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psnet.ahrq.gov/issue/patients-perspective-hematological-cancer-patients-experiences-adverse-events-part-care
December 01, 2019 - Study
The patients' perspective: hematological cancer patients' experiences of adverse events as part of care.
Citation Text:
Bryant J, Carey M, Sanson-Fisher R, et al. The patients' perspective: hematological cancer patients' experiences of adverse events as part of care. J Patient Saf.…
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psnet.ahrq.gov/issue/comparison-appendectomy-outcomes-between-senior-general-surgeons-and-general-surgery
May 03, 2023 - Study
Comparison of appendectomy outcomes between senior general surgeons and general surgery residents.
Citation Text:
Siam B, Al-Kurd A, Simanovsky N, et al. Comparison of Appendectomy Outcomes Between Senior General Surgeons and General Surgery Residents. JAMA Surg. 2017;152(7):679-68…
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psnet.ahrq.gov/issue/crisis-management-surgical-teams-and-their-leaders-lessons-covid-19-pandemic-structured
February 12, 2020 - Review
Crisis management for surgical teams and their leaders, lessons from the COVID-19 pandemic; a structured approach to developing resilience or natural organisational responses.
Citation Text:
Pring ET, Malietzis G, Kendall SWH, et al. Crisis management for surgical teams and their …
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psnet.ahrq.gov/issue/medication-dosage-calculation-among-nursing-students-does-digital-technology-make-difference
October 12, 2022 - Review
Medication dosage calculation among nursing students: does digital technology make a difference? A literature review.
Citation Text:
Stake-Nilsson K, Almstedt M, Fransson G, et al. Medication dosage calculation among nursing students: does digital technology make a difference? A …
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psnet.ahrq.gov/issue/use-electronic-decision-support-tool-reduce-polypharmacy-elderly-people-chronic-diseases
August 18, 2021 - Study
Emerging Classic
Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial.
Citation Text:
Rieckert A, Reeves D, Altiner A, et al. Use of an electronic decision support to…
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psnet.ahrq.gov/issue/how-induce-error-management-climate-experimental-evidence-newly-formed-teams
August 24, 2022 - Study
How to induce an error management climate: experimental evidence from newly formed teams.
Citation Text:
Horvath D, Keith N, Klamar A, et al. How to induce an error management climate: experimental evidence from newly formed teams. J Bus Psychol. 2023;38:763–775. doi:10.1007/s10869…
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effectivehealthcare.ahrq.gov/sites/default/files/bar-cohen_-eccs2012.pdf
January 01, 2012 - Bar-Cohen_ ECCS2012
Slide 1: Addressing
Tensions
When Social/Family Support and Evidence-‐
Based Care Collide
Annette Bar-‐Cohen, M.A., M.P.H., Discussant
Executive Director, Center for NBCC Advocacy Training
National Breast Cancer
Coalition,
Washington,
DC
…
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digital.ahrq.gov/sites/default/files/docs/resource/James_Veline_IQHIT_Q6_Compliance_and_Adherence_Patient_Handout.pdf
June 16, 2021 - We use medicines to treat illness so that we
can avoid going to the hospital and have a
better life. Medical scientists have shown
that medicines help us deal with illness and
improve our health Yet many people do not
know how important their medicines are This
is true for people taking medicine to keep
their bl…
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psnet.ahrq.gov/issue/frequency-failure-inform-patients-clinically-significant-outpatient-test-results
April 24, 2018 - Study
Frequency of failure to inform patients of clinically significant outpatient test results.
Citation Text:
Casalino LP, Dunham D, Chin MH, et al. Frequency of failure to inform patients of clinically significant outpatient test results. Arch Intern Med. 2009;169(12):1123-9. doi:10…
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psnet.ahrq.gov/issue/developing-open-disclosure-strategies-medical-error-using-simulation-final-year-medical
September 29, 2018 - Study
Developing open disclosure strategies to medical error using simulation in final-year medical students: linking mindset and experiential learning to lifelong reflective practice.
