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psnet.ahrq.gov/issue/lost-mislabeled-and-mishandled-surgical-and-clinical-pathology-specimens-systematic-review
September 23, 2020 - Review
Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of published literature.
Citation Text:
Carmack HJ, Lazenby BS, Wilson KJ, et al. Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of publ…
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psnet.ahrq.gov/issue/inaccuracy-ecg-interpretations-reported-poison-center
January 20, 2021 - Study
Inaccuracy of ECG interpretations reported to the poison center.
Citation Text:
Prosser JM, Smith SW, Rhim ES, et al. Inaccuracy of ECG interpretations reported to the poison center. Ann Emerg Med. 2011;57(2):122-7. doi:10.1016/j.annemergmed.2010.09.019.
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psnet.ahrq.gov/issue/reflection-and-analysis-how-pharmacy-students-learn-communicate-about-medication-errors
April 12, 2011 - Study
Reflection and analysis of how pharmacy students learn to communicate about medication errors.
Citation Text:
Noland CM, Rickles NM. Reflection and analysis of how pharmacy students learn to communicate about medication errors. Health Commun. 2009;24(4):351-60. doi:10.1080/104102…
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psnet.ahrq.gov/issue/patient-safety-nursing-education-contexts-tensions-and-feeling-safe-learn
September 19, 2013 - Study
Patient safety in nursing education: contexts, tensions and feeling safe to learn.
Citation Text:
Steven A, Magnusson C, Smith P, et al. Patient safety in nursing education: contexts, tensions and feeling safe to learn. Nurse Educ Today. 2014;34(2):277-84. doi:10.1016/j.nedt.2013…
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psnet.ahrq.gov/issue/battles-burnout-investigating-role-interphysician-conflict-physician-burnout
August 23, 2023 - Study
From battles to burnout: investigating the role of interphysician conflict in physician burnout.
Citation Text:
Amick AE, Schrepel C, Bann M, et al. From battles to burnout: investigating the role of interphysician conflict in physician burnout. Acad Med. 2023;98(9):1076-1082. doi:…
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psnet.ahrq.gov/issue/spectrum-harm-associated-modern-medicine
July 26, 2023 - Commentary
The spectrum of harm associated with modern medicine.
Citation Text:
Schattner A. The spectrum of harm associated with modern medicine. J Gen Intern Med. 2022;37(3):664-667. doi:10.1007/s11606-021-06997-x.
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psnet.ahrq.gov/issue/pathology-oversight-failures-veterans-health-care-system-ozarks-fayetteville-arkansas-va
July 14, 2021 - Book/Report
Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA.
Citation Text:
Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. Office of Inspector General. June 2, 202…
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psnet.ahrq.gov/issue/reducing-prescribing-errors-hospitalized-children-ketogenic-diet
May 18, 2022 - Study
Reducing prescribing errors in hospitalized children on the ketogenic diet.
Citation Text:
Siegel BI, Johnson M, Dawson TE, et al. Reducing prescribing errors in hospitalized children on the ketogenic diet. Pediatr Neurol. 2020;115:42-47. doi:10.1016/j.pediatrneurol.2020.11.009.
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psnet.ahrq.gov/issue/after-mid-staffordshire-acknowledgement-through-learning-improvement
August 28, 2024 - Special or Theme Issue
After Mid Staffordshire: from acknowledgement, through learning, to improvement.
Citation Text:
Martin G, Dixon-Woods M. After Mid Staffordshire: from acknowledgement, through learning, to improvement. BMJ Qual Saf. 2014;23(9):706-8. doi:10.1136/bmjqs-2014-003359. …
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psnet.ahrq.gov/issue/improving-handoff-communications-critical-care-utilizing-simulation-based-training-toward
February 16, 2011 - Study
Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk.
