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psnet.ahrq.gov/issue/exploring-association-between-organizational-safety-climate-failure-rescue-and-mortality
January 26, 2022 - Study
Exploring the association between organizational safety climate, failure to rescue, and mortality in inpatient surgical units.
Citation Text:
Bacon CT, McCoy TP, Henshaw DS. Exploring the Association Between Organizational Safety Climate, Failure to Rescue, and Mortality in Inpatie…
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psnet.ahrq.gov/issue/electronic-test-result-communication-era-21st-century-cures-act
May 25, 2022 - Book/Report
Electronic Test Result Communication in the Era of the 21st Century Cures Act
Citation Text:
Bradford A, Ehsan S, Shahid U, et al. Electronic Test Result Communication In The Era Of The 21St Century Cures Act. Rockville, MD: Agency for Healthcare Research and Quality; July 20…
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psnet.ahrq.gov/issue/honest-communication-and-social-asymmetries-inside-hospital-pitfalls-clinicians
March 02, 2022 - Commentary
Honest communication and social asymmetries inside a hospital: pitfalls for clinicians.
Citation Text:
Redelmeier DA, Etchells EE, Najeeb U. Honest communication and social asymmetries inside a hospital: pitfalls for clinicians. J Hosp Med. 2022;17(5):405-409. doi:10.1002/jhm.…
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psnet.ahrq.gov/issue/safety-ii-and-study-healthcare-safety-routines-two-paths-forward-research
May 25, 2022 - Commentary
Safety-II and the study of healthcare safety routines: two paths forward for research.
Citation Text:
Rydenfält C. Safety-II and the study of healthcare safety routines: two paths forward for research. J Patient Saf Risk Manag. 2022;27(3):124-128. doi:10.1177/25160435221102129…
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psnet.ahrq.gov/issue/communicating-uncertainty-narrative-review-and-framework-future-research
February 24, 2021 - Review
Communicating uncertainty: a narrative review and framework for future research.
Citation Text:
Simpkin AL, Armstrong KA. Communicating uncertainty: a narrative review and framework for future research. J Gen Intern Med. 2019;34(11):2586-2591. doi:10.1007/s11606-019-04860-8.
Cop…
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psnet.ahrq.gov/issue/nurses-perspectives-intersection-safety-and-informed-decision-making-maternity-care
May 21, 2019 - Study
Nurses' perspectives on the intersection of safety and informed decision making in maternity care.
Citation Text:
Jacobson CH, Zlatnik MG, Kennedy HP, et al. Nurses' perspectives on the intersection of safety and informed decision making in maternity care. J Obstet Gynecol Neonata…
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psnet.ahrq.gov/issue/validation-mobile-app-reducing-errors-administration-medications-emergency
September 23, 2020 - Study
Validation of a mobile app for reducing errors of administration of medications in an emergency.
Citation Text:
Baumann D, Dibbern N, Sehner S, et al. Validation of a mobile app for reducing errors of administration of medications in an emergency. J Clin Monit Comput. . 2019;33(3):…
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psnet.ahrq.gov/issue/operational-measurement-diagnostic-safety-state-science-0
September 28, 2022 - Commentary
Emerging Classic
Operational measurement of diagnostic safety: state of the science.
Citation Text:
Singh H, Bradford A, Goeschel CA. Operational measurement of diagnostic safety: state of the science. Diagnosis (Berl). 2021;8(1):51-66. doi:10.1515/dx…
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psnet.ahrq.gov/issue/emergency-department-patient-safety-incident-characterization-observational-analysis-findings
July 29, 2020 - Study
Emergency department patient safety incident characterization: an observational analysis of the findings of a standardized peer review process.
Citation Text:
Jepson ZK, Darling CE, Kotkowski KA, et al. Emergency department patient safety incident characterization: an observational…
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psnet.ahrq.gov/issue/nurses-perceptions-multitasking-emergency-department-effective-fun-and-unproblematic-least-me
June 07, 2023 - Study
Nurses' perceptions of multitasking in the emergency department: effective, fun and unproblematic (at least for me)—a qualitative study.
Citation Text:
Forsberg HH, Athlin ÅM, Schwarz U von T. Nurses' perceptions of multitasking in the emergency department: effective, fun and unpro…
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psnet.ahrq.gov/issue/assessment-bias-patient-safety-reporting-systems-categorized-physician-gender-race-and
June 22, 2022 - Study
Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study.
Citation Text:
doi:https://doi.org/10.1001/jamanetworkopen.2022.13234.
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psnet.ahrq.gov/issue/really-stupid-mistake-it-does-feel-cop-out-blame-my-error-human-frailty-im-afraid-thats
August 16, 2023 - Commentary
A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly what it was.
Citation Text:
Maskell G. A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly …
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psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
September 16, 2015 - check, and check with control.( 7 )
With inspection, the least effective approach, adverse events are captured
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psnet.ahrq.gov/issue/relationship-between-patient-complaints-and-surgical-complications
January 05, 2011 - Study
Relationship between patient complaints and surgical complications.
Citation Text:
Murff HJ, France DJ, Blackford J, et al. Relationship between patient complaints and surgical complications. Qual Saf Health Care. 2006;15(1):13-6.
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psnet.ahrq.gov/issue/explainable-artificial-intelligence-safe-intraoperative-decision-support
October 13, 2015 - Commentary
Explainable artificial intelligence for safe intraoperative decision support.
Citation Text:
Gordon L, Grantcharov T, Rudzicz F. Explainable Artificial Intelligence for Safe Intraoperative Decision Support. JAMA Surg. 2019. doi:10.1001/jamasurg.2019.2821.
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psnet.ahrq.gov/issue/triangulating-case-finding-tools-patient-safety-surveillance-cross-sectional-case-study
February 08, 2012 - Study
Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration.
Citation Text:
Taylor JA, Gerwin D, Morlock L, et al. Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/…
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psnet.ahrq.gov/node/33750/psn-pdf
May 01, 2013 - in outcomes across hospitals because we do tons of things for patients with acute MI that
are not captured
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psnet.ahrq.gov/issue/medical-error-identification-disclosure-and-reporting-do-emergency-medicine-provider-groups
April 11, 2011 - Study
Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ?
Citation Text:
Hobgood C, Weiner B, Tamayo-Sarver JH. Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ? Acad Emerg Med. 2006…
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psnet.ahrq.gov/issue/using-information-technology-improve-quality-and-safety-emergency-care
July 13, 2010 - Commentary
Using information technology to improve the quality and safety of emergency care.
Citation Text:
Handel DA, Wears RL, Nathanson LA, et al. Using Information Technology to Improve the Quality and Safety of Emergency Care. Academic Emergency Medicine. 2011;18(6). doi:10.1111/j…
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psnet.ahrq.gov/issue/voluntarily-reported-emergency-department-errors
June 20, 2011 - Study
Voluntarily reported emergency department errors.
Citation Text:
Henneman PL, Blank FSJ, Smithline HA, et al. Voluntarily Reported Emergency Department Errors. J Patient Saf. 2008;1(3):126-132. doi:10.1097/01.jps.0000175694.39559.12.
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