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psnet.ahrq.gov/issue/defining-technical-errors-laparoscopic-surgery-systematic-review
September 11, 2013 - Review
Defining technical errors in laparoscopic surgery: a systematic review.
Citation Text:
Bonrath EM, Dedy NJ, Zevin B, et al. Defining technical errors in laparoscopic surgery: a systematic review. Surg Endosc. 2013;27(8):2678-91. doi:10.1007/s00464-013-2827-5.
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psnet.ahrq.gov/issue/science-simulation-healthcare-defining-and-developing-clinical-expertise
November 02, 2011 - Meeting/Conference Proceedings
The Science of Simulation in Healthcare: Defining and Developing Clinical Expertise.
Citation Text:
The Science of Simulation in Healthcare: Defining and Developing Clinical Expertise. Kaji AH, Cone DC, eds. Acad Emerg Med. 2008;15:971-1222.
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psnet.ahrq.gov/issue/tracking-progress-improving-diagnosis-framework-defining-undesirable-diagnostic-events
September 01, 2021 - Commentary
Classic
Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events.
Citation Text:
Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining Undesirable Diagnostic Events. J G…
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psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
March 01, 2011 - We used to define having a good sign-out as actually having no sign-out—where there was no work to … However, it is also true that when you define a start and an end to a shift, it allows you to have a … It's very hard to define. The research hasn't really caught up there. … They define these "vigilance tasks," things that require a lot of attention and vigilance like monitoring
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.254_slideshow.ppt
November 01, 2011 - *
ISMP survey helps define and near miss and close call. ISMP Medication Safety Alert!
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psnet.ahrq.gov/node/866115/psn-pdf
June 12, 2024 - Defining, identifying and addressing problematic
polypharmacy within multimorbidity in primary care: a
scoping review.
June 12, 2024
Tsang JY, Sperrin M, Blakeman T, et al. Defining, identifying and addressing problematic polypharmacy
within multimorbidity in primary care: a scoping review. BMJ Open. 2024;14(5):e0…
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psnet.ahrq.gov/issue/how-are-medication-errors-defined-systematic-literature-review-definitions-and
May 30, 2012 - Review
How are medication errors defined? A systematic literature review of definitions and characteristics.
Citation Text:
Lisby M, Nielsen LP, Brock B, et al. How are medication errors defined? A systematic literature review of definitions and characteristics. International Journal f…
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psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
February 26, 2025 - leader in evidence-based medicine and quality improvement, he led an AHRQ-funded effort to better define
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psnet.ahrq.gov/issue/how-should-medication-errors-be-defined-development-and-test-definition
June 27, 2011 - Study
How should medication errors be defined? Development and test of a definition.
Citation Text:
Lisby M, Nielsen LP, Brock B, et al. How should medication errors be defined? Development and test of a definition. Scand J Public Health. 2012;40(2):203-10. doi:10.1177/1403494811435489.…
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psnet.ahrq.gov/node/837193/psn-pdf
May 25, 2022 - Defining diagnostic error: a scoping review to assess the
impact of the National Academies' report Improving
Diagnosis in Health Care.
May 25, 2022
Giardina TD, Hunte H, Hill MA, et al. Defining diagnostic error: a scoping review to assess the impact of the
National Academies' report Improving Diagnosis in Health …
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psnet.ahrq.gov/node/858175/psn-pdf
December 13, 2023 - Defining the landscape of patient harm after osteopathic
manipulative treatment: synthesis of an adverse event
model.
December 13, 2023
Unger MD, Barr JN, Brower JA, et al. Defining the landscape of patient harm after osteopathic manipulative
treatment: synthesis of an adverse event model. BMC Complementary Medici…
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psnet.ahrq.gov/issue/defining-patient-safety-hospice-principles-guide-measurement-and-public-reporting
September 23, 2020 - Commentary
Defining patient safety in hospice: principles to guide measurement and public reporting.
Citation Text:
Casarett D, Spence C, Clark MA, et al. Defining patient safety in hospice: principles to guide measurement and public reporting. J Palliat Med. 2012;15(10):1120-3. doi:10…
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psnet.ahrq.gov/node/854981/psn-pdf
November 01, 2023 - Defining a high-quality and effective morbidity and
mortality conference: a systematic review.
November 1, 2023
Beaulieu-Jones BR, Wilson S, Howard DS, et al. Defining a high-quality and effective morbidity and
mortality conference: a systematic review. JAMA Surg. 2023;158(12):1336-1343.
doi:10.1001/jamasurg.2023.…
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psnet.ahrq.gov/node/837414/psn-pdf
January 01, 2023 - Improving the approach to defining, classifying, reporting
and monitoring adverse events in seriously ill older
adults: recommendations from a multi-stakeholder
convening.
June 15, 2022
Baim-Lance A, Ferreira KB, Cohen HJ, et al. Improving the approach to defining, classifying, reporting and
monitoring adverse ev…
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psnet.ahrq.gov/node/48186/psn-pdf
August 28, 2019 - Inappropriate prescribing defined by STOPP and START
criteria and its association with adverse drug events
among hospitalized older patients: a multicentre,
prospective study.
August 28, 2019
Fahrni ML, Azmy MT, Usir E, et al. Inappropriate prescribing defined by STOPP and START criteria and its
association with …
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psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - We cannot measure what we cannot define. … need to ensure that these interventions are rigorously evaluated.( 14,15 ) Our work ahead should also define … Editorial: Helping health care organizations to define diagnostic errors as missed opportunities in diagnosis … They play out over time and are hard to define.
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psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
January 01, 2016 - They play out over time and are hard to define. … We cannot measure what we cannot define. … need to ensure that these interventions are rigorously evaluated.( 14,15 ) Our work ahead should also define … Editorial: Helping health care organizations to define diagnostic errors as missed opportunities in diagnosis
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psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
March 01, 2011 - We used to define having a good sign-out as actually having no sign-out—where there was no work to … However, it is also true that when you define a start and an end to a shift, it allows you to have a … It's very hard to define. The research hasn't really caught up there. … They define these "vigilance tasks," things that require a lot of attention and vigilance like monitoring
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psnet.ahrq.gov/issue/risk-medication-safety-incidents-antibiotic-use-measured-defined-daily-doses
July 06, 2022 - Study
Risk of medication safety incidents with antibiotic use measured by defined daily doses.
Citation Text:
Hamad A, Cavell G, Wade P, et al. Risk of medication safety incidents with antibiotic use measured by defined daily doses. Int J Clin Pharm. 2013;35(5):772-9. doi:10.1007/s11096…
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psnet.ahrq.gov/node/33588/psn-pdf
March 15, 2025 - Scott and colleagues define second victims as health care providers who are involved in an unanticipated