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psnet.ahrq.gov/issue/near-miss-events-are-really-missed-reflections-incident-reporting-department-pediatric
March 08, 2023 - Study
Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery.
Citation Text:
Mattioli G, Guida E, Montobbio G, et al. Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery. Pediatr …
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psnet.ahrq.gov/issue/what-are-we-doing-when-we-double-check
June 10, 2020 - Commentary
What are we doing when we double check?
Citation Text:
Pfeiffer Y, Zimmermann C, Schwappach DLB. What are we doing when we double check? BMJ Qual Saf. 2020;29(7):536-540. doi:10.1136/bmjqs-2019-009680.
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psnet.ahrq.gov/issue/towards-more-patient-centered-approach-medication-safety
January 22, 2025 - Review
Towards a more patient-centered approach to medication safety.
Citation Text:
Lee JL, Dy SM, Gurses AP, et al. Towards a More Patient-Centered Approach to Medication Safety. J Patient Exp. 2018;5(2):83-87. doi:10.1177/2374373517727532.
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psnet.ahrq.gov/issue/strategies-reduce-risk-iatrogenic-illness-complex-older-adults
January 12, 2022 - Review
Strategies to reduce the risk of iatrogenic illness in complex older adults.
Citation Text:
Onder G, van der Cammen TJM, Petrovic M, et al. Strategies to reduce the risk of iatrogenic illness in complex older adults. Age Ageing. 2013;42(3):284-91. doi:10.1093/ageing/aft038.
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psnet.ahrq.gov/issue/engaging-front-line-tapping-hospital-wide-quality-and-safety-initiatives
March 20, 2019 - Commentary
Engaging the front line: tapping into hospital-wide quality and safety initiatives.
Citation Text:
Wolpaw J, Schwengel D, Hensley N, et al. Engaging the Front Line: Tapping into Hospital-Wide Quality and Safety Initiatives. J Cardiothorac Vasc Anesth. 2018;32(1):522-533. doi:1…
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psnet.ahrq.gov/issue/no-go-considerations-situ-simulation-safety
April 14, 2021 - Commentary
Emerging Classic
"No-go considerations" for in situ simulation safety.
Citation Text:
Bajaj K, Minors A, Walker K, et al. "No-Go Considerations" for In Situ Simulation Safety. Simul Healthc. 2018;13(3):221-224. doi:10.1097/SIH.0000000000000301.
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psnet.ahrq.gov/issue/analysis-errors-enacted-surgical-trainees-during-skills-training-courses
August 20, 2018 - Study
Analysis of errors enacted by surgical trainees during skills training courses.
Citation Text:
Tang B, Hanna GB, Cuschieri A. Analysis of errors enacted by surgical trainees during skills training courses. Surgery. 2005;138(1):14-20.
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psnet.ahrq.gov/issue/human-factors-analysis-technical-and-team-skills-among-surgical-trainees-during-procedural
March 03, 2011 - Study
A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre.
Citation Text:
Moorthy K, Munz Y, Adams S, et al. A human factors analysis of technical and team skills among surgical trainees during pro…
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psnet.ahrq.gov/issue/rescue-me-saving-vulnerable-non-icu-patient-population
June 01, 2011 - Study
Rescue me: saving the vulnerable non-ICU patient population.
Citation Text:
Bader MK, Neal B, Johnson L, et al. Rescue me: saving the vulnerable non-ICU patient population. Jt Comm J Qual Patient Saf. 2009;35(4):199-205.
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psnet.ahrq.gov/issue/failure-events-transition-care-surgical-patients
October 19, 2022 - Study
Failure events in transition of care for surgical patients.
Citation Text:
Helling TS, Martin LC, Martin M, et al. Failure events in transition of care for surgical patients. J Am Coll Surg. 2014;218(4):723-31. doi:10.1016/j.jamcollsurg.2013.12.026.
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psnet.ahrq.gov/issue/miscoding-misclassification-and-misdiagnosis-diabetes-primary-care
September 23, 2020 - Study
Miscoding, misclassification and misdiagnosis of diabetes in primary care.
