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psnet.ahrq.gov/issue/randomized-trial-nighttime-physician-staffing-intensive-care-unit
September 23, 2020 - Study
A randomized trial of nighttime physician staffing in an intensive care unit.
Citation Text:
Kerlin MP, Small DS, Cooney E, et al. A randomized trial of nighttime physician staffing in an intensive care unit. N Engl J Med. 2013;368(23):2201-9. doi:10.1056/NEJMoa1302854.
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psnet.ahrq.gov/issue/teamwork-and-patient-safety-dynamic-domains-healthcare-review-literature
May 29, 2013 - Review
Teamwork and patient safety in dynamic domains of healthcare: a review of the literature.
Citation Text:
Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand. 2009;53(2):143-51. doi:10.1111/j.1399-6576.2008.…
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psnet.ahrq.gov/issue/use-simulation-assess-electronic-health-record-safety-intensive-care-unit-pilot-study
December 10, 2014 - Study
Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study.
Citation Text:
March CA, Steiger D, Scholl G, et al. Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. BMJ Open. 2013;3(4). d…
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psnet.ahrq.gov/issue/physician-staffing-models-and-patient-safety-icu
May 27, 2011 - Commentary
Physician staffing models and patient safety in the ICU.
Citation Text:
Gajic O, Afessa B. Physician staffing models and patient safety in the ICU. Chest. 2009;135(4):1038-1044. doi:10.1378/chest.08-1544.
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psnet.ahrq.gov/issue/associations-between-perceived-crisis-mode-work-climate-and-poor-information-exchange-within
October 19, 2022 - Study
Associations between perceived crisis mode work climate and poor information exchange within hospitals.
Citation Text:
Patterson ME, Bogart MS, Starr KR. Associations between perceived crisis mode work climate and poor information exchange within hospitals. J Hosp Med. 2015;10(3):1…
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psnet.ahrq.gov/issue/assessment-physician-sleep-and-wellness-burnout-and-clinically-significant-medical-errors
January 27, 2021 - Study
Classic
Assessment of physician sleep and wellness, burnout, and clinically significant medical errors.
Citation Text:
Trockel MT, Menon NK, Rowe SG, et al. Assessment of Physician Sleep and Wellness, Burnout, and Clinically Significant Medical Errors. JAM…
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psnet.ahrq.gov/issue/application-human-factors-classification-framework-patient-safety-identify-precursor-and
October 21, 2015 - Study
Application of a human factors classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents in hospital.
Citation Text:
Mitchell RJ, Williamson A, Molesworth B. Application of a human factors classification framework for p…
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psnet.ahrq.gov/issue/effects-fatigue-anaesthetist-well-being-and-patient-safety-narrative-review
June 28, 2023 - Review
Effects of fatigue on anaesthetist well-being and patient safety: a narrative review.
Citation Text:
Ippolito M, Einav S, Giarratano A, et al. Effects of fatigue on anaesthetist well-being and patient safety: a narrative review. Br J Anaesth. 2024;133(1):111-117. doi:10.1016/j.bja…
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psnet.ahrq.gov/issue/development-and-validation-johns-hopkins-disruptive-clinician-behavior-survey
April 24, 2013 - Study
Development and validation of the Johns Hopkins Disruptive Clinician Behavior Survey.
Citation Text:
Dang D, Nyberg D, Walrath JM, et al. Development and Validation of the Johns Hopkins Disruptive Clinician Behavior Survey. Am J Med Qual. 2014;30(5):470-476. doi:10.1177/10628606145…
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psnet.ahrq.gov/issue/does-physicians-training-induce-overconfidence-hampers-disclosing-errors
October 21, 2009 - Study
Does physician's training induce overconfidence that hampers disclosing errors?
Citation Text:
Brezis M, Orkin-Bedolach Y, Fink D, et al. Does Physician's Training Induce Overconfidence That Hampers Disclosing Errors? J Patient Saf. 2019;15(4):296-298. doi:10.1097/PTS.0000000000000…
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psnet.ahrq.gov/issue/developing-expert-medical-teams-toward-evidence-based-approach
September 29, 2017 - Review
Developing expert medical teams: toward an evidence-based approach.
