturing patients' medications to prevent adverse … January 17, 2012
Prevalence of adverse events in the hospitals of five Latin American … countries: results of the 'Iberoamerican Study of Adverse Events' (IBEAS). … good, the bad, and the improvements.
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psnet.ahrq.gov/issue/redesign-health-care-systems-reduce-diagnostic-errors-leveraging-human-experience-and
December 04, 2016 - View more articles from the same authors. … September 21, 2022
The safety of emergency medicine. … patients admitted through the emergency department. … June 26, 2024
The role for policy in AI-assisted medical diagnosis. … September 1, 2021
Using the web or an app instead of seeing a doctor?
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psnet.ahrq.gov/issue/application-iv-medication-harm-index-assess-nature-harm-averted-smart-infusion-safety-systems
January 23, 2017 - Study
Application of the IV Medication Harm Index to assess the nature of harm averted … Application of the IV Medication Harm Index to Assess the Nature of Harm Averted by "Smart" Infusion … The research team studied the impact of a smart infusion system on patient harm. … The results suggest that the systems were effective in averting harm and can help identify areas for … Application of the IV Medication Harm Index to Assess the Nature of Harm Averted by "Smart" Infusion
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psnet.ahrq.gov/issue/educational-quality-improvement-report-outcomes-revised-morbidity-and-mortality-format
March 10, 2010 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS
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Related Resources From the … March 10, 2010
The natural history of recovery for the healthcare provider "second victim … : a scientific statement from the American Heart Association. … October 7, 2013
The impact of racism on child and adolescent health.
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psnet.ahrq.gov/issue/strengthening-use-artificial-intelligence-within-healthcare-delivery-organizations-balancing
September 18, 2024 - Commentary
Strengthening the use of artificial intelligence within healthcare delivery … Strengthening the use of artificial intelligence within healthcare delivery organizations: balancing … View more articles from the same authors. … Strengthening the use of artificial intelligence within healthcare delivery organizations: balancing … December 19, 2018
Crowding in the Emergency Department: Challenges for the Care of Children
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psnet.ahrq.gov/issue/multidisciplinary-teamwork-training-program-triad-optimal-patient-safety-tops-experience
February 12, 2018 - Study
A multidisciplinary teamwork training program: The Triad for Optimal Patient … View more articles from the same authors. … May 5, 2010
Improving handoffs in the emergency department. … reduction on the quality of residents' discharge summaries. … business school view of medical interprofessional rounds: transforming rounding groups into rounding teams
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psnet.ahrq.gov/issue/threat-within-mitigating-risk-medical-error
July 15, 2020 - Book/Report
The threat within: mitigating the risk of medical error. … The Threat Within: Mitigating The Risk Of Medical Error. … The author reviews tools to reduce the potential for failure used by commercial aviation and how they … The Threat Within: Mitigating The Risk Of Medical Error. … June 9, 2021
Exploring psychological safety in healthcare teams to inform the development
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psnet.ahrq.gov/issue/diagnostic-challenges-primary-care-identifying-and-avoiding-cognitive-bias
November 03, 2021 - View more articles from the same authors. … This article summarizes the common types of cognitive errors and biases and highlights how cognitive … these biases during the diagnostic process. … Same Author(s)
Identifying hot spots for harm and blind spots across the care pathway … April 24, 2019
Sir Karl Popper, swans, and the general practitioner.
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psnet.ahrq.gov/issue/effect-crew-resource-management-diabetes-care-and-patient-outcomes-inner-city-primary-care
November 24, 2010 - View more articles from the same authors. … The effort resulted in short-term improvements in adherence to evidence-based care processes for diabetes … 7 XML Endnote tagged PubMedId RIS
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Related Resources From the … November 16, 2022
Advancing the science of patient safety. … as the physicians and nurses.
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psnet.ahrq.gov/issue/keeping-eye-patient-safety-using-human-factors-engineering-hfe-family-affair-hospitalized
November 12, 2014 - Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the … Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized … View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS
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Related Resources From the … November 23, 2016
Physician attitudes toward family-activated medical emergency teams
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psnet.ahrq.gov/issue/call-safety-anticipating-and-mitigating-risk-across-obstetrics-and-gynecology-service-line
February 24, 2016 - View more articles from the same authors. … This article describes the development and implementation of a weekly obstetrics and gynecology Safety … The Safety Call provides leadership across the 10 maternity hospitals an opportunity to promote proactive … Implementation of the Safety Call contributed to a 19% decrease in a composite measure of adverse events … United States: the spectrum of unintentional harm, disrespect, violence, and abuse.
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psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-organizations-anesthesiology
March 07, 2018 - This commentary outlines safety efforts in this setting, particularly around the creation of the Anesthesia … Same Author(s)
Interventional procedures outside of the operating room: results from the … August 26, 2020
Discharge rounds in the 80-hour workweek: importance of the … May 30, 2018
The nurse's role in the causation of compensable injury. … knowledge of critical information, perception of safety, and possibly perception of teamwork in anesthesia teams
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psnet.ahrq.gov/issue/step-toward-high-reliability-implementation-daily-safety-brief-childrens-hospital
August 23, 2023 - View more articles from the same authors. … This study describes the implementation of a daily safety brief at a children's hospital. … The daily brief uncovered many unexpected outcomes and generally took less than 15 minutes each day. … September 23, 2020
Medical emergency team calls in the radiology department: patient … observation tool to quantify the use of non-technical skills in healthcare.
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psnet.ahrq.gov/issue/intensive-care-unit-alarms-how-many-do-we-need
March 01, 2011 - View more articles from the same authors. … The authors provide suggestions to reduce the number of false alarms, which may improve patient safety … 7 XML Endnote tagged PubMedId RIS
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Related Resources From the … March 25, 2017
Raising an alarm, doctors fight to yank hospital ICUs into the modern … September 25, 2013
Patient monitoring alarms in the ICU and in the operating room.
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psnet.ahrq.gov/issue/comprehensive-stroke-centers-overcome-weekend-versus-weekday-gap-stroke-treatment-and
July 13, 2010 - Study
Comprehensive stroke centers overcome the weekend versus weekday gap in stroke … View more articles from the same authors. … for the quality of care of patients with acute myocardial infarction: results of the Emergency Department … March 21, 2012
The cost of pneumonia after acute stroke. … June 30, 2011
Shifting the risks at night.