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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…
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psnet.ahrq.gov/issue/non-health-care-facility-cardiovascular-medication-errors-united-states
November 28, 2018 - Study
Non–health care facility cardiovascular medication errors in the United States.
Citation Text:
Kamboj AK, Spiller HA, Casavant MJ, et al. Non-Health Care Facility Cardiovascular Medication Errors in the United States. Ann Pharmacother. 2017;51(10):825-833. doi:10.1177/1060028017714…
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psnet.ahrq.gov/issue/defining-excellence-next-steps-practicing-clinicians-seeking-prevent-diagnostic-error
March 14, 2022 - Commentary
Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error.
Citation Text:
Foster PN, Klein JR. Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. J Community Hosp Intern Med Perspect. 2016;6(4):319…
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psnet.ahrq.gov/issue/comparison-error-rates-between-intravenous-push-methods-prospective-multisite-observational
December 20, 2017 - Study
A comparison of error rates between intravenous push methods: a prospective, multisite, observational study.
Citation Text:
Hertig JB, Degnan DD, Scott CR, et al. A Comparison of Error Rates Between Intravenous Push Methods: A Prospective, Multisite, Observational Study. J Patient …
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psnet.ahrq.gov/issue/implementation-rapid-response-team-decreases-cardiac-arrest-outside-intensive-care-unit
September 26, 2012 - Study
Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit.
Citation Text:
Offner PJ, Heit J, Roberts R. Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. J Trauma. 2007;62(5):1223-7; disc…
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psnet.ahrq.gov/issue/fatal-consequences-simple-mistake-how-can-patient-be-saved-inadvertent-intrathecal
January 29, 2020 - Commentary
Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine?
Citation Text:
Reddy K, Brown B, Nanda A. Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? Clin Neurol Neu…
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psnet.ahrq.gov/issue/when-5-rights-go-wrong-medication-errors-nursing-perspective
June 27, 2018 - Study
When the 5 rights go wrong: medication errors from the nursing perspective.
Citation Text:
Jones JH, Treiber LA. When the 5 rights go wrong: medication errors from the nursing perspective. J Nurs Care Qual. 2010;25(3):240-247. doi:10.1097/NCQ.0b013e3181d5b948.
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psnet.ahrq.gov/issue/clinical-reasoning-wild-premature-closure-during-covid-19-pandemic
September 02, 2020 - Commentary
Clinical reasoning in the wild: premature closure during the COVID-19 pandemic.
Citation Text:
Boyle JG, Walters MR, Jamieson S, et al. Clinical reasoning in the wild: premature closure during the COVID-19 pandemic. Diagnosis (Berl). 2020;7(3):177-179. doi:10.1515/dx-2020-0061…
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psnet.ahrq.gov/issue/comparison-clinical-diagnoses-and-autopsy-findings-six-year-retrospective-study
March 27, 2024 - Study
Comparison of clinical diagnoses and autopsy findings: six-year retrospective study.
Citation Text:
Marshall HS, Milikowski C. Comparison of clinical diagnoses and autopsy findings: six-year retrospective study. Arch Pathol Lab Med. 2017;141(9):1262-1266. doi:10.5858/arpa.2016-0488…
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psnet.ahrq.gov/issue/using-simulation-identify-sources-medical-diagnostic-error-child-physical-abuse
January 12, 2022 - Study
Using simulation to identify sources of medical diagnostic error in child physical abuse.
Citation Text:
Anderst J, Nielsen-Parker M, Moffatt M, et al. Using simulation to identify sources of medical diagnostic error in child physical abuse. Child Abuse Negl. 2016;52:62-69. doi:10.…
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psnet.ahrq.gov/issue/implementation-medication-error-reporting-through-med-safe-tool-clinical-pharmacists-and
December 16, 2011 - Study
Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient nursing staff collaborative approach.
Citation Text:
Elnour AA, Ellahham NH, Al Qassas HI. Implementation of Medication Error Reporting Through Med Safe Tool. J Patient …
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psnet.ahrq.gov/issue/identifying-and-reducing-distractions-and-interruptions-pharmacy-department
August 22, 2015 - Study
Identifying and reducing distractions and interruptions in a pharmacy department.
Citation Text:
Raimbault M, Guérin A, Caron E, et al. Identifying and reducing distractions and interruptions in a pharmacy department. Am J Health Syst Pharm. 2013;70(3):186, 188, 190. doi:10.2146/aj…
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psnet.ahrq.gov/issue/development-and-testing-tools-detect-ambulatory-surgical-adverse-events
June 04, 2014 - Study
Development and testing of tools to detect ambulatory surgical adverse events.
Citation Text:
Mull HJ, Borzecki A, Hickson K, et al. Development and testing of tools to detect ambulatory surgical adverse events. J Patient Saf. 2013;9(2):96-102. doi:10.1097/PTS.0b013e31827d1a88.
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psnet.ahrq.gov/issue/leveraging-partnership-patients-initiative-improve-patient-safety-and-quality-within-military
September 23, 2020 - Commentary
Leveraging the Partnership for Patients' initiative to improve patient safety and quality within the Military Health System.
Citation Text:
King HB, Kesling K, Birk C, et al. Leveraging the Partnership for Patients' Initiative to Improve Patient Safety and Quality Within the M…
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psnet.ahrq.gov/issue/adverse-drug-event-reporting-intensive-care-units-survey-current-practices
December 16, 2020 - Study
Adverse drug event reporting in intensive care units: a survey of current practices.
Citation Text:
Kane-Gill SL, Devlin JW. Adverse drug event reporting in intensive care units: a survey of current practices. Ann Pharmacother. 2006;40(7-8):1267-73.
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psnet.ahrq.gov/issue/disseminating-innovations-health-care
August 04, 2021 - Commentary
Classic
Disseminating innovations in health care.
Citation Text:
Berwick DM. Disseminating Innovations in Health Care. JAMA. 2003;289(15):1969-1975. doi:10.1001/jama.289.15.1969.
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psnet.ahrq.gov/issue/five-ways-you-can-reduce-inappropriate-prescribing-elderly-systematic-review
September 23, 2020 - Review
Five ways you can reduce inappropriate prescribing in the elderly: a systematic review.
Citation Text:
Garcia RM. Five ways you can reduce inappropriate prescribing in the elderly: a systematic review. J Fam Pract. 2006;55(4):305-12.
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psnet.ahrq.gov/issue/management-anesthesia-equipment-failure-simulation-based-resident-skill-assessment
December 20, 2017 - Study
Management of anesthesia equipment failure: a simulation-based resident skill assessment.
Citation Text:
Waldrop WB, Murray DJ, Boulet JR, et al. Management of Anesthesia Equipment Failure: A Simulation-Based Resident Skill Assessment. Anesthesia & Analgesia. 2009;109(2). doi:10.…