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psnet.ahrq.gov/issue/judgment-under-uncertainty-heuristics-and-biases
June 02, 2010 - Book/Report
Classic
Judgment under Uncertainty: Heuristics and Biases.
Citation Text:
Judgment under Uncertainty: Heuristics and Biases. Kahneman D, Slovic P, Tversky A, eds. Cambridge, NY: Cambridge University Press; 1982. ISBN: 0521284147.
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psnet.ahrq.gov/issue/temporal-clustering-critical-illness-events-medical-wards
January 31, 2024 - Study
Temporal clustering of critical illness events on medical wards.
Citation Text:
Doshi S, Shin S, Lapointe-Shaw L, et al. Temporal clustering of critical illness events on medical wards. JAMA Intern Med. 2023;183(9):924-932. doi:10.1001/jamainternmed.2023.2629.
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psnet.ahrq.gov/issue/frontline-providers-and-patients-perspectives-improving-diagnostic-safety-emergency
May 15, 2024 - Study
Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department: a qualitative study.
Citation Text:
Mangus CW, James TG, Parker SJ, et al. Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency dep…
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psnet.ahrq.gov/issue/checkpoint-simple-tool-measure-surgical-safety-checklist-implementation-fidelity
December 06, 2023 - Study
CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity.
Citation Text:
Moyal-Smith R, Etheridge JC, Turley N, et al. CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. BMJ Qual Saf. 2024;33(4):223-231. doi:10.1136…
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psnet.ahrq.gov/issue/adverse-events-anesthesia-integrative-review
October 16, 2024 - Review
Adverse Events in Anesthesia: An Integrative Review.
Citation Text:
Lemos C de S, Poveda V de B. Adverse Events in Anesthesia: An Integrative Review. J Perianesth Nurs. 2019;34(5):978-998. doi:10.1016/j.jopan.2019.02.005.
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psnet.ahrq.gov/issue/interprofessional-learning-multidisciplinary-healthcare-teams-associated-reduced-patient
April 10, 2024 - Review
Interprofessional learning in multidisciplinary healthcare teams is associated with reduced patient mortality: a quantitative systematic review and meta-analysis.
Citation Text:
Webster CS, Coomber T, Liu S, et al. Interprofessional learning in multidisciplinary healthcare teams i…
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psnet.ahrq.gov/issue/brave-men-and-emotional-women-theory-guided-literature-review-gender-bias-health-care-and
October 16, 2024 - Review
Classic
“Brave men” and “emotional women”: a theory-guided literature review on gender bias in health care and gendered norms towards patients with chronic pain.
Citation Text:
Samulowitz A, Gremyr I, Eriksson E, et al. “Brave men” and “emotional women”: …
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psnet.ahrq.gov/issue/age-related-covid-19-vaccine-mix-ups
June 13, 2018 - Press Release/Announcement
Age-related COVID-19 vaccine mix-ups.
Citation Text:
Age-related COVID-19 vaccine mix-ups. National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. December 6, 2021.
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psnet.ahrq.gov/issue/fda-identifies-harm-reported-sudden-discontinuation-opioid-pain-medicines-and-requires-label
March 12, 2010 - Government Resource
FDA identifies harm reported from sudden discontinuation of opioid pain medicines and requires label changes to guide prescribers on gradual, individualized tapering.
Citation Text:
FDA identifies harm reported from sudden discontinuation of opioid pain medicines and …
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psnet.ahrq.gov/issue/why-diagnostic-errors-dont-get-any-respect-and-what-can-be-done-about-them
February 10, 2015 - Commentary
Why diagnostic errors don't get any respect--and what can be done about them.
Citation Text:
Wachter RM. Why Diagnostic Errors Don’t Get Any Respect—And What Can Be Done About Them. Health Aff (Millwood). 2010;29(9):1605-1610. doi:10.1377/hlthaff.2009.0513.
