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psnet.ahrq.gov/issue/medical-error-what-do-we-know-what-do-we-do
May 06, 2016 - Book/Report
Classic
Medical Error: What Do We Know? What Do We Do?
Citation Text:
Medical Error: What Do We Know? What Do We Do? Rosenthal MM; Sutcliffe KM, eds. San Francisco, CA: Jossey-Bass; 2002.
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psnet.ahrq.gov/issue/managing-unexpected-sustained-performance-complex-world-3rd-edition
November 04, 2015 - Book/Report
Classic
Managing the Unexpected: Sustained Performance in a Complex World, Third Edition.
Citation Text:
Managing the Unexpected: Sustained Performance in a Complex World, Third Edition. Weick KE, Sutcliffe KM. San Francisco, CA: Jossey-Bass; 2015. I…
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psnet.ahrq.gov/issue/really-stupid-mistake-it-does-feel-cop-out-blame-my-error-human-frailty-im-afraid-thats
August 16, 2023 - Commentary
A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly what it was.
Citation Text:
Maskell G. A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly …
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psnet.ahrq.gov/issue/evaluation-critical-incidents-general-surgery
April 29, 2009 - Study
Evaluation of critical incidents in general surgery.
Citation Text:
Zingg U, Zala-Mezoe E, Kuenzle B, et al. Evaluation of critical incidents in general surgery. Br J Surg. 2008;95(11):1420-5. doi:10.1002/bjs.6296.
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psnet.ahrq.gov/issue/surgical-team-training-promoting-high-reliability-nontechnical-skills
May 01, 2019 - Commentary
Surgical team training: promoting high reliability with nontechnical skills.
Citation Text:
Paige JT. Surgical team training: promoting high reliability with nontechnical skills. Surg Clin North Am. 2010;90(3):569-81. doi:10.1016/j.suc.2010.02.007.
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psnet.ahrq.gov/issue/twitter-tool-enhance-student-engagement-during-interprofessional-patient-safety-course
July 08, 2020 - Study
Twitter as a tool to enhance student engagement during an interprofessional patient safety course.
Citation Text:
Mckay M, Sanko JS, Shekhter I, et al. Twitter as a tool to enhance student engagement during an interprofessional patient safety course. J Interprof Care. 2014;28(6):56…
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psnet.ahrq.gov/issue/interruptions-emergency-department-work-observational-and-interview-study
September 29, 2021 - Study
Interruptions in emergency department work: an observational and interview study.
Citation Text:
Berg LM, Källberg A-S, Göransson KE, et al. Interruptions in emergency department work: an observational and interview study. BMJ Qual Saf. 2013;22(8):656-63. doi:10.1136/bmjqs-2013-001…
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psnet.ahrq.gov/issue/implementation-electronic-system-medication-reconciliation
December 02, 2020 - Study
Implementation of an electronic system for medication reconciliation.
Citation Text:
Kramer JS, Hopkins PJ, Rosendale JC, et al. Implementation of an electronic system for medication reconciliation. Am J Health-Syst Pharm. 2007;64(4):404-422. doi:10.2146/ajhp060506.
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psnet.ahrq.gov/issue/diagnostic-errors-next-frontier-patient-safety
October 14, 2020 - Commentary
Diagnostic errors--The next frontier for patient safety.
Citation Text:
Newman-Toker DE, Pronovost P. Diagnostic errors--the next frontier for patient safety. JAMA. 2009;301(10):1060-2. doi:10.1001/jama.2009.249.
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psnet.ahrq.gov/issue/impact-obstetrical-hospitalist-program-safety-events-mid-sized-obstetrical-unit
April 03, 2019 - Study
Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit.
Citation Text:
Decesare JZ, Bush SY, Morton AN. Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit. J Patient Saf. 2020;16(3):e179-e181.…
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psnet.ahrq.gov/issue/qualitative-survey-factors-shaping-role-safety-professional
August 12, 2020 - Study
A qualitative survey of factors shaping the role of a safety professional.
Citation Text:
Van Wassenhove W, Foussard C, Dekker SWA, et al. A qualitative survey of factors shaping the role of a safety professional. Safety Sci. 2022;154:105835. doi:10.1016/j.ssci.2022.105835.
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psnet.ahrq.gov/issue/communication-preclinical-emergency-teams-critical-situations-nationwide-study
January 23, 2019 - Study
Communication of preclinical emergency teams in critical situations: a nationwide study.
Citation Text:
Zimmer M, Czarniecki DM, Sahm S. Communication of preclinical emergency teams in critical situations: a nationwide study. PLoS One. 2021;16(5):e0250932. doi:10.1371/journal.pone.…
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psnet.ahrq.gov/issue/acceptance-recommendations-inpatient-pharmacy-case-managers-unintended-consequences
November 16, 2022 - Study
Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care.
Citation Text:
Anderegg S, Demik DE, Carter BL, et al. Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hosp…
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psnet.ahrq.gov/issue/same-behavior-different-provider-american-medical-students-attitudes-toward-reporting-risky
May 12, 2021 - Study
Same behavior, different provider: American medical students' attitudes toward reporting risky behaviors committed by doctors, nurses, and classmates.
Citation Text:
Aggarwal S, Kheriaty A. Same behavior, different provider: American medical students' attitudes toward reporting ris…
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psnet.ahrq.gov/issue/automated-identification-diagnostic-labelling-errors-medicine
September 23, 2020 - Study
Automated identification of diagnostic labelling errors in medicine.
Citation Text:
Hautz WE, Kündig MM, Tschanz R, et al. Automated identification of diagnostic labelling errors in medicine. Diagnosis. 2021;9(2):241-249. doi:10.1515/dx-2021-0039.
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psnet.ahrq.gov/issue/team-mental-models-and-their-potential-improve-teamwork-and-safety-review-and-implications
June 09, 2021 - Review
Team mental models and their potential to improve teamwork and safety: a review and implications for future research in healthcare.
Citation Text:
Burtscher MJ, Manser T. Team mental models and their potential to improve teamwork and safety: A review and implications for future …
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psnet.ahrq.gov/issue/electronic-prescribing-improving-efficiency-and-accuracy-prescribing-ambulatory-care-setting
March 16, 2022 - Review
Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting.
Citation Text:
Porterfield A, Engelbert K, Coustasse A. Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. Perspec…
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psnet.ahrq.gov/issue/how-much-diagnostic-safety-can-we-afford-and-how-should-we-decide-health-economics
March 24, 2021 - Commentary
How much diagnostic safety can we afford, and how should we decide? A health economics perspective.
Citation Text:
Newman-Toker DE, McDonald KM, Meltzer DO. How much diagnostic safety can we afford, and how should we decide? A health economics perspective. BMJ Qual Saf. 2013…
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psnet.ahrq.gov/issue/thematic-analysis-womens-perspectives-meaning-safety-during-hospital-based-birth
May 08, 2019 - Study
Thematic analysis of women's perspectives on the meaning of safety during hospital-based birth.
Citation Text:
Lyndon A, Malana J, Hedli LC, et al. Thematic Analysis of Women's Perspectives on the Meaning of Safety During Hospital-Based Birth. J Obstet Gynecol Neonatal Nurs. 2018;4…
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psnet.ahrq.gov/issue/epidemiology-healthcare-harm-new-zealand-general-practice-retrospective-records-review-study
December 01, 2021 - Study
Epidemiology of healthcare harm in New Zealand general practice: a retrospective records review study.
Citation Text:
doi:http://doi.org/10.1136/bmjopen-2020-048316.
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