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psnet.ahrq.gov/issue/types-diagnostic-errors-reported-paediatric-emergency-providers-global-paediatric-emergency
December 16, 2020 - Study
Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency care research network.
Citation Text:
Mahajan P, Grubenhoff JA, Cranford J, et al. Types of diagnostic errors reported by paediatric emergency providers in a global paediatric eme…
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psnet.ahrq.gov/issue/radiologic-safety-events-within-pediatric-emergency-medicine-network
August 01, 2018 - Study
Radiologic safety events within a pediatric emergency medicine network.
Citation Text:
Blumberg SM, Mahajan P, OʼConnell KJ, et al. Radiologic Safety Events Within a Pediatric Emergency Medicine Network. Pediatr Emerg Care. 2017;33(2):92-96. doi:10.1097/PEC.0000000000000684.
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psnet.ahrq.gov/issue/use-expedited-review-tool-screen-prior-diagnostic-error-emergency-department-patients
December 16, 2020 - Study
Use of an expedited review tool to screen for prior diagnostic error in emergency department patients.
Citation Text:
Hudspeth J, El-Kareh R, Schiff G. Use of an expedited review tool to screen for prior diagnostic error in emergency department patients. Appl Clin Inform. 2015;06(0…
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psnet.ahrq.gov/issue/adverse-event-and-error-unexpected-life-threatening-events-within-24h-emergency-department
October 27, 2016 - Study
Adverse event and error of unexpected life-threatening events within 24h of emergency department admission.
Citation Text:
Zhang E, Hung S-C, Wu C-H, et al. Adverse event and error of unexpected life-threatening events within 24hours of ED admission. Am J Emerg Med. 2017;35(3):479-…
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psnet.ahrq.gov/issue/assessing-perceived-level-institutional-support-second-victim-after-patient-safety-event
April 07, 2021 - Study
Assessing the perceived level of institutional support for the second victim after a patient safety event.
Citation Text:
Joesten L, Cipparrone N, Okuno-Jones S, et al. Assessing the perceived level of institutional support for the second victim after a patient safety event. J Pati…
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psnet.ahrq.gov/issue/systematic-review-identify-factors-affect-failure-rescue-and-escalation-care-surgery
September 09, 2015 - Review
A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery.
Citation Text:
Johnston MJ, Arora S, King D, et al. A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. Surgery. 20…
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psnet.ahrq.gov/issue/crisis-management-during-anaesthesia-development-anaesthetic-crisis-management-manual
June 23, 2015 - Commentary
Crisis management during anaesthesia: the development of an anaesthetic crisis management manual.
Citation Text:
Runciman WB, Kluger MT, Morris RW, et al. Crisis management during anaesthesia: the development of an anaesthetic crisis management manual. Qual Saf Health Care. …
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psnet.ahrq.gov/issue/nature-reported-safety-events-related-care-coordination-operating-room-setting-tertiary
May 11, 2022 - Study
The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center.
Citation Text:
Krishnan S, Wheeler KK, Pimentel MP, et al. The nature of reported safety events related to care coordination in the operating room setting …
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psnet.ahrq.gov/issue/prospective-study-multisite-spread-medication-safety-intervention-factors-common-hospitals
April 24, 2018 - Study
Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved outcomes.
Citation Text:
Kaplan HC, Goldstein SL, Rubinson C, et al. Prospective study of the multisite spread of a medication safety intervention: factors commo…
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psnet.ahrq.gov/issue/prescription-opioid-dose-reductions-and-potential-adverse-events-multi-site-observational
March 04, 2020 - Study
Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems.
Citation Text:
Metz VE, Ray GT, Palzes V, et al. Prescription opioid dose reductions and potential adverse events: a multi-site observational coho…
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psnet.ahrq.gov/issue/mixed-method-study-practitioners-perspectives-issues-related-ehr-medication-reconciliation
September 23, 2020 - Study
A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system.
