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psnet.ahrq.gov/issue/diagnostic-errors-and-reflective-practice-medicine
March 12, 2014 - Review
Diagnostic errors and reflective practice in medicine.
Citation Text:
Mamede S, Schmidt HG, Rikers RMJP. Diagnostic errors and reflective practice in medicine. J Eval Clin Pract. 2006;13(1). doi:10.1111/j.1365-2753.2006.00638.x.
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psnet.ahrq.gov/issue/ems-helicopter-crashes-what-influences-fatal-outcome
September 23, 2020 - Study
EMS helicopter crashes: what influences fatal outcome?
Citation Text:
Baker SP, Grabowski JG, Dodd RS, et al. EMS helicopter crashes: what influences fatal outcome? Ann Emerg Med. 2006;47(4):351-356.
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psnet.ahrq.gov/issue/suboptimal-prescribing-elderly-outpatients-potentially-harmful-drug-drug-and-drug-disease
July 29, 2020 - Study
Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations.
Citation Text:
Zhan C, Correa-de-Araujo R, Bierman AS, et al. Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations. J A…
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psnet.ahrq.gov/issue/prevention-potential-errors-resuscitation-medications-orders-means-computerised-physician
July 05, 2013 - Study
Prevention of potential errors in resuscitation medications orders by means of a computerised physician order entry in paediatric critical care.
Citation Text:
Prevention of potential errors in resuscitation medications orders by means of a computerised physician order entry in p…
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psnet.ahrq.gov/issue/what-have-we-learnt-after-15-years-research-weekend-effect
December 02, 2020 - Commentary
What have we learnt after 15 years of research into the 'weekend effect'?
Citation Text:
Bray BD, Steventon A. What have we learnt after 15 years of research into the 'weekend effect'? BMJ Qual Saf. 2017;26(8):607-610. doi:10.1136/bmjqs-2016-005793.
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psnet.ahrq.gov/issue/patient-safety-and-adverse-events
July 20, 2022 - Special or Theme Issue
Patient Safety and Adverse Events.
Citation Text:
Patient Safety and Adverse Events. Adlassnig KP, Blobel B, Mantas J, Masic I, eds. Stud Health Technol Inform. 2009;150:497-566. In: Medical Informatics in a United and Healthy Europe. Washington, DC: IOS Press. ISB…
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psnet.ahrq.gov/issue/rounding-influence
February 22, 2010 - Newspaper/Magazine Article
Rounding to influence.
Citation Text:
Reinertsen JL, Johnson KM. Rounding to influence. Leadership method helps executives answer the "hows" in patient safety initiatives. Healthcare executive. 2010;25(5):72-5.
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psnet.ahrq.gov/issue/israel-center-medical-simulation-paradigm-cultural-change-medical-education
May 04, 2014 - Commentary
The Israel Center for Medical Simulation: a paradigm for cultural change in medical education.
Citation Text:
Ziv A, Erez D, Munz Y, et al. The Israel Center for Medical Simulation: a paradigm for cultural change in medical education. Acad Med. 2006;81(12):1091-7.
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psnet.ahrq.gov/issue/application-aronsons-taxonomy-medication-errors-nursing
January 15, 2009 - Study
The application of Aronson's taxonomy to medication errors in nursing.
Citation Text:
Johnson M, Young H. The application of Aronson's taxonomy to medication errors in nursing. J Nurs Care Qual. 2011;26(2):128-35. doi:10.1097/NCQ.0b013e3181f54b14.
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psnet.ahrq.gov/issue/accountability-nursing-practice-why-it-important-patient-safety
April 07, 2021 - Commentary
Accountability in nursing practice: why it is important for patient safety.
Citation Text:
Battié R, Steelman VM. Accountability in nursing practice: why it is important for patient safety. AORN J. 2014;100(5):537-541. doi:10.1016/j.aorn.2014.08.008.
