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psnet.ahrq.gov/issue/bridging-communication-gap-operating-room-medical-team-training
March 05, 2025 - Study
Bridging the communication gap in the operating room with medical team training.
Citation Text:
Awad SS, Fagan SP, Bellows C, et al. Bridging the communication gap in the operating room with medical team training. Am J Surg. 2005;190(5):770-4.
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psnet.ahrq.gov/issue/new-us-health-crisis-looms-patients-without-covid-19-delay-care
July 29, 2020 - Newspaper/Magazine Article
New U.S. health crisis looms as patients without COVID-19 delay care.
Citation Text:
Bernstein S. New U.S. health crisis looms as patients without COVID-19 delay care. Reuters. 2020;July 13.
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psnet.ahrq.gov/issue/intentional-rounding-integrative-literature-review
October 08, 2016 - Review
Intentional rounding—an integrative literature review.
Citation Text:
Ryan L, Jackson D, Woods C, et al. Intentional rounding - An integrative literature review. J Adv Nurs. 2019;75(6):1151-1161. doi:10.1111/jan.13897.
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psnet.ahrq.gov/issue/checklist-usage-decreases-critical-task-omissions-when-training-residents-separate-simulated
July 18, 2014 - Study
Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopulmonary bypass.
Citation Text:
Petrik EW, Ho D, Elahi M, et al. Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopu…
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psnet.ahrq.gov/issue/research-improve-diagnosis-time-study-real-world
February 12, 2020 - Commentary
Research to improve diagnosis: time to study the real world.
Citation Text:
Ranji SR, Thomas EJ. Research to improve diagnosis: time to study the real world. BMJ Qual Saf. 2022;31(4):255-258. doi:10.1136/bmjqs-2021-014071.
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psnet.ahrq.gov/issue/selecting-indicators-patient-safety-health-system-level-oecd-countries
June 28, 2011 - Study
Selecting indicators for patient safety at the health system level in OECD countries.
Citation Text:
McLoughlin V, Millar J, Mattke S, et al. Selecting indicators for patient safety at the health system level in OECD countries. Int J Qual Health Care. 2006;18 Suppl 1:14-20.
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psnet.ahrq.gov/issue/using-trainee-failures-enhance-learning-qualitative-study-pediatric-hospitalists-allowing
December 14, 2022 - Study
Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure.
Citation Text:
Klasen JM, Beck J, Randall CL, et al. Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure. Acad Pe…
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psnet.ahrq.gov/issue/governing-quality-and-safety-healthcare-conceptual-framework
September 03, 2011 - Commentary
Governing the quality and safety of healthcare: a conceptual framework.
Citation Text:
Brown A, Dickinson H, Kelaher M. Governing the quality and safety of healthcare: A conceptual framework. Soc Sci Med. 2018;202:99-107. doi:10.1016/j.socscimed.2018.02.020.
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psnet.ahrq.gov/issue/etiology-diagnostic-errors-controlled-trial-system-1-versus-system-2-reasoning
July 02, 2014 - Study
The etiology of diagnostic errors: a controlled trial of System 1 versus System 2 reasoning.
Citation Text:
Norman GR, Sherbino J, Dore KL, et al. The etiology of diagnostic errors: a controlled trial of system 1 versus system 2 reasoning. Acad Med. 2014;89(2):277-84. doi:10.1097…
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psnet.ahrq.gov/issue/communication-discrepancies-between-physicians-and-hospitalized-patients
October 12, 2022 - Study
Classic
Communication discrepancies between physicians and hospitalized patients.
Citation Text:
Olson DP, Windish DM. Communication discrepancies between physicians and hospitalized patients. Arch Intern Med. 2010;170(15):1302-1307. doi:10.1001/archintern…
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psnet.ahrq.gov/issue/rapid-response-systems-systematic-review-and-meta-analysis
January 29, 2018 - Review
Rapid response systems: a systematic review and meta-analysis.
Citation Text:
Maharaj R, Raffaele I, Wendon J. Rapid response systems: a systematic review and meta-analysis. Crit Care. 2015;19(1). doi:10.1186/s13054-015-0973-y.
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psnet.ahrq.gov/issue/how-long-and-how-much-are-nurses-now-working
April 01, 2024 - Study
How long and how much are nurses now working?
Citation Text:
Trinkoff AM, Geiger-Brown J, Brady B, et al. How long and how much are nurses now working? Am J Nurs. 2006;106(4):60-72.
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psnet.ahrq.gov/issue/use-novel-modified-fishbone-diagram-analyze-diagnostic-errors
February 13, 2019 - Commentary
Use of a novel, modified fishbone diagram to analyze diagnostic errors.
Citation Text:
Reilly JB, Myers JS, Salvador D, et al. Use of a novel, modified fishbone diagram to analyze diagnostic errors. Diagnosis (Berl). 2014;1(2):167-171. doi:10.1515/dx-2013-0040.
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psnet.ahrq.gov/issue/national-quality-forum-30-safe-practices-priority-and-progress-iowa-hospitals
November 17, 2010 - Study
National Quality Forum 30 safe practices: priority and progress in Iowa hospitals.
Citation Text:
Ward MM, Evans TC, Spies AJ, et al. National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. Am J Med Qual. 2006;21(2):101-8.
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psnet.ahrq.gov/issue/effect-weight-based-prescribing-method-within-electronic-health-record-prescribing-errors
September 11, 2013 - Study
Effect of a weight-based prescribing method within an electronic health record on prescribing errors.
Citation Text:
Ginzburg R, Barr WB, Harris M, et al. Effect of a weight-based prescribing method within an electronic health record on prescribing errors. Am J Health Syst Pharm.…
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psnet.ahrq.gov/issue/efficacy-computer-enabled-discharge-communication-interventions-systematic-review
November 16, 2022 - Review
The efficacy of computer-enabled discharge communication interventions: a systematic review.
Citation Text:
Motamedi SM, Posadas-Calleja J, Straus SE, et al. The efficacy of computer-enabled discharge communication interventions: a systematic review. BMJ Qual Saf. 2011;20(5):403…
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psnet.ahrq.gov/issue/residents-reflections-quality-improvement-temporal-stability-and-associations-preventability
September 20, 2011 - Study
Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events.
Citation Text:
Wittich CM, Reed DA, Drefahl MM, et al. Residents' reflections on quality improvement: temporal stability and associations with preventab…
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psnet.ahrq.gov/issue/medication-errors-neonatal-intensive-care-unit-influence-observation-error-rate
May 13, 2009 - Study
Medication errors in a neonatal intensive care unit. Influence of observation on the error rate.
Citation Text:
Campino A, Lopez-Herrera MC, Lopez-de-Heredia I, et al. Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. Acta Paediatr. …
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psnet.ahrq.gov/issue/exploring-role-salient-distracting-clinical-features-emergence-diagnostic-errors-and
July 03, 2014 - Study
Exploring the role of salient distracting clinical features in the emergence of diagnostic errors and the mechanisms through which reflection counteracts mistakes.
Citation Text:
Mamede S, Splinter TAW, Van Gog T, et al. Exploring the role of salient distracting clinical features…
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psnet.ahrq.gov/issue/epidemiology-and-risk-factors-harmful-anti-infective-medication-errors-pediatric-hospital
March 22, 2017 - Study
Epidemiology of and risk factors for harmful anti-infective medication errors in a pediatric hospital.
Citation Text:
Modi A, Germain E, Soma V, et al. Epidemiology of and Risk Factors for Harmful Anti-Infective Medication Errors in a Pediatric Hospital. Jt Comm J Qual Patient Saf.…