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psnet.ahrq.gov/issue/complications-and-death-start-new-academic-year-there-july-phenomenon
February 13, 2008 - Study
Complications and death at the start of the new academic year: is there a July phenomenon?
Citation Text:
Inaba K, Recinos G, Teixeira PGR, et al. Complications and death at the start of the new academic year: is there a July phenomenon? J Trauma. 2010;68(1):19-22. doi:10.1097/TA.…
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psnet.ahrq.gov/issue/incidence-and-variables-associated-inconsistencies-opioid-prescribing-hospital-discharge-and
April 29, 2018 - Study
Incidence and variables associated with inconsistencies in opioid prescribing at hospital discharge and its associated adverse drug outcomes.
Citation Text:
Kurteva S, Habib B, Moraga T, et al. Incidence and variables associated with inconsistencies in opioid prescribing at hospita…
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psnet.ahrq.gov/issue/do-you-have-re-examine-reconsider-your-diagnosis-checklists-and-cardiac-exam
February 06, 2014 - Study
Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam.
Citation Text:
Sibbald M, de Bruin A, Cavalcanti RB, et al. Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam. BMJ Qual Saf. 2013;22(4):333-8. doi:10.1136/bmjqs-…
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psnet.ahrq.gov/issue/adapting-rapid-assessment-procedures-implementation-research-using-team-based-approach
November 09, 2022 - Study
Adapting rapid assessment procedures for implementation research using a team-based approach to analysis: a case example of patient quality and safety interventions in the ICU.
Citation Text:
Holdsworth LM, Safaeinili N, Winget M, et al. Adapting rapid assessment procedures for imp…
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psnet.ahrq.gov/issue/assessing-system-thinking-senior-pharmacy-students-using-innovative-horror-room-simulation
May 01, 2004 - Study
Assessing system thinking in senior pharmacy students using the innovative "Horror Room" simulation setting: a cross-sectional survey of a non-technical skill.
Citation Text:
Aljuffali LA, Almalag HM, Alnaim L. Assessing system thinking in senior pharmacy students using the innovat…
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psnet.ahrq.gov/issue/barcoded-medication-administration-last-line-defense
November 06, 2015 - Commentary
Barcoded medication administration: a last line of defense.
Citation Text:
Cescon DW, Etchells E. Barcoded medication administration: a last line of defense. JAMA. 2008;299(18):2200-2. doi:10.1001/jama.299.18.2200.
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psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
January 31, 2024 - Additionally, educational materials and tools were developed to address safety in ambulatory care surgeries … partners to address the healthcare delivery gaps and to build entrepreneurial opportunities to improve educational
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psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy
July 08, 2022 - disclose relevant financial relationships with ineligible companies related to the subject matter of this educational … Learning Objectives
At the conclusion of this educational activity, participants should be able to:
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psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
October 01, 2013 - showed that we could lower the doses the technologists used 10% to 20% from a simple audit and 6-hour educational … I thought that this was a great educational opportunity but he also set the stage.
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psnet.ahrq.gov/node/74014/psn-pdf
October 27, 2021 - Adopting system models for multiple incident analysis:
utility and usability.
October 27, 2021
Wheway JL, Jun GT. Adopting systems models for multiple incident analysis: utility and usability. Int J Qual
Health Care. 2021;33(4):mzab135. doi:10.1093/intqhc/mzab135.
https://psnet.ahrq.gov/issue/adopting-system-model…
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psnet.ahrq.gov/node/43910/psn-pdf
November 23, 2016 - Error disclosure and family members' reactions: does the
type of error really matter?
November 23, 2016
Leone D, Lamiani G, Vegni E, et al. Error disclosure and family members' reactions: does the type of error
really matter? Patient Educ Couns. 2015;98(4):446-52. doi:10.1016/j.pec.2014.12.011.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/42065/psn-pdf
February 27, 2013 - The 2011 duty-hour requirements—a survey of residency
program directors.
February 27, 2013
Drolet BC, Khokhar MT, Fischer SA. The 2011 duty-hour requirements--a survey of residency program
directors. N Engl J Med. 2013;368(8):694-7. doi:10.1056/NEJMp1214483.
https://psnet.ahrq.gov/issue/2011-duty-hour-requirements…
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psnet.ahrq.gov/node/43166/psn-pdf
May 07, 2014 - Are med school grads prepared to practice medicine?
May 7, 2014
Angus S, Vu R, Halvorsen AJ, et al. What skills should new internal medicine interns have in july? A
national survey of internal medicine residency program directors. Academic medicine : journal of the
Association of American Medical Colleges. 2014;89(…
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psnet.ahrq.gov/node/35157/psn-pdf
August 05, 2009 - Safe medication prescribing: training and experience of
medical students and housestaff at a large teaching
hospital.
August 5, 2009
Garbutt J, Highstein G, Jeffe DB, et al. Safe medication prescribing: training and experience of medical
students and housestaff at a large teaching hospital. Acad Med. 2005;80(6):59…
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psnet.ahrq.gov/node/858325/psn-pdf
December 13, 2023 - Patients with low health literacy make more errors
interpreting instructions and warnings.
December 13, 2023
ISMP Medication Safety Alert! Acute Care. 2023;28(24):1-3.
https://psnet.ahrq.gov/issue/patients-low-health-literacy-make-more-errors-interpreting-instructions-and-
warnings
The inability to understand hea…
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psnet.ahrq.gov/node/43177/psn-pdf
May 14, 2014 - Disclosing medical errors to patients: effects of nonverbal
involvement.
May 14, 2014
Hannawa AF. Disclosing medical errors to patients: effects of nonverbal involvement. Patient Educ Couns.
2014;94(3):310-313. doi:10.1016/j.pec.2013.11.007.
https://psnet.ahrq.gov/issue/disclosing-medical-errors-patients-effects-n…
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psnet.ahrq.gov/node/74057/psn-pdf
November 10, 2021 - Patient and clinician experiences of uncertainty in the
diagnostic process: current understanding and future
directions.
November 10, 2021
Meyer AND, Giardina TD, Khawaja L, et al. Patient and clinician experiences of uncertainty in the
diagnostic process: current understanding and future directions. Patient Educ …
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psnet.ahrq.gov/node/35598/psn-pdf
July 10, 2008 - Residents report on adverse events and their causes.
July 10, 2008
Jagsi R, Kitch BT, Weinstein DF, et al. Residents report on adverse events and their causes. Arch Intern
Med. 2005;165(22):2607-13.
https://psnet.ahrq.gov/issue/residents-report-adverse-events-and-their-causes
This survey demonstrated that more tha…
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psnet.ahrq.gov/node/846445/psn-pdf
March 22, 2023 - Formalizing the hidden curriculum of performance
enhancing errors.
March 22, 2023
Kerray FM, Yule SJ, Tambyraja AL. Formalizing the hidden curriculum of performance enhancing errors. J
Surg Educ. 2023;80(5):619-623. doi:10.1016/j.jsurg.2023.01.009.
https://psnet.ahrq.gov/issue/formalizing-hidden-curriculum-perform…
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psnet.ahrq.gov/node/45160/psn-pdf
May 18, 2016 - Clues to better health care from old malpractice lawsuits.
May 18, 2016
Landro L.
https://psnet.ahrq.gov/issue/clues-better-health-care-old-malpractice-lawsuits
Closed claims have been considered a source for adverse event data for years, and recently such data has
been utilized to inform safety improvement work. …