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psnet.ahrq.gov/issue/residents-intentions-and-actions-after-patient-safety-education
June 08, 2011 - Study
Residents' intentions and actions after patient safety education.
Citation Text:
Jansma JD, Wagner C, Bijnen AB. Residents' intentions and actions after patient safety education. BMC Health Serv Res. 2010;10:350. doi:10.1186/1472-6963-10-350.
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D…
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psnet.ahrq.gov/node/45563/psn-pdf
October 19, 2016 - Using a change model to reduce the risk of surgical site
infection.
October 19, 2016
Burden M. Using a change model to reduce the risk of surgical site infection. Br J Nurs. 2016;25(17):949-
955.
https://psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection
Surgical site infections can resul…
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psnet.ahrq.gov/node/38943/psn-pdf
November 25, 2009 - Medical error reporting, patient safety, and the physician.
November 25, 2009
Anderson B, Stumpf PG, Schulkin J. Medical Error Reporting, Patient Safety, and the Physician. J Patient
Saf. 2009;5(3):176-179. doi:10.1097/pts.0b013e3181b320b0.
https://psnet.ahrq.gov/issue/medical-error-reporting-patient-safety-and-phy…
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psnet.ahrq.gov/node/36068/psn-pdf
September 28, 2010 - Getting doctors to report medical errors: project
DISCLOSE.
September 28, 2010
King ES, Moyer D, Couturie MJ, et al. Getting doctors to report medical errors: project DISCLOSE. Jt
Comm J Qual Patient Saf. 2006;32(7):382-392.
https://psnet.ahrq.gov/issue/getting-doctors-report-medical-errors-project-disclose
This …
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psnet.ahrq.gov/node/35540/psn-pdf
August 05, 2009 - Lost in translation: challenges and opportunities in
physician-to-physician communication during patient
handoffs.
August 5, 2009
Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to-
physician communication during patient handoffs. Acad Med. 2005;80(12):1094-9.
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psnet.ahrq.gov/issue/diagnostic-pitfalls-paediatric-ischaemic-stroke
December 14, 2016 - Study
Diagnostic pitfalls in paediatric ischaemic stroke.
Citation Text:
Braun KPJ, Kappelle J, Kirkham FJ, et al. Diagnostic pitfalls in paediatric ischaemic stroke. Dev Med Child Neurol. 2006;48(12):985-90.
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psnet.ahrq.gov/issue/attitudes-toward-large-scale-implementation-incident-reporting-system
March 23, 2011 - Study
Attitudes toward the large-scale implementation of an incident reporting system.
Citation Text:
Braithwaite J, Westbrook MT, Travaglia J. Attitudes toward the large-scale implementation of an incident reporting system. Int J Qual Health Care. 2008;20(3):184-91. doi:10.1093/intqhc…
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psnet.ahrq.gov/issue/role-technology-clinician-clinician-communication
September 09, 2015 - Commentary
The role of technology in clinician-to-clinician communication.
Citation Text:
McElroy LM, Ladner DP, Holl JL. The role of technology in clinician-to-clinician communication. BMJ Qual Saf. 2013;22(12):981-3. doi:10.1136/bmjqs-2013-002191.
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…
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psnet.ahrq.gov/issue/factors-affecting-incident-reporting-registered-nurses-relationship-perceptions-environment
January 19, 2011 - Study
Factors affecting incident reporting by registered nurses: the relationship of perceptions of the environment for reporting errors, knowledge of the Nursing Practice Act, and demographics on intent to report errors.
Citation Text:
Throckmorton T, Etchegaray J. Factors affecting i…
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psnet.ahrq.gov/node/41371/psn-pdf
May 29, 2012 - Patients' willingness and ability to participate actively in
the reduction of clinical errors: a systematic literature
review.
May 29, 2012
DOHERTY CAROLE, STAVROPOULOU CHARITINI. Patients' willingness and ability to participate actively
in the reduction of clinical errors: a systematic literature review. Soc Sci …
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psnet.ahrq.gov/node/37927/psn-pdf
March 10, 2011 - A randomized trial of electronic clinical reminders to
improve medication laboratory monitoring.
