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psnet.ahrq.gov/issue/do-no-harm-reaffirming-value-evidence-and-equipoise-while-minimizing-cognitive-bias-covid-19
July 14, 2021 - Commentary
Do no harm: reaffirming the value of evidence and equipoise while minimizing cognitive bias in the COVID-19 era.
Citation Text:
Ramnath VR, McSharry DG, Malhotra A. Do No Harm. Chest. 2020;158(3):873-876. doi:10.1016/j.chest.2020.05.548.
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psnet.ahrq.gov/issue/voluntary-incident-reporting-anaesthetic-trainees-australian-hospital
August 17, 2005 - Study
Voluntary incident reporting by anaesthetic trainees in an Australian hospital.
Citation Text:
Freestone L, Bolsin S, Colson M, et al. Voluntary incident reporting by anaesthetic trainees in an Australian hospital. Int J Qual Health Care. 2006;18(6):452-7.
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psnet.ahrq.gov/issue/understanding-and-responding-adverse-events
July 19, 2019 - Commentary
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Understanding and responding to adverse events.
Citation Text:
Vincent CA. Understanding and Responding to Adverse Events. New Engl J Med. 2003;348(11):1051-1056. doi:10.1056/nejmhpr020760.
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psnet.ahrq.gov/issue/evidence-brief-implementation-high-reliability-organization-principles
November 11, 2020 - Book/Report
Evidence Brief: Implementation of High Reliability Organization Principles.
Citation Text:
Evidence Brief: Implementation of High Reliability Organization Principles. Veazie S, Peterson K, Bourne D. Washington DC: United States Department of Veterans Affairs; May 2019.
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psnet.ahrq.gov/issue/patient-safety-not-elective-debate-npsf-patient-safety-congress
March 18, 2019 - Commentary
Patient safety is not elective: a debate at the NPSF Patient Safety Congress.
Citation Text:
McTiernan P, Wachter R, Meyer GS, et al. Patient safety is not elective: a debate at the NPSF Patient Safety Congress. BMJ Qual Saf. 2015;24(2):162-6. doi:10.1136/bmjqs-2014-003429.
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psnet.ahrq.gov/issue/predicting-future-big-data-machine-learning-and-clinical-medicine
June 28, 2017 - Commentary
Predicting the future—big data, machine learning, and clinical medicine.
Citation Text:
Obermeyer Z, Emanuel EJ. Predicting the future—big data, machine learning, and clinical medicine. N Engl J Med. 2016;375(13):1216-1219. doi:10.1056/nejmp1606181.
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psnet.ahrq.gov/issue/artificial-intelligence-health-care-hope-hype-promise-peril
October 12, 2022 - Book/Report
Artificial Intelligence in Health Care: The Hope, the Hype, the Promise, the Peril.
Citation Text:
Artificial Intelligence in Health Care: The Hope, the Hype, the Promise, the Peril. Matheny M, Israni ST, Ahmed M, et al, eds. Washington, DC: National Academy of Medicine. 2022…
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psnet.ahrq.gov/issue/creating-integrated-patient-safety-team
January 04, 2017 - Commentary
Classic
Creating an integrated patient safety team.
Citation Text:
Gandhi TK, Graydon-Baker E, Barnes JN, et al. Creating an integrated patient safety team. Jt Comm J Qual Saf. 2003;29(8):383-90.
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psnet.ahrq.gov/issue/delivering-high-reliability-maternity-care-situ-simulation-source-organisational-resilience
April 05, 2023 - Commentary
Emerging Classic
Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience.
Citation Text:
Macrae C, Draycott T. Delivering high reliability in maternity care: In situ simulation as a source of organisa…
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psnet.ahrq.gov/issue/ambulatory-medication-errors-and-adverse-events-involved-medicine-related-malpractice-cases
November 18, 2016 - Study
Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021.
Citation Text:
Boisvert S, Nelson M, Ross J. Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. J Patient…
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psnet.ahrq.gov/issue/natural-language-processing-approach-categorise-contributing-factors-patient-safety-event
April 26, 2023 - Study
A natural language processing approach to categorise contributing factors from patient safety event reports.
