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psnet.ahrq.gov/issue/applying-root-cause-analysis-improve-patient-safety-decreasing-falls-postpartum-women
August 04, 2021 - Study
Applying root cause analysis to improve patient safety: decreasing falls in postpartum women.
Citation Text:
Chen K-H, Chen L-R, Su S. Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Qual Saf Health Care. 2010;19(2):138-43. doi:10.113…
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psnet.ahrq.gov/issue/team-management-training-using-crisis-resource-management-results-perceived-benefits
October 03, 2011 - Study
Team management training using crisis resource management results in perceived benefits by healthcare workers.
Citation Text:
Rudy SJ, Polomano R, Murray WB, et al. Team management training using crisis resource management results in perceived benefits by healthcare workers. J Co…
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psnet.ahrq.gov/issue/intravenous-fluid-prescribing-errors-children-mixed-methods-analysis-critical-incidents
June 14, 2023 - Study
Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents.
Citation Text:
Conn RL, McVea S, Carrington A, et al. Intravenous fluid prescribing errors in children: Mixed methods analysis of critical incidents. PLoS One. 2017;12(10):e0186210. doi:…
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psnet.ahrq.gov/issue/saving-lives-studying-deaths-using-standardized-mortality-reviews-improve-inpatient-safety
September 03, 2011 - Study
Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.
Citation Text:
Lau H, Litman KC. Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety. Jt Comm J Qual Patient Saf. 2011;37(9):400-408.
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psnet.ahrq.gov/issue/prevention-retained-surgical-sponges-decision-analytic-model-predicting-relative-cost
January 04, 2010 - Study
Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness.
Citation Text:
Regenbogen SE, Greenberg CC, Resch SC, et al. Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness. Surger…
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psnet.ahrq.gov/issue/designing-and-implementing-comprehensive-quality-and-patient-safety-management-model-paradigm
March 01, 2011 - Study
Designing and implementing a comprehensive quality and patient safety management model: a paradigm for perioperative improvement.
Citation Text:
Herzer KR, Mark LJ, Michelson JD, et al. Designing and Implementing a Comprehensive Quality and Patient Safety Management Model. J Pati…
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psnet.ahrq.gov/issue/quality-minute-new-brief-and-structured-technique-quality-improvement-education-during
January 09, 2019 - Commentary
The "Quality Minute"—a new, brief, and structured technique for quality improvement education during the morbidity and mortality conference.
Citation Text:
Hoffman RL, Morris JB, Kelz RR. The “Quality Minute”—A New, Brief, and Structured Technique for Quality Improvement Educa…
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psnet.ahrq.gov/issue/outcomes-based-nurse-staffing-during-times-crisis-and-beyond
March 11, 2020 - Study
Outcomes-based nurse staffing during times of crisis and beyond.
Citation Text:
Dempsey C, Batten P. Outcomes-based nurse staffing during times of crisis and beyond. J Nurs Adm. 2022;52(2):91-98. doi:10.1097/nna.0000000000001114.
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psnet.ahrq.gov/issue/cognitive-errors-detected-anaesthesiology-literature-review-and-pilot-study
November 21, 2012 - Study
Cognitive errors detected in anaesthesiology: a literature review and pilot study.
Citation Text:
Stiegler MP, Neelankavil JP, Canales C, et al. Cognitive errors detected in anaesthesiology: a literature review and pilot study. Br J Anaesth. 2012;108(2):229-35. doi:10.1093/bja/ae…
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psnet.ahrq.gov/issue/iconic-language-graphical-representation-medical-concepts
March 05, 2025 - Study
An iconic language for the graphical representation of medical concepts.
Citation Text:
Lamy J-B, Duclos C, Bar-Hen A, et al. An iconic language for the graphical representation of medical concepts. BMC Med Inform Decis Mak. 2008;8:16. doi:10.1186/1472-6947-8-16.
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psnet.ahrq.gov/issue/there-july-phenomenon-pediatric-neurosurgery-teaching-hospitals
May 23, 2018 - Study
Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals?
