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psnet.ahrq.gov/issue/changing-conversations-teaching-safety-and-quality-residency-training
January 02, 2017 - Study
Changing conversations: teaching safety and quality in residency training.
Citation Text:
Voss JD, May NB, Schorling JB, et al. Changing conversations: teaching safety and quality in residency training. Acad Med. 2008;83(11):1080-7. doi:10.1097/ACM.0b013e31818927f8.
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psnet.ahrq.gov/issue/identifying-right-patient-nurse-and-consumer-perspectives-verifying-patient-identity-during
September 03, 2011 - Study
Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during medication administration.
Citation Text:
Kelly T, Roper C, Elsom S, et al. Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during …
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psnet.ahrq.gov/issue/cognitive-error-most-frequent-contributory-factor-cases-medical-injury-study-verdicts
September 25, 2013 - Study
Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment among closed claims in Japan.
Citation Text:
Tokuda Y, Kishida N, Konishi R, et al. Cognitive error as the most frequent contributory factor in cases of medical inju…
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psnet.ahrq.gov/issue/diagnosing-sepsis-subjective-and-highly-variable-survey-intensivists-using-case-vignettes
August 20, 2018 - Study
Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes.
Citation Text:
Rhee C, Kadri SS, Danner RL, et al. Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes. Crit Care. 2016;20:89. doi:10.1…
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psnet.ahrq.gov/issue/burnout-pediatric-residents-three-years-national-survey
November 16, 2022 - Study
Emerging Classic
Burnout in pediatric residents: three years of national survey
Citation Text:
Kemper KJ, Schwartz A, Wilson PM, et al. Burnout in Pediatric Residents: Three Years of National Survey Data. Pediatrics. 2020;145(1):e20191030. doi:10.1542/peds…
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psnet.ahrq.gov/issue/lacerations-and-embedded-needles-caused-epinephrine-autoinjector-use-children
September 23, 2020 - Study
Lacerations and embedded needles caused by epinephrine autoinjector use in children.
Citation Text:
Brown JC, Tuuri RE, Akhter S, et al. Lacerations and Embedded Needles Caused by Epinephrine Autoinjector Use in Children. Ann Emerg Med. 2016;67(3):307-315.e8. doi:10.1016/j.annemerg…
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psnet.ahrq.gov/issue/medication-safety-messages-patients-web-portal-medcheck-intervention
September 11, 2013 - Study
Medication safety messages for patients via the web portal: the MedCheck intervention.
Citation Text:
Weingart SN, Hamrick HE, Tutkus S, et al. Medication safety messages for patients via the web portal: the MedCheck intervention. Int J Med Inform . 2008;77(3):161-168.
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psnet.ahrq.gov/issue/improving-inpatient-mental-health-medication-safety-through-process-obtaining-himss-stage-7
July 17, 2019 - Commentary
Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report.
Citation Text:
Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report. Sulkers H, Tajirian T, Paterson …
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psnet.ahrq.gov/issue/determination-health-care-teamwork-training-competencies-delphi-study
May 15, 2024 - Study
Determination of health-care teamwork training competencies: a Delphi study.
Citation Text:
Clay-Williams R, Braithwaite J. Determination of health-care teamwork training competencies: a Delphi study. Int J Qual Health Care. 2009;21(6):433-40. doi:10.1093/intqhc/mzp042.
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psnet.ahrq.gov/issue/family-perceptions-medication-administration-school-errors-risk-factors-and-consequences
April 24, 2018 - Study
Family perceptions of medication administration at school: errors, risk factors, and consequences.
Citation Text:
Clay D, Farris K, McCarthy AM, et al. Family perceptions of medication administration at school: errors, risk factors, and consequences. J Sch Nurs. 2008;24(2):95-102…
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psnet.ahrq.gov/issue/surgical-checklists-human-factor
December 10, 2014 - Study
Surgical checklists: the human factor.
Citation Text:
O'Connor P, Reddin C, O'Sullivan M, et al. Surgical checklists: the human factor. Patient Saf Surg. 2013;7(1):14. doi:10.1186/1754-9493-7-14.
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psnet.ahrq.gov/issue/medication-reconciliation-during-internal-hospital-transfer-and-impact-computerized
October 15, 2008 - Study
Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry.
Citation Text:
Lee JY, Leblanc K, Fernandes O, et al. Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry. Ann …
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psnet.ahrq.gov/issue/design-hospital-errors-and-omissions-activities-include-patient-specific-medication-related
June 01, 2022 - Study
Design of hospital errors and omissions activities that include patient-specific medication related problems.
Citation Text:
Cooper JB, Bradley CL. Design of hospital errors and omissions activities that include patient-specific medication related problems. Curr Pharm Teach Learn. …
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psnet.ahrq.gov/issue/keeping-eye-patient-safety-using-human-factors-engineering-hfe-family-affair-hospitalized
November 12, 2014 - Commentary
Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child.
Citation Text:
Wilson BL. Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. J Spec Pediatr Nurs…
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psnet.ahrq.gov/issue/applying-toyota-production-system-principles-psychiatric-hospital-making-transfers-safer-and
January 27, 2016 - Study
Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely.
Citation Text:
Young JQ, Wachter R. Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. Jt Comm J Qual Patient…
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psnet.ahrq.gov/issue/patients-expectations-benefits-and-harms-treatments-screening-and-tests-systematic-review
September 29, 2017 - Review
Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review.
Citation Text:
Hoffmann TC, Del Mar C. Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. JAMA Intern Med. 2015;175(2)…
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psnet.ahrq.gov/issue/patients-and-family-members-experiences-open-disclosure-following-adverse-events
September 29, 2017 - Study
Patients' and family members' experiences of open disclosure following adverse events.
Citation Text:
Iedema R, Sorensen R, Manias E, et al. Patients' and family members' experiences of open disclosure following adverse events. Int J Qual Health Care. 2008;20(6):421-32. doi:10.1093…
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psnet.ahrq.gov/issue/patient-safety-examining-adequacy-5-rights-medication-administration
March 02, 2016 - Commentary
Patient safety: examining the adequacy of the 5 rights of medication administration.
Citation Text:
Macdonald M. Patient safety: examining the adequacy of the 5 rights of medication administration. Clin Nurse Spec. 2010;24(4):196-201. doi:10.1097/NUR.0b013e3181e3605f.
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psnet.ahrq.gov/issue/improving-communication-and-resolution-following-adverse-events-using-patient-created
September 01, 2018 - Study
Improving communication and resolution following adverse events using a patient-created simulation exercise.
Citation Text:
Gallagher TH, Etchegaray J, Bergstedt B, et al. Improving Communication and Resolution Following Adverse Events Using a Patient-Created Simulation Exercise. H…
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psnet.ahrq.gov/issue/experimental-study-medical-error-explanations-do-apology-empathy-corrective-action-and
October 07, 2020 - Study
An experimental study of medical error explanations: do apology, empathy, corrective action, and compensation alter intentions and attitudes?
Citation Text:
Nazione S, Pace K. An Experimental Study of Medical Error Explanations: Do Apology, Empathy, Corrective Action, and Compensat…