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5921. Paramedic intubation errors: isolated events or symptoms of larger problems? | PSNet
      psnet.ahrq.gov/issue/paramedic-intubation-errors-isolated-events-or-symptoms-larger-problems
      February 18, 2009 - Study Paramedic intubation errors: isolated events or symptoms of larger problems? Citation Text: Wang HE, Lave J, Sirio CA, et al. Paramedic intubation errors: isolated events or symptoms of larger problems? Health Aff (Millwood). 2006;25(2):501-9. Copy Citation Format: …

5922. Characteristics of medical liability claims against dermatologists from 1991 through 2015. | PSNet
      psnet.ahrq.gov/issue/characteristics-medical-liability-claims-against-dermatologists-1991-through-2015
      July 29, 2020 - Study Characteristics of medical liability claims against dermatologists from 1991 through 2015. Citation Text: Kornmehl H, Singh S, Adler BL, et al. Characteristics of Medical Liability Claims Against Dermatologists From 1991 Through 2015. JAMA Dermatol. 2018;154(2):160-166. doi:10.1001…

5923. Will human factors restore faith in the GMC? | PSNet
      psnet.ahrq.gov/issue/will-human-factors-restore-faith-gmc
      January 12, 2022 - Commentary Will human factors restore faith in the GMC? Citation Text: Morgan L, Benson D, McCulloch P. Will human factors restore faith in the GMC? BMJ. 2019;364:l1037. doi:10.1136/bmj.l1037. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

5924. Impact of adverse events on prescribing warfarin in patients with atrial fibrillation: matched pair analysis. | PSNet
      psnet.ahrq.gov/issue/impact-adverse-events-prescribing-warfarin-patients-atrial-fibrillation-matched-pair-analysis
      August 15, 2018 - Study Impact of adverse events on prescribing warfarin in patients with atrial fibrillation: matched pair analysis. Citation Text: Choudhry NK, Anderson G, Laupacis A, et al. Impact of adverse events on prescribing warfarin in patients with atrial fibrillation: matched pair analysis. B…

5925. Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue. | PSNet
      psnet.ahrq.gov/issue/longitudinal-analyses-nurse-staffing-and-patient-outcomes-more-about-failure-rescue
      February 24, 2021 - Study Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue. Citation Text: Seago JA, Williamson A, Atwood C. Longitudinal Analyses of Nurse Staffing and Patient Outcomes. J Nurs Admin. 2006;36(1):13-21. doi:10.1097/00005110-200601000-00005. Copy Ci…

5926. A system analysis of a suboptimal surgical experience. | PSNet
      psnet.ahrq.gov/issue/system-analysis-suboptimal-surgical-experience
      March 23, 2011 - Study A system analysis of a suboptimal surgical experience. Citation Text: Lee R, Cooke DL, Richards MR. A system analysis of a suboptimal surgical experience. Patient Saf Surg. 2009;3(1):1. doi:10.1186/1754-9493-3-1. Copy Citation Format: DOI Google Scholar PubMed BibTe…

5927. Nursing student medication errors: a case study using root cause analysis. | PSNet
      psnet.ahrq.gov/issue/nursing-student-medication-errors-case-study-using-root-cause-analysis
      November 16, 2022 - Commentary Nursing student medication errors: a case study using root cause analysis. Citation Text: Dolansky MA, Druschel K, Helba M, et al. Nursing student medication errors: a case study using root cause analysis. J Prof Nurs. 2013;29(2):102-8. doi:10.1016/j.profnurs.2012.12.010. C…

5928. Rapid response teams: qualitative analysis of their effectiveness. | PSNet
      psnet.ahrq.gov/issue/rapid-response-teams-qualitative-analysis-their-effectiveness
      November 02, 2010 - Study Rapid response teams: qualitative analysis of their effectiveness. Citation Text: Leach LS, Mayo AM. Rapid response teams: qualitative analysis of their effectiveness. Am J Crit Care. 2013;22(3):198-210. doi:10.4037/ajcc2013990. Copy Citation Format: DOI Google Schol…

5929. Antecedents of severe and nonsevere medication errors. | PSNet
      psnet.ahrq.gov/issue/antecedents-severe-and-nonsevere-medication-errors
      February 15, 2011 - Study Antecedents of severe and nonsevere medication errors. Citation Text: Chang Y-K, Mark BA. Antecedents of severe and nonsevere medication errors. J Nurs Scholarsh. 2009;41(1):70-8. doi:10.1111/j.1547-5069.2009.01253.x. Copy Citation Format: DOI Google Scholar PubMed …

