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psnet.ahrq.gov/issue/lost-opportunities-how-physicians-communicate-about-medical-errors
July 10, 2008 - Study
Lost opportunities: how physicians communicate about medical errors.
Citation Text:
Garbutt J, Waterman AD, Kapp JM, et al. Lost Opportunities: How Physicians Communicate About Medical Errors. Health Aff (Millwood). 2008;27(1):246-255. doi:10.1377/hlthaff.27.1.246.
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psnet.ahrq.gov/issue/effect-cognitive-load-and-task-complexity-automation-bias-electronic-prescribing
May 01, 2019 - Study
The effect of cognitive load and task complexity on automation bias in electronic prescribing.
Citation Text:
Lyell D, Magrabi F, Coiera E. The Effect of Cognitive Load and Task Complexity on Automation Bias in Electronic Prescribing. Hum Factors. 2018;60(7):1008-1021. doi:10.1177/…
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psnet.ahrq.gov/issue/are-physician-assistants-able-correctly-identify-prescribing-errors-cross-sectional-study
May 29, 2019 - Study
Are physician assistants able to correctly identify prescribing errors? A cross-sectional study.
Citation Text:
Gillette C, Perry CJ, Ferreri SP, et al. Are physician assistants able to correctly identify prescribing errors? A cross-sectional study. J Physician Assist Educ. 2023;34…
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psnet.ahrq.gov/issue/body-evidence-do-autopsy-findings-impact-medical-malpractice-claim-outcomes
August 19, 2020 - Study
Body of evidence: do autopsy findings impact medical malpractice claim outcomes?
Citation Text:
Gartland RM, Myers LC, Iorgulescu JB, et al. Body of evidence: do autopsy findings impact medical malpractice claim outcomes? J Patient Saf. 2020;17(8):576-582. doi:10.1097/pts.000000000…
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psnet.ahrq.gov/issue/effects-workload-work-complexity-and-repeated-alerts-alert-fatigue-clinical-decision-support
March 04, 2015 - Study
Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system.
Citation Text:
Ancker JS, Edwards A, Nosal S, et al. Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system. B…
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psnet.ahrq.gov/issue/barriers-and-facilitators-bedside-nursing-handover-systematic-review-and-meta-synthesis
August 25, 2021 - Review
Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis.
Citation Text:
Clari M, Conti A, Chiarini D, et al. Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis. J Nurs Care Qual. 2021;36(4):e51-…
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psnet.ahrq.gov/issue/partners-our-care-patient-safety-patient-perspective
December 04, 2016 - Study
Partners in our care: patient safety from a patient perspective.
Citation Text:
Hovey RB, Morck A, Nettleton S, et al. Partners in our care: patient safety from a patient perspective. Qual Saf Health Care. 2010;19(6):e59. doi:10.1136/qshc.2008.030908.
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psnet.ahrq.gov/issue/economic-impact-medication-error-systematic-review
November 04, 2020 - Review
Economic impact of medication error: a systematic review.
Citation Text:
Walsh EK, Hansen CR, Sahm LJ, et al. Economic impact of medication error: a systematic review. Pharmacoepidemiol Drug Saf. 2017;26(5):481-497. doi:10.1002/pds.4188.
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psnet.ahrq.gov/issue/analysis-electronic-health-record-related-patient-safety-incidents
August 19, 2020 - Study
An analysis of electronic health record–related patient safety incidents.
Citation Text:
Palojoki S, Mäkelä M, Lehtonen L, et al. An analysis of electronic health record-related patient safety incidents. Health Informatics J. 2017;23(2):134-145. doi:10.1177/1460458216631072.
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psnet.ahrq.gov/issue/economic-burden-nurse-sensitive-adverse-events-22-medical-surgical-units-retrospective-and
December 15, 2021 - Study
The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching analysis.