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psnet.ahrq.gov/issue/laneys-story-problem-delayed-diagnosis-pediatric-stroke
April 24, 2018 - Commentary
Laney's story: the problem of delayed diagnosis of pediatric stroke.
Citation Text:
Fitzsimons BT, Fitzsimons LL, Sun LR. Laney's Story: The Problem of Delayed Diagnosis of Pediatric Stroke. Pediatrics. 2019;143(4):e20183458. doi:10.1542/peds.2018-3458.
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psnet.ahrq.gov/issue/teamwork-behaviours-and-errors-during-neonatal-resuscitation
September 13, 2011 - Study
Teamwork behaviours and errors during neonatal resuscitation.
Citation Text:
Williams AL, Lasky RE, Dannemiller JL, et al. Teamwork behaviours and errors during neonatal resuscitation. Qual Saf Health Care. 2010;19(1):60-4. doi:10.1136/qshc.2007.025320.
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psnet.ahrq.gov/issue/sbar-shared-mental-model-improving-communication-between-clinicians
January 02, 2017 - Study
SBAR: a shared mental model for improving communication between clinicians.
Citation Text:
Haig KM, Sutton S, Whittington J. SBAR: a shared mental model for improving communication between clinicians. Jt Comm J Qual Patient Saf. 2006;32(3):167-75.
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psnet.ahrq.gov/issue/professionalism-lapses-and-adverse-childhood-experiences-reflections-island-last-resort
October 14, 2015 - Commentary
Professionalism lapses and adverse childhood experiences: reflections from the island of last resort.
Citation Text:
Williams BW. Professionalism Lapses and Adverse Childhood Experiences: Reflections From the Island of Last Resort. Acad Med. 2019;94(8):1081-1083. doi:10.1097/A…
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psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2023-analysis-23970-reports
July 08, 2020 - Study
Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports.
Citation Text:
Kepner S, Bennett A, Jones RM. Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. Patient Safety. 2024;6(1). doi:10.33940/001c.116555.
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psnet.ahrq.gov/issue/nurses-workarounds-acute-healthcare-settings-scoping-review
December 08, 2021 - Review
Nurses' workarounds in acute healthcare settings: a scoping review.
Citation Text:
Debono DS, Greenfield D, Travaglia J, et al. Nurses' workarounds in acute healthcare settings: a scoping review. BMC Health Serv Res. 2013;13:175. doi:10.1186/1472-6963-13-175.
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psnet.ahrq.gov/issue/analysis-intervention-employability-pharmacy-related-medication-safety-reports-tertiary
November 21, 2021 - Study
Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical center.
Citation Text:
Crozier N, Robinson E, Murtagh NC, et al. Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical cen…
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psnet.ahrq.gov/issue/influence-perioperative-handoffs-complications-and-outcomes
October 14, 2020 - Commentary
Influence of perioperative handoffs on complications and outcomes.
Citation Text:
Burden AR, Potestio C, Pukenas E. Influence of perioperative handoffs on complications and outcomes. Adv Anesth. 2021;39:133-148. doi:10.1016/j.aan.2021.07.008.
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psnet.ahrq.gov/issue/high-performance-teamwork-training-and-systems-redesign-outpatient-oncology
November 16, 2022 - Study
High performance teamwork training and systems redesign in outpatient oncology.
Citation Text:
Bunnell CA, Gross AH, Weingart SN, et al. High performance teamwork training and systems redesign in outpatient oncology. BMJ Qual Saf. 2013;22(5):405-13. doi:10.1136/bmjqs-2012-000948.…
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psnet.ahrq.gov/issue/improving-safety-and-quality-care-enhanced-teamwork-through-operating-room-briefings
May 11, 2019 - Commentary
Improving safety and quality of care with enhanced teamwork through operating room briefings.
Citation Text:
Hicks CW, Rosen MA, Hobson DB, et al. Improving safety and quality of care with enhanced teamwork through operating room briefings. JAMA Surg. 2014;149(8):863-8. doi:10…