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psnet.ahrq.gov/issue/parent-participation-morbidity-and-mortality-review-parent-and-physician-perspectives
May 18, 2022 - Study
Parent participation in morbidity and mortality review: parent and physician perspectives.
Citation Text:
de Loizaga SR, Clarke-Myers K, R Khoury P, et al. Parent participation in morbidity and mortality review: parent and physician perspectives. J Patient Exp. 2022;9:2374373522110…
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psnet.ahrq.gov/issue/physician-satisfaction-transition-cpoe-paper-based-prescription
January 06, 2018 - Study
Physician satisfaction with transition from CPOE to paper-based prescription.
Citation Text:
Griffon N, Schuers M, Joulakian M, et al. Physician satisfaction with transition from CPOE to paper-based prescription. Int J Med Inform. 2017;103:42-48. doi:10.1016/j.ijmedinf.2017.04.007.…
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psnet.ahrq.gov/issue/anybody-list-youre-more-worried-about-qualitative-analysis-exploring-functions-questions
January 22, 2016 - Study
"Anybody on this list that you're more worried about?" Qualitative analysis exploring the functions of questions during end of shift handoffs.
Citation Text:
O'Brien CM, Flanagan ME, Bergman AA, et al. "Anybody on this list that you're more worried about?" Qualitative analysis expl…
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psnet.ahrq.gov/issue/you-have-face-your-mistakes-street-contextual-keys-shape-health-service-access-and-health
September 06, 2017 - Study
'You have to face your mistakes in the street': the contextual keys that shape health service access and health workers' experiences in rural areas.
Citation Text:
Allan J, Ball P, Alston M. 'You have to face your mistakes in the street': the contextual keys that shape health ser…
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psnet.ahrq.gov/issue/role-computerized-physician-order-entry-usability-reduction-prescribing-errors
June 23, 2021 - Study
Role of computerized physician order entry usability in the reduction of prescribing errors.
Citation Text:
Peikari HR, Zakaria MS, Yasin NM, et al. Role of computerized physician order entry usability in the reduction of prescribing errors. Healthc Inform Res. 2013;19(2):93-101. d…
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psnet.ahrq.gov/issue/incidence-medication-errors-and-adverse-drug-events-icu-systematic-review
October 16, 2019 - Review
Incidence of medication errors and adverse drug events in the ICU: a systematic review.
Citation Text:
Wilmer A, Louie K, Dodek P, et al. Incidence of medication errors and adverse drug events in the ICU: a systematic review. Qual Saf Health Care. 2010;19(5):e7. doi:10.1136/qshc…
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psnet.ahrq.gov/issue/novel-approach-cardiac-alarm-management-telemetry-units
October 27, 2021 - Study
Novel approach to cardiac alarm management on telemetry units.
Citation Text:
Whalen DA, Covelle PM, Piepenbrink JC, et al. Novel approach to cardiac alarm management on telemetry units. J Cardiovasc Nurs. 2014;29(5):E13-22. doi:10.1097/JCN.0000000000000114.
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psnet.ahrq.gov/issue/video-registration-trauma-team-performance-emergency-department-results-2-year-analysis-level
November 16, 2022 - Study
Video registration of trauma team performance in the emergency department: the results of a 2-year analysis in a Level 1 trauma center.
Citation Text:
Lubbert PHW, Kaasschieter EG, Hoorntje LE, et al. Video registration of trauma team performance in the emergency department: the …
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psnet.ahrq.gov/issue/surgeon-fatigue-prospective-analysis-incidence-risk-and-intervals-predicted-fatigue-related
July 06, 2011 - Study
Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals of predicted fatigue-related impairment in residents.
Citation Text:
McCormick F, Kadzielski J, Landrigan CP, et al. Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals of predic…
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psnet.ahrq.gov/issue/direct-oral-anticoagulants-review-common-medication-errors
January 12, 2022 - Review
Emerging Classic
Direct oral anticoagulants: a review of common medication errors.