Citation Text:
A natural language processing approach to categorise contributing factors from patient safety event reports. Tabaie A, Sengupta S, Pruitt ZM, et al. BMJ Healt…
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psnet.ahrq.gov/issue/intrahospital-patient-transport-checklists-adverse-events-and-other-considerations-anesthesia
April 24, 2019 - Newspaper/Magazine Article
Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia professional.
Citation Text:
Andrew C, Fitzsimons M. Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesi…
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psnet.ahrq.gov/issue/sbar-shared-mental-model-improving-communication-between-clinicians
January 02, 2017 - Study
SBAR: a shared mental model for improving communication between clinicians.
Citation Text:
Haig KM, Sutton S, Whittington J. SBAR: a shared mental model for improving communication between clinicians. Jt Comm J Qual Patient Saf. 2006;32(3):167-75.
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psnet.ahrq.gov/issue/patient-reported-missed-nursing-care-correlated-adverse-events
September 27, 2017 - Study
Patient-reported missed nursing care correlated with adverse events.
Citation Text:
Kalisch BJ, Xie B, Dabney BW. Patient-reported missed nursing care correlated with adverse events. Am J Med Qual. 2014;29(5):415-22. doi:10.1177/1062860613501715.
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psnet.ahrq.gov/issue/resilient-actions-diagnostic-process-and-system-performance
November 13, 2024 - Study
Resilient actions in the diagnostic process and system performance.
Citation Text:
Smith MW, Giardina TD, Murphy DR, et al. Resilient actions in the diagnostic process and system performance. BMJ Qual Saf. 2013;22(12):1006-13. doi:10.1136/bmjqs-2012-001661.
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psnet.ahrq.gov/issue/clinical-reasoning-curriculum-medical-students-interim-analysis
March 02, 2022 - Study
A clinical reasoning curriculum for medical students: an interim analysis.
Citation Text:
Connor DM, Narayana S, Dhaliwal G. A clinical reasoning curriculum for medical students: an interim analysis. Diagnosis (Berl). 2022;9(2):265-273. doi:10.1515/dx-2021-0112.
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psnet.ahrq.gov/issue/costs-and-consequences-associated-misdiagnosed-lower-extremity-cellulitis
November 12, 2014 - Study
Costs and consequences associated with misdiagnosed lower extremity cellulitis.
Citation Text:
Weng QY, Raff AB, Cohen JM, et al. Costs and Consequences Associated With Misdiagnosed Lower Extremity Cellulitis. JAMA Dermatol. 2016;153(2). doi:10.1001/jamadermatol.2016.3816.
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psnet.ahrq.gov/issue/how-surgical-trainees-handle-catastrophic-errors-qualitative-study
March 19, 2019 - Study
How surgical trainees handle catastrophic errors: a qualitative study.
Citation Text:
Balogun JA, Bramall AN, Bernstein M. How Surgical Trainees Handle Catastrophic Errors: A Qualitative Study. J Surg Educ. 2015;72(6):1179-84. doi:10.1016/j.jsurg.2015.05.003.
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psnet.ahrq.gov/issue/patient-safety-achieving-new-standard-care-0
March 29, 2007 - Book/Report
Classic
Patient Safety: Achieving a New Standard of Care.
Citation Text:
Patient Safety: Achieving a New Standard of Care. Institute of Medicine (US) Committee on Data Standards for Patient Safety, Aspden P, Corrigan JM, Wolcott J, Erickson SM, e…
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psnet.ahrq.gov/issue/managing-clinical-failure-complex-adaptive-system-perspective
August 13, 2014 - Study
Managing clinical failure: a complex adaptive system perspective.
Citation Text:
Matthews JI, Thomas PT. Managing clinical failure: a complex adaptive system perspective. Int J Health Care Qual Assur. 2007;20(3):184-194. doi:10.1108/09526860710743336.
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