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psnet.ahrq.gov/issue/patient-harm-general-surgery-prospective-study
November 16, 2022 - Study
Patient harm in general surgery--a prospective study.
Citation Text:
Kaul AK, McCulloch PG. Patient Harm in General Surgery-A Prospective Study. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030c2ec.
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-useful-tool-risk-identification-and-injury-prevention
September 24, 2010 - Commentary
Failure mode and effects analysis: a useful tool for risk identification and injury prevention.
Citation Text:
Paparella S. Failure mode and effects analysis: a useful tool for risk identification and injury prevention. Journal of emergency nursing: JEN : official publicatio…
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psnet.ahrq.gov/issue/listen-carefully-risk-error-spoken-medication-orders
November 16, 2022 - Study
Listen carefully: the risk of error in spoken medication orders.
Citation Text:
Lambert BL, Dickey LW, Fisher WM, et al. Listen carefully: the risk of error in spoken medication orders. Soc Sci Med. 2010;70(10):1599-608. doi:10.1016/j.socscimed.2010.01.042.
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psnet.ahrq.gov/node/45069/psn-pdf
June 01, 2016 - The effects of power, leadership and psychological safety
on resident event reporting.
June 1, 2016
Appelbaum NP, Dow A, Mazmanian PE, et al. The effects of power, leadership and psychological safety on
resident event reporting. Med Edu. 2016;50(3):343-350. doi:10.1111/medu.12947.
https://psnet.ahrq.gov/issue/effe…
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psnet.ahrq.gov/node/34670/psn-pdf
January 01, 2006 - Hindsight ? foresight: the effect of outcome knowledge
on judgment under uncertainty.
March 7, 2005
Fischhoff B. Hindsight is not equal to foresight: The effect of outcome knowledge on judgment under
uncertainty. Journal of Experimental Psychology: Human Perception and Performance. 2006;1(3).
doi:10.1037/0096-1523…
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psnet.ahrq.gov/node/36199/psn-pdf
March 28, 2011 - Time of day effects on the incidence of anesthetic
adverse events.
March 28, 2011
Wright MC, Phillips-Bute B, Mark JB, et al. Time of day effects on the incidence of anesthetic adverse
events. Qual Saf Health Care. 2006;15(4):258-63.
https://psnet.ahrq.gov/issue/time-day-effects-incidence-anesthetic-adverse-events…
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psnet.ahrq.gov/node/44737/psn-pdf
December 16, 2015 - How effective are incident-reporting systems for
improving patient safety? A systematic literature review.
December 16, 2015
Stavropoulou C, Doherty C, Tosey P. Milbank Q. 2015;93(4):826-866.
https://psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety-
systematic-literature
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psnet.ahrq.gov/node/34693/psn-pdf
February 10, 2011 - Effect of outcome on physician judgments of
appropriateness of care.
February 10, 2011
Caplan RA, Posner KL, Cheney FW. Effect of outcome on physician judgments of appropriateness of care.
JAMA. 1991;265(15):1957-60.
https://psnet.ahrq.gov/issue/effect-outcome-physician-judgments-appropriateness-care
The authors …
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psnet.ahrq.gov/node/854830/psn-pdf
January 01, 2024 - The effect of evidence in crisis learning: based on a
perspective integration framework.
October 25, 2023
Wang B, Li D, Wang Y. The effect of evidence in crisis learning: based on a perspective integration
framework. J Contingencies Crisis Manag. 2024;32(1):e12506. doi:10.1111/1468-5973.12506.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/73316/psn-pdf
May 26, 2021 - Racial bias among emergency providers: strategies to
mitigate its adverse effects.
May 26, 2021
Brockett-Walker C, Lall M, Evans DD, et al. Racial bias among emergency providers: strategies to mitigate
its adverse effects. Adv Emerg Nurs J. 2021;43(2):89-101. doi:10.1097/tme.0000000000000352.
https://psnet.ahrq.go…
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psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
May 01, 2008 - SPOTLIGHT CASE
A Painful Medication Reconciliation Mishap
Citation Text:
Chou R. A Painful Medication Reconciliation Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/node/47305/psn-pdf
March 19, 2019 - Effect of genetic diagnosis on patients with previously
undiagnosed disease.
