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psnet.ahrq.gov/issue/causes-medical-errors-obstetrics-and-gynaecology
May 01, 2019 - Review
Causes for medical errors in obstetrics and gynaecology.
Citation Text:
Klemann D, Rijkx M, Mertens H, et al. Causes for medical errors in obstetrics and gynaecology. Healthcare (Basel). 2023;11(11):1636. doi:10.3390/healthcare11111636.
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psnet.ahrq.gov/issue/learning-collaboratives-insights-and-new-taxonomy-ahrqs-two-decades-experience
April 27, 2019 - Commentary
Emerging Classic
Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience.
Citation Text:
Nix M, McNamara P, Genevro J, et al. Learning Collaboratives: Insights And A New Taxonomy From AHRQ's Two Decades Of Experience…
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psnet.ahrq.gov/issue/safety-evaluation-impact-maternity-orientated-human-factors-training-safety-culture-tertiary
October 19, 2022 - Study
A safety evaluation of the impact of maternity-orientated human factors training on safety culture in a tertiary maternity unit.
Citation Text:
Ansari SP, Rayfield ME, Wallis VA, et al. A Safety Evaluation of the Impact of Maternity-Orientated Human Factors Training on Safety Cultu…
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psnet.ahrq.gov/issue/even-now-it-makes-me-angry-health-care-students-professionalism-dilemma-narratives
June 12, 2019 - Study
'Even now it makes me angry': health care students' professionalism dilemma narratives.
Citation Text:
Monrouxe L, Rees CE, Endacott R, et al. 'Even now it makes me angry': health care students' professionalism dilemma narratives. Med Educ. 2014;48(5):502-17. doi:10.1111/medu.12377…
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psnet.ahrq.gov/issue/how-will-state-medical-boards-handle-cases-involving-disclosure-and-apology-medical-errors
September 07, 2022 - Study
How will state medical boards handle cases involving disclosure and apology for medical errors?
Citation Text:
Wojcieszak D. How will state medical boards handle cases involving disclosure and apology for medical errors? J Patient Saf Risk Manag. 2022;27(1):15-20. doi:10.1177/25160…
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psnet.ahrq.gov/issue/effect-communication-errors-during-calls-antimicrobial-stewardship-program
June 22, 2022 - Study
Effect of communication errors during calls to an antimicrobial stewardship program.
Citation Text:
Linkin DR, Fishman NO, Landis R, et al. Effect of communication errors during calls to an antimicrobial stewardship program. Infect Control Hosp Epidemiol. 2007;28(12):1374-1381.
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psnet.ahrq.gov/issue/medication-reconciliation-admission-and-discharge-analysis-prevalence-and-associated-risk
December 02, 2020 - Study
Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors.
Citation Text:
Belda-Rustarazo S, Cantero-Hinojosa J, Salmeron-García A, et al. Medication reconciliation at admission and discharge: an analysis of prevalence and associate…
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psnet.ahrq.gov/issue/understanding-barriers-physician-error-reporting-and-disclosure-systemic-approach-systemic
January 12, 2022 - Review
Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem.
Citation Text:
Perez B, Knych SA, Weaver SJ, et al. Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem…
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psnet.ahrq.gov/issue/cognitive-and-implicit-biases-nurses-judgment-and-decision-making-scoping-review
October 20, 2021 - Review
Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review.
Citation Text:
Thirsk LM, Panchuk JT, Stahlke S, et al. Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review. Int J Nurs Stud. 2022;133:104284. doi:10.1016/j…
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psnet.ahrq.gov/issue/reducing-risk-and-promoting-patient-safety-nih-intramural-clinical-research-draft-report
November 18, 2020 - Book/Report
Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report.
Citation Text:
Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. The Clinical Center Working Group Report to the Advisory Committee to the…
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psnet.ahrq.gov/issue/medication-errors-involving-nursing-students-systematic-review
March 09, 2022 - Review
Medication errors involving nursing students: a systematic review.
Citation Text:
Asensi-Vicente J, Jiménez-Ruiz I, Vizcaya-Moreno F. Medication Errors Involving Nursing Students: A Systematic Review. Nurse Educ. 2018;43(5):E1-E5. doi:10.1097/NNE.0000000000000481.
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psnet.ahrq.gov/issue/realist-synthesis-intentional-rounding-hospital-wards-exploring-evidence-what-works-whom-what
March 01, 2023 - Review
Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why.
Citation Text:
Sims S, Leamy M, Davies N, et al. Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what …
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psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
August 05, 2009 - 2009
Patient comprehension of emergency department care and instructions: are patients aware
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psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies
May 14, 2018 - Sentinel Event Alerts
Safely implementing health information and converging technologies.
Citation Text:
Safely implementing health information and converging technologies. Sentinel event alert. 2008;(42):1-4.
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psnet.ahrq.gov/issue/improving-patient-safety-practicing-just-culture
June 14, 2017 - Commentary
Improving patient safety by practicing in a just culture.
Citation Text:
Duffy W. Improving Patient Safety by Practicing in a Just Culture. AORN J. 2017;106(1):66-68. doi:10.1016/j.aorn.2017.05.005.
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psnet.ahrq.gov/issue/detection-patient-risk-nurses-theoretical-framework
September 24, 2010 - Commentary
Detection of patient risk by nurses: a theoretical framework.
Citation Text:
Despins LA, Scott-Cawiezell J, Rouder JN. Detection of patient risk by nurses: a theoretical framework. J Adv Nurs. 2010;66(2). doi:10.1111/j.1365-2648.2009.05215.x.
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psnet.ahrq.gov/issue/how-safe-your-care-measurement-and-monitoring-safety-through-eyes-patients-and-their-care
August 16, 2016 - Book/Report
How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners.
Citation Text:
How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners. Jefs L, Kuluski K, MacLaurin A, e…
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psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes
March 27, 2018 - Newspaper/Magazine Article
Perioperative medication errors: uncovering risk from behind the drapes.
Citation Text:
Perioperative medication errors: uncovering risk from behind the drapes. Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. 2018;15(4):1-17.
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psnet.ahrq.gov/issue/covid-19-pandemic-and-dentistry-parts-1-and-2
December 16, 2015 - Commentary
The COVID-19 pandemic and dentistry: parts 1 and 2.
Citation Text:
The COVID-19 pandemic and dentistry: parts 1 and 2. Coulthard P, Thomson P, Dave M, et al. Br Dent J. 2020;229:743-747; 801-805.
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psnet.ahrq.gov/issue/closing-loop-guide-safer-ambulatory-referrals-ehr-era
July 12, 2017 - Book/Report
Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era.
Citation Text:
Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Imp…