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psnet.ahrq.gov/issue/using-incident-reports-assess-communication-failures-and-patient-outcomes
February 06, 2019 - Study
Using incident reports to assess communication failures and patient outcomes.
Citation Text:
Umberfield E, Ghaferi AA, Krein SL, et al. Using Incident Reports to Assess Communication Failures and Patient Outcomes. Jt Comm J Qual Patient Saf. 2019;45(6):406-413. doi:10.1016/j.jcjq.2…
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psnet.ahrq.gov/issue/what-do-we-really-know-about-crew-resource-management-healthcare-umbrella-review-crew
September 29, 2021 - Review
What do we really know about crew resource management in healthcare?: An umbrella review on crew resource management and its effectiveness.
Citation Text:
Buljac-Samardzic M, Dekker-van Doorn CM, Maynard MT. What do we really know about crew resource management in healthcare?: An …
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psnet.ahrq.gov/issue/quality-and-safety-implications-emergency-department-information-systems
November 30, 2012 - Commentary
Quality and safety implications of emergency department information systems.
Citation Text:
Farley HL, Baumlin KM, Hamedani A, et al. Quality and safety implications of emergency department information systems. Ann Emerg Med. 2013;62(4):399-407. doi:10.1016/j.annemergmed.201…
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psnet.ahrq.gov/issue/we-cant-get-along-without-each-other-qualitative-interviews-physicians-about-device-industry
March 07, 2018 - Study
"We can't get along without each other": qualitative interviews with physicians about device industry representatives, conflict of interest and patient safety.
Citation Text:
Gagliardi AR, Lehoux P, Ducey A, et al. "We can't get along without each other": Qualitative interviews wit…
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psnet.ahrq.gov/issue/health-information-exchange-emergency-medicine
October 07, 2013 - Commentary
Health information exchange in emergency medicine.
Citation Text:
Shapiro JS, Crowley D, Hoxhaj S, et al. Health Information Exchange in Emergency Medicine. Ann Emerg Med. 2016;67(2):216-26. doi:10.1016/j.annemergmed.2015.06.018.
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psnet.ahrq.gov/issue/july-effect-podiatric-medicine-and-surgery-residency
July 14, 2021 - Study
The July Effect in podiatric medicine and surgery residency.
Citation Text:
Casciato DJ, Thompson J, Law R, et al. The July Effect in podiatric medicine and surgery residency. J Foot Ankle Surg. 2021;60(6):1152-1157. doi:10.1053/j.jfas.2021.04.020.
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psnet.ahrq.gov/issue/discrimination-abuse-harassment-and-burnout-surgical-residency-training
May 06, 2020 - Study
Classic
Discrimination, abuse, harassment, and burnout in surgical residency training.
Citation Text:
Hu Y-Y, Ellis RJ, Hewitt B, et al. Discrimination, Abuse, Harassment, and Burnout in Surgical Residency Training. New Engl J Med. 2019;381(18):1741-1752. …
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psnet.ahrq.gov/issue/identification-patient-information-corruption-intensive-care-unit-using-scoring-tool-direct
August 04, 2021 - Study
Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improvements in handover.
Citation Text:
Pickering BW, Hurley K, Marsh B. Identification of patient information corruption in the intensive care unit: using a scori…
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psnet.ahrq.gov/web-mm/mark-my-limb
February 10, 2015 - There is no ambiguity.
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psnet.ahrq.gov/node/49460/psn-pdf
September 01, 2004 - mix of causes including the medical hierarchy, role
https://psnet.ahrq.gov/web-mm/security-lapse
ambiguity
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psnet.ahrq.gov/issue/factors-influencing-reporting-adverse-medical-device-events-qualitative-interviews-physicians
May 17, 2017 - Study
Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians about higher risk implantable devices.
Citation Text:
Gagliardi AR, Ducey A, Lehoux P, et al. Factors influencing the reporting of adverse medical device events: qualitative i…
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psnet.ahrq.gov/issue/barriers-and-facilitators-healthcare-workers-adherence-infection-prevention-and-control-ipc
March 02, 2011 - Review
Classic
Barriers and facilitators to healthcare workers' adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis.
Citation Text:
Houghton C, Meskell P, Delaney H, et al. …
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psnet.ahrq.gov/web-mm/security-lapse
December 18, 2019 - failures among medical residents described a complex mix of causes including the medical hierarchy, role ambiguity
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psnet.ahrq.gov/node/33844/psn-pdf
October 01, 2017 - Health care workers also report that there is some ambiguity about what
symptoms truly justify sick
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psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
December 15, 2024 - TeamSTEPPS recommends the “Concern-Uncomfortable-Safety Event” (CUS) technique to minimize ambiguity
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psnet.ahrq.gov/node/49835/psn-pdf
January 01, 2020 - Nephrology consultation may be useful in cases in which there is ambiguity about the risk of needing
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psnet.ahrq.gov/node/33687/psn-pdf
August 01, 2009 - Ambiguity and workarounds as contributors to medical error. Ann Intern
Med. 2005;142:627-630.
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psnet.ahrq.gov/node/33821/psn-pdf
December 01, 2016 - identify weaknesses in systems and practices.(12) One practical difficulty is resolving the
inherent ambiguity
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psnet.ahrq.gov/node/49814/psn-pdf
December 01, 2017 - intraoperatively in 30% of cases.(3)
Contributing factors included steep hierarchy, conflicting roles and role ambiguity
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psnet.ahrq.gov/node/49650/psn-pdf
March 01, 2012 - the one referred to as "left inferior orbit" rather than "left
cheek"—an error that resulted from ambiguity