Citation Text:
Fernandez R, Vozenilek JA, Hegarty CB, et al. Developing expert medical teams: toward an evidence-based approach. Acad Emerg Med. 2008;15(11):1025-36. doi:10.1111/j.1553-2712.2008.00232.x.
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psnet.ahrq.gov/issue/using-simulation-based-training-improve-patient-safety-what-does-it-take
August 30, 2006 - Commentary
Using simulation-based training to improve patient safety: what does it take?
Citation Text:
Salas E, Wilson K, Burke S, et al. Using simulation-based training to improve patient safety: what does it take? Jt Comm J Qual Patient Saf. 2005;31(7):363-71.
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psnet.ahrq.gov/issue/simulation-based-training-missing-link-lastingly-improved-patient-safety-and-health
January 17, 2024 - Review
Simulation-based training: the missing link to lastingly improved patient safety and health?
Citation Text:
Mileder LP, Schmölzer GM. Simulation-based training: the missing link to lastingly improved patient safety and health? Postgrad Med J. 2016;92(1088):309-11. doi:10.1136/post…
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psnet.ahrq.gov/issue/use-high-fidelity-simulation-enhance-interdisciplinary-collaboration-and-reduce-patient-falls
September 23, 2020 - Study
Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls.
Citation Text:
Bursiek AA, Hopkins MR, Breitkopf DM, et al. Use of High-Fidelity Simulation to Enhance Interdisciplinary Collaboration and Reduce Patient Falls. J Patient Saf. 2020;…
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psnet.ahrq.gov/issue/microsystems-health-care-part-2-creating-rich-information-environment
July 19, 2023 - Study
Classic
Microsystems in health care: Part 2. Creating a rich information environment.
Citation Text:
Nelson EC, Batalden PB, Homa K, et al. Microsystems in health care: Part 2. Creating a rich information environment. Jt Comm J Qual Patient Saf. 2003;29(…
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psnet.ahrq.gov/issue/when-doing-wrong-feels-so-right-normalization-deviance
September 03, 2011 - Review
When doing wrong feels so right: normalization of deviance.
Citation Text:
Price MR, Williams TC. When Doing Wrong Feels So Right: Normalization of Deviance. J Patient Saf. 2018;14(1):1-2. doi:10.1097/PTS.0000000000000157.
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psnet.ahrq.gov/issue/qualitative-content-analysis-framework-substantive-review-hospital-incident-reports
March 16, 2022 - Commentary
Qualitative content analysis: a framework for the substantive review of hospital incident reports.
Citation Text:
Stephens S. Qualitative content analysis: a framework for the substantive review of hospital incident reports. J Healthc Risk Manag. 2022;41(4):17-26. doi:10.1002/…
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psnet.ahrq.gov/issue/harm-hope-and-purposeful-action-what-could-we-do-after-francis
August 01, 2016 - Commentary
From harm to hope and purposeful action: what could we do after Francis?
Citation Text:
Woodhead T, Lachman P, Mountford J, et al. From harm to hope and purposeful action: what could we do after Francis? BMJ Qual Saf. 2014;23(8):619-23. doi:10.1136/bmjqs-2013-002581.
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psnet.ahrq.gov/issue/potential-collective-intelligence-emergency-medicine
June 12, 2024 - Study
The potential of collective intelligence in emergency medicine.
Citation Text:
Kämmer JE, Hautz WE, Herzog SM, et al. The Potential of Collective Intelligence in Emergency Medicine: Pooling Medical Students' Independent Decisions Improves Diagnostic Performance. Med Decis Making. 2…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
April 08, 2004 - • Gaining a familiarity with human perceptual limitations and cognitive
biases (as well as learning … medicine residents.14, 15 The authors suggest that the curriculum should focus on
decisionmaking, cognitive … The third
section is on cognitive error and medical decisionmaking. … topic includes
models of medical decisionmaking, how mistakes are made in decisionmaking,
and how cognitive