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psnet.ahrq.gov/node/49492/psn-pdf
November 01, 2005 - Reconciling Doses
November 1, 2005
Federico F. Reconciling Doses. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/reconciling-doses
Case Objectives
List the steps involved in medication reconciliation.
Describe the role of each of the stakeholders in medication reconciliation.
Discuss how medication reconc…
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psnet.ahrq.gov/node/49423/psn-pdf
November 01, 2003 - The Missing Suction Tip
November 1, 2003
Thomas EJ, Moore FA. The Missing Suction Tip. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/missing-suction-tip
Case Objectives
Identify the risk factors for retained foreign bodies.
Understand methods used to prevent and identify retained foreign bodies.
Apprecia…
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psnet.ahrq.gov/web-mm/pathologic-mistake
February 15, 2010 - Active errors include heuristic biases related to diagnostic decision making and ancillary test ordering
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psnet.ahrq.gov/node/33812/psn-pdf
August 01, 2016 - In Conversation With… Bernardo Perea-Pérez, MD, DDS,
PhD
August 1, 2016
In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
Editor's note: Dr. Perea-Pérez is Director de la Escuela de Medicina Legal y For…
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psnet.ahrq.gov/node/33694/psn-pdf
April 01, 2010 - assess the impact of health care
on patient functioning, and very few measures of patient engagement in decision … making.
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psnet.ahrq.gov/issue/mixed-blessings-smart-infusion-devices-and-health-care-it
March 13, 2024 - Study
The mixed blessings of smart infusion devices and health care IT.
Citation Text:
Nemeth CP, Brown J, Crandall B, et al. The mixed blessings of smart infusion devices and health care IT. Mil Med. 2014;179(8 Suppl):4-10. doi:10.7205/MILMED-D-13-00505.
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psnet.ahrq.gov/issue/qualitative-study-comparing-experiences-surgical-safety-checklist-hospitals-high-income-and
June 16, 2021 - Study
A qualitative study comparing experiences of the surgical safety checklist in hospitals in high-income and low-income countries.
Citation Text:
Aveling E-L, McCulloch P, Dixon-Woods M. A qualitative study comparing experiences of the surgical safety checklist in hospitals in high-…
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psnet.ahrq.gov/issue/what-do-family-physicians-consider-error-comparison-definitions-and-physician-perception
February 15, 2011 - Study
What do family physicians consider an error? A comparison of definitions and physician perception.
Citation Text:
Elder NC, Pallerla H, Regan S. What do family physicians consider an error? A comparison of definitions and physician perception. BMC Fam Pract. 2006;7:73.
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psnet.ahrq.gov/issue/prescriber-barriers-and-enablers-minimising-potentially-inappropriate-medications-adults
September 23, 2020 - Review
Prescriber barriers and enablers to minimising potentially inappropriate medications in adults: a systematic review and thematic synthesis.
Citation Text:
Anderson K, Stowasser D, Freeman C, et al. Prescriber barriers and enablers to minimising potentially inappropriate medication…
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psnet.ahrq.gov/issue/governance-quality-care-qualitative-study-health-service-boards-victoria-australia
February 14, 2017 - Study
Governance of quality of care: a qualitative study of health service boards in Victoria, Australia.
Citation Text:
Bismark M, Studdert DM. Governance of quality of care: a qualitative study of health service boards in Victoria, Australia. BMJ Qual Saf. 2014;23(6):474-82. doi:10.113…
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psnet.ahrq.gov/issue/understanding-healthcare-workplace-learning-culture-through-safety-and-dignity-narratives-uk
August 06, 2014 - Study
Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives.
Citation Text:
Sholl S, Scheffler G, Monrouxe L, et al. Understanding the healthcare workplace learning culture through safe…
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psnet.ahrq.gov/issue/attitudes-nursing-students-and-clinical-instructors-towards-reporting-irregular-incidents
June 01, 2019 - Study
The attitudes of nursing students and clinical instructors towards reporting irregular incidents in the medical clinic.
Citation Text:
Halperin O, Bronshtein O. The attitudes of nursing students and clinical instructors towards reporting irregular incidents in the medical clinic. N…
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psnet.ahrq.gov/issue/informing-design-new-pragmatic-registry-stimulate-near-miss-reporting-ambulatory-care
January 12, 2011 - Review
Informing the design of a new pragmatic registry to stimulate near miss reporting in ambulatory care.
Citation Text:
Pfoh ER, Engineer L, Singh H, et al. Informing the Design of a New Pragmatic Registry to Stimulate Near Miss Reporting in Ambulatory Care. J Patient Saf. 2021;17(3)…
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psnet.ahrq.gov/issue/safer-healthcare-home-detecting-correcting-and-learning-incidents-involving-infusion-devices
October 18, 2018 - Study
Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices.
Citation Text:
Lyons I, Blandford A. Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices. App Ergon. 2018;67(Feb):104-114. doi:…
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psnet.ahrq.gov/issue/does-user-centred-design-affect-efficiency-usability-and-safety-cpoe-order-sets
October 31, 2011 - Study
Does user-centred design affect the efficiency, usability and safety of CPOE order sets?
Citation Text:
Chan J, Shojania KG, Easty AC, et al. Does user-centred design affect the efficiency, usability and safety of CPOE order sets? J Am Med Inform Assoc. 2011;18(3):276-81. doi:10.…
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psnet.ahrq.gov/issue/use-computerized-forcing-function-improves-performance-ordering-restraints
September 30, 2020 - Study
Use of a computerized forcing function improves performance in ordering restraints.
Citation Text:
Griffey RT, Wittels K, Gilboy N, et al. Use of a computerized forcing function improves performance in ordering restraints. Ann Emerg Med. 2009;53(4):469-76. doi:10.1016/j.annemergm…
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psnet.ahrq.gov/issue/evidence-based-toolkit-development-effective-and-sustainable-root-cause-analysis-system
June 01, 2019 - Study
An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions.
Citation Text:
Hettinger Z, Fairbanks RJ, Hegde S, et al. An evidence-based toolkit for the development of effective and sustainable root cause analysis syste…
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psnet.ahrq.gov/issue/multiple-institution-comparison-resident-and-faculty-perceptions-burnout-and-depression
October 19, 2022 - Study
Emerging Classic
Multiple-institution comparison of resident and faculty perceptions of burnout and depression during surgical training.
Citation Text:
Williford ML, Scarlet S, Meyers MO, et al. Multiple-Institution Comparison of Resident and Faculty Perce…
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psnet.ahrq.gov/issue/information-and-power-women-colors-experiences-interacting-health-care-providers-pregnancy
June 18, 2020 - Study
Information and power: women of color's experiences interacting with health care providers in pregnancy and birth.
Citation Text:
Altman MR, Oseguera T, McLemore MR, et al. Information and power: women of color's experiences interacting with health care providers in pregnancy and b…
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psnet.ahrq.gov/issue/root-cause-analysis-ambulatory-adverse-drug-events-present-emergency-department
April 25, 2016 - Study
Root cause analysis of ambulatory adverse drug events that present to the emergency department.
Citation Text:
Gertler SA, Coralic Z, Lopez A, et al. Root Cause Analysis of Ambulatory Adverse Drug Events That Present to the Emergency Department. J Patient Saf. 2014;12(3). doi:10.10…