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psnet.ahrq.gov/issue/identification-and-characterization-failures-infectious-agent-transmission-precaution
October 13, 2018 - Study
Emerging Classic
Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study.
Citation Text:
Krein SL, Mayer J, Harrod M, et al. Identification and Characterization of Failures in …
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psnet.ahrq.gov/issue/electronic-health-record-modernization-caused-pharmacy-related-patient-safety-issues
January 31, 2024 - Book/Report
Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the VA Central Ohio Healthcare System in Columbus.
Citation Text:
Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the …
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psnet.ahrq.gov/issue/what-happens-when-healthcare-innovations-collide
December 06, 2017 - Commentary
What happens when healthcare innovations collide?
Citation Text:
Pendharkar SR, Woiceshyn J, da Silveira GJC, et al. What happens when healthcare innovations collide? BMJ Qual Saf. 2016;25(1):9-13. doi:10.1136/bmjqs-2015-004441.
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psnet.ahrq.gov/issue/safety-checklists-emergency-response-driving-and-patient-transport-experiences-emergency
August 10, 2022 - Study
Safety checklists for emergency response driving and patient transport: experiences from emergency medical services.
Citation Text:
Jakonen A, Mänty M, Nordquist H. Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. …
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psnet.ahrq.gov/issue/postoperative-sepsis-united-states
January 12, 2022 - Study
Postoperative sepsis in the United States.
Citation Text:
Vogel TR, Dombrovskiy VY, Carson JL, et al. Postoperative sepsis in the United States. Ann Surg. 2010;252(6):1065-71. doi:10.1097/SLA.0b013e3181dcf36e.
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psnet.ahrq.gov/issue/effect-comprehensive-surgical-safety-system-patient-outcomes
May 17, 2012 - Study
Classic
Effect of a comprehensive surgical safety system on patient outcomes.
Citation Text:
de Vries EN, Prins HA, Crolla RMPH, et al. Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med. 2010;363(20):1928-37. doi:10.1056/…
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psnet.ahrq.gov/issue/closing-loop-mixed-methods-study-about-resident-learning-outcome-feedback-after-patient
November 17, 2016 - Study
"Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs.
Citation Text:
Shenvi EC, Feupe SF, Yang H, et al. "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. Diagnos…
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psnet.ahrq.gov/issue/design-and-implementation-tool-pharmacists-register-potential-errors-prescribed-medication
March 09, 2022 - Study
Design and implementation of a tool for pharmacists to register potential errors in prescribed medication.
Citation Text:
Frid S, Zapico V, Mansilla A, et al. Design and Implementation of a Tool for Pharmacists to Register Potential Errors in Prescribed Medication. Stud Health Tech…
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psnet.ahrq.gov/issue/cognitive-biases-encountered-physicians-emergency-room
June 19, 2024 - Study
Cognitive biases encountered by physicians in the emergency room.
Citation Text:
Kunitomo K, Harada T, Watari T. Cognitive biases encountered by physicians in the emergency room. BMC Emerg Med. 2022;22(1):148. doi:10.1186/s12873-022-00708-3.
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psnet.ahrq.gov/issue/finding-and-fixing-mistakes-do-checklists-work-clinicians-different-levels-experience
February 06, 2014 - Study
Finding and fixing mistakes: do checklists work for clinicians with different levels of experience?
Citation Text:
Sibbald M, de Bruin A, van Merrienboer JJG. Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? Adv Health Sci Educ T…
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psnet.ahrq.gov/issue/perceptual-gaps-between-clinicians-and-technologists-health-information-technology-related
March 11, 2020 - Study
Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observational study.
Citation Text:
Ndabu T, Mulgund P, Sharman R, et al. Perceptual gaps between clinicians and technologists on health information technology-related…
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psnet.ahrq.gov/issue/healthcare-professional-and-patient-codesign-and-validation-mechanism-service-users-feedback
January 08, 2020 - Study
Healthcare professional and patient codesign and validation of a mechanism for service users to feedback patient safety experiences following a care transfer: a qualitative study.
Citation Text:
Scott J, Heavey E, Waring J, et al. Healthcare professional and patient codesign and va…
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psnet.ahrq.gov/issue/improving-governance-patient-safety-emergency-care-systematic-review-interventions
March 06, 2013 - Review
Improving the governance of patient safety in emergency care: a systematic review of interventions.
Citation Text:
Hesselink G, Berben S, Beune T, et al. Improving the governance of patient safety in emergency care: a systematic review of interventions. BMJ Open. 2016;6(1):e009837…
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psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-harm-emergency-medical-services
August 07, 2024 - Study
Development of a trigger tool to identify adverse events and harm in emergency medical services.
Citation Text:
Howard IL, Bowen JM, Shaikh LAHA, et al. Development of a trigger tool to identify adverse events and harm in Emergency Medical Services. Emerg Med J. 2017;34(6):391-397.…
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psnet.ahrq.gov/issue/healthcare-inspection-evaluation-veterans-health-administrations-national-consult-delay
September 10, 2014 - Book/Report
Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet.
Citation Text:
Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet.…
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psnet.ahrq.gov/issue/action-patient-safety-can-reduce-health-inequalities
February 05, 2020 - Commentary
Action on patient safety can reduce health inequalities.
Citation Text:
Wade C, Malhotra AM, McGuire P, et al. Action on patient safety can reduce health inequalities. BMJ. 2022;376:e067090. doi:10.1136/bmj-2021-067090.
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psnet.ahrq.gov/issue/are-verbal-orders-threat-patient-safety
July 31, 2008 - Review
Are verbal orders a threat to patient safety?
Citation Text:
Wakefield DS, Wakefield BJ. Are verbal orders a threat to patient safety? Qual Saf Health Care. 2009;18(3):165-168. doi:10.1136/qshc.2009.034041.
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psnet.ahrq.gov/issue/multidisciplinary-simulation-activity-effectively-prepares-residents-participation-patient
November 30, 2016 - Study
Multidisciplinary simulation activity effectively prepares residents for participation in patient safety activities.
Citation Text:
Weis JJ, Croft CL, Bhoja R, et al. Multidisciplinary simulation activity effectively prepares residents for participation in patient safety activities…
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psnet.ahrq.gov/issue/how-common-are-cognitive-errors-cases-presented-emergency-medicine-resident-morbidity-and
May 08, 2019 - Study
How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality conferences?
Citation Text:
Chu D, Xiao J, Shah P, et al. How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality conferences?…
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psnet.ahrq.gov/issue/biasing-influence-mental-shortcuts-diagnostic-decision-making-radiologists-can-overlook
April 07, 2021 - Study
Biasing influence of 'mental shortcuts' on diagnostic decision-making: radiologists can overlook breast cancer in mamograms when prior diagnostic information is available.
Citation Text:
Branch F, Santana I, Hegdé J. Biasing influence of 'mental shortcuts' on diagnostic decision-ma…