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psnet.ahrq.gov/issue/interception-potential-adverse-drug-events-long-term-psychiatric-care-units
May 31, 2023 - Study
Interception of potential adverse drug events in long-term psychiatric care units.
Citation Text:
Sawamura K, Ito H, Yamazumi S, et al. Interception of potential adverse drug events in long-term psychiatric care units. Psychiatry Clin Neurosci. 2005;59(4):379-84.
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psnet.ahrq.gov/issue/checklists-improve-experts-diagnostic-decisions
February 06, 2014 - Study
Checklists improve experts' diagnostic decisions.
Citation Text:
Sibbald M, de Bruin A, van Merrienboer JJG. Checklists improve experts' diagnostic decisions. Med Educ. 2013;47(3):301-8. doi:10.1111/medu.12080.
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psnet.ahrq.gov/issue/addressing-medication-errors-role-undergraduate-nurse-education
October 29, 2014 - Commentary
Addressing medication errors - the role of undergraduate nurse education.
Citation Text:
Page K, McKinney AA. Addressing medication errors--The role of undergraduate nurse education. Nurse Educ Today. 2007;27(3):219-24.
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psnet.ahrq.gov/issue/involuntary-automaticity-work-system-induced-risk-safe-health-care
June 22, 2009 - Commentary
Involuntary automaticity: a work-system induced risk to safe health care.
Citation Text:
Toft B, Mascie-Taylor H. Involuntary automaticity: a work-system induced risk to safe health care. Health Serv Manage Res. 2005;18(4):211-6.
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psnet.ahrq.gov/issue/probability-error-diagnosis-conjunction-fallacy-among-beginning-medical-students
June 21, 2017 - Study
Probability error in diagnosis: the conjunction fallacy among beginning medical students.
Citation Text:
Rao G. Probability error in diagnosis: the conjunction fallacy among beginning medical students. Fam Med. 2009;41(4):262-5.
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psnet.ahrq.gov/issue/toward-theory-self-reconciliation-following-mistakes-nursing-practice
December 22, 2008 - Commentary
Toward a theory of self-reconciliation following mistakes in nursing practice.
Citation Text:
Crigger NJ, Meek VL. Toward a theory of self-reconciliation following mistakes in nursing practice. J Nurs Scholarsh. 2007;39(2):177-83.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-actions.html
August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
Actions Based on Survey Results
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Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
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psnet.ahrq.gov/issue/lessons-war-cancer-need-basic-research-safety
July 14, 2010 - Commentary
Lessons from the war on cancer: the need for basic research on safety.
Citation Text:
Lessons from the war on cancer: the need for basic research on safety. Cook RI. J Patient Saf. 2005.1(1):7-8
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psnet.ahrq.gov/issue/ripped-apart-medical-misdiagnosis-and-malpractice
August 25, 2021 - Audiovisual Presentation
Ripped apart: medical misdiagnosis and malpractice.
Citation Text:
Ripped apart: medical misdiagnosis and malpractice. Kast S, Gerr M, Black D, et al. “On the Record.” WYPR. August 3, 2021
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psnet.ahrq.gov/issue/high-performance-teams-and-physician-leader-overview
December 14, 2016 - Commentary
High-performance teams and the physician leader: an overview.
Citation Text:
Majmudar A, Jain AK, Chaudry J, et al. High-performance teams and the physician leader: an overview. J Surg Educ. 2010;67(4):205-9. doi:10.1016/j.jsurg.2010.06.002.
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psnet.ahrq.gov/issue/interruptions-and-blood-transfusion-checks-lessons-simulated-operating-room
September 24, 2016 - Study
Interruptions and blood transfusion checks: lessons from the simulated operating room.
Citation Text:
Liu D, Grundgeiger T, Sanderson P, et al. Interruptions and blood transfusion checks: lessons from the simulated operating room. Anesth Analg. 2009;108(1):219-22. doi:10.1213/ane.0…
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psnet.ahrq.gov/issue/implementation-patient-safety-initiatives-us-hospitals
December 12, 2014 - Commentary
Implementation of patient safety initiatives in US hospitals.
Citation Text:
McFadden KL, Stock GN, Gowen CR. Implementation of patient safety initiatives in US hospitals. Int J Oper Prod Manag. 2006;26(3):326-347. doi:10.1108/01443570610651052.
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psnet.ahrq.gov/issue/meaning-justice-safety-incident-reporting
April 11, 2011 - Commentary
The meaning of justice in safety incident reporting.
Citation Text:
Weiner BJ, Hobgood C, Lewis MA. The meaning of justice in safety incident reporting. Soc Sci Med. 2008;66(2):403-13.
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psnet.ahrq.gov/issue/one-intensive-care-nurserys-experience-enhancing-patient-safety
June 21, 2006 - Commentary
One intensive care nursery's experience with enhancing patient safety.
Citation Text:
Alton M, Mericle J, Brandon D. One intensive care nursery's experience with enhancing patient safety. Adv Neonatal Care. 2006;6(3):112-9.
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psnet.ahrq.gov/issue/three-quarters-preventable-patient-harm-stems-situation-awareness-breakdowns-recognizing-and
September 11, 2009 - Newspaper/Magazine Article
Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the core issue.
Citation Text:
Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the …
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psnet.ahrq.gov/node/37542/psn-pdf
February 23, 2018 - A past PSNet perspective discussed the application
of human factors engineering concepts.
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psnet.ahrq.gov/node/43815/psn-pdf
February 04, 2015 - The concepts explored in this study have been used to develop a patient safety curriculum
that is being
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psnet.ahrq.gov/node/46450/psn-pdf
August 20, 2018 - domains and 11 subdomains for measuring diagnostic quality and safety as well as 62 prioritized
measure concepts
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psnet.ahrq.gov/node/43655/psn-pdf
December 19, 2014 - These four concepts can serve as a theoretical framework for future empiric work to characterize and
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psnet.ahrq.gov/node/39293/psn-pdf
June 11, 2010 - Collaboration and communication between team members are key determinants of safety culture, but these
concepts