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psnet.ahrq.gov/issue/quality-and-safety-artificial-intelligence-generated-health-information
October 19, 2022 - Commentary
Quality and safety of artificial intelligence generated health information.
Citation Text:
Sorich MJ, Menz BD, Hopkins AM. Quality and safety of artificial intelligence generated health information. BMJ. 2024;384:q596. doi:10.1136/bmj.q596.
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psnet.ahrq.gov/issue/patterns-and-predictors-medication-discrepancies-primary-care
October 19, 2022 - Study
Patterns and predictors of medication discrepancies in primary care.
Citation Text:
Coletti DJ, Stephanou H, Mazzola N, et al. Patterns and predictors of medication discrepancies in primary care. J Eval Clin Pract. 2015;21(5):831-9. doi:10.1111/jep.12387.
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psnet.ahrq.gov/issue/information-distortion-physicians-diagnostic-judgments
April 07, 2021 - Study
Information distortion in physicians' diagnostic judgments.
Citation Text:
Kostopoulou O, Russo E, Keenan G, et al. Information distortion in physicians' diagnostic judgments. Med Decis Making. 2012;32(6):831-9. doi:10.1177/0272989X12447241.
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psnet.ahrq.gov/issue/safety-information-patients-and-families
February 05, 2014 - Multi-use Website
Safety Information for Patients and Families.
Citation Text:
Safety Information for Patients and Families. Massachusetts Coalition for the Prevention of Medical Errors; Massachusetts Medical Society
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psnet.ahrq.gov/submit-your-toolkit-landing
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Improvement Resources
Toolkits
Toolkit Submissions
PSNet encourages healthcare-related organizations to help make care safer by submitting a Patient Safety Toolkit to support the implementation of products, services, processes, systems, policies, organizational stru…
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psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
April 18, 2018 - concentrations were 4400 ng/L (99 th percentile of the upper reference limit was 40 ng/L) with a B-type … Lost specimens between testing facilities is a type of pre-analytic error. 2 In a typical hospital laboratory
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psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
November 16, 2022 - We ended up focusing on a specific type of transition where older adults come to the emergency department … that it’s not just important, but it’s essential to have the patient and family perspective in this type … This type of solution inherently addresses core design problems rather than relying on humans to adapt
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psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
May 14, 2020 - a tool to give people feedback on how to improve on their telepresence, specifically for telehealth type … Realizing that this type of communication isn’t foreign to a primary care practice can help with understanding
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psnet.ahrq.gov/issue/analysis-ismp-national-vaccine-errors-reporting-program-part-1-and-part-2
July 08, 2015 - Newspaper/Magazine Article
Analysis of ISMP National Vaccine Errors Reporting Program—part 1 and part 2.
Citation Text:
Analysis of ISMP National Vaccine Errors Reporting Program—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. December 4, 2014;19:1-6. March 26, 2015;…
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psnet.ahrq.gov/issue/medmarx-data-report-chartbook-medication-error-findings-perioperative-settings-1998-2005
August 24, 2015 - Book/Report
Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005.
Citation Text:
Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. Hicks RW, Becker SC, Cousins DD. Rock…
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psnet.ahrq.gov/issue/profiles-patient-safety-medication-errors-emergency-department
February 03, 2010 - Study
Profiles in patient safety: medication errors in the emergency department.
Citation Text:
Croskerry P, Shapiro MJ, Campbell S, et al. Profiles in patient safety: medication errors in the emergency department. Acad Emerg Med. 2004;11(3):289-99.
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psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
December 07, 2020 - They have an online widget where you can plug in the type of dental procedure and the patient's comorbidities … Antibiotic prescriptions in the community by type of provider in the United States, 2005-2010.
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psnet.ahrq.gov/issue/decade-health-information-technology-usability-challenges-and-path-forward
January 16, 2019 - Commentary
Emerging Classic
A decade of health information technology usability challenges and the path forward.
Citation Text:
Ratwani RM, Reider J, Singh H. A Decade of Health Information Technology Usability Challenges and the Path Forward. JAMA. 2019;321(8):…
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psnet.ahrq.gov/issue/so-why-didnt-you-think-baby-was-ill-decision-making-acute-paediatrics
April 10, 2019 - Review
'So why didn't you think this baby was ill?' Decision-making in acute paediatrics.
Citation Text:
Roland D, Snelson E. 'So why didn't you think this baby was ill?' Decision-making in acute paediatrics. Arch Dis Child Educ Pract Ed. 2019;104(1):43-48. doi:10.1136/archdischild-2017-…
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psnet.ahrq.gov/issue/examining-meaning-language-used-communicate-nursing-hand
July 07, 2021 - Study
Examining the meaning of the language used to communicate the nursing hand-off.
Citation Text:
Galatzan BJ, Carrington JM. Examining the meaning of the language used to communicate the nursing hand‐off. Res Nurs Health. 2021;44(5):833-843. doi:10.1002/nur.22175.
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psnet.ahrq.gov/issue/role-personal-health-information-management-promoting-patient-safety-home-qualitative
June 15, 2022 - Study
The role of personal health information management in promoting patient safety in the home: a qualitative analysis
Citation Text:
Demiris G, Lin S-Y, Turner AM. The role of personal health information management in promoting patient safety in the home: a qualitative analysis. Stud …
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psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error
July 01, 2020 - Commentary
Classic
Guilty, afraid, and alone — struggling with medical error.
Citation Text:
Delbanco T, Bell SK. Guilty, afraid, and alone--struggling with medical error. N Engl J Med. 2007;357(17):1682-3.
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psnet.ahrq.gov/issue/formative-evaluation-video-reflexive-ethnography-method-applied-physician-nurse-dyad
December 02, 2020 - Study
Formative evaluation of the video reflexive ethnography method, as applied to the physician–nurse dyad.
Citation Text:
Manojlovich M, Frankel RM, Harrod M, et al. Formative evaluation of the video reflexive ethnography method, as applied to the physician-nurse dyad. BMJ Qual Saf. 2…
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psnet.ahrq.gov/issue/factors-associated-potentially-missed-diagnosis-appendicitis-emergency-department
December 16, 2020 - Study
Factors associated with potentially missed diagnosis of appendicitis in the emergency department.
Citation Text:
Mahajan P, Basu T, Pai C-W, et al. Factors associated with potentially missed diagnosis of appendicitis in the emergency department. JAMA Netw Open. 2020;3(3):e200612. d…
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psnet.ahrq.gov/issue/effect-multifaceted-clinical-pharmacist-intervention-medication-safety-after-hospitalization
April 28, 2021 - Study
Emerging Classic
Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial.
Citation Text:
Gurwitz JH, Kapoor A, Garber L, et al. Effect of …