Citation Text:
Rangachari P, Dellsperger KC, Fallaw D, et al. A Mixed-Method Study of Practitioners' Perspectives on Issues Related to EHR Medication Reconcili…
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psnet.ahrq.gov/issue/fatigue-risk-management-impact-anesthesiology-residents-work-schedules-job-performance-and
November 03, 2010 - Commentary
Fatigue risk management: the impact of anesthesiology residents' work schedules on job performance and a review of potential countermeasures.
Citation Text:
Wong LR, Flynn-Evans E, Ruskin KJ. Fatigue Risk Management: The Impact of Anesthesiology Residents' Work Schedules on Jo…
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psnet.ahrq.gov/issue/fatigue-amongst-anaesthesiology-and-intensive-care-trainees-europe-matter-concern
June 28, 2023 - Study
Fatigue amongst anaesthesiology and intensive care trainees in Europe: a matter of concern.
Citation Text:
Abramovich I, Matias B, Norte G, et al. Fatigue amongst anaesthesiology and intensive care trainees in Europe: a matter of concern. Eur J Anaesthesiol. 2023;40(8):587-595. doi…
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psnet.ahrq.gov/issue/changing-working-while-sick-culture
March 14, 2018 - Commentary
Changing the "working while sick" culture.
Citation Text:
Tanksley AL, Wolfson RK, Arora V. Changing the "Working While Sick" Culture: Promoting Fitness for Duty in Health Care. JAMA. 2016;315(6):603-4. doi:10.1001/jama.2016.0094.
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psnet.ahrq.gov/issue/tying-loose-ends-discharging-patients-unresolved-medical-issues
February 24, 2011 - Study
Tying up loose ends: discharging patients with unresolved medical issues.
Citation Text:
Moore C, McGinn T, Halm E. Tying up loose ends: discharging patients with unresolved medical issues. Arch Intern Med. 2007;167(12):1305-11.
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psnet.ahrq.gov/issue/perceptions-and-attitudes-pediatricians-and-families-regard-pediatric-medication-errors-home
August 11, 2021 - Study
Perceptions and attitudes of pediatricians and families with regard to pediatric medication errors at home.
Citation Text:
de Dios JG, Lopez-Pineda A, Juan GM-P, et al. Perceptions and attitudes of pediatricians and families with regard to pediatric medication errors at home. BMC P…
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psnet.ahrq.gov/issue/individual-characteristics-promote-or-prevent-psychological-safety-and-error-reporting
September 14, 2022 - Review
Individual characteristics that promote or prevent psychological safety and error reporting in healthcare: a systematic review.
Citation Text:
Wawersik DM, Boutin ER, Gore T, et al. Individual characteristics that promote or prevent psychological safety and error reporting in heal…
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psnet.ahrq.gov/issue/assessment-opioid-prescribing-practices-and-after-implementation-health-system-intervention
November 16, 2022 - Study
Emerging Classic
Assessment of opioid prescribing practices before and after implementation of a health system intervention to reduce opioid overprescribing.
Citation Text:
Meisenberg BR, Grover J, Campbell C, et al. Assessment of Opioid Prescribing Practi…
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psnet.ahrq.gov/issue/wide-variation-and-overprescription-opioids-after-elective-surgery
April 24, 2018 - Study
Classic
Wide variation and overprescription of opioids after elective surgery.
Citation Text:
Thiels CA, Anderson SS, Ubl DS, et al. Wide Variation and Overprescription of Opioids After Elective Surgery. Ann Surg. 2017;266(4):564-573. doi:10.1097/SLA.00000…
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psnet.ahrq.gov/issue/misuse-abuse-and-medication-errors-adverse-events-associated-opioids-systematic-review
January 15, 2025 - Review
Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review.
Citation Text:
Gustafsson M, Silva V, Valeiro C, et al. Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. Pharmaceuticals (Basel). 2024…