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psnet.ahrq.gov/issue/how-well-do-we-communicate-comparison-intraoperative-diagnoses-listed-pathology-reports-and
May 29, 2019 - Study
How well do we communicate? A comparison of intraoperative diagnoses listed in pathology reports and operative notes.
Citation Text:
Talmon G, Horn A, Wedel W, et al. How well do we communicate?: a comparison of intraoperative diagnoses listed in pathology reports and operative no…
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psnet.ahrq.gov/issue/patient-safety-dentistry-state-play-revealed-national-database-errors
August 29, 2018 - Study
Patient safety in dentistry—state of play as revealed by a national database of errors.
Citation Text:
Thusu S, Panesar S, Bedi R. Patient safety in dentistry - state of play as revealed by a national database of errors. Br Dent J. 2012;213(3):E3. doi:10.1038/sj.bdj.2012.669.
C…
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psnet.ahrq.gov/issue/distraction-and-interruption-anaesthetic-practice
May 18, 2022 - Study
Distraction and interruption in anaesthetic practice.
Citation Text:
Campbell G, Arfanis K, Smith AF. Distraction and interruption in anaesthetic practice. Br J Anaesth. 2012;109(5):707-715. doi:10.1093/bja/aes219.
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psnet.ahrq.gov/issue/leveraging-computerized-sign-out-increase-error-reporting-and-addressing-patient-safety
October 19, 2022 - Study
Leveraging computerized sign-out to increase error reporting and addressing patient safety in graduate medical education.
Citation Text:
Foster PN, Sidhu R, Gadhia DA, et al. Leveraging computerized sign-out to increase error reporting and addressing patient safety in graduate me…
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psnet.ahrq.gov/issue/medical-errors-and-consequent-adverse-events-critically-ill-surgical-patients-tertiary-care
December 22, 2010 - Study
Medical errors and consequent adverse events in critically ill surgical patients in a tertiary care teaching hospital in Delhi.
Citation Text:
Kumar S, Chaudhary S. Medical errors and consequent adverse events in critically ill surgical patients in a tertiary care teaching hospita…
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psnet.ahrq.gov/issue/preventable-harm-canadian-organ-donation-and-transplantation-system-descriptive-study-missed
October 19, 2022 - Study
Preventable harm in the Canadian organ donation and transplantation system: a descriptive study of missed organ donor identification and referral.
Citation Text:
Zavalkoff S, O’Donnell S, Lalani J, et al. Preventable harm in the Canadian organ donation and transplantation system: a…
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psnet.ahrq.gov/issue/problems-medical-devices-may-be-severely-under-reported
November 16, 2022 - Study
Problems with medical devices may be severely under-reported.
Citation Text:
Vicente KJ, Kern S. Problems with medical devices may be severely under-reported. Nurs Leadersh (Tor Ont). 2005;18(1):82-8.
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psnet.ahrq.gov/issue/assessing-utility-chatgpt-throughout-entire-clinical-workflow-development-and-usability-study
February 12, 2020 - Study
Assessing the utility of ChatGPT throughout the entire clinical workflow: development and usability study.
Citation Text:
Rao A, Pang M, Kim J, et al. Assessing the utility of ChatGPT throughout the entire clinical workflow: development and usability study. J Med Internet Res. 2023…
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psnet.ahrq.gov/issue/conducting-safety-research-safely-policy-based-approach-conducting-research-peer-review
June 15, 2022 - Commentary
Conducting safety research safely: a policy-based approach for conducting research with peer review protected material.
Citation Text:
Myers LC, Blumenthal K, Phadke NA, et al. Conducting Safety Research Safely: A Policy-Based Approach for Conducting Research with Peer Review …
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psnet.ahrq.gov/issue/bias-and-racism-teaching-rounds-academic-medical-center
August 12, 2020 - Commentary
Bias and racism teaching rounds at an academic medical center.
Citation Text:
Capers Q, Bond DA, Nori US. Bias and racism teaching rounds at an academic medical center. Chest. 2020;158(6):2688-2694. doi:10.1016/j.chest.2020.08.2073.
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psnet.ahrq.gov/issue/towards-unified-model-accident-causation-refining-and-validating-systems-thinking-safety
March 14, 2022 - Commentary
Towards a unified model of accident causation: refining and validating the systems thinking safety tenets.
Citation Text:
Salmon PM, Hulme A, Walker GH, et al. Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. Ergonomics…
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psnet.ahrq.gov/issue/epidemiology-healthcare-harm-new-zealand-general-practice-retrospective-records-review-study
December 01, 2021 - Study
Epidemiology of healthcare harm in New Zealand general practice: a retrospective records review study.
Citation Text:
doi:http://doi.org/10.1136/bmjopen-2020-048316.
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D…
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psnet.ahrq.gov/issue/implementation-antibiotic-stewardship-program-long-term-care-facilities-across-us
July 20, 2022 - Study
Implementation of an antibiotic stewardship program in long-term care facilities across the US.
Citation Text:
doi:http://www.doi.org/10.1001/jamanetworkopen.2022.0181.
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…
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psnet.ahrq.gov/issue/professional-development-course-improves-unprofessional-physician-behavior
August 12, 2020 - Study
A professional development course improves unprofessional physician behavior.
Citation Text:
Swiggart WH, Bills JL, Penberthy JK, et al. A professional development course improves unprofessional physician behavior. Jt Comm J Qual Patient Saf. 2019;46(2). doi:10.1016/j.jcjq.2019.11.…
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psnet.ahrq.gov/issue/end-beginning-patient-safety-five-years-after-err-human
March 02, 2011 - Commentary
Classic
The end of the beginning: patient safety five years after 'To Err Is Human.'
Citation Text:
Wachter RM. The End Of The Beginning: Patient Safety Five Years After ‘To Err Is Human’. Health Aff. 2004;23(Suppl1). doi:10.1377/hlthaff.w4.534.
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psnet.ahrq.gov/node/45126/psn-pdf
December 22, 2018 - monitoring programs are intended to identify
high-risk prescribing and patient behaviors associated with opioids
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psnet.ahrq.gov/node/46893/psn-pdf
March 21, 2018 - vital-signs-trends-emergency-department-visits-suspected-opioid-overdoses-united-states-july
https://psnet.ahrq.gov/issue/cdc-guideline-prescribing-opioids-chronic-pain-united-states
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psnet.ahrq.gov/node/46186/psn-pdf
August 02, 2017 - new-persistent-opioid-use-after-minor-and-major-surgical-procedures-us-adults
https://psnet.ahrq.gov/issue/opioids-chronic-noncancer-pain-position-paper-american-academy-neurology
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psnet.ahrq.gov/node/47333/psn-pdf
October 10, 2018 - association-household-opioid-availability-and-prescription-opioid-initiation-among-household
https://psnet.ahrq.gov/issue/cdc-guideline-prescribing-opioids-chronic-pain-united-states
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psnet.ahrq.gov/node/44819/psn-pdf
June 21, 2016 - More than 90% of patients were prescribed opioids following such
events, and within 2 years up to 17%