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psnet.ahrq.gov/issue/estimating-hospital-related-deaths-due-medical-error-perspective-patient-advocates
November 08, 2023 - Commentary
Estimating hospital-related deaths due to medical error: a perspective from patient advocates.
Citation Text:
Kavanagh KT, Saman DM, Bartel R, et al. Estimating Hospital-Related Deaths Due to Medical Error: A Perspective From Patient Advocates. J Patient Saf. 2017;13(1):1-5. d…
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psnet.ahrq.gov/issue/2011-duty-hour-requirements-survey-residency-program-directors
December 02, 2014 - Study
The 2011 duty-hour requirements—a survey of residency program directors.
Citation Text:
Drolet BC, Khokhar MT, Fischer SA. The 2011 duty-hour requirements--a survey of residency program directors. N Engl J Med. 2013;368(8):694-7. doi:10.1056/NEJMp1214483.
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psnet.ahrq.gov/issue/impact-time-pressure-dentists-diagnostic-performance
November 16, 2022 - Study
Impact of time pressure on dentists' diagnostic performance.
Citation Text:
Plessas A, Nasser M, Hanoch Y, et al. Impact of time pressure on dentists' diagnostic performance. J Dent. 2019;82:38-44. doi:10.1016/j.jdent.2019.01.011.
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psnet.ahrq.gov/issue/analgesic-related-medication-errors-reported-us-poison-control-centers
June 06, 2018 - Study
Analgesic-related medication errors reported to US Poison Control Centers.
Citation Text:
Eluri M, Spiller HA, Casavant MJ, et al. Analgesic-Related Medication Errors Reported to US Poison Control Centers. Pain Med. 2018;19(12):2357-2370. doi:10.1093/pm/pnx272.
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psnet.ahrq.gov/issue/leader-communication-approaches-and-patient-safety-integrated-model
July 01, 2019 - Study
Leader communication approaches and patient safety: an integrated model.
Citation Text:
Mattson M, Hellgren J, Göransson S. Leader communication approaches and patient safety: An integrated model. J Safety Res. 2015;53:53-62. doi:10.1016/j.jsr.2015.03.008.
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psnet.ahrq.gov/issue/evaluation-contextual-influences-medication-administration-practice-paediatric-nurses
January 20, 2021 - Study
Evaluation of contextual influences on the medication administration practice of paediatric nurses.
Citation Text:
Davis L, Ware R, McCann D, et al. Evaluation of contextual influences on the medication administration practice of paediatric nurses. J Adv Nurs. 2009;65(6):1293-9. …
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psnet.ahrq.gov/issue/teaching-medical-error-apologies-development-multi-component-intervention
August 04, 2021 - Study
Teaching medical error apologies: development of a multi-component intervention.
Citation Text:
Gillies RA, Speers SH, Young SE, et al. Teaching medical error apologies: development of a multi-component intervention. Fam Med. 2011;43(6):400-6.
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psnet.ahrq.gov/issue/pediatric-residents-decision-making-around-disclosing-and-reporting-adverse-events-importance
January 25, 2017 - Study
Pediatric residents' decision-making around disclosing and reporting adverse events: the importance of social context.
Citation Text:
Coffey M, Thomson K, Tallett S, et al. Pediatric residents' decision-making around disclosing and reporting adverse events: the importance of social…
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psnet.ahrq.gov/issue/critical-care-checklists-keystone-project-and-office-human-research-protections-case
May 04, 2014 - Commentary
Critical care checklists, the Keystone Project, and the Office for Human Research Protections: a case for streamlining the approval process in quality-improvement research.
Citation Text:
Savel RH, Goldstein EB, Gropper MA. Critical care checklists, the Keystone Project, an…
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psnet.ahrq.gov/issue/patient-safety-obstetrics-what-aviators-firefighters-and-others-can-teach-us
January 22, 2017 - Commentary
Patient safety in obstetrics: what aviators, firefighters and others can teach us.