5930. Medication errors and response bias: the tip of the iceberg. | PSNet
      psnet.ahrq.gov/issue/medication-errors-and-response-bias-tip-iceberg
      February 07, 2024 - Study Medication errors and response bias: the tip of the iceberg. Citation Text: Bar-Oz B, Goldman M, Lahat E, et al. Medication errors and response bias: the tip of the iceberg. Isr Med Assoc J. 2008;10(11):771-4. Copy Citation Format: Google Scholar PubMed BibTeX EndN…

5931. System weaknesses as contributing causes of accidents in health care. | PSNet
      psnet.ahrq.gov/issue/system-weaknesses-contributing-causes-accidents-health-care
      August 31, 2022 - Study System weaknesses as contributing causes of accidents in health care. Citation Text: Ternov S, Akselsson R. System weaknesses as contributing causes of accidents in health care. Int J Qual Health Care. 2005;17(1):5-13. Copy Citation Format: Google Scholar PubMed Bib…

5932. Impact of the Care Quality Commission on Provider Performance: Room for Improvement? | PSNet
      psnet.ahrq.gov/issue/impact-care-quality-commission-provider-performance-room-improvement
      November 18, 2015 - Book/Report Impact of the Care Quality Commission on Provider Performance: Room for Improvement? Citation Text: Impact of the Care Quality Commission on Provider Performance: Room for Improvement? Smithson R, Richardson E, Roberts J, et al. The King's Fund, Alliance Manchester Business S…

5933. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. | PSNet
      psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse-events-health-care
      February 22, 2010 - Commentary Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Citation Text: Smith D, Toft B. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Health Serv Manag…

5934. Using fault trees to advance understanding of diagnostic errors. | PSNet
      psnet.ahrq.gov/issue/using-fault-trees-advance-understanding-diagnostic-errors
      November 11, 2020 - Commentary Using fault trees to advance understanding of diagnostic errors. Citation Text: Rogith D, Iyengar S, Singh H. Using Fault Trees to Advance Understanding of Diagnostic Errors. Jt Comm J Qual Patient Saf. 2017;43(11):598-605. doi:10.1016/j.jcjq.2017.06.007. Copy Citation F…

5935. Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. | PSNet
      psnet.ahrq.gov/issue/patient-safety-home-hemodialysis-quality-assurance-and-serious-adverse-events-home-setting
      January 23, 2017 - Commentary Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. Citation Text: Pauly RP, Eastwood DO, Marshall MR. Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. Hemodial Int. 2015;1…

5936. How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions. | PSNet
      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…

5937. Nursing handoffs: a systematic review of the literature. | PSNet
      psnet.ahrq.gov/issue/nursing-handoffs-systematic-review-literature
      January 08, 2025 - Review Nursing handoffs: a systematic review of the literature. Citation Text: Riesenberg LA, Leitzsch J, Cunningham JM. Nursing handoffs: a systematic review of the literature. Am J Nurs. 2010;110(4):24-34; quiz 35-6. doi:10.1097/01.NAJ.0000370154.79857.09. Copy Citation Format:…

5938. A surgical simulation curriculum for senior medical students based on TeamSTEPPS. | PSNet
      psnet.ahrq.gov/issue/surgical-simulation-curriculum-senior-medical-students-based-teamstepps
      December 21, 2014 - Study A surgical simulation curriculum for senior medical students based on TeamSTEPPS. Citation Text: Meier AH, Boehler ML, McDowell CM, et al. A surgical simulation curriculum for senior medical students based on TeamSTEPPS. Arch Surg. 2012;147(8):761-6. doi:10.1001/archsurg.2012.1340.…

5939. Factors influencing preceptors' responses to medical errors: a factorial survey. | PSNet
      psnet.ahrq.gov/issue/factors-influencing-preceptors-responses-medical-errors-factorial-survey
      September 10, 2009 - Study Factors influencing preceptors' responses to medical errors: a factorial survey. Citation Text: Mazor KM, Fischer M, Haley H-L, et al. Factors influencing preceptors' responses to medical errors: a factorial survey. Acad Med. 2005;80(10 Suppl):S88-92. Copy Citation Format: …

5940. Health Care Quality and Disparities: Lessons from the First National Reports. | PSNet
      psnet.ahrq.gov/issue/health-care-quality-and-disparities-lessons-first-national-reports
      April 03, 2005 - Special or Theme Issue Health Care Quality and Disparities: Lessons from the First National Reports. Citation Text: Health Care Quality and Disparities: Lessons from the First National Reports. Kelley E, Moy E, Dayton E, et al. Med Care. 2005:43(3):I1-I88. Copy Citation …