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psnet.ahrq.gov/issue/how-do-we-learn-errors-prospective-study-link-between-wards-learning-practices-and-medication
August 30, 2017 - Study
(How) do we learn from errors? A prospective study of the link between the ward's learning practices and medication administration errors.
Citation Text:
Drach-Zahavy A, Somech A, Admi H, et al. (How) do we learn from errors? A prospective study of the link between the ward's lea…
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psnet.ahrq.gov/issue/missed-opportunities-primary-care-management-early-acute-ischemic-heart-disease
January 08, 2016 - Study
Missed opportunities in the primary care management of early acute ischemic heart disease.
Citation Text:
Sequist TD, Marshall R, Lampert S, et al. Missed opportunities in the primary care management of early acute ischemic heart disease. Arch Intern Med. 2006;166(20):2237-43.
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psnet.ahrq.gov/issue/residents-perceptions-professionalism-training-and-practice-barriers-promoters-and-duty-hour
November 16, 2022 - Study
Residents' perceptions of professionalism in training and practice: barriers, promoters, and duty hour requirements.
Citation Text:
Ratanawongsa N, Bolen S, Howell EE, et al. Residents' perceptions of professionalism in training and practice: barriers, promoters, and duty hour re…
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psnet.ahrq.gov/issue/stopping-error-cascade-report-ameliorators-asips-collaborative
February 03, 2011 - Study
Stopping the error cascade: a report on ameliorators from the ASIPS collaborative.
Citation Text:
Parnes B, Fernald D, Quintela J, et al. Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. Qual Saf Health Care. 2007;16(1):12-6.
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psnet.ahrq.gov/issue/responding-unprofessional-behavior-trainees-just-culture-framework
June 24, 2020 - Commentary
Responding to unprofessional behavior by trainees - a "just culture" framework.
Citation Text:
Wasserman JA, Redinger M, Gibb T. Responding to Unprofessional Behavior by Trainees — A “Just Culture” Framework. New England Journal of Medicine. 2020;382(8). doi:10.1056/nejmms191…
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psnet.ahrq.gov/issue/diagnostic-errors-musculoskeletal-oncology-and-possible-mitigation-strategies
May 01, 2013 - Commentary
Diagnostic errors in musculoskeletal oncology and possible mitigation strategies.
Citation Text:
Flemming DJ, White C, Fox E, et al. Diagnostic errors in musculoskeletal oncology and possible mitigation strategies. Skeletal Radiol. 2023;52(3):493-503. doi:10.1007/s00256-022-04…
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psnet.ahrq.gov/issue/growth-mindset-approach-preparing-trainees-medical-error
August 19, 2020 - Commentary
A growth mindset approach to preparing trainees for medical error.
Citation Text:
Klein J, Delany C, Fischer MD, et al. A growth mindset approach to preparing trainees for medical error. BMJ Qual Saf. 2017;26(9):771-774. doi:10.1136/bmjqs-2016-006416.
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psnet.ahrq.gov/issue/program-access-depressive-symptoms-and-medical-errors-among-resident-physicians-disability
May 19, 2021 - Study
Program access, depressive symptoms, and medical errors among resident physicians with disability.
Citation Text:
Meeks LM, Pereira-Lima K, Frank E, et al. Program access, depressive symptoms, and medical errors among resident physicians with disability. JAMA Netw Open. 2021;4(12):…
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psnet.ahrq.gov/issue/specificity-computerized-physician-order-entry-has-significant-effect-efficiency-workflow
March 14, 2022 - Study
Specificity of computerized physician order entry has a significant effect on the efficiency of workflow for critically ill patients.
Citation Text:
Ali NA, Mekhjian HS, Kuehn L, et al. Specificity of computerized physician order entry has a significant effect on the efficiency o…
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psnet.ahrq.gov/issue/comparative-resident-site-visit-project-novel-approach-implementing-programmatic-change-duty
July 19, 2023 - Study
A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era.
Citation Text:
Crowley MJ, Barkauskas CE, Srygley D, et al. A comparative resident site visit project: a novel approach for implementing programmatic change in t…
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psnet.ahrq.gov/issue/effect-medication-errors-pharmacists-charting-medication-emergency-department
November 16, 2022 - Study
The effect on medication errors of pharmacists charting medication in an emergency department.
