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psnet.ahrq.gov/issue/prescription-opioid-analgesics-commonly-unused-after-surgery-systematic-review
March 30, 2022 - Review
Prescription opioid analgesics commonly unused after surgery: a systematic review.
Citation Text:
Bicket MC, Long JJ, Pronovost PJ, et al. Prescription Opioid Analgesics Commonly Unused After Surgery. JAMA Surg. 2017;152(11):1066-1071. doi:10.1001/jamasurg.2017.0831.
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psnet.ahrq.gov/issue/covid-19-and-patient-safety-time-tap-our-investment-high-reliability
July 21, 2021 - Commentary
COVID-19 and patient safety: time to tap into our investment in high reliability.
Citation Text:
Adelman JS, Gandhi TK. COVID-19 and patient safety: time to tap into our investment in high reliability. J Patient Saf. 2021;17(4):331-333. doi:10.1097/pts.0000000000000843.
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psnet.ahrq.gov/issue/randomized-controlled-trial-pictogram-based-intervention-reduce-liquid-medication-dosing
June 04, 2014 - Study
Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children.
Citation Text:
Yin S, Dreyer BP, van Schaick L, et al. Randomized controlled trial of a pictogram-based intervention …
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psnet.ahrq.gov/issue/confidential-clinician-reported-surveillance-adverse-events-among-medical-inpatients
June 29, 2011 - Study
Classic
Confidential clinician-reported surveillance of adverse events among medical inpatients.
Citation Text:
Weingart SN, Ship AN, Aronson MD. Confidential clinician-reported surveillance of adverse events among medical inpatients. J Gen Intern Med. 2…
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psnet.ahrq.gov/issue/primary-care-providers-perspectives-errors-omission
July 30, 2014 - Study
Primary care providers' perspectives on errors of omission.
Citation Text:
Poghosyan L, Norful AA, Fleck E, et al. Primary Care Providers' Perspectives on Errors of Omission. J Am Board Fam Med. 2017;30(6):733-742. doi:10.3122/jabfm.2017.06.170161.
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psnet.ahrq.gov/issue/qualitative-evaluation-safety-and-improvement-primary-care-sipc-pilot-collaborative-scotland
March 12, 2014 - Study
Qualitative evaluation of the Safety and Improvement in Primary Care (SIPC) pilot collaborative in Scotland: perceptions and experiences of participating care teams.
Citation Text:
Bowie P, Halley L, Blamey A, et al. Qualitative evaluation of the Safety and Improvement in Primary C…
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psnet.ahrq.gov/issue/african-american-covid-19-mortality-sentinel-event
November 16, 2022 - Commentary
Emerging Classic
African American COVID-19 mortality: a sentinel event.
Citation Text:
Ferdinand KC, Nasser SA. African American COVID-19 mortality: a sentinel event. J Am Coll Cardiol. 2020;75(21):2746-2748. doi:10.1016/j.jacc.2020.04.040.
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psnet.ahrq.gov/issue/views-children-parents-and-health-care-providers-pediatric-disclosure-medical-errors
April 08, 2020 - Study
Views of children, parents, and health-care providers on pediatric disclosure of medical errors.
Citation Text:
Koller D, Espin S. Views of children, parents, and health-care providers on pediatric disclosure of medical errors. J Child Health Care. 2018;22(4):577-590. doi:10.1177/1…
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psnet.ahrq.gov/issue/safety-ii-behavior-pediatric-intensive-care-unit
January 12, 2022 - Study
Safety II behavior in a pediatric intensive care unit.
Citation Text:
Merandi J, Vannatta K, Davis T, et al. Safety II Behavior in a Pediatric Intensive Care Unit. Pediatrics. 2018;141(6):e20180018. doi:10.1542/peds.2018-0018.
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psnet.ahrq.gov/issue/impact-fatigue-and-insufficient-sleep-physician-and-patient-outcomes-systematic-review
October 19, 2022 - Review
Emerging Classic
Impact of fatigue and insufficient sleep on physician and patient outcomes: a systematic review.
Citation Text:
Gates M, Wingert A, Featherstone R, et al. Impact of fatigue and insufficient sleep on physician and patient outcomes: a syste…
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psnet.ahrq.gov/issue/more-1-million-potential-second-victims-how-many-could-nursing-education-prevent
May 30, 2018 - Study
More than 1 million potential second victims: how many could nursing education prevent?
Citation Text:
Jones JH, Treiber LA. More Than 1 Million Potential Second Victims: How Many Could Nursing Education Prevent? Nurs Edu. 2018;43(3):154-157. doi:10.1097/NNE.0000000000000437.
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psnet.ahrq.gov/issue/pediatric-trainee-perspectives-decision-disclose-medical-errors
April 27, 2022 - Study
Pediatric trainee perspectives on the decision to disclose medical errors.
Citation Text:
Lin M, Horwitz LI, Gross RS, et al. Pediatric trainee perspectives on the decision to disclose medical errors. J Patient Saf. 2022;18(2):e470-e476. doi:10.1097/pts.0000000000000848.
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psnet.ahrq.gov/issue/need-standardized-sign-out-emergency-department-survey-emergency-medicine-residency-and
May 27, 2011 - Study
Need for standardized sign-out in the emergency department: a survey of emergency medicine residency and pediatric emergency medicine fellowship program directors.
Citation Text:
Sinha M, Shriki J, Salness R, et al. Need for standardized sign-out in the emergency department: a su…
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psnet.ahrq.gov/issue/disparities-adverse-event-reporting-hospitalized-children
July 27, 2022 - Study
Disparities in adverse event reporting for hospitalized children.
Citation Text:
Halvorson EE, Thurtle DP, Easter A, et al. Disparities in adverse event reporting for hospitalized children. J Patient Saf. 2022;18(6):e928-e933. doi:10.1097/pts.0000000000001049.
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psnet.ahrq.gov/issue/patient-safety-medical-imaging-joint-paper-european-society-radiology-esr-and-european
September 30, 2010 - Commentary
Patient safety in medical imaging: a joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS).
Citation Text:
Radiology ES of, Societies EF of R. Patient Safety in Medical Imaging: a joint paper of the European Society…
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psnet.ahrq.gov/issue/older-patients-understanding-emergency-department-discharge-information-and-its-relationship
October 10, 2012 - Study
Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes.
Citation Text:
Hastings SN, Barrett A, Weinberger M, et al. Older Patients' Understanding of Emergency Department Discharge Information and Its Relationship Wit…
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psnet.ahrq.gov/issue/medication-errors-community-pharmacies-evaluation-standardized-safety-program
June 29, 2022 - Study
Medication errors in community pharmacies: evaluation of a standardized safety program.
Citation Text:
Ledlie S, Gomes T, Dolovich L, et al. Medication errors in community pharmacies: evaluation of a standardized safety program. Explor Res Clin Soc Pharm. 2023;9:100218. doi:10.1016…
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psnet.ahrq.gov/issue/guide-evaluation-quality-improvement-and-patient-safety-educational-programs-lessons-va-chief
February 26, 2020 - Commentary
A guide to evaluation of quality improvement and patient safety educational programs: lessons from the VA Chief Resident in Quality and Safety Program.
Citation Text:
Butcher RL, Carluzzo KL, Watts B, et al. A Guide to Evaluation of Quality Improvement and Patient Safety Educa…
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psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
May 01, 2019 - Electrocardiogram Results: ***READ ME***
Citation Text:
Alpert JS. Electrocardiogram Results: ***READ ME***. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.461_slideshow.ppt
November 01, 2018 - Spotlight
Spotlight
Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees
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Source and Credits
This presentation is based on the November 2018 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Olle ten C…