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psnet.ahrq.gov/issue/enhancing-patient-safety-pediatric-emergency-department-teams-communication-and-lessons-crew
April 26, 2023 - Commentary
Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management.
Citation Text:
Pruitt CM, Liebelt EL. Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew …
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psnet.ahrq.gov/issue/improving-governance-patient-safety-emergency-care-systematic-review-interventions
March 06, 2013 - Review
Improving the governance of patient safety in emergency care: a systematic review of interventions.
Citation Text:
Hesselink G, Berben S, Beune T, et al. Improving the governance of patient safety in emergency care: a systematic review of interventions. BMJ Open. 2016;6(1):e009837…
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psnet.ahrq.gov/issue/medication-error-prevention-survey-five-years-results
March 26, 2015 - Study
A medication error prevention survey: five years of results.
Citation Text:
Cusano FL, Chambers C, Summach L. A medication error prevention survey: five years of results. J Oncol Pharm Pract. 2009;15(2):87-93. doi:10.1177/1078155208099284.
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psnet.ahrq.gov/issue/raising-awareness-cognitive-biases-during-diagnostic-reasoning
February 03, 2021 - Study
Raising awareness of cognitive biases during diagnostic reasoning.
Citation Text:
van Geene K, de Groot E, Erkelens C, et al. Raising awareness of cognitive biases during diagnostic reasoning. Perspect Med Educ. 2016;5(3):182-5. doi:10.1007/s40037-016-0274-4.
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psnet.ahrq.gov/issue/relationship-staff-information-sharing-and-advice-networks-patient-safety-outcomes
June 22, 2011 - Study
Relationship of staff information sharing and advice networks to patient safety outcomes.
Citation Text:
Brewer BB, Carley KM, Benham-Hutchins MM, et al. Relationship of Staff Information Sharing and Advice Networks to Patient Safety Outcomes. J Nurs Adm. 2018;48(9):437-444. doi:10…
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psnet.ahrq.gov/issue/medication-errors-how-reliable-are-severity-ratings-reported-national-reporting-and-learning
September 09, 2015 - Study
Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System?
Citation Text:
Williams SD, Ashcroft DM. Medication errors: how reliable are the severity ratings reported to the national reporting and learning system? Int J Qual He…
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psnet.ahrq.gov/issue/quality-assessment-spontaneous-triggered-adverse-event-reports-received-food-and-drug
August 07, 2024 - Study
Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administration.
Citation Text:
Brajovic S, Piazza-Hepp T, Swartz L, et al. Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administratio…
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psnet.ahrq.gov/issue/systems-approach-evaluating-ionizing-radiation-six-focus-areas-improve-quality-efficiency-and
March 14, 2016 - Commentary
A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient safety.
Citation Text:
Perlin JB, Mower L, Bushe C. A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient…
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psnet.ahrq.gov/issue/prescribing-errors-low-molecular-weight-heparins
July 26, 2017 - Study
Prescribing errors with low-molecular-weight heparins.
Citation Text:
Slikkerveer M, van de Plas A, Driessen JHM, et al. Prescribing errors with low-molecular-weight heparins. J Patient Saf. 2021;17(7):e587-e592. doi:10.1097/pts.0000000000000417.
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psnet.ahrq.gov/issue/imperfect-practice-makes-perfect-error-management-training-improves-transfer-learning
May 19, 2019 - Study
Imperfect practice makes perfect: error management training improves transfer of learning.
Citation Text:
Dyre L, Tabor A, Ringsted C, et al. Imperfect practice makes perfect: error management training improves transfer of learning. Med Educ. 2017;51(2):196-206. doi:10.1111/medu.13…
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psnet.ahrq.gov/issue/perspective-malpractice-academic-medical-center-frequently-overlooked-aspect-professionalism
April 03, 2024 - Commentary
Perspective: malpractice in an academic medical center: a frequently overlooked aspect of professionalism education.
Citation Text:
Hochberg MS, Seib CD, Berman RS, et al. Perspective: Malpractice in an academic medical center: a frequently overlooked aspect of professionali…
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psnet.ahrq.gov/issue/recognizing-quality-improvement-and-patient-safety-activities-academic-promotion-departments
April 20, 2011 - Study
Recognizing quality improvement and patient safety activities in academic promotion in departments of medicine: innovative language in promotion criteria.
Citation Text:
Staiger TO, Mills LM, Wong BM, et al. Recognizing Quality Improvement and Patient Safety Activities in Academic …
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psnet.ahrq.gov/issue/understanding-attitudes-hospital-pharmacists-reporting-medication-incidents-qualitative-study
September 04, 2016 - Study
Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study.
Citation Text:
Williams SD, Phipps D, Ashcroft DM. Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. Res Social Adm…
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psnet.ahrq.gov/issue/study-deaths-associated-anesthesia-and-surgery-based-study-599-548-anesthesias-ten
August 04, 2021 - Study
Classic
Study of the deaths associated with anesthesia and surgery: based on a study of 599, 548 anesthesias in ten institutions 1948-1952, inclusive.
Citation Text:
BEECHER HK, TODD DP. A study of the deaths associated with anesthesia and surgery: based…
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psnet.ahrq.gov/issue/opioids-prescribed-after-low-risk-surgical-procedures-united-states-2004-2012
May 29, 2024 - Study
Opioids prescribed after low-risk surgical procedures in the United States, 2004–2012.
Citation Text:
Wunsch H, Wijeysundera DN, Passarella MA, et al. Opioids Prescribed After Low-Risk Surgical Procedures in the United States, 2004-2012. JAMA. 2016;315(15):1654-7. doi:10.1001/jama.…
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psnet.ahrq.gov/issue/establishing-multi-institutional-quality-and-patient-safety-consortium-collaboration-across
June 24, 2009 - Commentary
Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a community-based medical school.
Citation Text:
Hillman E, Paul J, Neustadt M, et al. Establishing a multi-institutional quality and patient safety consortium: collab…
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psnet.ahrq.gov/issue/hazards-hospitalization
December 29, 2014 - Study
Classic
The hazards of hospitalization.
Citation Text:
Schimmel E. THE HAZARDS OF HOSPITALIZATION. Ann Intern Med. 1964;60:100-110.
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psnet.ahrq.gov/issue/thank-you-listening-exploratory-study-regarding-lived-experience-and-perception-medical
January 29, 2020 - Study
"Thank You for Listening": An exploratory study regarding the lived experience and perception of medical errors among those who receive care.
Citation Text:
Terry D, Kim J-ah, Gilbert J, et al. “Thank You for Listening”: An Exploratory Study Regarding the Lived Experience and Perce…
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www.ahrq.gov/sites/default/files/2024-05/schoenfeld-report.pdf
January 01, 2024 - Final Progress Report: Physician Perspectives Regarding the Use of Shared Decision Making in the Emergency Department
Title Page
Title: Physician Perspectives Regarding the Use of Shared Decision Making in the Emergency Department
PI: Elizabeth Schoenfeld, MD, MS
Team: Peter Lindenauer, MD, MSc, Kathleen Mazur, Ed…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/coronary-artery-stenting_executive.pdf
February 01, 2013 - Current systematic reviews have not comprehensively
examined the role of intravascular diagnostic technique … Two related RCTs in this field were excluded
for the following reasons: the DEFER trial examined
appropriateness … Also, in contrast to prior reviews,
we examined the impact of FFR in both RCTs and
nonrandomized studies