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psnet.ahrq.gov/issue/using-fault-trees-advance-understanding-diagnostic-errors
November 11, 2020 - Commentary
Using fault trees to advance understanding of diagnostic errors.
Citation Text:
Rogith D, Iyengar S, Singh H. Using Fault Trees to Advance Understanding of Diagnostic Errors. Jt Comm J Qual Patient Saf. 2017;43(11):598-605. doi:10.1016/j.jcjq.2017.06.007.
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psnet.ahrq.gov/issue/examining-diagnostic-justification-abilities-fourth-year-medical-students
December 21, 2014 - Study
Examining the diagnostic justification abilities of fourth-year medical students.
Citation Text:
Williams RG, Klamen DL. Examining the diagnostic justification abilities of fourth-year medical students. Acad Med. 2012;87(8):1008-14. doi:10.1097/ACM.0b013e31825cfcff.
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psnet.ahrq.gov/issue/coronavirus-pandemics-wider-health-care-crisis
June 21, 2016 - Newspaper/Magazine Article
The coronavirus pandemic’s wider health-care crisis.
Citation Text:
Khullar D. The coronavirus pandemic’s wider health-care crisis. New Yorker. 2020;Jun 29.
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psnet.ahrq.gov/issue/patient-safety-office-based-setting
August 20, 2018 - Commentary
Patient safety in the office-based setting.
Citation Text:
Horton B, Reece EM, Broughton G, et al. Patient safety in the office-based setting. Plast Reconstr Surg. 2006;117(4):61e-80e.
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psnet.ahrq.gov/issue/when-theres-no-one-whom-error-can-be-disclosed-how-should-error-be-handled
March 19, 2018 - Commentary
When there's no one to whom an error can be disclosed, how should an error be handled?
Citation Text:
Chiu RG. When There's No One to Whom an Error Can Be Disclosed, How Should an Error Be Handled? AMA J Ethics. 2019;21(7):E553-558. doi:10.1001/amajethics.2019.553.
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psnet.ahrq.gov/issue/culture-safety-ems-systems-0
February 18, 2011 - Organizational Policy/Guidelines
A culture of safety in EMS systems.
Citation Text:
A culture of safety in EMS systems. American College of Emergency Physicians, National Association of Emergency Medical Services. Ann Emerg Med. 2021;78(3):e37-e57.
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psnet.ahrq.gov/issue/taking-blame-appropriate-responses-medical-error
September 23, 2020 - Commentary
Taking the blame: appropriate responses to medical error.
Citation Text:
Tigard DW. Taking the blame: appropriate responses to medical error. J Med Ethics. 2019;45(2):101-105. doi:10.1136/medethics-2017-104687.
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psnet.ahrq.gov/issue/insights-climate-safety-towards-prevention-falls-among-hospital-staff
February 14, 2017 - Study
Insights into the climate of safety towards the prevention of falls among hospital staff.
Citation Text:
Black AA, Brauer SG, Bell RAR, et al. Insights into the climate of safety towards the prevention of falls among hospital staff. J Clin Nurs. 2011;20(19-20):2924-30. doi:10.111…
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psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deaths
October 02, 2024 - Special or Theme Issue
Life of the Mother. How Abortion Bans Lead to Preventable Deaths.
Citation Text:
Jaramillo C, Surana K, Presser L, et al. Life of the Mother. How Abortion Bans Lead to Preventable Deaths. ProPublica. 2024:September - November 2024.
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psnet.ahrq.gov/issue/accountability-organisational-learning-and-risks-patient-safety-england-conflict-or
December 29, 2014 - Commentary
Accountability, organisational learning and risks to patient safety in England: conflict or compromise?
Citation Text:
Dodds A, Kodate N. Accountability, organisational learning and risks to patient safety in England: Conflict or compromise? Health Risk Soc. 2011;13(4):327-3…
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psnet.ahrq.gov/issue/prevention-fatal-opioid-overdose
October 03, 2018 - Commentary
Prevention of fatal opioid overdose.
Citation Text:
Beletsky L, Rich JD, Walley AY. Prevention of fatal opioid overdose. JAMA. 2012;308(18):1863-4. doi:10.1001/jama.2012.14205.
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psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-hospitalised-patients
March 20, 2024 - Study
Potentially inappropriate prescribing to hospitalised patients.
Citation Text:
Radosević N, Gantumur M, Vlahović-Palcevski V. Potentially inappropriate prescribing to hospitalised patients. Pharmacoepidemiol Drug Saf. 2008;17(7):733-7.
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psnet.ahrq.gov/issue/environmental-changes-increase-hospital-safety-dementia-patients
January 10, 2011 - Commentary
Environmental changes increase hospital safety for dementia patients.
Citation Text:
Goodall D. Environmental changes increase hospital safety for dementia patients. Holist Nurs Pract. 2006;20(2):80-84.
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psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-medication-errors-japan-jade-study
September 25, 2019 - Study
Incidence of adverse drug events and medication errors in Japan: the JADE Study.
Citation Text:
Sakuma M, Bates DW, Morimoto T. Clinical prediction rule to identify high-risk inpatients for adverse drug events: the JADE Study. Pharmacoepidemiol Drug Saf. 2012;21(11). doi:10.1002/pd…
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psnet.ahrq.gov/issue/fda-preliminary-public-health-notification-unpredictable-events-medical-equipment-due-new
June 02, 2021 - Government Resource
FDA preliminary public health notification: unpredictable events in medical equipment due to new daylight savings time change.
Citation Text:
FDA preliminary public health notification: unpredictable events in medical equipment due to new daylight savings time chang…
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psnet.ahrq.gov/issue/systematic-review-patient-tracking-systems-use-pediatric-emergency-department
August 03, 2022 - Review
A systematic review of patient tracking systems for use in the pediatric emergency department.
Citation Text:
Dobson I, Doan Q, Hung G. A systematic review of patient tracking systems for use in the pediatric emergency department. J Emerg Med. 2013;44(1):242-8. doi:10.1016/j.jem…
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psnet.ahrq.gov/issue/implementation-evidence-based-extubation-checklist-reduce-extubation-failure-patients-trauma
March 07, 2018 - Study
Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study.
Citation Text:
Howie WO, Dutton RP. Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot…
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psnet.ahrq.gov/issue/assessment-adverse-drug-events-among-patients-tertiary-care-medical-center
September 28, 2005 - Study
Assessment of adverse drug events among patients in a tertiary care medical center.
Citation Text:
Johnston PE, France DJ, Byrne DW, et al. Assessment of adverse drug events among patients in a tertiary care medical center. Am J Health Syst Pharm. 2006;63(22):2218-27.
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psnet.ahrq.gov/issue/adverse-events-associated-procedural-sedation-and-analgesia-pediatric-emergency-department
June 12, 2019 - Study
Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs.
Citation Text:
Roback MG, Wathen JE, Bajaj L, et al. Adverse events associated with procedural sedation and analgesia in a pediatric emer…
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psnet.ahrq.gov/issue/reducing-interdisciplinary-communication-failures-through-secure-text-messaging-quality
May 08, 2017 - Study
Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project.
Citation Text:
Hansen JE, Lazow M, Hagedorn PA. Reducing Interdisciplinary Communication Failures Through Secure Text Messaging. Pediatr Qual Saf. 2019;3(1). doi:10.1097/…