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psnet.ahrq.gov/issue/developing-high-performance-team-training-framework-internal-medicine-residents-abcs-teamwork
June 01, 2011 - Study
Developing a high-performance team training framework for internal medicine residents: the ABC'S of teamwork.
Citation Text:
Carbo AR, Tess A, Roy CL, et al. Developing a high-performance team training framework for internal medicine residents: the ABC'S of teamwork. J Patient Sa…
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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/positive-predictive-value-ahrq-accidental-puncture-or-laceration-patient-safety-indicator
April 03, 2017 - Slideset
Positive predictive value of the AHRQ accidental puncture or laceration patient safety indicator.
Citation Text:
Utter GH, Zrelak PA, Baron R, et al. Positive predictive value of the AHRQ accidental puncture or laceration patient safety indicator. Ann Surg. 2009;250(6):1041-5.…
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psnet.ahrq.gov/issue/evaluation-occult-fractures-injured-children
August 20, 2014 - Study
Evaluation for occult fractures in injured children.
Citation Text:
Wood JN, French B, Song L, et al. Evaluation for Occult Fractures in Injured Children. Pediatrics. 2015;136(2):232-40. doi:10.1542/peds.2014-3977.
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psnet.ahrq.gov/issue/variations-state-physician-disciplinary-actions-us-medical-licensure-boards
March 12, 2025 - Study
Variations by state in physician disciplinary actions by US medical licensure boards.
Citation Text:
Harris JA, Byhoff E. Variations by state in physician disciplinary actions by US medical licensure boards. BMJ Qual Saf. 2017;26(3):200-208. doi:10.1136/bmjqs-2015-004974.
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psnet.ahrq.gov/issue/clinical-relevance-and-risk-factors-associated-medication-administration-time-errors
May 08, 2017 - Study
Clinical relevance of and risk factors associated with medication administration time errors.
Citation Text:
Teunissen R, Bos J, Pot H, et al. Clinical relevance of and risk factors associated with medication administration time errors. Am J Health Syst Pharm. 2013;70(12):1052-6. …
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psnet.ahrq.gov/issue/hospital-patient-safety-grades-may-misrepresent-hospital-performance
September 21, 2022 - Study
Hospital patient safety grades may misrepresent hospital performance.
Citation Text:
Hwang W, Derk J, LaClair M, et al. Hospital patient safety grades may misrepresent hospital performance. J Hosp Med. 2014;9(2):111-5. doi:10.1002/jhm.2139.
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psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-organizations-anesthesiology
March 07, 2018 - Commentary
Quality improvement and patient safety organizations in anesthesiology.
Citation Text:
Dutton RP. Quality improvement and patient safety organizations in anesthesiology. AMA J Ethics. 2015;17(3):248-52. doi:10.1001/journalofethics.2015.17.3.pfor1-1503.
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psnet.ahrq.gov/issue/teaching-medical-students-about-medical-errors-and-patient-safety-evaluation-required
June 08, 2022 - Study
Teaching medical students about medical errors and patient safety: evaluation of a required curriculum.
Citation Text:
Halbach JL, Sullivan LL. Teaching medical students about medical errors and patient safety: evaluation of a required curriculum. Acad Med. 2005;80(6):600-6.
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psnet.ahrq.gov/issue/defining-landscape-patient-harm-after-osteopathic-manipulative-treatment-synthesis-adverse
October 19, 2022 - Review
Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model.
Citation Text:
Unger MD, Barr JN, Brower JA, et al. Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event …
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psnet.ahrq.gov/issue/safe-use-electronic-health-records-and-health-information-technology-systems-trust-verify
August 02, 2015 - Study
Safe use of electronic health records and health information technology systems: trust but verify.
Citation Text:
Denham CR, Classen D, Swenson SJ, et al. Safe use of electronic health records and health information technology systems: trust but verify. J Patient Saf. 2013;9(4):17…
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psnet.ahrq.gov/issue/drug-formulations-require-potentially-inaccurate-volumes-prepare-doses-infants-and-children
April 22, 2011 - Study
Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children.
Citation Text:
Uppal N, Yasseen B, Seto W, et al. Drug formulations that require less than 0.1 mL of stock solution to prepare doses for infants and children. CMAJ. 2011;183(4…
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psnet.ahrq.gov/issue/association-between-elements-electronic-health-record-systems-and-weekend-effect-urgent
November 04, 2015 - Study
Association between elements of electronic health record systems and the weekend effect in urgent general surgery.
Citation Text:
Kothari A, Brownlee SA, Blackwell RH, et al. Association Between Elements of Electronic Health Record Systems and the Weekend Effect in Urgent General S…
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psnet.ahrq.gov/issue/promoting-patient-safety-through-prospective-risk-identification-example-peri-operative-care
September 23, 2020 - Study
Promoting patient safety through prospective risk identification: example from peri-operative care.
Citation Text:
Smith AF, Boult M, Woods I, et al. Promoting patient safety through prospective risk identification: example from peri-operative care. Qual Saf Health Care. 2010;19(…
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psnet.ahrq.gov/issue/sbar-mm-feasible-reliable-and-valid-tool-assess-quality-surgical-morbidity-and-mortality
July 02, 2014 - Study
SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations.
Citation Text:
Mitchell EL, Lee DY, Arora S, et al. SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and …
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psnet.ahrq.gov/issue/medical-errors-orthopaedics-results-aaos-member-survey
August 04, 2021 - Study
Medical errors in orthopaedics. Results of an AAOS member survey.
Citation Text:
Wong DA, Herndon JH, Canale T, et al. Medical errors in orthopaedics. Results of an AAOS member survey. J Bone Joint Surg Am. 2009;91(3):547-57. doi:10.2106/JBJS.G.01439.
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psnet.ahrq.gov/issue/power-written-word-reflection-reduces-errors-omission
April 24, 2018 - Study
The power of written word: reflection reduces errors of omission.
Citation Text:
Rao A, Heidemann LA, Hartley S, et al. The power of written word: reflection reduces errors of omission. Clin Teach. 2024;21(1):e13630. doi:10.1111/tct.13630.
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psnet.ahrq.gov/issue/rise-medical-scribe-industry-implications-advancement-electronic-health-records
January 12, 2022 - Commentary
The rise of the medical scribe industry: implications for the advancement of electronic health records.
Citation Text:
Gellert GA, Ramirez R, Webster L. The rise of the medical scribe industry: implications for the advancement of electronic health records. JAMA. 2015;313(13):1…
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psnet.ahrq.gov/issue/mistreatment-health-care-among-women-appalachia
October 04, 2023 - Study
Mistreatment in health care among women in Appalachia.
Citation Text:
Alspaugh A, Swan LET, Auerbach SL, et al. Mistreatment in health care among women in Appalachia. Cult Health Sex. 2023;25(12):1690-1706. doi:10.1080/13691058.2023.2176547.
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psnet.ahrq.gov/issue/prospective-observational-study-incidence-medication-errors-during-simulated-resuscitation
April 22, 2011 - Study
Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department.
Citation Text:
Kozer E, Seto W, Verjee Z, et al. Prospective observational study on the incidence of medication errors during simulated resus…