March 19, 2019
Splinter K, Adams DR, Bacino CA, et al. Effect of Genetic Diagnosis on Patients with Previously
Undiagnosed Disease. New Engl J Med. 2018;379(22):2131-2139. doi:10.1056/NEJMoa1714458.
https://psnet.ahrq.gov/issue/effect-gen…
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psnet.ahrq.gov/node/44921/psn-pdf
March 02, 2016 - Effective Board Governance of Safe Care: A (Theoretically
Underpinned) Cross-sectioned Examination of the
Breadth and Depth of Relationships through National
Quantitative Surveys and In-depth Qualitative Case
Studies.
March 2, 2016
Mannion R, Freeman T, Millar R, Davies H. Health and Social Care Delivery Research…
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psnet.ahrq.gov/node/36276/psn-pdf
October 21, 2010 - Effects of nursing rounds on patients' call light use,
satisfaction, and safety.
October 21, 2010
Meade CM, Bursell AL, Ketelsen L. Effects of nursing rounds: on patients' call light use, satisfaction, and
safety. Am J Nurs. 2006;106(9):58-71.
https://psnet.ahrq.gov/issue/effects-nursing-rounds-patients-call-light…
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psnet.ahrq.gov/node/46891/psn-pdf
December 21, 2018 - Day of discharge does not impact hospital readmission
after major cardiac surgery.
December 21, 2018
Sanaiha Y, Ou R, Ramos G, et al. Day of Discharge Does Not Impact Hospital Readmission After Major
Cardiac Surgery. Ann Thorac Surg. 2018;106(6):1767-1773. doi:10.1016/j.athoracsur.2018.07.031.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/865338/psn-pdf
March 27, 2024 - Analysis of intervention employability in pharmacy-
related medication safety reports at a tertiary medical
center.
March 27, 2024
Crozier N, Robinson E, Murtagh NC, et al. Analysis of intervention employability in pharmacy-related
medication safety reports at a tertiary medical center. Hosp Pharm. 2024;59(2):210-…
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psnet.ahrq.gov/node/34070/psn-pdf
February 18, 2011 - Effect of reducing interns' work hours on serious medical
errors in intensive care units.
February 18, 2011
Landrigan CP, Rothschild JM, Cronin JW, et al. Effect of reducing interns' work hours on serious medical
errors in intensive care units. N Engl J Med. 2004;351(18):1838-48.
https://psnet.ahrq.gov/issue/effec…
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psnet.ahrq.gov/node/836960/psn-pdf
April 20, 2022 - Effect of a multispecialty faculty handoff initiative on
safety culture and handoff quality.
April 20, 2022
Fitzgerald KM, Banerjee TR, Starmer AJ, et al. Effect of a multispecialty faculty handoff initiative on safety
culture and handoff quality. Pediatr Qual Saf. 2022;7(2):e539. doi:10.1097/pq9.0000000000000539.
…
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psnet.ahrq.gov/node/37348/psn-pdf
March 28, 2012 - Impact of duty hours restrictions on quality of care and
clinical outcomes.
March 28, 2012
Bhavsar J, Montgomery D, Li J, et al. Impact of duty hours restrictions on quality of care and clinical
outcomes. Am J Med. 2007;120(11):968-74.
https://psnet.ahrq.gov/issue/impact-duty-hours-restrictions-quality-care-and-cl…
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psnet.ahrq.gov/node/73157/psn-pdf
April 21, 2021 - The impact of power on health care team performance
and patient safety: a review of the literature.
April 21, 2021
Stevens EL, Hulme A, Salmon PM. The impact of power on health care team performance and patient
safety: a review of the literature. Ergonomics. 2021;64(8):1072-1090.
doi:10.1080/00140139.2021.1906454.…