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psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-error-looking-under-hood
September 25, 2019 - Commentary
Medical overuse as a physician cognitive error: looking under the hood.
Citation Text:
Korenstein D. Medical overuse as a physician cognitive error: looking under the hood. JAMA Intern Med. 2019;179(1):26-27. doi:10.1001/jamainternmed.2018.5136.
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psnet.ahrq.gov/issue/unified-model-patient-safety-or-who-froze-my-cheese
August 23, 2023 - Commentary
A unified model of patient safety (or "Who froze my cheese?").
Citation Text:
Coiera E, Collins S, Kuziemsky C. A unified model of patient safety (or "Who froze my cheese?"). BMJ. 2013;347:f7273. doi:10.1136/bmj.f7273.
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psnet.ahrq.gov/issue/skating-thin-ice-consultant-surgeons-contemporary-experience-adverse-surgical-events
April 17, 2024 - Study
'Skating on thin ice?' Consultant surgeon's contemporary experience of adverse surgical events.
Citation Text:
Skevington SM, Langdon JE, Giddins G. ‘Skating on thin ice?’ Consultant surgeon's contemporary experience of adverse surgical events. Psychol Health Med. 2011;17(1). doi…
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psnet.ahrq.gov/issue/quality-patient-safety-and-cardiac-surgical-team
October 07, 2013 - Review
Quality, patient safety, and the cardiac surgical team.
Citation Text:
Martinez EA. Quality, Patient Safety, and the Cardiac Surgical Team. Anesthesiol Clin. 2013;31(2):249-268. doi:10.1016/j.anclin.2013.01.004.
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psnet.ahrq.gov/issue/medication-orders-future-start-dates-how-far-away-too-far
March 15, 2022 - Newspaper/Magazine Article
Medication orders with future start dates: how far away is too far?
Citation Text:
Medication orders with future start dates: how far away is too far? ISMP Medication Safety Alert! Acute care edition. July 14, 2022:27(14):1-4.
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psnet.ahrq.gov/issue/usability-study-two-common-defibrillators-reveals-hazards
June 16, 2009 - Study
Usability study of two common defibrillators reveals hazards.
Citation Text:
Fairbanks RJ, Caplan SH, Bishop PA, et al. Usability Study of Two Common Defibrillators Reveals Hazards. Ann Emerg Med. 2007;50(4):424-432. doi:10.1016/j.annemergmed.2007.03.029.
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psnet.ahrq.gov/issue/severe-drug-interactions-and-potentially-inappropriate-medication-usage-elderly-cancer
November 11, 2020 - Study
Severe drug interactions and potentially inappropriate medication usage in elderly cancer patients.
Citation Text:
Alkan A, Yaşar A, Karcı E, et al. Severe drug interactions and potentially inappropriate medication usage in elderly cancer patients. Support Care Cancer. 2017;25(1):2…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/nasa-task-load-index
January 01, 2023 - NASA Task Load Index
Acronym
NASA TLX
Description
The NASA task load index (NASA TLX) is a tool for measuring and conducting a subjective mental workload (MWL) assessment. It allows you to determine the MWL of a participant while they are performing a task. It rates performance across six dime…
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psnet.ahrq.gov/issue/characteristics-and-outcomes-patients-receiving-medical-emergency-team-review-respiratory
February 13, 2008 - Study
Characteristics and outcomes of patients receiving a medical emergency team review for respiratory distress or hypotension.
Citation Text:
Quach J, Downey A, Haase M, et al. Characteristics and outcomes of patients receiving a medical emergency team review for respiratory distres…
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psnet.ahrq.gov/issue/adverse-events-after-screening-and-follow-colonoscopy
September 30, 2010 - Study
Adverse events after screening and follow-up colonoscopy.
Citation Text:
Rutter CM, Johnson E, Miglioretti DL, et al. Adverse events after screening and follow-up colonoscopy. Cancer Causes & Control. 2011;23(2). doi:10.1007/s10552-011-9878-5.