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psnet.ahrq.gov/issue/pediatric-medication-safety-and-media-what-does-public-see
November 25, 2009 - Study
Pediatric medication safety and the media: what does the public see?
Citation Text:
Stebbing C, Kaushal R, Bates DW. Pediatric medication safety and the media: what does the public see? Pediatrics. 2006;117(6):1907-1914. doi:10.1542/peds.2005-2017.
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psnet.ahrq.gov/issue/reversing-rise-maternal-mortality
January 18, 2017 - Commentary
Reversing the rise in maternal mortality.
Citation Text:
Kozhimannil KB. Reversing The Rise In Maternal Mortality. Health Aff (Millwood). 2018;37(11):1901-1904. doi:10.1377/hlthaff.2018.1013.
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psnet.ahrq.gov/issue/first-kids-medication-errors
February 03, 2021 - Audiovisual
First with Kids: Medication Errors.
Citation Text:
First L. NBC5. First with Kids: Medication Errors. August 1, 2024.
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psnet.ahrq.gov/issue/impact-incident-disclosure-behaviors-medical-malpractice-claims
September 27, 2023 - Study
The impact of incident disclosure behaviors on medical malpractice claims.
Citation Text:
Giraldo P, Sato L, Castells X. The Impact of Incident Disclosure Behaviors on Medical Malpractice Claims. J Patient Saf. 2020;16(4):e-225-e229. doi:10.1097/PTS.0000000000000342.
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psnet.ahrq.gov/issue/iatrogenic-harm-caused-diagnostic-errors-fibrodysplasia-ossificans-progressiva
November 16, 2022 - Study
Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva.
Citation Text:
Kitterman JA, Kantanie S, Rocke DM, et al. Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva. Pediatrics. 2005;116(5):e654-61.
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psnet.ahrq.gov/issue/using-simulation-teach-nursing-students-and-licensed-clinicians-obstetric-emergencies
November 11, 2020 - Commentary
Using simulation to teach nursing students and licensed clinicians obstetric emergencies.
Citation Text:
Alderman JT. Using simulation to teach nursing students and licensed clinicians obstetric emergencies. MCN Am J Matern Child Nurs. 2012;37(6):394-400. doi:10.1097/NMC.0b0…
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psnet.ahrq.gov/issue/identifying-quality-markers-safe-surgical-ward-interview-study-patients-clinical-staff-and
June 17, 2015 - Study
Identifying quality markers of a safe surgical ward: an interview study of patients, clinical staff, and administrators.
Citation Text:
Hassen Y, Singh P, Pucher PH, et al. Identifying quality markers of a safe surgical ward: An interview study of patients, clinical staff, and admi…
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psnet.ahrq.gov/issue/institution-wide-handoff-task-force-standardise-and-improve-physician-handoffs
January 07, 2015 - Study
An institution-wide handoff task force to standardise and improve physician handoffs.
Citation Text:
Horwitz LI, Schuster KM, Thung SF, et al. An institution-wide handoff task force to standardise and improve physician handoffs. BMJ Qual Saf. 2012;21(10):863-71.
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psnet.ahrq.gov/issue/benefits-direct-observation-medication-administration-detect-errors
March 09, 2022 - Study
Benefits of direct observation in medication administration to detect errors.
Citation Text:
Diaz-Navarlaz T, Pronovost P, Beortegui E, et al. Benefits of Direct Observation in Medication Administration to Detect Errors. J Patient Saf. 2009;3(4). doi:10.1097/pts.0b013e31815b4cc3.…
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psnet.ahrq.gov/issue/teamwork-inpatient-medical-units-assessing-attitudes-and-barriers
June 11, 2010 - Study
Teamwork on inpatient medical units: assessing attitudes and barriers.
Citation Text:
O'Leary KJ, Ritter CD, Wheeler H, et al. Teamwork on inpatient medical units: assessing attitudes and barriers. Qual Saf Health Care. 2010;19(2):117-21. doi:10.1136/qshc.2008.028795.
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