Citation Text:
Smith ER, Butler WE, Barker FG. Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals? J Neurosurg. 2006;105(3 Suppl):169-76.
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psnet.ahrq.gov/issue/assessment-programs-aimed-decrease-or-prevent-mistreatment-medical-trainees
November 15, 2018 - Review
Assessment of programs aimed to decrease or prevent mistreatment of medical trainees.
Citation Text:
Mazer LM, Bereknyei Merrell S, Hasty BN, et al. Assessment of Programs Aimed to Decrease or Prevent Mistreatment of Medical Trainees. JAMA Netw Open. 2018;1(3):e180870. doi:10.1001…
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psnet.ahrq.gov/issue/accuracy-interpretation-preparticipation-screening-electrocardiograms
May 18, 2022 - Study
Accuracy of interpretation of preparticipation screening electrocardiograms.
Citation Text:
Hill AC, Miyake CY, Grady S, et al. Accuracy of interpretation of preparticipation screening electrocardiograms. J Pediatr. 2011;159(5):783-8. doi:10.1016/j.jpeds.2011.05.014.
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psnet.ahrq.gov/issue/reflections-implementing-hospital-wide-provider-based-electronic-inpatient-mortality-review
August 12, 2020 - Study
Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons learnt.
Citation Text:
Mendu ML, Lu Y, Petersen A, et al. Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lesson…
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psnet.ahrq.gov/issue/covid-19-be-or-not-be-diagnostic-question
September 02, 2020 - Commentary
COVID-19: to be or not to be; that is the diagnostic question.
Citation Text:
Coleman JJ, Manavi K, Marson EJ, et al. COVID-19: to be or not to be; that is the diagnostic question. Postgrad Med J. 2020;96(1137):392-398. doi:10.1136/postgradmedj-2020-137979.
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psnet.ahrq.gov/issue/learning-not-take-it-seriously-junior-doctors-accounts-error
December 16, 2015 - Study
Learning not to take it seriously: junior doctors' accounts of error.
Citation Text:
Kroll L, Singleton A, Collier J, et al. Learning not to take it seriously: junior doctors' accounts of error. Med Educ. 2008;42(10):982-90. doi:10.1111/j.1365-2923.2008.03151.x.
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psnet.ahrq.gov/issue/use-simulation-emergency-medicine-research-agenda
December 30, 2008 - Commentary
The use of simulation in emergency medicine: a research agenda.
Citation Text:
Bond WF, Lammers RL, Spillane LL, et al. The use of simulation in emergency medicine: a research agenda. Acad Emerg Med. 2007;14(4):353-63.
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psnet.ahrq.gov/issue/resident-wellness-us-ophthalmic-graduate-medical-education-resident-perspective
April 03, 2013 - Study
Resident wellness in US ophthalmic graduate medical education: the resident perspective.
Citation Text:
Tran EM, Scott IU, Clark MA, et al. Resident Wellness in US Ophthalmic Graduate Medical Education: The Resident Perspective. JAMA Ophthalmol. 2018;136(6):695-701. doi:10.1001/jam…
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psnet.ahrq.gov/issue/silent-witnesses-faculty-reluctance-report-medical-students-professionalism-lapses
March 10, 2021 - Study
Silent witnesses: faculty reluctance to report medical students' professionalism lapses.
Citation Text:
Ziring D, Frankel RM, Danoff D, et al. Silent Witnesses: Faculty Reluctance to Report Medical Students' Professionalism Lapses. Acad Med. 2018;93(11):1700-1706. doi:10.1097/ACM.0…
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psnet.ahrq.gov/issue/safety-ii-and-study-healthcare-safety-routines-two-paths-forward-research
May 25, 2022 - Commentary
Safety-II and the study of healthcare safety routines: two paths forward for research.
Citation Text:
Rydenfält C. Safety-II and the study of healthcare safety routines: two paths forward for research. J Patient Saf Risk Manag. 2022;27(3):124-128. doi:10.1177/25160435221102129…