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psnet.ahrq.gov/issue/huddles-and-debriefings-improving-communication-labor-and-delivery
February 13, 2013 - Review
Huddles and debriefings: improving communication on labor and delivery.
Citation Text:
McQuaid-Hanson E, Pian-Smith MCM. Huddles and Debriefings: Improving Communication on Labor and Delivery. Anesthesiol Clin. 2017;35(1):59-67. doi:10.1016/j.anclin.2016.09.006.
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psnet.ahrq.gov/issue/quality-improvement-medical-education-current-state-and-future-directions
June 09, 2015 - Review
Quality improvement in medical education: current state and future directions.
Citation Text:
Wong BM, Levinson W, Shojania KG. Quality improvement in medical education: current state and future directions. Med Educ. 2012;46(1):107-19. doi:10.1111/j.1365-2923.2011.04154.x.
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psnet.ahrq.gov/issue/piece-my-mind-patient-you-least-want-see
August 14, 2024 - Commentary
A piece of my mind. The patient you least want to see.
Citation Text:
Chen JH. A PIECE OF MY MIND. The Patient You Least Want to See. JAMA. 2016;315(16):1701-2. doi:10.1001/jama.2016.0221.
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psnet.ahrq.gov/issue/use-board-certification-and-recertification-pediatricians-health-plan-credentialing-policies
February 02, 2011 - Study
Use of board certification and recertification of pediatricians in health plan credentialing policies.
Citation Text:
Freed GL, Singer D, Lakhani I, et al. Use of board certification and recertification of pediatricians in health plan credentialing policies. JAMA. 2006;295(8):913…
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psnet.ahrq.gov/issue/positive-deviance-new-tool-infection-prevention-and-patient-safety
March 09, 2022 - Commentary
Positive deviance: a new tool for infection prevention and patient safety.
Citation Text:
Marra AR, Santos OFPD, Neto MC, et al. Positive Deviance: A New Tool for Infection Prevention and Patient Safety. Curr Infect Dis Rep. 2013.
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psnet.ahrq.gov/issue/relationship-between-patients-perceptions-team-effectiveness-and-their-care-experience
June 08, 2011 - Study
The relationship between patients' perceptions of team effectiveness and their care experience in the emergency department.
Citation Text:
Kipnis A, Rhodes K, Burchill CN, et al. The relationship between patients' perceptions of team effectiveness and their care experience in the…
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psnet.ahrq.gov/issue/do-safety-checklists-improve-teamwork-and-communication-operating-room-systematic-review
January 19, 2016 - Review
Do safety checklists improve teamwork and communication in the operating room? A systematic review.
Citation Text:
Russ S, Rout S, Sevdalis N, et al. Do safety checklists improve teamwork and communication in the operating room? A systematic review. Ann Surg. 2013;258(6):856-71. …
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psnet.ahrq.gov/issue/patient-reported-service-quality-medicine-unit
February 24, 2011 - Study
Patient-reported service quality on a medicine unit.
Citation Text:
Weingart SN, Pagovich O, Sands DZ, et al. Patient-reported service quality on a medicine unit. Int J Qual Health Care. 2006;18(2):95-101.
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psnet.ahrq.gov/issue/safety-analysis-over-time-seven-major-changes-adverse-event-investigation
September 24, 2018 - Commentary
Safety analysis over time: seven major changes to adverse event investigation.
Citation Text:
Vincent CA, Carthey J, Macrae C, et al. Safety analysis over time: seven major changes to adverse event investigation. Implementation Science. 2017;12(1). doi:10.1186/s13012-017-0695-…
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psnet.ahrq.gov/issue/electronic-health-records-and-national-patient-safety-goals
December 06, 2023 - Commentary
Electronic health records and National Patient-Safety Goals.
Citation Text:
Sittig DF, Singh H. Electronic Health Records and National Patient-Safety Goals. New England Journal of Medicine. 2012;367(19). doi:10.1056/nejmsb1205420.
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