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psnet.ahrq.gov/issue/handoffs-era-duty-hours-reform-focused-review-and-strategy-address-changes-accreditation
July 13, 2010 - Commentary
Handoffs in the era of duty hours reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements.
Citation Text:
DeRienzo CM, Frush K, Barfield ME, et al. Handoffs in the era of duty hours reform…
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psnet.ahrq.gov/issue/using-near-miss-events-improve-mri-safety-large-academic-centre
May 31, 2017 - Commentary
Using near-miss events to improve MRI safety in a large academic centre.
Citation Text:
Goolsarran N, Martinez J, Garcia C. Using near-miss events to improve MRI safety in a large academic centre. BMJ Open Qual. 2019;8(2):e000593. doi:10.1136/bmjoq-2018-000593.
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psnet.ahrq.gov/issue/july-phenomenon-trauma-exception
January 15, 2014 - Study
The "July phenomenon": is trauma the exception?
Citation Text:
Schroeppel TJ, Fischer PE, Magnotti LJ, et al. The "July phenomenon": is trauma the exception? J Am Coll Surg. 2009;209(3):378-84. doi:10.1016/j.jamcollsurg.2009.05.026.
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psnet.ahrq.gov/issue/prehospital-naloxone-and-emergency-department-adverse-events-dose-dependent-relationship
March 02, 2022 - Study
Prehospital naloxone and emergency department adverse events: a dose-dependent relationship.
Citation Text:
Maloney LM, Alptunaer T, Coleman G, et al. Prehospital naloxone and emergency department adverse events: a dose-dependent relationship. J Emerg Med. 2020;59(6):872-883. doi:1…
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psnet.ahrq.gov/issue/restricting-resident-work-hours-good-bad-and-ugly
December 02, 2020 - Review
Restricting resident work hours: the good, the bad, and the ugly.
Citation Text:
Peets A, Ayas N. Restricting resident work hours: the good, the bad, and the ugly. Crit Care Med. 2012;40(3):960-6. doi:10.1097/CCM.0b013e3182413bc5.
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psnet.ahrq.gov/issue/change-intern-calls-night-after-work-hour-restriction-process-change
September 01, 2017 - Study
Change in intern calls at night after a work hour restriction process change.
Citation Text:
Spellberg B, Sue D, Chang D, et al. Change in intern calls at night after a work hour restriction process change. JAMA Intern Med. 2013;173(8):707-9; discussion 663. doi:10.1001/jamainternm…
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psnet.ahrq.gov/issue/intersystem-medical-error-discovery-document-analysis-ethical-guidelines
December 14, 2022 - Review
Intersystem medical error discovery: a document analysis of ethical guidelines.
Citation Text:
Duffy B, Miller J, Vitous CA, et al. Intersystem medical error discovery: a document analysis of ethical guidelines. J Patient Saf. 2021;17(8):e1765-e1773. doi:10.1097/pts.00000000000006…
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psnet.ahrq.gov/issue/development-instrument-measure-unintended-consequences-ehrs
June 22, 2011 - Commentary
Development of an instrument to measure the unintended consequences of EHRs.
Citation Text:
Carrington JM, Gephart SM, Verran JA, et al. Development of an Instrument to Measure the Unintended Consequences of EHRs. West J Nurs Res. 2015;37(7):842-58. doi:10.1177/019394591557608…
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psnet.ahrq.gov/issue/transitional-chaos-or-enduring-harm-ehr-and-disruption-medicine
August 02, 2015 - Commentary
Transitional chaos or enduring harm? The EHR and the disruption of medicine.
Citation Text:
Rosenbaum L. Transitional Chaos or Enduring Harm? The EHR and the Disruption of Medicine. New Engl J Med. 2015;373(17):1585-1588. doi:10.1056/NEJMp1509961.
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psnet.ahrq.gov/issue/fractures-fingers-missed-or-misdiagnosed-poorly-positioned-or-poorly-taken-radiographs
September 07, 2022 - Study
Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study.