Citation Text:
Lane AS, Roberts C. Developing open disclosure strategies to medical error using simulat…
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psnet.ahrq.gov/issue/support-healthcare-workers-and-patients-after-medical-error-through-mutual-healing-another
June 16, 2021 - Study
Support for healthcare workers and patients after medical error through mutual healing: another step towards patient safety.
Citation Text:
Aubin DL, Soprovich A, Diaz Carvallo F, et al. Support for healthcare workers and patients after medical error through mutual healing: another…
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psnet.ahrq.gov/node/45664/psn-pdf
July 02, 2017 - Intraoperative adverse events in abdominal surgery: what
happens in the operating room does not stay in the
operating room.
July 2, 2017
Bohnen JD, Mavros MN, Ramly EP, et al. Intraoperative Adverse Events in Abdominal Surgery: What
Happens in the Operating Room Does Not Stay in the Operating Room. Ann Surg. 2017;…
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psnet.ahrq.gov/node/42567/psn-pdf
September 11, 2013 - What happens to the medication regimens of older adults
during and after an acute hospitalization?
September 11, 2013
Harris CM, Sridharan A, Landis R, et al. What happens to the medication regimens of older adults during
and after an acute hospitalization? J Patient Saf. 2013;9(3):150-3. doi:10.1097/PTS.0b013e3182…
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psnet.ahrq.gov/node/36149/psn-pdf
September 29, 2010 - When incidents happen.
September 29, 2010
Newfield JS. When Incidents Happen. Home Health Care Manag Pract. 2006;18(5).
doi:10.1177/1084822306287998.
https://psnet.ahrq.gov/issue/when-incidents-happen
The author discusses post-incident documentation for the home care setting and addresses legal issues.
https://ps…
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psnet.ahrq.gov/node/45874/psn-pdf
February 22, 2017 - Ethics in the pediatric emergency department: when
mistakes happen: an approach to the process, evaluation,
and response to medical errors.
February 22, 2017
Dreisinger N, Zapolsky N. Ethics in the Pediatric Emergency Department: When Mistakes Happen: An
Approach to the Process, Evaluation, and Response to Medical…
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psnet.ahrq.gov/node/39923/psn-pdf
September 03, 2014 - Sued for misdiagnosis? It could happen to you.
September 3, 2014
Lippman H, Davenport J. Sued for misdiagnosis? It could happen to you. J Fam Pract. 2010;59(9):498-508.
https://psnet.ahrq.gov/issue/sued-misdiagnosis-it-could-happen-you
This article explains how to avoid diagnostic error, minimize litigation, and pr…
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psnet.ahrq.gov/node/40194/psn-pdf
June 20, 2011 - What happens when things go wrong?
June 20, 2011
Brandom BW, Callahan P, Micalizzi DA. What happens when things go wrong? Paediatr Anaesth.
2011;21(7):730-6. doi:10.1111/j.1460-9592.2010.03513.x.
https://psnet.ahrq.gov/issue/what-happens-when-things-go-wrong
This commentary reveals a personal story of loss and dis…
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psnet.ahrq.gov/node/38215/psn-pdf
November 14, 2011 - Could it happen here? Learning from other organizations'
safety errors.
November 14, 2011
Conway JB. Could it happen here? Learning from other organizations' safety errors. Healthcare Executive.
2008;23(6):64, 66-67.
https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors
This…
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psnet.ahrq.gov/node/39489/psn-pdf
June 11, 2010 - What happens between visits? Adverse and potential
adverse events among a low-income, urban, ambulatory
population with diabetes.
June 11, 2010
Sarkar U, Handley MA, Gupta R, et al. What happens between visits? Adverse and potential adverse
events among a low-income, urban, ambulatory population with diabetes. Qua…
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psnet.ahrq.gov/node/35181/psn-pdf
June 23, 2009 - Communication during trauma resuscitation: do we know
what is happening?
June 23, 2009
Bergs EAG, Rutten FLPA, Tadros T, et al. Communication during trauma resuscitation: do we know what is
happening? Injury. 2005;36(8):905-11.
https://psnet.ahrq.gov/issue/communication-during-trauma-resuscitation-do-we-know-what-…