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psnet.ahrq.gov/issue/diagnostic-errors-and-abnormal-diagnostic-tests-lost-follow-source-needless-waste-and-delay
December 22, 2008 - Commentary
Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment.
Citation Text:
Wahls TL. Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. J Ambul Care M…
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psnet.ahrq.gov/issue/sins-omission-getting-too-little-medical-care-may-be-greatest-threat-patient-safety
March 06, 2005 - Study
Sins of omission. Getting too little medical care may be the greatest threat to patient safety.
Citation Text:
Hayward RA, Asch SM, Hogan MM, et al. Sins of omission: getting too little medical care may be the greatest threat to patient safety. J Gen Intern Med. 2005;20(8):686-91…
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psnet.ahrq.gov/issue/retrospective-review-crisis-events-diagnostic-radiology-analysis-frequency-demographics
February 17, 2017 - Study
A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics, etiologies, and outcomes.
Citation Text:
Tindel MS, Darby JM, Simmons RL. A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics…
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psnet.ahrq.gov/issue/risk-factors-iv-compounding-errors-when-using-automated-workflow-management-system
September 23, 2020 - Study
Risk factors for i.v. compounding errors when using an automated workflow management system.
Citation Text:
Deng Y, Lin AC, Hingl J, et al. Risk factors for i.v. compounding errors when using an automated workflow management system. Am J Health Syst Pharm. 2016;73(12):887-893. doi:…
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psnet.ahrq.gov/issue/safety-overlapping-inpatient-orthopaedic-surgery-multicenter-study
April 24, 2018 - Study
Safety of overlapping inpatient orthopaedic surgery: a multicenter study.
Citation Text:
Dy CJ, Osei DA, Maak TG, et al. Safety of Overlapping Inpatient Orthopaedic Surgery: A Multicenter Study. J Bone Joint Surg Am. 2018;100(22):1902-1911. doi:10.2106/JBJS.17.01625.
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psnet.ahrq.gov/issue/healthcare-utilizing-deliberate-discussion-linking-events-huddle-systematic-review
November 16, 2022 - Review
Healthcare Utilizing Deliberate Discussion Linking Events (HUDDLE): a systematic review.
Citation Text:
Glymph DC, Olenick M, Barbera S, et al. Healthcare Utilizing Deliberate Discussion Linking Events (HUDDLE): A Systematic Review. AANA J. 2015;83(3):183-188.
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psnet.ahrq.gov/issue/patient-safety-otolaryngology-descriptive-review
July 14, 2010 - Review
Patient safety in otolaryngology: a descriptive review.
Citation Text:
Danino J, Muzaffar J, Metcalfe C, et al. Patient safety in otolaryngology: a descriptive review. Eur Arch Otorhinolaryngol. 2017;274(3):1317-1326. doi:10.1007/s00405-016-4291-z.
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psnet.ahrq.gov/issue/critical-care-transition-programs-and-risk-readmission-or-death-after-discharge-icu
October 13, 2018 - Review
Critical care transition programs and the risk of readmission or death after discharge from an ICU: a systematic review and meta-analysis.
Citation Text:
Niven DJ, Bastos JF, Stelfox HT. Critical care transition programs and the risk of readmission or death after discharge from …
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psnet.ahrq.gov/issue/application-human-factor-analysis-and-classification-system-hfacs-model-prevention-medical
October 05, 2022 - Review
Application of "Human Factor Analysis and Classification System" (HFACS) model to the prevention of medical errors and adverse events: a systematic review.
Citation Text:
Application of "Human Factor Analysis and Classification System" (HFACS) model to the prevention of medical er…
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psnet.ahrq.gov/issue/factors-affecting-medical-residents-decisions-work-after-call
October 19, 2022 - Study
Factors affecting medical residents' decisions to work after call.
Citation Text:
Carr MM, Foreman AM, Friedel JE, et al. Factors affecting medical residents' decisions to work after call. J Patient Saf. 2024;20(1):16-21. doi:10.1097/pts.0000000000001175.
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psnet.ahrq.gov/issue/why-pediatricians-fail-diagnose-hypertension-multicenter-survey
August 26, 2020 - Study
Why pediatricians fail to diagnose hypertension: a multicenter survey.
