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psnet.ahrq.gov/issue/failures-communication-and-information-transfer-across-surgical-care-pathway-interview-study
August 09, 2013 - Study
Failures in communication and information transfer across the surgical care pathway: interview study.
Citation Text:
Nagpal K, Arora S, Vats A, et al. Failures in communication and information transfer across the surgical care pathway: interview study. BMJ Qual Saf. 2012;21(10):8…
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psnet.ahrq.gov/issue/emotional-exhaustion-and-workload-predict-clinician-rated-and-objective-patient-safety
February 14, 2017 - Study
Emotional exhaustion and workload predict clinician-rated and objective patient safety.
Citation Text:
Welp A, Meier LL, Manser T. Emotional exhaustion and workload predict clinician-rated and objective patient safety. Front Psychol. 2014;5:1573. doi:10.3389/fpsyg.2014.01573.
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psnet.ahrq.gov/issue/relationship-between-patient-complaints-and-surgical-complications
January 05, 2011 - Study
Relationship between patient complaints and surgical complications.
Citation Text:
Murff HJ, France DJ, Blackford J, et al. Relationship between patient complaints and surgical complications. Qual Saf Health Care. 2006;15(1):13-6.
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psnet.ahrq.gov/issue/association-between-patient-safety-indicators-and-medical-malpractice-risk-evidence-florida
September 28, 2022 - Study
The association between patient safety indicators and medical malpractice risk: evidence from Florida and Texas.
Citation Text:
Black BS, Wagner AR, Zabinski Z. The Association between Patient Safety Indicators and Medical Malpractice Risk: Evidence from Florida and Texas. Am J Hea…
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psnet.ahrq.gov/issue/impact-diagnostic-management-team-patient-time-diagnosis-and-percent-accurate-and-clinically
October 19, 2022 - Study
Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinically actionable diagnoses.
Citation Text:
Brashear J, Mize R, Laposata M, et al. Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinica…
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psnet.ahrq.gov/issue/large-language-models-preventing-medication-direction-errors-online-pharmacies
February 27, 2019 - Study
Large language models for preventing medication direction errors in online pharmacies.
Citation Text:
Pais C, Liu J, Voigt R, et al. Large language models for preventing medication direction errors in online pharmacies. Nat Med. 2024;30(6):1574-1582. doi:10.1038/s41591-024-02933-8.…
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psnet.ahrq.gov/issue/supporting-perioperative-safety-during-disaster-through-clinical-crisis-education
July 05, 2017 - Commentary
Supporting perioperative safety during a disaster through clinical crisis education.
Citation Text:
Kirkman A, Tripp H, Ward L, et al. Supporting perioperative safety during a disaster through clinical crisis education. AORN J. 2024;120(4):226-237. doi:10.1002/aorn.14217.
Co…
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psnet.ahrq.gov/issue/error-disclosure-and-family-members-reactions-does-type-error-really-matter
March 08, 2023 - Study
Error disclosure and family members' reactions: does the type of error really matter?
Citation Text:
Leone D, Lamiani G, Vegni E, et al. Error disclosure and family members' reactions: does the type of error really matter? Patient Educ Couns. 2015;98(4):446-52. doi:10.1016/j.pec.20…
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psnet.ahrq.gov/issue/safety-numbers-lack-evidence-indicate-number-physicians-needed-provide-safe-acute-medical
December 21, 2017 - Commentary
Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical care.
Citation Text:
Sabin J, Subbe CP, Vaughan L, et al. Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical…
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psnet.ahrq.gov/issue/medical-malpractice-claims-members-uniformed-services
November 14, 2011 - Regulation
Medical malpractice claims by members of the uniformed services.
Citation Text:
Medical malpractice claims by members of the uniformed services. Department of Defense Office of General Counsel. 32 CFR Part 45. Fed Register. 86(115); June 17, 2021:32194-32215.
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psnet.ahrq.gov/issue/increase-us-medication-error-deaths-between-1983-and-1993
March 14, 2022 - Study
Classic
Increase in US medication-error deaths between 1983 and 1993.
