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psnet.ahrq.gov/issue/crew-resource-management-training-intensive-care-unit-multisite-controlled-after-study
July 10, 2013 - Study
Crew resource management training in the intensive care unit. A multisite controlled before-after study.
Citation Text:
Kemper PF, de Bruijne M, van Dyck C, et al. Crew resource management training in the intensive care unit. A multisite controlled before-after study. BMJ Qual Saf.…
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psnet.ahrq.gov/issue/patient-safety-indicators-academic-veterans-affairs-hospital-addressing-dual-goals-clinical
August 09, 2023 - Study
Patient Safety Indicators at an academic veterans affairs hospital: addressing dual goals of clinical care and validity.
Citation Text:
Allaudeen N, Schalch E, Neff M, et al. Patient Safety Indicators at an Academic Veterans Affairs Hospital: Addressing Dual Goals of Clinical Care …
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psnet.ahrq.gov/issue/reflecting-diagnostic-errors-taking-second-look-not-enough
September 26, 2016 - Study
Reflecting on diagnostic errors: taking a second look is not enough.
Citation Text:
Monteiro SD, Sherbino J, Patel A, et al. Reflecting on Diagnostic Errors: Taking a Second Look is Not Enough. J Gen Intern Med. 2015;30(9):1270-4. doi:10.1007/s11606-015-3369-4.
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psnet.ahrq.gov/issue/what-are-safety-risks-patients-undergoing-treatment-multiple-specialties-retrospective
March 18, 2013 - Study
What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective patient record review study.
Citation Text:
Baines RJ, de Bruijne M, Langelaan M, et al. What are the safety risks for patients undergoing treatment by multiple specialties: a retr…
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psnet.ahrq.gov/issue/disruptive-behavior-inherent-surgeon-or-environment-analysis-314-events-single-academic
October 19, 2022 - Study
Is disruptive behavior inherent to the surgeon or the environment? Analysis of 314 events at a single academic medical center.
Citation Text:
Heslin MJ, Singletary BA, Benos KC, et al. Is Disruptive Behavior Inherent to the Surgeon or the Environment? Analysis of 314 Events at a Si…
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psnet.ahrq.gov/issue/views-children-parents-and-health-care-providers-pediatric-disclosure-medical-errors
April 08, 2020 - Study
Views of children, parents, and health-care providers on pediatric disclosure of medical errors.
Citation Text:
Koller D, Espin S. Views of children, parents, and health-care providers on pediatric disclosure of medical errors. J Child Health Care. 2018;22(4):577-590. doi:10.1177/1…
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psnet.ahrq.gov/issue/good-bad-and-ugly-operative-staff-perspectives-surgeon-coping-intraoperative-errors
September 22, 2021 - Study
The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors.
Citation Text:
D’Angelo A-LD, Kapur N, Kelley SR, et al. The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. Surgery. …
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psnet.ahrq.gov/issue/clinical-reasoning-dire-times-analysis-cognitive-biases-clinical-cases-during-covid-19
February 09, 2022 - Study
Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 pandemic.
Citation Text:
Coen M, Sader J, Junod-Perron N, et al. Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 pandemic. Inter…
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psnet.ahrq.gov/issue/investigating-impact-cognitive-bias-nursing-documentation-decision-making-and-judgement
July 13, 2022 - Study
Investigating the impact of cognitive bias in nursing documentation on decision-making and judgement.
Citation Text:
Martin K, Bickle K, Lok J. Investigating the impact of cognitive bias in nursing documentation on decision‐making and judgement. Int J Mental Health Nurs. 2022;31(4)…
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psnet.ahrq.gov/issue/war-two-fronts-cancer-care-time-covid-19
March 12, 2025 - Commentary
A war on two fronts: cancer care in the time of COVID-19.
Citation Text:
Kutikov A, Weinberg DS, Edelman MJ, et al. A war on two fronts: cancer care in the time of COVID-19. Ann Intern Med. 2020;172(11):756-758. doi:10.7326/m20-1133.