Citation Text:
Bijlsma MW, Blufpand HN, Kaspers GJL, et al. Why pediatricians fail to diagnose hypertension: a multicenter survey. J Pediatr. 2014;164(1):173-177.e7. doi:10.1016/j.jpeds.2013.08.066.
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psnet.ahrq.gov/issue/epidemiology-adverse-events-and-medical-errors-care-cardiology-patients
November 26, 2014 - Study
Epidemiology of adverse events and medical errors in the care of cardiology patients.
Citation Text:
Ohta Y, Miki I, Kimura T, et al. Epidemiology of Adverse Events and Medical Errors in the Care of Cardiology Patients. J Patient Saf. 2019;15(3):251-256. doi:10.1097/PTS.00000000000…
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psnet.ahrq.gov/issue/flawed-self-assessment-hand-hygiene-major-contributor-infections-clinical-practice
September 02, 2020 - Study
Flawed self-assessment in hand hygiene: a major contributor to infections in clinical practice?
Citation Text:
Kelcikova S, Mazuchova L, Bielena L, et al. Flawed self-assessment in hand hygiene: A major contributor to infections in clinical practice? J Clin Nurs. 2019;28(11-12):226…
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psnet.ahrq.gov/issue/predictors-perceived-discrimination-medical-settings-among-muslim-women-usa
November 26, 2012 - Study
Predictors of perceived discrimination in medical settings among Muslim women in the USA.
Citation Text:
Murrar S, Baqai B, Padela AI. Predictors of perceived discrimination in medical settings among Muslim women in the USA. J Racial Ethn Health Disparities. 2024;11(1):150-156. doi…
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psnet.ahrq.gov/issue/rapid-response-systems-netherlands
November 20, 2015 - Study
Rapid response systems in the Netherlands.
Citation Text:
Ludikhuize J, Hamming A, De Jonge E, et al. Rapid Response Systems in the Netherlands. Jt Comm J Qual Patient Saf. 2016;37(3):138-149. doi:10.1016/s1553-7250(11)37017-1.
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psnet.ahrq.gov/issue/analysis-intervention-employability-pharmacy-related-medication-safety-reports-tertiary
November 21, 2021 - Study
Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical center.
Citation Text:
Crozier N, Robinson E, Murtagh NC, et al. Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical cen…
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psnet.ahrq.gov/issue/paediatric-early-warning-systems-detecting-and-responding-clinical-deterioration-children
January 26, 2022 - Review
Paediatric early warning systems for detecting and responding to clinical deterioration in children: a systematic review.
Citation Text:
Lambert V, Matthews A, MacDonell R, et al. Paediatric early warning systems for detecting and responding to clinical deterioration in children: …
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psnet.ahrq.gov/issue/how-unprofessional-behaviours-between-healthcare-staff-threaten-patient-care-and-safety
July 24, 2024 - Commentary
How unprofessional behaviours between healthcare staff threaten patient care and safety.
Citation Text:
Aunger J, Maben J, Westbrook JI. How unprofessional behaviours between healthcare staff threaten patient care and safety. Expert Rev Pharmacoecon Outcomes Res. 2025;Epub Jan…
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psnet.ahrq.gov/issue/impact-adverse-events-clinicians-whats-name
March 25, 2020 - Review
The impact of adverse events on clinicians: what's in a name?
Citation Text:
Wu AW, Shapiro J, Harrison R, et al. The Impact of Adverse Events on Clinicians: What's in a Name? J Patient Saf. 2020;16(1):65-72. doi:10.1097/PTS.0000000000000256.
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psnet.ahrq.gov/issue/10000-good-catches-increasing-safety-event-reporting-pediatric-health-care-system
April 20, 2022 - Study
10,000 good catches: increasing safety event reporting in a pediatric health care system.
Citation Text:
Crandall KM, Almuhanna A, Cady R, et al. 10,000 Good Catches: Increasing Safety Event Reporting In A Pediatric Health Care System. Pediatr Qual Saf. 2019;3(2):e072. doi:10.1097/…