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8621. Responding to serious medical error in general practice—consequences for the GPs involved: analysis of 75 cases from Germany. | PSNet
      psnet.ahrq.gov/issue/responding-serious-medical-error-general-practice-consequences-gps-involved-analysis-75-cases
      June 19, 2019 - Study Responding to serious medical error in general practice—consequences for the GPs involved: analysis of 75 cases from Germany. Citation Text: Fisseni G, Pentzek M, Abholz H-H. Responding to serious medical error in general practice--consequences for the GPs involved: analysis of 7…

8622. Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency department. | PSNet
      psnet.ahrq.gov/issue/postdischarge-adverse-events-1-day-hospital-admissions-older-adults-admitted-emergency
      May 18, 2022 - Study Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency department. Citation Text: Pines JM, Mongelluzzo J, Hilton JA, et al. Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency depa…

8623. Learning not to take it seriously: junior doctors' accounts of error. | PSNet
      psnet.ahrq.gov/issue/learning-not-take-it-seriously-junior-doctors-accounts-error
      December 16, 2015 - Study Learning not to take it seriously: junior doctors' accounts of error. Citation Text: Kroll L, Singleton A, Collier J, et al. Learning not to take it seriously: junior doctors' accounts of error. Med Educ. 2008;42(10):982-90. doi:10.1111/j.1365-2923.2008.03151.x. Copy Citation…

8624. Patient safety incidents caused by poor quality surgical instruments. | PSNet
      psnet.ahrq.gov/issue/patient-safety-incidents-caused-poor-quality-surgical-instruments
      April 06, 2022 - Study Patient safety incidents caused by poor quality surgical instruments. Citation Text: Dominguez ED, Rocos B. Patient Safety Incidents Caused by Poor Quality Surgical Instruments. Cureus. 2019;11(6):e4877. doi:10.7759/cureus.4877. Copy Citation Format: DOI Google Schola…

8625. "See One, Sim One, Do One"—a national pre-internship boot-camp to ensure a safer "student to doctor" transition. | PSNet
      psnet.ahrq.gov/issue/see-one-sim-one-do-one-national-pre-internship-boot-camp-ensure-safer-student-doctor
      February 16, 2011 - Study "See One, Sim One, Do One"—a national pre-internship boot-camp to ensure a safer "student to doctor" transition. Citation Text: Minha S'ar, Shefet D, Sagi D, et al. "See One, Sim One, Do One"- A National Pre-Internship Boot-Camp to Ensure a Safer "Student to Doctor" Transition. PLo…

8626. From patients to politicians: a cognitive engineering view of patient safety. | PSNet
      psnet.ahrq.gov/issue/patients-politicians-cognitive-engineering-view-patient-safety
      January 29, 2020 - Commentary From patients to politicians: a cognitive engineering view of patient safety. Citation Text: Vicente KJ. From patients to politicians: a cognitive engineering view of patient safety. Qual Saf Health Care. 2002;11(4):302-4. Copy Citation Format: Google Scholar P…

8627. Diagnostic error in a national incident reporting system in the UK. | PSNet
      psnet.ahrq.gov/issue/diagnostic-error-national-incident-reporting-system-uk
      February 15, 2013 - Study Diagnostic error in a national incident reporting system in the UK. Citation Text: Sevdalis N, Jacklin R, Arora S, et al. Diagnostic error in a national incident reporting system in the UK. J Eval Clin Pract. 2010;16(6):1276-81. doi:10.1111/j.1365-2753.2009.01328.x. Copy Citati…

8628. Unintended consequences of the electronic health record and cognitive load in emergency department nurses. | PSNet
      psnet.ahrq.gov/issue/unintended-consequences-electronic-health-record-and-cognitive-load-emergency-department
      June 22, 2011 - Study Unintended consequences of the electronic health record and cognitive load in emergency department nurses. Citation Text: Harmon CS, Adams SA, Davis JE, et al. Unintended consequences of the electronic health record and cognitive load in emergency department nurses. Appl Nurs Res. …

8629. Delayed Admissions to the Pediatric Intensive Care Unit: Progression of Disease or Errors in Emergency Department Management | PSNet
      psnet.ahrq.gov/issue/delayed-admissions-pediatric-intensive-care-unit-progression-disease-or-errors-emergency
      June 14, 2019 - Journal Article Delayed Admissions to the Pediatric Intensive Care Unit: Progression of Disease or Errors in Emergency Department Management Citation Text: Czolgosz T, Cashen K, Farooqi A, et al. Delayed Admissions to the Pediatric Intensive Care Unit: Progression of Disease or Errors in…

8630. Integrating quality and safety content into clinical teaching in the acute care setting. | PSNet
      psnet.ahrq.gov/issue/integrating-quality-and-safety-content-clinical-teaching-acute-care-setting
      September 05, 2018 - Commentary Integrating quality and safety content into clinical teaching in the acute care setting. Citation Text: Day L, Smith EL. Integrating quality and safety content into clinical teaching in the acute care setting. Nurs Outlook. 2007;55(3). doi:10.1016/j.outlook.2007.03.002. Co…