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psnet.ahrq.gov/issue/using-video-assess-and-improve-patient-safety-during-simulated-and-actual-neonatal
July 29, 2020 - Study
Using video to assess and improve patient safety during simulated and actual neonatal resuscitation.
Citation Text:
Leone TA. Using video to assess and improve patient safety during simulated and actual neonatal resuscitation. Semin Perinatol. 2019;43(8):151179. doi:10.1053/j.semp…
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psnet.ahrq.gov/issue/errors-drug-computations-during-newborn-intensive-care
December 15, 2021 - Study
Errors in drug computations during newborn intensive care.
Citation Text:
Perlstein PH, Callison C, White M, et al. Errors in Drug Computations During Newborn Intensive Care. Arch Pediatr Adolesc Med. 1979;133(4):376-379. doi:10.1001/archpedi.1979.02130040030006.
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psnet.ahrq.gov/issue/impact-computerised-physician-order-entry-and-clinical-decision-support-pharmacist-physician
August 24, 2016 - Study
The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study.
Citation Text:
Pontefract SK, Coleman JJ, Vallance HK, et al. The impact of computerised physician order entry and clin…
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psnet.ahrq.gov/issue/reduce-likelihood-patient-harm-associated-use-anticoagulant-therapy-commentary
November 07, 2018 - Commentary
Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance
Citation Text:
Dager WE, Ansell J, Barnes GD, et al. “Reduce the Likelihood o…
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psnet.ahrq.gov/issue/vulnerability-medical-product-supply-chain-wake-call-covid-19
December 02, 2020 - Commentary
Emerging Classic
Vulnerability of the medical product supply chain: the wake-up call of COVID-19.
Citation Text:
Miller FA, Young SB, Dobrow M, et al. Vulnerability of the medical product supply chain: the wake-up call of COVID-19. BMJ Qual Saf. 2020;…
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psnet.ahrq.gov/issue/optimizing-use-dose-error-reduction-software-intravenous-infusion-pumps
August 02, 2015 - Study
Optimizing the use of dose error reduction software on intravenous infusion pumps.
Citation Text:
Hughes K, Cole M, Tims D, et al. Optimizing the use of dose error reduction software on intravenous infusion pumps. Hosp Pediatr. 2024;14(6):448-454. doi:10.1542/hpeds.2023-007385.
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psnet.ahrq.gov/issue/mobile-physician-reporting-clinically-significant-events-novel-way-improve-handoff
September 14, 2011 - Study
Mobile physician reporting of clinically significant events—a novel way to improve handoff communication and supervision of resident on call activities.
Citation Text:
Nabors C, Peterson SJ, Aronow WS, et al. Mobile physician reporting of clinically significant events-a novel way t…
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psnet.ahrq.gov/issue/effect-pharmacist-counseling-intervention-health-care-utilization-following-hospital
November 26, 2014 - Study
Effect of pharmacist counseling intervention on health care utilization following hospital discharge: a randomized control trial.
Citation Text:
Bell SP, Schnipper JL, Goggins K, et al. Effect of Pharmacist Counseling Intervention on Health Care Utilization Following Hospital Disch…
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psnet.ahrq.gov/issue/programmable-infusion-pumps-icus-analysis-corresponding-adverse-drug-events
January 16, 2008 - Study
Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events.
Citation Text:
Nuckols TK, Bower AG, Paddock SM, et al. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. J Gen Intern Med. 2008;23 Suppl 1:41-5. doi:10.100…
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psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-artificial-intelligence-versus-clinicians-skin-cancer
January 22, 2014 - Review
A systematic review and meta-analysis of artificial intelligence versus clinicians for skin cancer diagnosis.
Citation Text:
Salinas MP, Sepúlveda J, Hidalgo L, et al. A systematic review and meta-analysis of artificial intelligence versus clinicians for skin cancer diagnosis. NPJ…