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psnet.ahrq.gov/issue/mortality-among-hospitalized-medicare-beneficiaries-first-2-years-following-acgme-resident
February 17, 2009 - Study
Classic
Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty hour reform.
Citation Text:
Meltzer DO, Arora VM. Evaluating Resident Duty Hour Reforms. JAMA. 2007;298(9). doi:10.1001/jama.298.9.1055.
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psnet.ahrq.gov/issue/impact-extended-duration-shifts-medical-errors-adverse-events-and-attentional-failures
February 02, 2011 - Study
Impact of extended-duration shifts on medical errors, adverse events, and attentional failures.
Citation Text:
Barger LK, Ayas N, Cade BE, et al. Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. PLoS Med. 2006;3(12):e487.
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psnet.ahrq.gov/issue/observer-based-tools-non-technical-skills-assessment-simulated-and-real-clinical-environments
September 02, 2015 - Review
Emerging Classic
Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review.
Citation Text:
Higham H, Greig PR, Rutherford J, et al. Observer-based tools for non-technical skills…
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psnet.ahrq.gov/issue/unexpected-increased-mortality-after-implementation-commercially-sold-computerized-physician
September 23, 2020 - Study
Classic
Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system.
Citation Text:
Han YY, Carcillo JA, Venkataraman ST, et al. Unexpected increased mortality after implementation of a commerciall…
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psnet.ahrq.gov/issue/visitor-behaviors-can-influence-risk-patient-harm-analysis-patient-safety-reports-92
September 01, 2021 - Study
Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals.
Citation Text:
Sanchez C, Taylor M, Jones RM. Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. Patien…
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psnet.ahrq.gov/issue/outpatient-cpoe-orders-discontinued-due-erroneous-entry-prospective-survey-prescribers
October 13, 2018 - Study
Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' explanations for errors.
Citation Text:
Hickman T-TT, Quist AJL, Salazar A, et al. Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' expla…
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psnet.ahrq.gov/issue/application-aviation-black-box-principle-pediatric-cardiac-surgery-tracking-all-failures
October 07, 2013 - Study
Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pediatric cardiac operating room.
Citation Text:
Bowermaster R, Miller M, Ashcraft T, et al. Application of the aviation black box principle in pediatric cardiac surgery: trac…
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psnet.ahrq.gov/issue/gender-based-differences-surgical-residents-perceptions-patient-safety-continuity-care-and
February 14, 2017 - Study
Gender-based differences in surgical residents' perceptions of patient safety, continuity of care, and well-being: an analysis from the Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) trial.
Citation Text:
Ban KA, Chung JW, Matulewicz RS, et al. Gender-Based Dif…
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psnet.ahrq.gov/issue/good-intentions-successful-implementation-case-patient-safety-canada
February 24, 2011 - qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze
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psnet.ahrq.gov/issue/importance-failing-forward-all-us-will-fail-and-make-mistakes-how-can-they-benefit-us-and-our
July 27, 2016 - qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze
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psnet.ahrq.gov/issue/possible-solutions-barriers-incident-reporting-residents
April 14, 2011 - January 15, 2025
Using the Generic Analysis Method to analyze sentinel event reports
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psnet.ahrq.gov/issue/meta-analysis-medication-administration-errors-african-hospitals
July 10, 2008 - qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze
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psnet.ahrq.gov/issue/blink-or-think-can-further-reflection-improve-initial-diagnostic-impressions
November 28, 2012 - View More
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psnet.ahrq.gov/issue/using-computerized-virtual-cases-explore-diagnostic-error-practicing-physicians
August 20, 2018 - August 20, 2018
Use of a novel, modified fishbone diagram to analyze diagnostic errors
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psnet.ahrq.gov/issue/teaching-about-how-doctors-think-longitudinal-curriculum-cognitive-bias-and-diagnostic-error
July 02, 2014 - July 2, 2014
Use of a novel, modified fishbone diagram to analyze diagnostic errors.
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psnet.ahrq.gov/issue/development-and-validation-johns-hopkins-disruptive-clinician-behavior-survey
April 24, 2013 - January 20, 2021
Use of a novel, modified fishbone diagram to analyze diagnostic errors
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psnet.ahrq.gov/issue/thinking-doctor-clinical-decision-making-contemporary-medicine
October 07, 2015 - October 13, 2018
Use of a novel, modified fishbone diagram to analyze diagnostic errors
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psnet.ahrq.gov/issue/physicians-diagnostic-accuracy-confidence-and-resource-requests-vignette-study
May 29, 2015 - March 20, 2019
Use of a novel, modified fishbone diagram to analyze diagnostic errors
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psnet.ahrq.gov/issue/patterns-unexpected-hospital-deaths-root-cause-analysis
March 13, 2019 - qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze
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psnet.ahrq.gov/issue/complexity-and-safety
February 01, 2012 - July 21, 2021
Use of a novel, modified fishbone diagram to analyze diagnostic errors.