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  1. psnet.ahrq.gov/issue/why-do-doctors-make-mistakes-study-role-salient-distracting-clinical-features
    July 03, 2014 - Study Why do doctors make mistakes? A study of the role of salient distracting clinical features. Citation Text: Mamede S, Van Gog T, Van den Berge K, et al. Why do doctors make mistakes? A study of the role of salient distracting clinical features. Acad Med. 2014;89(1):114-20. doi:10.10…
  2. psnet.ahrq.gov/issue/should-medical-errors-be-disclosed-pediatric-patients-pediatricians-attitudes-toward-error
    June 15, 2011 - Study Should medical errors be disclosed to pediatric patients? Pediatricians' attitudes toward error disclosure. Citation Text: Kolaitis IN, Schinasi DA, Ross LF. Should Medical Errors Be Disclosed to Pediatric Patients? Pediatricians' Attitudes Toward Error Disclosure. Acad Pediatr. 20…
  3. psnet.ahrq.gov/issue/physician-spending-and-subsequent-risk-malpractice-claims-observational-study
    May 01, 2015 - Study Classic Physician spending and subsequent risk of malpractice claims: observational study. Citation Text: Jena AB, Schoemaker L, Bhattacharya J, et al. Physician spending and subsequent risk of malpractice claims: observational study. BMJ. 2015;351:h5516. …
  4. psnet.ahrq.gov/issue/adverse-inpatient-outcomes-during-transition-new-electronic-health-record-system
    September 29, 2017 - Study Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. Citation Text: Barnett ML, Mehrotra A, Jena AB. Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. BMJ. 2016;…
  5. psnet.ahrq.gov/issue/surgeon-specific-mortality-data-disguise-wider-failings-delivery-safe-surgical-services
    March 09, 2022 - Study Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. Citation Text: Westaby S, De Silva R, Petrou M, et al. Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. Eur J Cardiothorac Surg. 2015;47(2):3…
  6. psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national-database
    October 03, 2018 - Study Serious incidents after death: content analysis of incidents reported to a national database. Citation Text: Yardley IE, Carson-Stevens A, Donaldson LJ. Serious incidents after death: content analysis of incidents reported to a national database. J R Soc Med. 2017;111(2):57-64. doi…
  7. psnet.ahrq.gov/issue/clarifying-radiologys-role-safety-events-5-year-retrospective-common-cause-analysis-safety
    November 21, 2017 - Study Clarifying radiology's role in safety events: a 5-year retrospective common cause analysis of safety events at a pediatric hospital. Citation Text: Khalatbari H, Menashe SJ, Otto RK, et al. Clarifying radiology’s role in safety events: a 5-year retrospective common cause analysis o…
  8. psnet.ahrq.gov/issue/high-fidelity-simulation-based-interdisciplinary-operating-room-team-training-point-care
    September 16, 2009 - Study High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care. Citation Text: Paige JT, Kozmenko V, Yang T, et al. High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care. Surgery. 2009;145(2):138…
  9. psnet.ahrq.gov/issue/40-years-behind-mask-safety-revisited
    January 13, 2012 - Commentary Classic 40 years behind the mask: safety revisited. Citation Text: Pierce EC. The 34th Rovenstine Lecture. 40 years behind the mask: safety revisited. Anesthesiology. 1996;84(4):965-975. Copy Citation Format: Google Scholar PubMed BibTeX…
  10. psnet.ahrq.gov/issue/simulation-study-rested-versus-sleep-deprived-anesthesiologists
    September 13, 2017 - Study Classic Simulation study of rested versus sleep-deprived anesthesiologists. Citation Text: Howard SK, Gaba DM, Smith B, et al. Simulation study of rested versus sleep-deprived anesthesiologists. Anesthesiology. 2003;98(6):1345-1355. doi:10.1097/00000542-…
  11. psnet.ahrq.gov/issue/associations-between-national-board-exam-performance-and-residency-program-emphasis-patient
    January 12, 2022 - Study Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork. Citation Text: Loftus TJ, Hall DJ, Malaty JZ, et al. Associations between national board exam performance and residency program emphasis on patient …
  12. psnet.ahrq.gov/issue/preventable-morbidity-and-mortality-among-non-trauma-emergency-surgery-patients-role-personal
    January 26, 2022 - Study Preventable morbidity and mortality among non-trauma emergency surgery patients: the role of personal performance and system flaws in adverse events. Citation Text: Velmahos CS, Kokoroskos N, Tarabanis C, et al. Preventable morbidity and mortality among non-trauma emergency surgery…
  13. psnet.ahrq.gov/issue/standard-admission-order-sets-promote-ordering-unnecessary-investigations-quasi-randomised
    March 24, 2021 - Study Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in a simulated setting. Citation Text: Leis B, Frost A, Bryce R, et al. Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evalu…
  14. psnet.ahrq.gov/issue/does-crew-resource-management-training-work-update-extension-and-some-critical-needs
    January 02, 2017 - Review Does crew resource management training work? An update, an extension, and some critical needs. Citation Text: Salas E, Wilson KA, Burke CS, et al. Does Crew Resource Management Training Work? An Update, an Extension, and Some Critical Needs. Hum Factors. 2006;48(2):392-412. doi:…
  15. psnet.ahrq.gov/issue/us-internal-medicine-program-director-perceptions-alignment-graduate-medical-education-and
    July 02, 2014 - Study US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety. Citation Text: Chacko KM, Halvorsen AJ, Swenson SL, et al. US Internal Medicine Program Director Perceptions of Ali…
  16. psnet.ahrq.gov/issue/iatrogenesis-neonatal-intensive-care-units-observational-and-interventional-prospective
    June 21, 2016 - Study Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicenter study. Citation Text: Kugelman A, Inbar-Sanado E, Shinwell ES, et al. Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicente…
  17. psnet.ahrq.gov/issue/introduction-sts-national-database-series-outcomes-analysis-quality-improvement-and-patient
    August 04, 2021 - Commentary Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety. Citation Text: Fernandez FG, Shahian DM, Kormos R, et al. The Society of Thoracic Surgeons National Database 2019 Annual Report. Ann Thorac Surg. 2019;108(6):1625-1632…
  18. psnet.ahrq.gov/issue/emergency-hospitalizations-unsupervised-prescription-medication-ingestions-young-children
    April 22, 2020 - Study Emergency hospitalizations for unsupervised prescription medication ingestions by young children. Citation Text: Lovegrove MC, Mathew J, Hampp C, et al. Emergency hospitalizations for unsupervised prescription medication ingestions by young children. Pediatrics. 2014;134(4):e1009-1…
  19. psnet.ahrq.gov/issue/who-gets-benefit-doubt-performance-evaluations-medical-errors-and-production-gender
    May 01, 2012 - Study Who gets the benefit of the doubt? Performance evaluations, medical errors, and the production of gender inequality in emergency medical education. Citation Text: Brewer A, Osborne M, Mueller AS, et al. Who Gets the Benefit of the Doubt? Performance Evaluations, Medical Errors, an…
  20. psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and
    December 29, 2014 - Study Learning from patient safety incidents in incident review meetings: organisational factors and indicators of analytic process effectiveness. Citation Text: Anderson JE, Kodate N. Learning from patient safety incidents in incident review meetings: Organisational factors and indicato…

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