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psnet.ahrq.gov/issue/piece-my-mind-writing-wrong
January 24, 2024 - Commentary
A piece of my mind. Writing the wrong.
Citation Text:
Patel JJ. A PIECE OF MY MIND. Writing the Wrong. JAMA. 2015;314(7):671-2. doi:10.1001/jama.2015.5281.
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psnet.ahrq.gov/issue/patient-safety-morning-report-innovation-teaching-core-patient-safety-principles-third-year
May 07, 2014 - Commentary
Patient safety morning report: innovation in teaching core patient safety principles to third-year medical students.
Citation Text:
Beekman M, Emani VK, Wolford R, et al. Patient Safety Morning Report: Innovation in Teaching Core Patient Safety Principles to Third-Year Medical…
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psnet.ahrq.gov/issue/effect-health-information-technology-quality-us-hospitals
September 27, 2010 - Study
The effect of health information technology on quality in U.S. hospitals.
Citation Text:
McCullough JS, Casey M, Moscovice I, et al. The effect of health information technology on quality in U.S. hospitals. Health Aff (Millwood). 2010;29(4):647-654. doi:10.1377/hlthaff.2010.0155.
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psnet.ahrq.gov/issue/are-amended-surgical-pathology-reports-getting-correct-responsible-care-provider
September 04, 2024 - Study
Are amended surgical pathology reports getting to the correct responsible care provider?
Citation Text:
Parkash V, Domfeh A, Cohen P, et al. Are amended surgical pathology reports getting to the correct responsible care provider? Am J Clin Pathol. 2014;142(1):58-63. doi:10.1309/AJC…
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psnet.ahrq.gov/issue/educational-interventions-improve-handover-health-care-systematic-review
August 04, 2021 - Review
Educational interventions to improve handover in health care: a systematic review.
Citation Text:
Gordon M, Findley R. Educational interventions to improve handover in health care: a systematic review. Med Educ. 2011;45(11):1081-9. doi:10.1111/j.1365-2923.2011.04049.x.
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psnet.ahrq.gov/issue/diagnostic-error-pediatric-cancer
November 16, 2022 - Study
Diagnostic error in pediatric cancer.
Citation Text:
Carberry AR, Hanson K, Flannery A, et al. Diagnostic Error in Pediatric Cancer. Clin Pediatr (Phila). 2017;57*1((1):11-18. doi:10.1177/0009922816687325.
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psnet.ahrq.gov/issue/characteristics-patient-care-management-problems-identified-emergency-department-morbidity
April 24, 2018 - Study
Characteristics of patient care management problems identified in emergency department morbidity and mortality investigations during 15 years.
Citation Text:
Cosby K, Roberts R, Palivos L, et al. Characteristics of patient care management problems identified in emergency departme…
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psnet.ahrq.gov/issue/communication-during-trauma-resuscitation-do-we-know-what-happening
February 03, 2021 - Study
Communication during trauma resuscitation: do we know what is happening?
Citation Text:
Bergs EAG, Rutten FLPA, Tadros T, et al. Communication during trauma resuscitation: do we know what is happening? Injury. 2005;36(8):905-11.
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psnet.ahrq.gov/issue/causes-near-misses-critical-care-neonates-and-children
July 19, 2023 - Study
Causes of near misses in critical care of neonates and children.
Citation Text:
Tourgeman-Bashkin O, Shinar D, Zmora E. Causes of near misses in critical care of neonates and children. Acta Paediatr. 2008;97(3):299-303. doi:10.1111/j.1651-2227.2007.00616.x.
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psnet.ahrq.gov/issue/systematic-review-performance-characteristics-clinical-event-monitor-signals-used-detect
March 28, 2012 - Review
A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse drug events in the hospital setting.
Citation Text:
Handler S, Altman RL, Perera S, et al. A systematic review of the performance characteristics of clinical event mon…
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psnet.ahrq.gov/issue/assessment-bias-patient-safety-reporting-systems-categorized-physician-gender-race-and
June 22, 2022 - Study
Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study.
Citation Text:
doi:https://doi.org/10.1001/jamanetworkopen.2022.13234.
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psnet.ahrq.gov/issue/armstrong-institute-residentfellow-scholars-multispecialty-curriculum-train-future-leaders
October 19, 2022 - Commentary
The Armstrong Institute Resident/Fellow Scholars: a multispecialty curriculum to train future leaders in patient safety and quality improvement.
Citation Text:
Rinke ML, Mock CK, Persing NM, et al. The Armstrong Institute Resident/Fellow Scholars: A Multispecialty Curriculum t…
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psnet.ahrq.gov/issue/elopement-evidence-based-mitigation-and-management
October 19, 2022 - Study
Elopement: evidence-based mitigation and management.
Citation Text:
Marlett JE, Vacovsky BA, Krug EA, et al. Elopement: evidence‐based mitigation and management. Worldviews Evid Based Nurs. 2024;20(6):634-641. doi:10.1111/wvn.12683.
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psnet.ahrq.gov/issue/disruptive-behaviour-perioperative-setting-contemporary-review
March 06, 2024 - Review
Disruptive behaviour in the perioperative setting: a contemporary review.
Citation Text:
Villafranca A, Hamlin C, Enns S, et al. Disruptive behaviour in the perioperative setting: a contemporary review. Canadian J Anaesth. 2017;64(2):128-140. doi:10.1007/s12630-016-0784-x.
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psnet.ahrq.gov/issue/patient-safety-and-dentistry-what-do-we-need-know-fundamentals-patient-safety-safety-culture
April 01, 2020 - Review
Patient safety and dentistry: what do we need to know? Fundamentals of patient safety, the safety culture and implementation of patient safety measures in dental practice.
Citation Text:
Yamalik N, Pérez BP. Patient safety and dentistry: what do we need to know? Fundamentals of …
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psnet.ahrq.gov/issue/living-aftermath-second-victim-experience-among-certified-registered-nurse-anesthetists
April 12, 2019 - Study
Living with the aftermath: the second victim experience among certified registered nurse anesthetists.
Citation Text:
Kruse JA, Podojil-Kostecki P, Smith B. Living with the aftermath: the second victim experience among certified registered nurse anesthetists. AANA J. 2024;92(3):173…
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psnet.ahrq.gov/issue/improving-sepsis-care-through-systems-change-impact-medical-emergency-team
December 02, 2009 - Commentary
Improving sepsis care through systems change: the impact of a medical emergency team.
Citation Text:
Sarani B, Brenner SR, Gabel B, et al. Improving sepsis care through systems change: the impact of a medical emergency team. Jt Comm J Qual Patient Saf. 2008;34(3):179-182, 12…
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psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-food-and-drug-administration-1998-2005
June 07, 2016 - Study
Serious adverse drug events reported to the Food and Drug Administration, 1998-2005.
Citation Text:
Moore TJ, Cohen MR, Furberg CD. Serious adverse drug events reported to the Food and Drug Administration, 1998-2005. Arch Intern Med. 2007;167(16):1752-9.
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psnet.ahrq.gov/issue/err-human-improving-diagnosis-health-care-risk-management-perspective
April 24, 2018 - Commentary
From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective.
Citation Text:
Bunting RF, Groszkruger DP. From To Err Is Human to Improving Diagnosis in Health Care: The risk management perspective. J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1…
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psnet.ahrq.gov/issue/complying-acgme-resident-duty-hours-restrictions-restructuring-80-hour-workweek-enhance
August 04, 2021 - Study
Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital.
Citation Text:
Ogden PE, Sibbitt S, Howell M, et al. Complying with ACGME resident duty hours restrictio…