Citation Text:
Vasileff HM, Whitten LE, Pink JA, et al. The effect on medication errors of pharmacists charting medication in an emergency department. Pharm World Sci. 2009;31(3):373-9.…
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psnet.ahrq.gov/issue/safer-care-improving-caregiver-comprehension-discharge-instructions
October 26, 2022 - Study
SAFER Care: improving caregiver comprehension of discharge instructions.
Citation Text:
Uong A, Philips K, Hametz P, et al. SAFER care: improving caregiver comprehension of discharge instructions. Pediatrics. 2021;147(4):e20200031. doi:10.1542/peds.2020-0031.
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psnet.ahrq.gov/issue/whats-name-provider-perception-injured-john-doe-patients
September 27, 2017 - Study
What's in a name? Provider perception of injured John Doe patients.
Citation Text:
Janowak CF, Agarwal SK, Zarzaur BL. What's in a Name? Provider Perception of Injured John Doe Patients. J Surg Res. 2019;238:218-223. doi:10.1016/j.jss.2019.01.027.
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psnet.ahrq.gov/issue/state-science-and-future-directions-improve-diagnostic-safety-older-adults
January 22, 2025 - Book/Report
State of the Science and Future Directions to Improve Diagnostic Safety in Older Adults.
Citation Text:
Tran AK, Syed Q, Bierman AS, et al. State Of The Science And Future Directions To Improve Diagnostic Safety In Older Adults. Rockville, MD: Agency for Healthcare Research a…
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psnet.ahrq.gov/issue/readiness-organisational-change-among-general-practice-staff
April 24, 2018 - Study
Readiness for organisational change among general practice staff.
Citation Text:
Christl B, Harris MF, Jayasinghe UW, et al. Readiness for organisational change among general practice staff. Qual Saf Health Care. 2010;19(5):e12. doi:10.1136/qshc.2009.033373.
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psnet.ahrq.gov/issue/solving-alarm-fatigue-smartphone-technology
October 04, 2023 - Commentary
Solving alarm fatigue with smartphone technology.
Citation Text:
Short K, Chung YJ. Solving alarm fatigue with smartphone technology. Nursing (Brux). 2019;49(1):52-57. doi:10.1097/01.NURSE.0000549728.37810.d9.
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psnet.ahrq.gov/issue/hospital-deaths-patients-sepsis-2-independent-cohorts
November 21, 2021 - Study
Hospital deaths in patients with sepsis from 2 independent cohorts.
Citation Text:
Liu V, Escobar GJ, Greene JD, et al. Hospital deaths in patients with sepsis from 2 independent cohorts. JAMA. 2014;312(1):90-2.
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psnet.ahrq.gov/issue/racial-and-ethnic-harm-patient-care-patient-safety-issue
October 21, 2020 - Commentary
Racial and ethnic harm in patient care is a patient safety issue.
Citation Text:
Rosario N, Kiles TM, M. Jewell T'B, et al. Racial and ethnic harm in patient care is a patient safety issue. Res Social Adm Pharm. 2024;20(7):670-677. doi:10.1016/j.sapharm.2024.04.012.
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psnet.ahrq.gov/issue/national-estimates-insulin-related-hypoglycemia-and-errors-leading-emergency-department
October 20, 2021 - Study
National estimates of insulin-related hypoglycemia and errors leading to emergency department visits and hospitalizations.
Citation Text:
Geller AI, Shehab N, Lovegrove MC, et al. National estimates of insulin-related hypoglycemia and errors leading to emergency department visits a…
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psnet.ahrq.gov/issue/secure-text-messaging-healthcare-latent-threats-and-opportunities-improve-patient-safety
October 25, 2023 - Commentary
Secure text messaging in healthcare: latent threats and opportunities to improve patient safety.
Citation Text:
Hagedorn PA, Singh A, Luo B, et al. Secure Text Messaging in Healthcare: Latent Threats and Opportunities to Improve Patient Safety. J Hosp Med. 2020;15(6):378-380.…