March 10, 2011
Matheny ME, Sequist TD, Seger AC, et al. A randomized trial of electronic clinical reminders to improve
medication laboratory monitoring. J Am Med Inform Assoc. 2008;15(4):424-9. doi:10.1197/jamia.M2602.
…
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psnet.ahrq.gov/node/38865/psn-pdf
April 04, 2011 - Afraid in the hospital: parental concern for errors during a
child's hospitalization.
April 4, 2011
Tarini BA, Lozano P, Christakis DA. Afraid in the hospital: parental concern for errors during a child's
hospitalization. J Hosp Med. 2009;41(9):521-527. doi:10.1002/jhm.508.
https://psnet.ahrq.gov/issue/afraid-hosp…
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psnet.ahrq.gov/node/41211/psn-pdf
January 03, 2017 - He thought the "lady in the door" was the "lady in the
window": a qualitative study of patient identification
practices.
January 3, 2017
Phipps E, Turkel M, Mackenzie ER, et al. He thought the "lady in the door" was the "lady in the window": a
qualitative study of patient identification practices. Jt Comm J Qual P…
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psnet.ahrq.gov/node/49572/psn-pdf
October 01, 2008 - Mistaken Identity
October 1, 2008
Hall LW. Mistaken Identity. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/mistaken-identity
The Case
An 85-year-old Cantonese-speaking woman was admitted to the medical service with altered mental status
and a reported fall. After finding tenderness in her left hip, the p…
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psnet.ahrq.gov/node/42038/psn-pdf
June 03, 2013 - A systematic review of simulation for multidisciplinary
team training in operating rooms.
June 3, 2013
Cumin D, Boyd MJ, Webster CS, et al. A systematic review of simulation for multidisciplinary team training
in operating rooms. Simul Healthc. 2013;8(3):171-179. doi:10.1097/SIH.0b013e31827e2f4c.
https://psnet.ahr…
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psnet.ahrq.gov/issue/compliance-who-surgical-safety-checklist-deviations-and-possible-improvements
September 29, 2017 - Study
Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements.
Citation Text:
Rydenfält C, Johansson G, Odenrick P, et al. Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements. Int J Qual Health Care. 2013;25(2):182-187. …
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psnet.ahrq.gov/node/47457/psn-pdf
January 17, 2019 - Developing a reporting culture: learning from close calls
and hazardous conditions.
January 17, 2019
Developing a reporting culture: Learning from close calls and hazardous conditions. Sentinel Event Alert.
2018;(60):1-8.
https://psnet.ahrq.gov/issue/developing-reporting-culture-learning-close-calls-and-hazardous-…
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psnet.ahrq.gov/node/39083/psn-pdf
April 01, 2010 - Emergency physician perceptions of patient safety risks.
April 1, 2010
Sklar DP, Crandall CS, Zola T, et al. Emergency physician perceptions of patient safety risks. Ann Emerg
Med. 2010;55(4):336-40. doi:10.1016/j.annemergmed.2009.08.020.
https://psnet.ahrq.gov/issue/emergency-physician-perceptions-patient-safety-r…
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psnet.ahrq.gov/node/37945/psn-pdf
July 26, 2010 - A survey of hospital quality improvement activities.
July 26, 2010
Cohen AB, Restuccia JD, Shwartz M, et al. A survey of hospital quality improvement activities. Med Care
Res Rev. 2008;65(5):571-95. doi:10.1177/1077558708318285.
https://psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities
The Instit…
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psnet.ahrq.gov/node/37063/psn-pdf
January 02, 2017 - Housestaff and medical student attitudes toward medical
errors and adverse events.
January 2, 2017
Vohra PD, Johnson J, Daugherty CK, et al. Housestaff and medical student attitudes toward medical errors
and adverse events. Jt Comm J Qual Patient Saf. 2007;33(8):493-501.
https://psnet.ahrq.gov/issue/housestaff-and…