Citation Text:
Phillips DP, Christenfeld N, Glynn LM. Increase in US medication-error deaths between 1983 and 1993. Lancet. 1998;351(9103):643-4.
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psnet.ahrq.gov/issue/unintended-consequences-electronic-health-record-and-cognitive-load-emergency-department
June 22, 2011 - Study
Unintended consequences of the electronic health record and cognitive load in emergency department nurses.
Citation Text:
Harmon CS, Adams SA, Davis JE, et al. Unintended consequences of the electronic health record and cognitive load in emergency department nurses. Appl Nurs Res. …
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psnet.ahrq.gov/issue/delayed-admissions-pediatric-intensive-care-unit-progression-disease-or-errors-emergency
June 14, 2019 - Journal Article
Delayed Admissions to the Pediatric Intensive Care Unit: Progression of Disease or Errors in Emergency Department Management
Citation Text:
Czolgosz T, Cashen K, Farooqi A, et al. Delayed Admissions to the Pediatric Intensive Care Unit: Progression of Disease or Errors in…
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psnet.ahrq.gov/issue/inaccuracies-assignment-clinical-stage-localized-prostate-cancer
April 06, 2022 - Study
Inaccuracies in assignment of clinical stage for localized prostate cancer.
Citation Text:
Reese AC, Sadetsky N, Carroll PR, et al. Inaccuracies in assignment of clinical stage for localized prostate cancer. Cancer. 2011;117(2):283-9. doi:10.1002/cncr.25596.
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psnet.ahrq.gov/issue/using-implementation-safety-indicators-cpoe-implementation
August 04, 2021 - Study
Using implementation safety indicators for CPOE implementation.
Citation Text:
Weir C, McCarthy CA. Using implementation safety indicators for CPOE implementation. Jt Comm J Qual Saf. 2009;35(1):21-28.
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psnet.ahrq.gov/issue/quality-monitoring-program-bar-code-assisted-medication-administration
November 16, 2022 - Study
Quality-monitoring program for bar-code–assisted medication administration.
Citation Text:
Mims E, Tucker C, Carlson R, et al. Quality-monitoring program for bar-code-assisted medication administration. Am J Health Syst Pharm. 2009;66(12):1125-31. doi:10.2146/ajhp080172.
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psnet.ahrq.gov/issue/mandatory-presuit-mediation-5-year-results-medical-malpractice-resolution-program
February 02, 2022 - Study
Mandatory presuit mediation: 5-year results of a medical malpractice resolution program.
Citation Text:
Jenkins RC, Smillov AE, Goodwin MA. Mandatory presuit mediation: 5-year results of a medical malpractice resolution program. J Healthc Risk Manag. 2014;33(4):15-22. doi:10.1002/j…
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psnet.ahrq.gov/issue/patient-safety-and-job-related-stress-focus-group-study
December 05, 2012 - Study
Patient safety and job-related stress: a focus group study.
Citation Text:
Berland A, Natvig GK, Gundersen D. Patient safety and job-related stress: A focus group study. Intensive and Critical Care Nursing. 2007;24(2). doi:10.1016/j.iccn.2007.11.001.
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psnet.ahrq.gov/issue/effect-outcome-physician-judgments-appropriateness-care
June 23, 2015 - Review
Classic
Effect of outcome on physician judgments of appropriateness of care.
Citation Text:
Caplan RA, Posner KL, Cheney FW. Effect of outcome on physician judgments of appropriateness of care. JAMA. 1991;265(15):1957-60.
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psnet.ahrq.gov/issue/declaring-uncertainty-using-quality-improvement-methods-change-conversation-diagnosis
April 01, 2020 - Study
Declaring uncertainty: using quality improvement methods to change the conversation of diagnosis.
Citation Text:
Ipsaro AJ, Patel SJ, Warner DC, et al. Declaring Uncertainty: Using Quality Improvement Methods to Change the Conversation of Diagnosis. Hosp Pediatr. 2021;11(4):334-341…