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psnet.ahrq.gov/issue/near-miss-events-are-really-missed-reflections-incident-reporting-department-pediatric
March 08, 2023 - Study
Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery.
Citation Text:
Mattioli G, Guida E, Montobbio G, et al. Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery. Pediatr …
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psnet.ahrq.gov/issue/retrospective-analysis-medication-incidents-reported-using-line-reporting-system
April 01, 2015 - Study
Retrospective analysis of medication incidents reported using an on-line reporting system.
Citation Text:
Ashcroft DM, Cooke J. Retrospective analysis of medication incidents reported using an on-line reporting system. Pharmacy World & Science. 2006;28(6). doi:10.1007/s11096-006-…
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psnet.ahrq.gov/issue/reducing-inappropriate-diagnostic-practice-through-education-and-decision-support
December 13, 2013 - Study
Reducing inappropriate diagnostic practice through education and decision support.
Citation Text:
Bairstow PJ, Persaud J, Mendelson R, et al. Reducing inappropriate diagnostic practice through education and decision support. Int J Qual Health Care. 2010;22(3):194-200. doi:10.1093…
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psnet.ahrq.gov/issue/safety-home-care-mapping-review-international-literature
February 10, 2012 - Review
Safety in home care: a mapping review of the international literature.
Citation Text:
Harrison MB, Keeping-Burke L, Godfrey CM, et al. Safety in home care: a mapping review of the international literature. Int J Evid Based Healthc. 2013;11(3). doi:10.1111/1744-1609.12027.
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psnet.ahrq.gov/issue/simulation-based-education-ensure-provider-competency-within-healthcare-system
May 02, 2018 - Commentary
Simulation-based education to ensure provider competency within the healthcare system.
Citation Text:
Griswold S, Fralliccardi A, Boulet J, et al. Simulation-based Education to Ensure Provider Competency Within the Health Care System. Acad Emerg Med. 2018;25(2):168-176. doi:10…
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psnet.ahrq.gov/issue/hospital-mortality-associated-misdiagnosis-or-unidentified-site-infection-admission
June 27, 2011 - Review
In-hospital mortality associated with the misdiagnosis or unidentified site of infection at admission.
Citation Text:
Abe T, Tokuda Y, Shiraishi A, et al. In-hospital mortality associated with the misdiagnosis or unidentified site of infection at admission. Crit Care. 2019;23(1):2…
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psnet.ahrq.gov/issue/use-second-victim-experience-and-support-tool-svest-assess-impact-departmental-peer-support
December 23, 2020 - Study
Use of the Second Victim Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia professionals' second victim experiences (SVEs) and perceptions of support two years after implementation.
Citation Text:
Use of the Second Victim …
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psnet.ahrq.gov/issue/prevalence-polypharmacy-exposure-among-hospitalized-children-united-states
August 20, 2016 - Study
Prevalence of polypharmacy exposure among hospitalized children in the United States.
Citation Text:
Feudtner C, Dai D, Hexem KR, et al. Prevalence of polypharmacy exposure among hospitalized children in the United States. Arch Pediatr Adolesc Med. 2012;166(1):9-16. doi:10.1001/a…
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psnet.ahrq.gov/issue/if-only-failed-missed-and-absent-error-recovery-opportunities-medication-errors
July 15, 2009 - Study
If only...: failed, missed and absent error recovery opportunities in medication errors.
Citation Text:
Habraken MMP, van der Schaaf TW. If only..: failed, missed and absent error recovery opportunities in medication errors. Qual Saf Health Care. 2010;19(1):37-41. doi:10.1136/qsh…
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psnet.ahrq.gov/issue/clinical-and-pathological-disagreement-upon-cause-death-teaching-hospital-analysis-100
March 09, 2022 - Study
Clinical and pathological disagreement upon the cause of death in a teaching hospital: analysis of 100 autopsy cases in a prospective study.
Citation Text:
Pinto Carvalho FL, Cordeiro JA, Cury PM. Clinical and pathological disagreement upon the cause of death in a teaching hospi…
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psnet.ahrq.gov/issue/timing-surgical-antimicrobial-prophylaxis
June 24, 2009 - Study
The timing of surgical antimicrobial prophylaxis.
Citation Text:
Weber WP, Marti WR, Zwahlen M, et al. The Timing of Surgical Antimicrobial Prophylaxis. Ann Surg. 2008;247(6). doi:10.1097/sla.0b013e31816c3fec.
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psnet.ahrq.gov/node/60269/psn-pdf
April 29, 2020 - The Plastic Surgery service was notified and evaluated the patient; the team recommended debridement … An intern from the EGS service evaluated the patient and discussed the patient with the
EGS attending … communicate the
EGS attending’s refusal to see the patient to the Plastic Surgery team who initially evaluated
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psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project-redde
November 30, 2022 - February 1, 2012
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/missed-lesions-abdominal-oncologic-ct-lessons-learned-quality-assurance
April 21, 2011 - October 4, 2011
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/delayed-or-missed-diagnosis-cervical-spine-injuries
May 05, 2010 - October 31, 2014
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/big-dog-effect-variability-assessing-causes-error-diagnoses-patients-lung-cancer
March 28, 2012 - April 9, 2013
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/characteristics-and-predictors-missed-opportunities-lung-cancer-diagnosis-electronic-health
January 19, 2012 - October 31, 2014
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/diagnostic-errors-musculoskeletal-oncology-and-possible-mitigation-strategies
May 01, 2013 - December 27, 2014
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/patient-safety-leadership-academy-university-pennsylvania-first-cohorts-learning-experience
October 04, 2011 - June 18, 2013
Why Current Breast Pathology Practices Must Be Evaluated.
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psnet.ahrq.gov/issue/evaluation-12-strategies-obtaining-second-opinions-improve-interpretation-breast
November 03, 2015 - April 9, 2013
Why Current Breast Pathology Practices Must Be Evaluated.