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psnet.ahrq.gov/issue/inpatient-suicide-and-suicide-attempts-veterans-affairs-hospitals
January 02, 2017 - Study
Inpatient suicide and suicide attempts in Veterans Affairs hospitals.
Citation Text:
Mills PD, DeRosier JM, Ballot BA, et al. Inpatient suicide and suicide attempts in Veterans Affairs hospitals. Jt Comm J Qual Patient Saf. 2008;34(8):482-488.
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psnet.ahrq.gov/issue/errare-humanum-est-frequency-laterality-errors-radiology-reports
September 13, 2023 - Study
Errare humanum est: frequency of laterality errors in radiology reports.
Citation Text:
Sangwaiya MJ, Saini S, Blake MA, et al. Errare humanum est: frequency of laterality errors in radiology reports. AJR Am J Roentgenol. 2009;192(5):W239-44. doi:10.2214/AJR.08.1778.
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psnet.ahrq.gov/issue/improving-medication-safety-paediatric-hospital-mixed-methods-evaluation-newly-implemented
August 30, 2023 - Study
Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised provider order entry system.
Citation Text:
Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised prov…
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psnet.ahrq.gov/issue/adherence-black-box-warnings-prescription-medications-outpatients
September 29, 2017 - Study
Adherence to black box warnings for prescription medications in outpatients.
Citation Text:
Lasser KE, Seger DL, Yu T, et al. Adherence to black box warnings for prescription medications in outpatients. Arch Intern Med. 2006;166(3):338-44.
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psnet.ahrq.gov/issue/multitasking-clinician-decision-making-and-cognitive-demand-during-and-after-team-handoffs
September 15, 2011 - Study
The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care.
Citation Text:
Laxmisan A, Hakimzada F, Sayan OR, et al. The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency c…
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psnet.ahrq.gov/issue/patient-centered-insights-using-health-care-complaints-reveal-hot-spots-and-blind-spots
November 29, 2023 - Study
Emerging Classic
Patient-centered insights: using health care complaints to reveal hot spots and blind spots in quality and safety.
Citation Text:
Gillespie A, Reader TW. Patient-Centered Insights: Using Health Care Complaints to Reveal Hot Spots and Blind…
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psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-emergency-department-study-closed-malpractice-claims-4-liability
March 02, 2011 - Study
Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers.
Citation Text:
Kachalia A, Gandhi TK, Puopolo AL, et al. Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4…
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psnet.ahrq.gov/issue/using-emr-enabled-computerized-decision-support-systems-reduce-prescribing-potentially
August 04, 2021 - Review
Emerging Classic
Using EMR-enabled computerized decision support systems to reduce prescribing of potentially inappropriate medications: a narrative review.
Citation Text:
Scott IA, Pillans PI, Barras M, et al. Using EMR-enabled computerized decision supp…
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psnet.ahrq.gov/issue/predictors-and-triggers-incivility-within-healthcare-teams-systematic-review-literature
July 21, 2011 - Review
Predictors and triggers of incivility within healthcare teams: a systematic review of the literature.
Citation Text:
Keller S, Yule S, Zagarese V, et al. Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. BMJ Open. 2020;10(6):e035…
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psnet.ahrq.gov/issue/diagnostic-errors-emergency-department-systematic-review
October 27, 2021 - Book/Report
Diagnostic Errors in the Emergency Department: A Systematic Review.
Citation Text:
Diagnostic Errors in the Emergency Department: A Systematic Review. Newman-Toker DE, Peterson SM, Badihian S, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2022.&nb…
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psnet.ahrq.gov/issue/parents-understanding-medication-discharge-and-potential-harm-children-medical-complexity
April 22, 2020 - Study
Parents' understanding of medication at discharge and potential harm in children with medical complexity.
Citation Text:
Selzer A, Eibensteiner F, Kaltenegger L, et al. Parents’ understanding of medication at discharge and potential harm in children with medical complexity. Arch Di…
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psnet.ahrq.gov/issue/adverse-event-and-error-unexpected-life-threatening-events-within-24h-emergency-department
October 27, 2016 - Study
Adverse event and error of unexpected life-threatening events within 24h of emergency department admission.
Citation Text:
Zhang E, Hung S-C, Wu C-H, et al. Adverse event and error of unexpected life-threatening events within 24hours of ED admission. Am J Emerg Med. 2017;35(3):479-…
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psnet.ahrq.gov/issue/nurse-managers-leadership-patient-safety-and-quality-care-systematic-review
September 09, 2020 - Review
Nurse managers' leadership, patient safety, and quality of care: a systematic review.
Citation Text:
Lee SE, Hyunjie L, Sang S. Nurse managers' leadership, patient safety, and quality of care: a systematic review. West J Nurs Res. 2023;45(2):176-185. doi:10.1177/01939459221114079.…
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psnet.ahrq.gov/issue/types-diagnostic-errors-reported-paediatric-emergency-providers-global-paediatric-emergency
December 16, 2020 - Study
Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency care research network.
Citation Text:
Mahajan P, Grubenhoff JA, Cranford J, et al. Types of diagnostic errors reported by paediatric emergency providers in a global paediatric eme…
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psnet.ahrq.gov/issue/mature-rapid-response-system-and-potentially-avoidable-cardiopulmonary-arrests-hospital
July 20, 2022 - Study
Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital.
Citation Text:
Galhotra S, DeVita MA, Simmons RL, et al. Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital. Qual Saf Health Care. 2007;16(4):260-26…
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psnet.ahrq.gov/issue/sources-medication-omissions-among-hospitalized-older-adults-polypharmacy
January 18, 2023 - Study
Sources of medication omissions among hospitalized older adults with polypharmacy.
Citation Text:
Shah AS, Hollingsworth EK, Shotwell MS, et al. Sources of medication omissions among hospitalized older adults with polypharmacy. J Am Geriatr Soc. 2022;70(4):1180-1189. doi:10.1111/jg…
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psnet.ahrq.gov/issue/team-cognition-handoffs-relating-system-factors-team-cognition-functions-and-outcomes-two
February 16, 2022 - Study
Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes.
Citation Text:
Wooldridge AR, Carayon P, Hoonakker PLT, et al. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two hand…
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psnet.ahrq.gov/issue/validating-domains-patient-contextual-factors-essential-preventing-contextual-errors
September 20, 2011 - Study
Validating domains of patient contextual factors essential to preventing contextual errors: a qualitative study conducted at Chicago area Veterans Health Administration sites.
Citation Text:
Binns-Calvey AE, Malhiot A, Kostovich CT, et al. Validating Domains of Patient Contextual F…
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psnet.ahrq.gov/issue/i-am-administering-medication-please-do-not-interrupt-me-red-tabards-preventing-interruptions
May 12, 2021 - Study
"I am administering medication—please do not interrupt me": red tabards preventing interruptions as perceived by surgical patients.
Citation Text:
Palese A, Ferro M, Pascolo M, et al. "I Am Administering Medication-Please Do Not Interrupt Me": Red Tabards Preventing Interruptions a…
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psnet.ahrq.gov/issue/parent-provider-miscommunications-hospitalized-children
May 08, 2017 - Study
Parent–provider miscommunications in hospitalized children.
Citation Text:
Khan A, Furtak SL, Melvin P, et al. Parent-Provider Miscommunications in Hospitalized Children. Hosp Pediatr. 2017;7(9):505-515. doi:10.1542/hpeds.2016-0190.
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