Citation Text:
Tchouaket E, Dubois C-A, D'Amour D. The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching…
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psnet.ahrq.gov/issue/systematic-review-interventions-improve-safety-and-quality-anticoagulant-prescribing
January 12, 2022 - Review
Systematic review of interventions to improve safety and quality of anticoagulant prescribing for therapeutic indications for hospital inpatients
Citation Text:
Systematic review of interventions to improve safety and quality of anticoagulant prescribing for therapeutic indication…
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psnet.ahrq.gov/issue/anesthesiology-patient-handoff-education-interventions-systematic-review
April 28, 2021 - Review
Anesthesiology patient handoff education interventions: a systematic review.
Citation Text:
Riesenberg LA, Davis R, Heng A, et al. Anesthesiology patient handoff education interventions: a systematic review. Jt Comm J Qual Patient Saf. 2023;49(8):394-404. doi:10.1016/j.jcjq.2022.1…
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psnet.ahrq.gov/issue/pilot-implementation-perioperative-protocol-guide-operating-room-intensive-care-unit-patient
January 03, 2017 - Study
Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs.
Citation Text:
Petrovic MA, Aboumatar HJ, Baumgartner WA, et al. Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patie…
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psnet.ahrq.gov/issue/low-perfusion-and-missed-diagnosis-hypoxemia-pulse-oximetry-darkly-pigmented-skin-prospective
March 14, 2022 - Study
Low perfusion and missed diagnosis of hypoxemia by pulse oximetry in darkly pigmented skin: a prospective study.
Citation Text:
Gudelunas MK, Lipnick M, Hendrickson C, et al. Low perfusion and missed diagnosis of hypoxemia by pulse oximetry in darkly pigmented skin: a prospective s…
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psnet.ahrq.gov/issue/bariatric-surgery-operating-room-teams-stayed-fixed-during-day-multicenter-study-analyzing
December 21, 2014 - Study
Bariatric surgery with operating room teams that stayed fixed during the day: a multicenter study analyzing the effects on patient outcomes, teamwork and safety climate, and procedure duration.
Citation Text:
Stepaniak PS, Heij C, Buise MP, et al. Bariatric surgery with operating r…
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psnet.ahrq.gov/issue/work-system-barriers-and-facilitators-inpatient-care-transitions-pediatric-trauma-patients
September 11, 2019 - Study
Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients.
Citation Text:
Wooldridge AR, Carayon P, Hoonakker P, et al. Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. App Ergon. 2020;85:103059…
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psnet.ahrq.gov/issue/where-are-my-instruments-hazards-delivery-surgical-instruments
September 25, 2008 - Study
Where are my instruments? Hazards in delivery of surgical instruments.
Citation Text:
Guédon ACP, Wauben LSGL, van der Eijk AC, et al. Where are my instruments? Hazards in delivery of surgical instruments. Surg Endosc. 2016;30(7):2728-35. doi:10.1007/s00464-015-4537-7.
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psnet.ahrq.gov/issue/gender-biases-and-diagnostic-delay-inflammatory-bowel-disease-multicenter-observational-study
March 09, 2022 - Study
Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study.
Citation Text:
Sempere L, Bernabeu P, Cameo J, et al. Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study. Inflamm Bowel Dis. 2023;29(12)…
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psnet.ahrq.gov/issue/interventions-health-organisations-reduce-impact-adverse-events-second-and-third-victims
October 11, 2017 - Study
Interventions in health organisations to reduce the impact of adverse events in second and third victims.
Citation Text:
Mira JJ, Lorenzo S, Carrillo I, et al. Interventions in health organisations to reduce the impact of adverse events in second and third victims. BMC Health Serv …
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psnet.ahrq.gov/issue/reducing-ambulatory-central-line-associated-bloodstream-infections-family-centered-approach
February 15, 2023 - Study
Reducing ambulatory central line-associated bloodstream infections: a family-centered approach.
Citation Text:
Wong CI, Ilowite M, Yan A, et al. Reducing ambulatory central line‐associated bloodstream infections: a family‐centered approach. Pediatr Blood Cancer. 2024;71(8):e31064. …