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psnet.ahrq.gov/issue/are-they-safe-there-patient-safety-and-trainees-practice
September 22, 2021 - Commentary
Are they safe in there? Patient safety and trainees in the practice.
Citation Text:
Byrnes PD, Crawford M, Wong B. Are they safe in there? - patient safety and trainees in the practice. Aust Fam Physician. 2012;41(1-2):26-9.
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psnet.ahrq.gov/issue/medical-students-experiences-medical-errors-analysis-medical-student-essays
June 22, 2022 - Study
Medical students' experiences with medical errors: an analysis of medical student essays.
Citation Text:
Martinez W, Lo B. Medical students' experiences with medical errors: an analysis of medical student essays. Med Educ. 2008;42(7):733-41. doi:10.1111/j.1365-2923.2008.03109.x. …
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psnet.ahrq.gov/web-mm/case-patient-flow-management
February 23, 2019 - The Case for Patient Flow Management
Citation Text:
Litvak E, Bernheim SA. The Case for Patient Flow Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/issue/pediatric-safety
March 08, 2015 - Newspaper/Magazine Article
Pediatric safety.
Citation Text:
Runy LA. Pediatric safety. Hospitals & health networks. 2009;83(5):8 p following 32, 2.
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psnet.ahrq.gov/issue/impact-statewide-reporting-system-medication-error-reduction
December 16, 2011 - Study
Impact of a statewide reporting system on medication error reduction.
Citation Text:
Impact of a statewide reporting system on medication error reduction. Rask K; Hawley J; Davis A; Naylor D; Thorpe K.
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psnet.ahrq.gov/issue/request-proposals-clinical-quality-measures-improve-diagnosis
December 17, 2008 - Grant Recipient
Request for proposals for clinical quality measures to improve diagnosis.
Citation Text:
Request for proposals for clinical quality measures to improve diagnosis. Palo Alto CA; Gordon and Betty Moore Foundation: February 22, 2022.
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psnet.ahrq.gov/issue/obstetric-iatrogenesis-united-states-spectrum-unintentional-harm-disrespect-violence-and
November 11, 2020 - Commentary
Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, and abuse.
Citation Text:
Liese KL, Davis-Floyd R, Stewart K, et al. Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, an…
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psnet.ahrq.gov/issue/advancing-next-generation-handover-research-and-practice-cognitive-load-theory
November 10, 2021 - Commentary
Advancing the next generation of handover research and practice with cognitive load theory.
Citation Text:
Young JQ, Wachter R, Cate OT, et al. Advancing the next generation of handover research and practice with cognitive load theory. BMJ Qual Saf. 2016;25(2):66-70. doi:10.11…
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psnet.ahrq.gov/issue/using-nam-diagnostic-process-framework-teach-clinical-reasoning-computerized-case
December 07, 2022 - Study
Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students.
Citation Text:
Covin Y, Longo P, Wick N, et al. Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentatio…
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psnet.ahrq.gov/issue/improving-diagnosis-feedback-and-deliberate-practice-one-one-coaching-diagnostic-maturation
July 06, 2022 - Study
Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation.
Citation Text:
Sinha P, Pischel L, Sofair AN. Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation. Diagnosis (Berl). 2021;8(2):…
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psnet.ahrq.gov/issue/context-matters-toward-multilevel-perspective-context-clinical-reasoning-and-error
April 12, 2023 - Commentary
Context matters: toward a multilevel perspective on context in clinical reasoning and error.
Citation Text:
Choi JJ, Durning SJ. Context matters: toward a multilevel perspective on context in clinical reasoning and error. Diagnosis (Berl). 2023;10(2):89-95. doi:10.1515/dx-2022…
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psnet.ahrq.gov/issue/improving-diagnostic-performance-through-feedback-diagnosis-learning-cycle
December 16, 2020 - Commentary
Improving diagnostic performance through feedback: the Diagnosis Learning Cycle.
Citation Text:
Fernandez Branson C, Williams M, Chan TM, et al. Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. BMJ Qual Saf. 2021;30(12):1002-1009. doi:10.1136/bm…
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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/patient-care-square-rigger-sailing-and-safety
November 16, 2022 - Commentary
Patient care, square-rigger sailing, and safety.
Citation Text:
Henkind SJ, Sinnett C. Patient care, square-rigger sailing, and safety. JAMA. 2008;300(14):1691-3. doi:10.1001/jama.300.14.1691.
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psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification
November 14, 2018 - Commentary
Recognizing and managing errors of cognitive underspecification.
Citation Text:
Duthie EA. Recognizing and managing errors of cognitive underspecification. J Patient Saf. 2014;10(1):1-5. doi:10.1097/PTS.0b013e3182a5f6e1.
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psnet.ahrq.gov/issue/considerative-checklist-ensure-safe-daily-patient-review
June 08, 2011 - Commentary
A considerative checklist to ensure safe daily patient review.
Citation Text:
Mohan N, Caldwell G. A Considerative Checklist to ensure safe daily patient review. Clin Teach. 2013;10(4):209-13. doi:10.1111/tct.12023.
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psnet.ahrq.gov/issue/patient-handoffs
June 17, 2014 - Newspaper/Magazine Article
Patient handoffs.
Citation Text:
Runy LA. Patient handoffs. Hospitals & health networks. 2008;82(5):7 p following 40, 2.
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psnet.ahrq.gov/perspective/medias-role-patient-safety
April 27, 2022 - Health Affairs blog in 2010 that the problem is due to the three I’s: invisibility, inertia, and income … Finally, and the least spoken about publicly, is income, which represents the belief that complications … bring additional income to the hospital and sometimes to individual clinicians, such as surgeons. … Why we still kill patients: invisibility, inertia, and income. Health Affairs Forefront .
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psnet.ahrq.gov/perspective/conversation-michael-l-millenson
April 27, 2022 - Health Affairs blog in 2010 that the problem is due to the three I’s: invisibility, inertia, and income … Finally, and the least spoken about publicly, is income, which represents the belief that complications … bring additional income to the hospital and sometimes to individual clinicians, such as surgeons. … Why we still kill patients: invisibility, inertia, and income. Health Affairs Forefront .
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psnet.ahrq.gov/issue/association-intraoperative-anaesthesia-handovers-patient-morbidity-and-mortality-systematic
June 22, 2022 - Review
Association of intraoperative anaesthesia handovers with patient morbidity and mortality: a systematic review and meta-analysis.
Citation Text:
Boet S, Djokhdem H, Leir SA, et al. Association of intraoperative anaesthesia handovers with patient morbidity and mortality: a systemati…