Citation Text:
Tuncer S, Aksu N, Dilek H, et al. Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospect…
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psnet.ahrq.gov/issue/overriding-drug-safety-alerts-computerized-physician-order-entry
March 04, 2011 - Review
Overriding of drug safety alerts in computerized physician order entry.
Citation Text:
van der Sijs H, Aarts J, Vulto A, et al. Overriding of drug safety alerts in computerized physician order entry. J Am Med Inform Assoc. 2006;13(2):138-47.
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psnet.ahrq.gov/issue/epidemiology-and-patient-outcome-after-medical-emergency-team-calls-triggered-atrial
March 05, 2010 - Study
Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation.
Citation Text:
Schneider A, Calzavacca P, Jones D, et al. Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation. Resuscitation. 2011…
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psnet.ahrq.gov/issue/multidose-drug-dispensing-and-discrepancies-between-medication-records
November 06, 2013 - Study
Multidose drug dispensing and discrepancies between medication records.
Citation Text:
Wekre LJ, Spigset O, Sletvold O, et al. Multidose drug dispensing and discrepancies between medication records. Qual Saf Health Care. 2010;19(5):e42. doi:10.1136/qshc.2009.038745.
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psnet.ahrq.gov/issue/covid-19-pandemic-and-tension-between-need-act-and-need-know
July 28, 2021 - Commentary
COVID-19 pandemic and the tension between the need to act and the need to know.
Citation Text:
Scott IA. COVID-19 pandemic and the tension between the need to act and the need to know. Intern Med J. 2020;50(8):904-909. doi:10.1111/imj.14929.
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psnet.ahrq.gov/issue/changing-conversations-teaching-safety-and-quality-residency-training
January 02, 2017 - Study
Changing conversations: teaching safety and quality in residency training.
Citation Text:
Voss JD, May NB, Schorling JB, et al. Changing conversations: teaching safety and quality in residency training. Acad Med. 2008;83(11):1080-7. doi:10.1097/ACM.0b013e31818927f8.
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psnet.ahrq.gov/issue/analysis-medical-emergency-team-calls-comparing-subjective-objective-call-criteria
December 01, 2008 - Study
Analysis of medical emergency team calls comparing subjective to "objective" call criteria.
Citation Text:
Santiano N, Young L, Hillman K, et al. Analysis of medical emergency team calls comparing subjective to "objective" call criteria. Resuscitation. 2009;80(1):44-9. doi:10.101…
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psnet.ahrq.gov/issue/risk-factors-adverse-events-patients-breast-colorectal-and-lung-cancer
July 19, 2017 - Study
Risk factors for adverse events in patients with breast, colorectal, and lung cancer.
Citation Text:
Weingart SN, Atoria CL, Pfister D, et al. Risk Factors for Adverse Events in Patients With Breast, Colorectal, and Lung Cancer. J Patient Saf. 2021;17(8):e701-e707. doi:10.1097/pts.…
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psnet.ahrq.gov/issue/learning-litigation-role-claims-analysis-patient-safety
November 21, 2018 - Study
Learning from litigation. The role of claims analysis in patient safety.
Citation Text:
Vincent CA, Davy C, Esmail A, et al. Learning from litigation. The role of claims analysis in patient safety. J Eval Clin Pract. 2006;12(6):665-74.
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psnet.ahrq.gov/issue/association-between-night-or-weekend-admission-and-hospitalization-relevant-patient-outcomes
November 26, 2014 - Study
The association between night or weekend admission and hospitalization-relevant patient outcomes.
Citation Text:
Khanna R, Wachsberg K, Marouni A, et al. The association between night or weekend admission and hospitalization-relevant patient outcomes. J Hosp Med. 2011;6(1):10-4.…
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psnet.ahrq.gov/issue/online-medication-error-graphic-reports-pilot-north-carolina-nursing-homes
March 24, 2011 - Study
Online medication error graphic reports: a pilot in North Carolina nursing homes.
Citation Text:
Greene SB, Williams CE, Pierson S, et al. Online medication error graphic reports: a pilot in North Carolina nursing homes. J Patient Saf. 2011;7(2):92-8. doi:10.1097/PTS.0b013e31821b4…