Citation Text:
Barr D, Epps QJ. Direct oral anticoagulants: a review of common medication errors. J Thromb Thrombolysis. 2019;47(1):146-154. doi:10.1007/s11239-018-1752-9. …
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psnet.ahrq.gov/issue/medication-errors-and-error-chains-involving-high-alert-medications-paediatric-hospital
March 27, 2024 - Study
Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents.
Citation Text:
Kuitunen S, Saksa M, Holmström A-R. Medication errors and error chains involving high-alert medi…
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psnet.ahrq.gov/issue/improving-standardization-paging-communication-using-quality-improvement-methodology
September 23, 2020 - Study
Improving standardization of paging communication using quality improvement methodology.
Citation Text:
Weigert RM, Schmitz AH, Soung PJ, et al. Improving Standardization of Paging Communication Using Quality Improvement Methodology. Pediatrics. 2019;143(4). doi:10.1542/peds.2018-1…
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psnet.ahrq.gov/issue/delayed-diagnosis-serious-paediatric-conditions-13-regional-emergency-departments
July 05, 2023 - Study
Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments.
Citation Text:
Michelson KA, McGarghan FLE, Patterson EE, et al. Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments. BMJ Qual Saf. 2024;33(5):293-300. doi:1…
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psnet.ahrq.gov/issue/misreading-injectable-medications-causes-and-solutions-integrative-literature-review
May 04, 2010 - Review
Misreading injectable medications—causes and solutions: an integrative literature review.
Citation Text:
Borradale H, Andersen P, Wallis M, et al. Misreading injectable medications—causes and solutions: an integrative literature review. J Patient Saf. 2020. doi:10.1016/j.jcjq.2020…
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psnet.ahrq.gov/issue/communication-failures-operating-room-observational-classification-recurrent-types-and
April 06, 2011 - Study
Classic
Communication failures in the operating room: an observational classification of recurrent types and effects.
Citation Text:
Lingard L, Espin S, Whyte S, et al. Communication failures in the operating room: an observational classification of recu…
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psnet.ahrq.gov/issue/failure-rescue-comparing-definitions-measure-quality-care
April 17, 2013 - Study
Failure-to-rescue: comparing definitions to measure quality of care.
Citation Text:
Silber JH, Romano PS, Rosen AK, et al. Failure-to-rescue: comparing definitions to measure quality of care. Med Care. 2007;45(10):918-25.
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psnet.ahrq.gov/issue/anesthetic-mishaps-breaking-chain-accident-evolution
April 08, 2011 - Commentary
Classic
Anesthetic mishaps: breaking the chain of accident evolution.
Citation Text:
Gaba DM, Maxwell M, DeAnda A. Anesthetic mishaps: breaking the chain of accident evolution. Anesthesiology. 1987;66(5):670-6.
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psnet.ahrq.gov/issue/revisiting-duty-hour-limits-iom-recommendations-patient-safety-and-resident-education
February 17, 2011 - Commentary
Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.
Citation Text:
Iglehart JK. Revisiting duty-hour limits--IOM recommendations for patient safety and resident education. N Engl J Med. 2008;359(25):2633-5. doi:10.1056/NEJMp0808736.
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psnet.ahrq.gov/issue/what-computer-needs-physician-humanism-and-artificial-intelligence
June 21, 2016 - Commentary
What this computer needs is a physician: humanism and artificial intelligence.
Citation Text:
Verghese A, Shah NH, Harrington RA. What This Computer Needs Is a Physician: Humanism and Artificial Intelligence. JAMA. 2018;319(1):19-20. doi:10.1001/jama.2017.19198.
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psnet.ahrq.gov/issue/sleep-sleepiness-fatigue-and-performance-12-hour-shift-nurses
July 22, 2010 - Study
Sleep, sleepiness, fatigue, and performance of 12-hour–shift nurses.
Citation Text:
Geiger-Brown J, Rogers VE, Trinkoff AM, et al. Sleep, Sleepiness, Fatigue, and Performance of 12-Hour-Shift Nurses. Chronobiol Int. 2012;29(2). doi:10.3109/07420528.2011.645752.
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