Citation Text:
Guise J-M, Lowe NK, Connell L. Patient Safety in Obstetrics: What Aviators, Firefighters and Others Can Teach Us. Nurs Womens Health. 2008;12(3):208-215. doi:10.1111/j.1751-486x…
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psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-non-covid-conditions-collateral-harm-pandemic
June 08, 2022 - Newspaper/Magazine Article
Missed and delayed diagnoses of non-COVID conditions--collateral harm from a pandemic.
Citation Text:
Carr S. Missed and delayed diagnoses of non-COVID conditions- collateral harm from a pandemic. ImproveDx. 2020;7(4):1-5.
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psnet.ahrq.gov/issue/contextual-errors-medical-decision-making-overlooked-and-understudied
May 01, 2020 - Commentary
Contextual errors in medical decision making: overlooked and understudied.
Citation Text:
Weiner SJ, Schwartz A. Contextual Errors in Medical Decision Making: Overlooked and Understudied. Acad Med. 2016;91(5):657-62. doi:10.1097/ACM.0000000000001017.
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psnet.ahrq.gov/issue/reducing-surgical-specimen-errors-through-multidisciplinary-quality-improvement
July 28, 2021 - Study
Reducing surgical specimen errors through multidisciplinary quality improvement.
Citation Text:
Holstine JB, Samora JB. Reducing surgical specimen errors through multidisciplinary quality improvement. Jt Comm J Qual Patient Saf. 2021;47(9):563-571. doi:10.1016/j.jcjq.2021.04.003.
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psnet.ahrq.gov/issue/medicines-safety-anaesthetic-practice
February 02, 2022 - Review
Medicines safety in anaesthetic practice.
Citation Text:
Mackay E, Jennings J, Webber S. Medicines safety in anaesthetic practice. BJA Edu. 2019;19(5):151-157. doi:10.1016/j.bjae.2019.01.001.
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psnet.ahrq.gov/issue/lessons-unexpected-increased-mortality-after-implementation-commercially-sold-computerized
April 29, 2018 - Commentary
Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system."
Citation Text:
Sittig DF, Ash JS, Zhang J, et al. Lessons from "Unexpected increased mortality after implementation of a commercially sold com…
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psnet.ahrq.gov/issue/competence-and-certification-registered-nurses-and-safety-patients-intensive-care-units
May 01, 2006 - Study
Competence and certification of registered nurses and safety of patients in intensive care units.
Citation Text:
Kendall-Gallagher D, Blegen MA. Competence and certification of registered nurses and safety of patients in intensive care units. Am J Crit Care. 2009;18(2):106-113; q…
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psnet.ahrq.gov/issue/computer-physician-order-entry-benefits-costs-and-issues
May 27, 2011 - Study
Computer physician order entry: benefits, costs, and issues.
Citation Text:
Kuperman GJ, Gibson RF. Computer physician order entry: benefits, costs, and issues. Ann Intern Med. 2003;139(1):31-9.
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psnet.ahrq.gov/issue/improving-quality-through-effective-implementation-information-technology-healthcare
October 17, 2016 - Study
Improving quality through effective implementation of information technology in healthcare.
Citation Text:
Øvretveit J, Scott T, Rundall TG, et al. Improving quality through effective implementation of information technology in healthcare. Int J Qual Health Care. 2007;19(5):259-6…
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psnet.ahrq.gov/issue/reducing-error-anticoagulant-dosing-multidisciplinary-team-rounding-point-care
November 16, 2016 - Study
Reducing error in anticoagulant dosing via multidisciplinary team rounding at point of care.
Citation Text:
Sharma M, Krishnamurthy M, Snyder R, et al. Reducing error in anticoagulant dosing via multidisciplinary team rounding at point of care. Clin Pract. 2017;7(2). doi:10.4081/cp…
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psnet.ahrq.gov/issue/development-barriers-error-disclosure-assessment-tool
August 28, 2019 - Study
Development of the barriers to error disclosure assessment tool.
Citation Text:
Welsh D, Zephyr D, Pfeifle AL, et al. Development of the Barriers to Error Disclosure Assessment Tool. J Patient Saf. 2021;17(5):363-374. doi:10.1097/PTS.0000000000000331.
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