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psnet.ahrq.gov/issue/report-6-managing-risk-and-minimising-mistakes-services-children-and-families
June 13, 2012 - Book/Report
Report 6: Managing Risk and Minimising Mistakes in Services to Children and Families.
Citation Text:
Report 6: Managing Risk and Minimising Mistakes in Services to Children and Families. Bostock L, Bairstow S, Fish S, et al. London, UK: Social Care Institute for Excellenc…
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psnet.ahrq.gov/issue/cognitive-versus-technical-debriefing-after-simulation-training
September 12, 2011 - Study
Cognitive versus technical debriefing after simulation training.
Citation Text:
Bond WF, Deitrick LM, Eberhardt M, et al. Cognitive versus technical debriefing after simulation training. Acad Emerg Med. 2006;13(3):276-283.
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psnet.ahrq.gov/issue/impact-declining-clinical-autopsy-need-revised-healthcare-policy
February 14, 2018 - Review
The impact of declining clinical autopsy: need for revised healthcare policy.
Citation Text:
Xiao J, Krueger GRF, Buja M, et al. The impact of declining clinical autopsy: need for revised healthcare policy. Am J Med Sci. 2009;337(1):41-6. doi:10.1097/MAJ.0b013e318184ce2b.
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psnet.ahrq.gov/issue/healthcare-provider-complaints-emergency-department-preliminary-report-new-quality
October 07, 2013 - Study
Healthcare provider complaints to the emergency department: a preliminary report on a new quality improvement instrument.
Citation Text:
Griffey RT, Bohan JS. Healthcare provider complaints to the emergency department: a preliminary report on a new quality improvement instrument.…
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psnet.ahrq.gov/issue/distributed-cognition-and-role-nurses-diagnostic-safety-emergency-department
April 13, 2011 - Book/Report
Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department.
Citation Text:
Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department. Manojlovich M, Krein SL, Kronick SL, et al. Rockville, MD: Agency for H…
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psnet.ahrq.gov/issue/cognitive-forcing-tool-mitigate-cognitive-bias-randomised-control-trial
November 07, 2018 - Study
A cognitive forcing tool to mitigate cognitive bias—a randomised control trial.
Citation Text:
O'Sullivan ED, Schofield SJ. A cognitive forcing tool to mitigate cognitive bias - a randomised control trial. BMC Med Educ. 2019;19(1):12. doi:10.1186/s12909-018-1444-3.
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psnet.ahrq.gov/issue/identifying-causes-adverse-events-detected-automated-trigger-tool-through-depth-analysis
October 05, 2011 - Study
Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.
Citation Text:
Muething SE, Conway PH, Kloppenborg E, et al. Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis. Qual Saf Health…
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psnet.ahrq.gov/issue/perceived-causes-prescribing-errors-junior-doctors-hospital-inpatients-study-protect
April 19, 2011 - Study
Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme.
Citation Text:
Ross S, Ryan C, Duncan EM, et al. Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programm…
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psnet.ahrq.gov/issue/correlates-third-victim-phenomenon
September 18, 2019 - Review
Correlates of the third victim phenomenon.
Citation Text:
Russ MJ. Correlates of the Third Victim Phenomenon. Psychiatr Q. 2017;88(4):917-920. doi:10.1007/s11126-017-9511-1.
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psnet.ahrq.gov/issue/im-sorry-laws-support-apologies-health-care
March 11, 2020 - Commentary
I'm sorry: laws that support apologies in health care.
Citation Text:
Atkinson Smith M. Iʼm Sorry. Prof Case Manag. 2019;25(1):40-45. doi:10.1097/ncm.0000000000000410.
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psnet.ahrq.gov/issue/deaths-acute-hospitals-caring-end
March 17, 2011 - Book/Report
Deaths in Acute Hospitals: Caring to the End?
Citation Text:
Deaths in Acute Hospitals: Caring to the End? Cooper H, Findlay G, Goodwin APL, et al. London, UK: National Confidential Enquiry into Patient Outcome and Death; November 2009. ISBN: 9780956088222.
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psnet.ahrq.gov/issue/ethical-imperative-think-about-thinking
June 27, 2018 - Commentary
The ethical imperative to think about thinking.
Citation Text:
Stark M, Fins JJ. The ethical imperative to think about thinking - diagnostics, metacognition, and medical professionalism. Camb Q Healthc Ethics. 2014;23(4):386-96. doi:10.1017/S0963180114000061.
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psnet.ahrq.gov/issue/prevent-errors-during-emergency-use-hypertonic-sodium-chloride-solutions
March 10, 2021 - Newspaper/Magazine Article
Prevent errors during emergency use of hypertonic sodium chloride solutions.
Citation Text:
Prevent errors during emergency use of hypertonic sodium chloride solutions. ISMP Medication Safety Alert! Acute care edition. November 4, 2021;26(22); 1-4.
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psnet.ahrq.gov/issue/development-and-psychometric-testing-tool-measure-missed-nursing-care
August 20, 2018 - Study
Development and psychometric testing of a tool to measure missed nursing care.
Citation Text:
Kalisch BJ, Williams RA. Development and psychometric testing of a tool to measure missed nursing care. J Nurs Adm. 2009;39(5):211-9. doi:10.1097/NNA.0b013e3181a23cf5.
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psnet.ahrq.gov/issue/cognitive-errors-and-logistical-breakdowns-contributing-missed-and-delayed-diagnoses-breast
March 02, 2011 - Study
Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims.
Citation Text:
Poon EG, Kachalia A, Puopolo AL, et al. Cognitive errors and logistical breakdowns contributin…
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psnet.ahrq.gov/issue/aiming-higher-enhance-professionalism-beyond-accreditation-and-certification
February 03, 2011 - Commentary
Aiming higher to enhance professionalism: beyond accreditation and certification.
Citation Text:
Chassin MR, Baker DW. Aiming higher to enhance professionalism: beyond accreditation and certification. JAMA. 2015;313(18):1795-6. doi:10.1001/jama.2015.3818.
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psnet.ahrq.gov/issue/lessons-covid-war-investigative-report
March 09, 2022 - Book/Report
Lessons from the Covid War: An Investigative Report.
Citation Text:
Lessons from the Covid War: An Investigative Report. Covid Crisis Group. New York: Public Affairs; 2023. ISBN: 9781541703803.
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psnet.ahrq.gov/issue/bending-patient-safety-curve-how-much-can-ai-help
March 31, 2021 - Commentary
Bending the patient safety curve: how much can AI help?
Citation Text:
Classen DC, Longhurst CA, Thomas EJ. Bending the patient safety curve: how much can AI help? NPJ Digit Med. 2023;6(1):2. doi:10.1038/s41746-022-00731-5.
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psnet.ahrq.gov/issue/structural-empowerment-magnet-hospital-characteristics-and-patient-safety-culture-making-link
May 28, 2014 - Study
Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link.
Citation Text:
Armstrong KJ, Laschinger H. Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link. J Nurs Care Qual. 2006;21(2):124-…
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psnet.ahrq.gov/issue/making-healthcare-safer-understanding-designing-and-buying-better-it
February 20, 2019 - Commentary
Making healthcare safer by understanding, designing and buying better IT.
Citation Text:
Thimbleby H, Lewis A, Williams J. Making healthcare safer by understanding, designing and buying better IT. Clin Med (Lond). 2015;15(3):258-62. doi:10.7861/clinmedicine.15-3-258.
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