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psnet.ahrq.gov/issue/simulation-based-teamwork-training-emergency-department-staff-does-it-improve-clinical-team
December 22, 2009 - Study
Classic
Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum?
Citation Text:
Shapiro MJ, Morey JC, Small SD, et al. Simulation based teamwork t…
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psnet.ahrq.gov/issue/association-between-treatment-locum-tenens-internal-medicine-physicians-and-30-day-mortality
September 29, 2017 - Study
Association between treatment by locum tenens internal medicine physicians and 30-day mortality among hospitalized Medicare beneficiaries.
Citation Text:
Blumenthal DM, Olenski AR, Tsugawa Y, et al. Association Between Treatment by Locum Tenens Internal Medicine Physicians and 30-D…
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psnet.ahrq.gov/issue/factors-associated-intern-fatigue
October 28, 2009 - Study
Factors associated with intern fatigue.
Citation Text:
Friesen LD, Vidyarthi A, Baron RB, et al. Factors associated with intern fatigue. J Gen Intern Med. 2008;23(12):1981-6. doi:10.1007/s11606-008-0798-3.
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psnet.ahrq.gov/issue/operational-failures-general-practice-consensus-building-study-priorities-improvement
February 07, 2024 - Study
Operational failures in general practice: a consensus-building study on the priorities for improvement.
Citation Text:
Sinnott C, Alboksmaty A, Moxey JM, et al. Operational failures in general practice: a consensus-building study on the priorities for improvement. Br J Gen Pract. 2…
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psnet.ahrq.gov/issue/drug-related-hospitalizations-tertiary-care-internal-medicine-service-canadian-hospital
April 22, 2011 - Study
Drug-related hospitalizations in a tertiary care internal medicine service of a Canadian hospital: a prospective study.
Citation Text:
Samoy LJ, Zed PJ, Wilbur K, et al. Drug-related hospitalizations in a tertiary care internal medicine service of a Canadian hospital: a prospecti…
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psnet.ahrq.gov/issue/value-autopsies-era-high-tech-medicine-discrepant-findings-persist
October 18, 2023 - Study
The value of autopsies in the era of high-tech medicine: discrepant findings persist.
Citation Text:
Kuijpers CCHJ, Fronczek J, van de Goot FRW, et al. The value of autopsies in the era of high-tech medicine: discrepant findings persist. J Clin Pathol. 2014;67(6):512-9. doi:10.1136…
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psnet.ahrq.gov/issue/patient-safety-outcomes-under-flexible-and-standard-resident-duty-hour-rules
March 13, 2019 - Study
Emerging Classic
Patient safety outcomes under flexible and standard resident duty-hour rules.
Citation Text:
Patient safety outcomes under flexible and standard resident duty-hour rules. Silber JH, Bellini LM, Shea JA, et al; iCOMPARE Research Group. N En…
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psnet.ahrq.gov/issue/development-multicomponent-intervention-decrease-racial-bias-among-healthcare-staff
September 23, 2020 - Study
Development of a multicomponent intervention to decrease racial bias among healthcare staff.
Citation Text:
Tajeu GS, Juarez L, Williams JH, et al. Development of a multicomponent intervention to decrease racial bias among healthcare staff. J Gen Intern Med. 2022;37(8):1970-1979. d…
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psnet.ahrq.gov/issue/board-bedside-how-application-financial-structures-safety-and-quality-can-drive
January 29, 2015 - Study
From board to bedside: how the application of financial structures to safety and quality can drive accountability in a large health care system.
Citation Text:
Austin M, Demski R, Callender T, et al. From Board to Bedside: How the Application of Financial Structures to Safety and Q…
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psnet.ahrq.gov/issue/team-based-approach-improving-medication-reconciliation-rates-family-medicine-residency
June 15, 2022 - Study
Team-based approach to improving medication reconciliation rates in family medicine residency clinics.
Citation Text:
Harper PG, Schafer KM, Van Riper K, et al. Team-based approach to improving medication reconciliation rates in family medicine residency clinics. J Am Pharm Assoc (…
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psnet.ahrq.gov/issue/prevalence-and-characterisation-diagnostic-error-among-7-day-all-cause-hospital-medicine
April 12, 2023 - Study
Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine readmissions: a retrospective cohort study.
Citation Text:
Raffel KE, Kantor MA, Barish P, et al. Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine …
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psnet.ahrq.gov/node/49842/psn-pdf
September 01, 2018 - The Wrong Blade: A Lack of Familiarity With Pediatric
Emergency Equipment
September 1, 2018
Katznelson J. The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment. PSNet
[internet]. 2018.
https://psnet.ahrq.gov/web-mm/wrong-blade-lack-familiarity-pediatric-emergency-equipment
The Case
As part of…
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psnet.ahrq.gov/node/72737/psn-pdf
February 09, 2021 - Geisinger’s Outpatient Addiction Medicine Specialty
Program Uses Data-Driven Decision Making and MAT to
Reduce Mortality Rates
February 9, 2021
https://psnet.ahrq.gov/innovation/geisingers-outpatient-addiction-medicine-specialty-program-uses-data-
driven-decision
Summary
The team at Geisinger sought to develop a…
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psnet.ahrq.gov/web-mm/outpatient-zebra
January 23, 2020 - An Outpatient 'Zebra'
Citation Text:
Berkowitz L. An Outpatient 'Zebra'. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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psnet.ahrq.gov/node/47587/psn-pdf
February 13, 2019 - Comfort with uncertainty: reframing our conceptions of
how clinicians navigate complex clinical situations.
February 13, 2019
Ilgen JS, Eva KW, de Bruin A, et al. Comfort with uncertainty: reframing our conceptions of how clinicians
navigate complex clinical situations. Adv Health Sci Edu: Theory Pract. 2019;24(4):…
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psnet.ahrq.gov/node/60207/psn-pdf
April 08, 2020 - A national assessment on patient safety curricula in
undergraduate medical education: results from the 2012
clerkship directors in internal medicine survey.
April 8, 2020
Jain CC, Aiyer MK, Murphy EJ, et al. A national assessment on patient safety curricula in undergraduate
medical education: results from the 2012…
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psnet.ahrq.gov/node/44513/psn-pdf
September 23, 2015 - Improving Diagnosis in Health Care.
September 23, 2015
Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine.
Washington, DC: National Academies Press; 2015. ISBN: 9780309377690.
https://psnet.ahrq.gov/issue/improving-diagnosis-health-care
The National Academy of Me…
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psnet.ahrq.gov/print/pdf/node/865864
January 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Diagnostic Error
Curated Library
Incidence of Diagnostic Errors
25-Year summary of US malpractice claims for diagnostic errors 1986–2010: an analysis from the
National Practitioner Data Bank.
Tehrani ASS, Lee HW, Mathews SC, et al. BMJ Qua…
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psnet.ahrq.gov/issue/pain-was-unbearable-so-why-did-doctors-turn-her-away
November 25, 2020 - Newspaper/Magazine Article
The pain was unbearable. So why did doctors turn her away?
Citation Text:
The pain was unbearable. So why did doctors turn her away? Szalavitz M. Wired Magazine. August 11, 2021.
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psnet.ahrq.gov/issue/without-question
July 15, 2020 - Commentary
Without question.
Citation Text:
Liebowitz J. Without Question. N Engl J Med. 2022;386(26):2456-2457. doi:10.1056/nejmp2204361.
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