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psnet.ahrq.gov/issue/cognitive-processes-involved-blame-and-blame-judgments-and-forgiveness-and-forgiveness
August 23, 2017 - Study
Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments.
Citation Text:
Mullet E, Rivière S, Sastre MTM. Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments. Am J…
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psnet.ahrq.gov/issue/pharmacist-supported-medication-review-training-general-practitioners-feasibility-and
July 29, 2020 - Study
Pharmacist-supported medication review training for general practitioners: feasibility and acceptability.
Citation Text:
Krska J, Gill D, Hansford D. Pharmacist-supported medication review training for general practitioners: feasibility and acceptability. Med Educ. 2006;40(12). d…
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psnet.ahrq.gov/issue/patient-safety-after-hours-telephone-medicine
November 12, 2014 - Study
Patient safety in after-hours telephone medicine.
Citation Text:
Killip S, Ireson CL, Love MM, et al. Patient safety in after-hours telephone medicine. Fam Med. 2007;39(6):404-9.
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psnet.ahrq.gov/issue/introducing-new-technology-operating-room-measuring-impact-job-performance-and-satisfaction
May 18, 2022 - Study
Introducing new technology into the operating room: measuring the impact on job performance and satisfaction.
Citation Text:
Stahl JE, Egan MT, Goldman JM, et al. Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. Surgery…
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psnet.ahrq.gov/issue/improving-diagnosis-health-care-next-imperative-patient-safety
July 15, 2015 - Commentary
Classic
Improving diagnosis in health care—the next imperative for patient safety.
Citation Text:
Singh H, Graber ML. Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. New Engl J Med. 2015;373(26):2493-2495. doi:10.1056/NEJMp…
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psnet.ahrq.gov/issue/why-talking-not-cheap-adverse-events-and-informal-communication
September 24, 2014 - Commentary
Why talking is not cheap: adverse events and informal communication.
Citation Text:
Montgomery A, Lainidi O, Georganta K. Why talking is not cheap: adverse events and informal communication. Healthcare (Basel). 2024;12(6):635. doi:10.3390/healthcare12060635.
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psnet.ahrq.gov/issue/nursing-home-expert-panels-falls-investigation-guide-toolkit-how-guide
January 09, 2025 - Tools/Toolkit
The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide.
Citation Text:
The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide. Portland, OR: Oregon Patient Safety Commission; 2022.
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psnet.ahrq.gov/issue/maturity-hospitals-quality-improvement-systems-associated-measures-quality-and-patient-safety
May 26, 2014 - Study
Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety?
Citation Text:
Groene O, Mora N, Thompson A, et al. Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? B…
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psnet.ahrq.gov/issue/surgical-site-signing-and-time-out-issues-compliance-or-complacence
January 07, 2011 - Study
Surgical site signing and "time out": issues of compliance or complacence.
Citation Text:
Johnston G, Ekert L, Pally E. Surgical site signing and "time out": issues of compliance or complacence. J Bone Joint Surg Am. 2009;91(11):2577-80. doi:10.2106/JBJS.H.01615.
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psnet.ahrq.gov/issue/prescription-teratogenic-medications-united-states-ambulatory-practices
March 23, 2012 - Study
Prescription of teratogenic medications in United States ambulatory practices.
Citation Text:
Schwarz EB, Maselli J, Norton M, et al. Prescription of teratogenic medications in United States ambulatory practices. Am J Med. 2005;118(11):1240-9.
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psnet.ahrq.gov/issue/attending-physician-work-hours-ethical-considerations-and-last-doctor-standing
November 21, 2021 - Commentary
Attending physician work hours: ethical considerations and the last doctor standing.
Citation Text:
Mercurio MR, Peterec SM. Attending physician work hours: ethical considerations and the last doctor standing. Pediatrics. 2009;124(2):758-62. doi:10.1542/peds.2008-2953.
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psnet.ahrq.gov/issue/cognitive-and-system-factors-contributing-diagnostic-errors-radiology
October 29, 2012 - Review
Cognitive and system factors contributing to diagnostic errors in radiology.
Citation Text:
Lee CS, Nagy PG, Weaver SJ, et al. Cognitive and system factors contributing to diagnostic errors in radiology. AJR Am J Roentgenol. 2013;201(3):611-7. doi:10.2214/AJR.12.10375.
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psnet.ahrq.gov/issue/communication-critical-care-environments-mobile-telephones-improve-patient-care
June 27, 2018 - Study
Communication in critical care environments: mobile telephones improve patient care.
Citation Text:
Soto RG, Chu LF, Goldman JM, et al. Communication in critical care environments: mobile telephones improve patient care. Anesth Analg. 2006;102(2):535-41.
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psnet.ahrq.gov/issue/surgical-adverse-outcome-reporting-part-routine-clinical-care
March 23, 2011 - Study
Surgical adverse outcome reporting as part of routine clinical care.
Citation Text:
Kievit J, Krukerink M, van de Mheen PJM-. Surgical adverse outcome reporting as part of routine clinical care. Qual Saf Health Care. 2010;19(6):e20. doi:10.1136/qshc.2008.027458.
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psnet.ahrq.gov/issue/diagnostic-errors-lead-inappropriate-antimicrobial-use
October 19, 2022 - Study
Diagnostic errors that lead to inappropriate antimicrobial use.
Citation Text:
Filice GA, Drekonja DM, Thurn JR, et al. Diagnostic Errors that Lead to Inappropriate Antimicrobial Use. Infect Control Hosp Epidemiol. 2015;36(8):949-56. doi:10.1017/ice.2015.113.
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psnet.ahrq.gov/issue/how-can-we-keep-patients-dementia-safe-our-acute-hospitals-review-challenges-and-solutions
February 04, 2015 - Review
How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions.
Citation Text:
George J, Long SJ, Vincent CA. How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions. J R Soc Med. 2013;1…
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psnet.ahrq.gov/issue/taking-ergonomics-bedside-multi-disciplinary-approach-designing-safer-healthcare
June 01, 2012 - Study
Taking ergonomics to the bedside—a multi-disciplinary approach to designing safer healthcare.
Citation Text:
Norris B, West J, Anderson O, et al. Taking ergonomics to the bedside--a multi-disciplinary approach to designing safer healthcare. Appl Ergon. 2014;45(3):629-38. doi:10.1…
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psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-proactive-identification-communication-and-handoff
August 04, 2021 - Study
Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation.
Citation Text:
Steinberger DM, Douglas S, Kirschbaum MS. Use of failure mode and effects analysis for proactive identification of…
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psnet.ahrq.gov/issue/culture-safety-results-organization-wide-survey-15-california-hospitals
November 18, 2009 - Study
Classic
The culture of safety: results of an organization-wide survey in 15 California hospitals.
Citation Text:
Singer SJ, Gaba DM, Geppert JJ, et al. The culture of safety: results of an organization-wide survey in 15 California hospitals. Qual Saf Hea…
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psnet.ahrq.gov/issue/remaking-surgical-socialization-work-hour-restrictions-rites-passage-and-occupational
March 15, 2023 - Study
Remaking surgical socialization: work hour restrictions, rites of passage, and occupational identity.
Citation Text:
Veazey Brooks J, Bosk CL. Remaking surgical socialization: Work hour restrictions, rites of passage, and occupational identity. Soc Sci Med. 2012;75(9). doi:10.1016…