8631. Using implementation safety indicators for CPOE implementation. | PSNet
      psnet.ahrq.gov/issue/using-implementation-safety-indicators-cpoe-implementation
      August 04, 2021 - Study Using implementation safety indicators for CPOE implementation. Citation Text: Weir C, McCarthy CA. Using implementation safety indicators for CPOE implementation. Jt Comm J Qual Saf. 2009;35(1):21-28. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

8632. Supporting recovery after adverse events: an essential component of surgeon well-being. | PSNet
      psnet.ahrq.gov/issue/supporting-recovery-after-adverse-events-essential-component-surgeon-well-being
      February 15, 2023 - Study Supporting recovery after adverse events: an essential component of surgeon well-being. Citation Text: Berman L, Rialon KL, Mueller CM, et al. Supporting recovery after adverse events: an essential component of surgeon well-being. J Pediatr Surg. 2021;56(5):833-838. doi:10.1016/j.j…

8633. Patient safety and job-related stress: a focus group study. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-job-related-stress-focus-group-study
      December 05, 2012 - Study Patient safety and job-related stress: a focus group study. Citation Text: Berland A, Natvig GK, Gundersen D. Patient safety and job-related stress: A focus group study. Intensive and Critical Care Nursing. 2007;24(2). doi:10.1016/j.iccn.2007.11.001. Copy Citation Format: …

8634. Advancing nursing home quality through quality improvement itself. | PSNet
      psnet.ahrq.gov/issue/advancing-nursing-home-quality-through-quality-improvement-itself
      November 28, 2018 - Commentary Advancing nursing home quality through quality improvement itself. Citation Text: Werner RM, Konetzka RT. Advancing Nursing Home Quality Through Quality Improvement Itself. Health Aff. 2010;29(1):81-86. doi:10.1377/hlthaff.2009.0555. Copy Citation Format: DOI Goo…

8635. A review of the evidence of harm from self-tests. | PSNet
      psnet.ahrq.gov/issue/review-evidence-harm-self-tests
      August 03, 2009 - Review A review of the evidence of harm from self-tests. Citation Text: Brown AN, Djimeu EW, Cameron DB. A review of the evidence of harm from self-tests. AIDS Behav. 2014;18 Suppl 4:S445-9. doi:10.1007/s10461-014-0831-y. Copy Citation Format: DOI Google Scholar PubMed BibT…

8636. Declaring uncertainty: using quality improvement methods to change the conversation of diagnosis. | PSNet
      psnet.ahrq.gov/issue/declaring-uncertainty-using-quality-improvement-methods-change-conversation-diagnosis
      April 01, 2020 - Study Declaring uncertainty: using quality improvement methods to change the conversation of diagnosis. Citation Text: Ipsaro AJ, Patel SJ, Warner DC, et al. Declaring Uncertainty: Using Quality Improvement Methods to Change the Conversation of Diagnosis. Hosp Pediatr. 2021;11(4):334-341…

8637. Ventilator-related adverse events: a taxonomy and findings from 3 incident reporting systems. | PSNet
      psnet.ahrq.gov/issue/ventilator-related-adverse-events-taxonomy-and-findings-3-incident-reporting-systems
      March 01, 2017 - Study Ventilator-related adverse events: a taxonomy and findings from 3 incident reporting systems. Citation Text: Pham JC, Williams TL, Sparnon EM, et al. Ventilator-Related Adverse Events: A Taxonomy and Findings From 3 Incident Reporting Systems. Respir Care. 2016;61(5):621-31. doi:10…

8638. Medication errors in hospitalised children. | PSNet
      psnet.ahrq.gov/issue/medication-errors-hospitalised-children
      September 03, 2014 - Study Medication errors in hospitalised children. Citation Text: Manias E, Kinney S, Cranswick N, et al. Medication errors in hospitalised children. J Paediatr Child Health. 2014;50(1):71-7. doi:10.1111/jpc.12412. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…

8639. Identifying hospital organizational strategies to reduce readmissions. | PSNet
      psnet.ahrq.gov/issue/identifying-hospital-organizational-strategies-reduce-readmissions
      May 25, 2016 - Study Identifying hospital organizational strategies to reduce readmissions. Citation Text: Ahmad FS, Metlay JP, Barg FK, et al. Identifying hospital organizational strategies to reduce readmissions. Am J Med Qual. 2013;28(4):278-85. doi:10.1177/1062860612464999. Copy Citation F…

8640. Morbidity and mortality: delays in my patient’s cancer care. | PSNet
      psnet.ahrq.gov/issue/morbidity-and-mortality-delays-my-patients-cancer-care
      July 15, 2020 - Commentary Morbidity and mortality: delays in my patient’s cancer care. Citation Text: Rahman AS. Morbidity and mortality: delays in my patient’s cancer care. Health Aff (Millwood). 2024;43(11):1605-1608. doi:10.1377/hlthaff.2024.00513. Copy Citation Format: DOI Google Scho…