Citation Text:
Berkenstadt H, Haviv Y, Tuval A, et al. Improving handoff communications in critical care: utilizing simulation-based training …
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psnet.ahrq.gov/issue/training-induces-cognitive-bias-case-simulation-based-emergency-airway-curriculum
May 18, 2022 - Study
Training induces cognitive bias: the case of a simulation-based emergency airway curriculum.
Citation Text:
Park C, Stojiljkovic L, Milicic B, et al. Training induces cognitive bias: the case of a simulation-based emergency airway curriculum. Simul Healthc. 2014;9(2):85-93. doi:10.…
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psnet.ahrq.gov/issue/communication-health-care-impact-language-and-accent-health-care-safety-quality-and-patient
April 21, 2021 - Commentary
Communication in health care: impact of language and accent on health care safety, quality, and patient experience.
Citation Text:
Ellahham S. Communication in health care: impact of language and accent on health care safety, quality, and patient experience. Am J Med Qual. 202…
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psnet.ahrq.gov/issue/assessing-clinical-reasoning-targeting-higher-levels-pyramid
June 15, 2022 - Commentary
Assessing clinical reasoning: targeting the higher levels of the pyramid.
Citation Text:
Thampy H, Willert E, Ramani S. Assessing Clinical Reasoning: Targeting the Higher Levels of the Pyramid. J Gen Intern Med. 2019;34(8):1631-1636. doi:10.1007/s11606-019-04953-4.
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psnet.ahrq.gov/issue/integrative-review-patient-safety-studies-care-and-safety-patients-communication-disabilities
April 10, 2019 - Review
An integrative review of patient safety in studies on the care and safety of patients with communication disabilities in hospital.
Citation Text:
Hemsley B, Georgiou A, Hill S, et al. An integrative review of patient safety in studies on the care and safety of patients with commun…
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psnet.ahrq.gov/issue/hospital-quality-review-spending-and-patient-safety-longitudinal-analysis-using-instrumental
December 21, 2022 - Study
Hospital quality-review spending and patient safety: a longitudinal analysis using instrumental variables.
Citation Text:
Dynan L, Smith RB. Hospital quality-review spending and patient safety: a longitudinal analysis using instrumental variables. Health Serv Outcomes Res Methodol.…
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psnet.ahrq.gov/issue/not-overstepping-professional-boundaries-challenging-role-nurses-simulated-error-disclosures
August 04, 2021 - Study
Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures.
Citation Text:
Jeffs L, Espin S, Rorabeck L, et al. Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. J Nurs Care Qual. …
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psnet.ahrq.gov/issue/application-human-factors-classification-framework-patient-safety-identify-precursor-and
October 21, 2015 - Study
Application of a human factors classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents in hospital.
Citation Text:
Mitchell RJ, Williamson A, Molesworth B. Application of a human factors classification framework for p…
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psnet.ahrq.gov/issue/problem-preventable-deaths
July 24, 2024 - Commentary
The problem with preventable deaths.
Citation Text:
Hogan H. The problem with preventable deaths. BMJ Qual Saf. 2016;25(5):320-3. doi:10.1136/bmjqs-2015-004983.
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psnet.ahrq.gov/issue/user-satisfaction-computerized-order-entry-system-and-its-effect-workplace-level-stress
August 27, 2017 - Study
User satisfaction with computerized order entry system and its effect on workplace level of stress.
Citation Text:
Ghahramani N, Lendel I, Haque R, et al. User satisfaction with computerized order entry system and its effect on workplace level of stress. J Med Syst. 2009;33(3):19…
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psnet.ahrq.gov/issue/surgical-safety-checklist-compliance-job-done-poorly
April 25, 2016 - Study
Surgical safety checklist compliance: a job done poorly!
Citation Text:
Sparks EA, Wehbe-Janek H, Johnson RL, et al. Surgical Safety Checklist compliance: a job done poorly!. J Am Coll Surg. 2013;217(5):867-73.e1-3. doi:10.1016/j.jamcollsurg.2013.07.393.
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