Citation Text:
de Lusignan S, Sadek N, Mulnier H, et al. Miscoding, misclassification and misdiagnosis of diabetes in primary care. Diabet Med. 2012;29(2):181-9. doi:10.1111/j.1464-5491.2011.03419.x.
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psnet.ahrq.gov/issue/improving-responses-safety-incidents-we-need-talk-about-justice
February 02, 2022 - Commentary
Improving responses to safety incidents: we need to talk about justice.
Citation Text:
Cribb A, O'Hara JK, Waring J. Improving responses to safety incidents: we need to talk about justice. BMJ Qual Saf. 2022;31(4):327-330. doi:10.1136/bmjqs-2021-014333.
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psnet.ahrq.gov/issue/professional-behavior-and-value-erosion-qualitative-study-physicians-and-electronic-health
June 01, 2022 - Study
Professional behavior and value erosion: a qualitative study of physicians and the electronic health record.
Citation Text:
Skeff KM, Brown-Johnson CG, Asch SM, et al. Professional behavior and value erosion: a qualitative study of physicians and the electronic health record. J Hea…
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psnet.ahrq.gov/issue/two-cultures-modern-science-and-technology-safety-and-validity-does-medicine-have-update
January 12, 2022 - Commentary
Two cultures in modern science and technology: for safety and validity does medicine have to update?
Citation Text:
Becker RE. Two cultures in modern science and technology: for safety and validity does medicine have to update? J Patient Saf. 2020;16(1):e46-e50. doi:10.1097/pt…
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psnet.ahrq.gov/issue/medication-safety-messages-patients-web-portal-medcheck-intervention
September 11, 2013 - Study
Medication safety messages for patients via the web portal: the MedCheck intervention.
Citation Text:
Weingart SN, Hamrick HE, Tutkus S, et al. Medication safety messages for patients via the web portal: the MedCheck intervention. Int J Med Inform . 2008;77(3):161-168.
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psnet.ahrq.gov/issue/language-barriers-and-patient-safety-risks-hospital-care-mixed-methods-study
May 18, 2016 - Study
Language barriers and patient safety risks in hospital care. A mixed methods study.
Citation Text:
van Rosse F, de Bruijne M, Suurmond J, et al. Language barriers and patient safety risks in hospital care. A mixed methods study. Int J Nurs Stud. 2016;54:45-53. doi:10.1016/j.ijnurst…
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psnet.ahrq.gov/issue/compliance-technical-guidelines-radiotherapy-treatment-relation-patient-safety
December 10, 2014 - Study
Compliance to technical guidelines for radiotherapy treatment in relation to patient safety.
Citation Text:
Simons PAM, Houben RMA, Backes HH, et al. Compliance to technical guidelines for radiotherapy treatment in relation to patient safety. Int J Qual Health Care. 2010;22(3):18…
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psnet.ahrq.gov/issue/health-care-work-environments-employee-satisfaction-and-patient-safety-care-provider
October 12, 2011 - Study
Health care work environments, employee satisfaction, and patient safety: care provider perspectives.
Citation Text:
Rathert C, May DR. Health care work environments, employee satisfaction, and patient safety: care provider perspectives. Health Care Manage Rev. 2007;32(1):2-11.
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psnet.ahrq.gov/issue/hospice-diagnosis-polypharmacy-teachable-moment
April 24, 2018 - Commentary
Hospice diagnosis: polypharmacy—a teachable moment.
Citation Text:
Larson CK, Kao H. Hospice Diagnosis: Polypharmacy: A Teachable Moment. JAMA Intern Med. 2015;175(11):1750-1751. doi:10.1001/jamainternmed.2015.5253.
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psnet.ahrq.gov/issue/clinical-features-and-preventability-delayed-diagnosis-pediatric-appendicitis
September 13, 2023 - Study
Clinical features and preventability of delayed diagnosis of pediatric appendicitis.
Citation Text:
Michelson KA, Reeves SD, Grubenhoff JA, et al. Clinical features and preventability of delayed diagnosis of pediatric appendicitis. JAMA Netw Open. 2021;4(8):e2122248. doi:10.1001/ja…