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psnet.ahrq.gov/issue/choosing-wisely-clinical-practice-embracing-critical-thinking-striving-safer-careFebruary 15, 2023 - Commentary Choosing wisely in clinical practice: embracing critical thinking, striving for safer care. Citation Text: Furlan L, Francesco PD, Costantino G, et al. Choosing wisely in clinical practice: embracing critical thinking, striving for safer care. J Intern Med. 2022;291(4):397-407…
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psnet.ahrq.gov/issue/effect-cognitive-load-and-task-complexity-automation-bias-electronic-prescribingMay 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/factors-associated-workarounds-barcode-assisted-medication-administration-hospitalsJanuary 23, 2019 - Study Factors associated with workarounds in barcode-assisted medication administration in hospitals. Citation Text: Veen W, Taxis K, Wouters H, et al. Factors associated with workarounds in barcode‐assisted medication administration in hospitals. J Clin Nurs. 2020;29(13-14):2239-2250. d…
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psnet.ahrq.gov/issue/adverse-drug-events-and-medication-problems-hospital-home-patientsDecember 16, 2020 - Study Adverse drug events and medication problems in "Hospital at Home" patients. Citation Text: Mann E, Zepeda O, Soones T, et al. Adverse drug events and medication problems in "Hospital at Home" patients. Home Health Care Serv Q. 2018;37(3):177-186. doi:10.1080/01621424.2018.1454372. …
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psnet.ahrq.gov/issue/exploring-causes-copd-misdiagnosis-primary-care-mixed-methods-studySeptember 23, 2020 - Study Exploring the causes of COPD misdiagnosis in primary care: a mixed methods study. Citation Text: Patel K, Smith DJ, Huntley CC, et al. Exploring the causes of COPD misdiagnosis in primary care: a mixed methods study. PLoS ONE. 2024;19(3):e0298432. doi:10.1371/journal.pone.0298432. …
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psnet.ahrq.gov/issue/systematic-review-failures-handoff-communication-during-intrahospital-transfersNovember 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. Copy Citation …
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psnet.ahrq.gov/issue/teamstepps-improving-diagnosis-team-assessment-tool-scale-development-and-psychometricJanuary 22, 2025 - Study The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation. Citation Text: Ali KJ, Goeschel CA, Eckroade MM, et al. The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation. Jt Comm J …
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psnet.ahrq.gov/issue/assisting-beginners-root-cause-analysis-operations-analysis-and-recommendations-regardingJune 08, 2022 - Commentary Assisting beginners in root cause analysis operations: analysis and recommendations regarding the spread of COVID-19 in nursing facilities for the elderly. Citation Text: Tsuchiya H. Assisting beginners in root cause analysis operations: analysis and recommendations regarding …
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digital.ahrq.gov/program-overview/research-stories/decision-support-emergency-department-improve-medication-safetyJanuary 01, 2023 - Decision Support in the Emergency Department to Improve Medication Safety for Older Adults Theme: Optimizing Care Delivery for Clinicians Subtheme: Using Real-Time Digital Healthcare Data to Improve Timely Treatment or Diagnosis Using the clinical decision support system Enhancing Quality …
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psnet.ahrq.gov/issue/anesthesia-related-closed-claims-free-standing-ambulatory-surgery-centersMarch 29, 2023 - Study Anesthesia-related closed claims in free-standing ambulatory surgery centers. Citation Text: Pimentel MPT, Chung S, Ross JM, et al. Anesthesia-related closed claims in free-standing ambulatory surgery centers. Anesth Analg. 2024;139(3):521-531. doi:10.1213/ane.0000000000006700. C…
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psnet.ahrq.gov/issue/impact-implementing-alerts-about-medication-black-box-warnings-electronic-health-recordsJuly 10, 2008 - Study Impact of implementing alerts about medication black-box warnings in electronic health records. Citation Text: Yu DT, Seger DL, Lasser KE, et al. Impact of implementing alerts about medication black-box warnings in electronic health records. Pharmacoepidemiol Drug Saf. 2011;20(2):1…
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psnet.ahrq.gov/issue/implementation-health-information-technology-safety-classification-system-veterans-healthAugust 04, 2021 - Study Implementation of a health information technology safety classification system in the Veterans Health Administration's Informatics Patient Safety Office. Citation Text: Kato D, Lucas J, Sittig DF. Implementation of a health information technology safety classification system in the…
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psnet.ahrq.gov/issue/deficiencies-provider-reported-interpreter-use-clinical-trial-comparing-telephonic-and-videoAugust 12, 2020 - Study Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video interpretation in a pediatric emergency department. Citation Text: Gutman CK, Klein EJ, Follmer K, et al. Deficiencies in provider-reported interpreter use in a clinical trial compa…
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psnet.ahrq.gov/issue/fighting-common-enemy-catalyst-close-intractable-safety-gapsJune 30, 2021 - Commentary Fighting a common enemy: a catalyst to close intractable safety gaps. Citation Text: Singh H, Sittig DF, Gandhi TK. Fighting a common enemy: a catalyst to close intractable safety gaps. BMJ Qual Saf. 2021;30(2):141-145. doi:10.1136/bmjqs-2020-011390. Copy Citation Format…
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psnet.ahrq.gov/issue/abrupt-expansion-ambulatory-telemedicine-implications-patient-safetyJuly 13, 2022 - Commentary The abrupt expansion of ambulatory telemedicine: implications for patient safety. Citation Text: Khoong EC, Sharma AE, Gupta K, et al. The abrupt expansion of ambulatory telemedicine: implications for patient safety. J Gen Intern Med. 2022;37(5):1270-1274. doi:10.1007/s11606-0…
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psnet.ahrq.gov/issue/medication-safety-incidents-associated-remote-delivery-primary-care-rapid-reviewJune 29, 2022 - Review Medication safety incidents associated with the remote delivery of primary care: a rapid review. Citation Text: Gleeson LL, Clyne B, Barlow JW, et al. Medication safety incidents associated with the remote delivery of primary care: a rapid review. Int J Pharm Pract. 2023;30(6):495…
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psnet.ahrq.gov/issue/final-report-prioritization-patient-safety-practices-new-rapid-review-or-rapid-responseDecember 21, 2022 - Book/Report Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer IV Series. Citation Text: Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer …
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psnet.ahrq.gov/issue/effectiveness-do-not-interrupt-vest-intervention-reduce-medication-errors-during-medicationDecember 21, 2017 - Study Effectiveness of a ‘do not interrupt’ vest intervention to reduce medication errors during medication administration: a multicenter cluster randomized controlled trial. Citation Text: Berdot S, Vilfaillot A, Bézie Y, et al. Effectiveness of a ‘do not interrupt’ vest intervention to…
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psnet.ahrq.gov/issue/effect-hospital-wide-measure-readmissions-reduction-programFebruary 14, 2017 - Study Effect of a hospital-wide measure on the readmissions reduction program. Citation Text: Zuckerman RB, Maddox KEJ, Sheingold SH, et al. Effect of a Hospital-wide Measure on the Readmissions Reduction Program. N Engl J Med. 2017;377(16):1551-1558. doi:10.1056/NEJMsa1701791. Copy Ci…
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psnet.ahrq.gov/issue/morbidity-and-mortality-conferences-narrative-review-strategies-prioritize-qualityJanuary 11, 2023 - Review Morbidity and mortality conferences: a narrative review of strategies to prioritize quality improvement. Citation Text: Giesbrecht V, Au S. Morbidity and Mortality Conferences: A Narrative Review of Strategies to Prioritize Quality Improvement. Jt Comm J Qual Patient Saf. 2016;42(…
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