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psnet.ahrq.gov/issue/outcomes-recent-patient-safety-education-interventions-trainee-physicians-and-medical
January 15, 2014 - Review
The outcomes of recent patient safety education interventions for trainee physicians and medical students: a systematic review.
Citation Text:
Kirkman MA, Sevdalis N, Arora S, et al. The outcomes of recent patient safety education interventions for trainee physicians and medical s…
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psnet.ahrq.gov/issue/key-performance-outcomes-patient-safety-curricula-root-cause-analysis-failure-mode-and
July 23, 2010 - Commentary
Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills.
Citation Text:
Fassett WE. Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects …
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psnet.ahrq.gov/issue/how-mitigate-effects-cognitive-biases-during-patient-safety-incident-investigations
June 29, 2022 - Commentary
How to mitigate the effects of cognitive biases during patient safety incident investigations.
Citation Text:
Rogers JE, Hilgers TR, Keebler JR, et al. How to mitigate the effects of cognitive biases during patient safety incident investigations. Jt Comm J Qual Patient Saf. 20…
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psnet.ahrq.gov/issue/time-out-rethinking-surgical-safety-more-just-checklist
April 27, 2022 - Commentary
Time out! Rethinking surgical safety: more than just a checklist.
Citation Text:
Weinger MB. Time out! Rethinking surgical safety: more than just a checklist. BMJ Qual Saf. 2021;30(8):613-617. doi:10.1136/bmjqs-2020-012600.
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psnet.ahrq.gov/issue/structured-judgement-method-enhance-mortality-case-note-review-development-and-evaluation
May 27, 2011 - Study
A structured judgement method to enhance mortality case note review: development and evaluation.
Citation Text:
Hutchinson A, Coster JE, Cooper KL, et al. A structured judgement method to enhance mortality case note review: development and evaluation. BMJ Qual Saf. 2013;22(12). do…
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psnet.ahrq.gov/issue/learning-accident-and-error-avoiding-hazards-workload-stress-and-routine-interruptions
September 27, 2023 - Commentary
Learning from accident and error: avoiding the hazards of workload, stress, and routine interruptions in the emergency department.
Citation Text:
Morrison B, Rudolph JW. Learning from accident and error: avoiding the hazards of workload, stress, and routine interruptions in th…
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psnet.ahrq.gov/issue/using-medicolegal-data-support-safe-medical-care-contributing-factor-coding-framework
April 03, 2024 - Commentary
Using medicolegal data to support safe medical care: a contributing factor coding framework.
Citation Text:
McCleery A, Devenny K, Ogilby C, et al. Using medicolegal data to support safe medical care: A contributing factor coding framework. J Healthc Risk Manag. 2019;38(4):11-…
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psnet.ahrq.gov/issue/track-trigger-and-teamwork-communication-deterioration-acute-medical-and-surgical-wards
August 06, 2014 - Study
Track, trigger and teamwork: communication of deterioration in acute medical and surgical wards.
Citation Text:
Donohue LA, Endacott R. Track, trigger and teamwork: communication of deterioration in acute medical and surgical wards. Intensive Crit Care Nurs. 2010;26(1):10-7. doi:…
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psnet.ahrq.gov/issue/do-safety-briefings-improve-patient-safety-acute-hospital-setting-systematic-review
August 14, 2024 - Review
Do safety briefings improve patient safety in the acute hospital setting? A systematic review.
Citation Text:
Ryan S, Ward M, Vaughan D, et al. Do safety briefings improve patient safety in the acute hospital setting? A systematic review. J Adv Nurs. 2019;75(10):2085-2098. doi:10.…
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psnet.ahrq.gov/issue/patient-safety-nursing-education-contexts-tensions-and-feeling-safe-learn
September 19, 2013 - Study
Patient safety in nursing education: contexts, tensions and feeling safe to learn.
Citation Text:
Steven A, Magnusson C, Smith P, et al. Patient safety in nursing education: contexts, tensions and feeling safe to learn. Nurse Educ Today. 2014;34(2):277-84. doi:10.1016/j.nedt.2013…
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psnet.ahrq.gov/issue/clinical-triggers-and-vital-signs-influencing-crisis-acknowledgment-and-calls-help
June 15, 2012 - Study
Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologists: a simulation-based observational study.
Citation Text:
Matern LH, Gardner R, Rudolph JW, et al. Clinical triggers and vital signs influencing crisis acknowledgment and calls…
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psnet.ahrq.gov/issue/exploring-how-nursing-schools-handle-student-errors-and-near-misses
May 28, 2014 - Study
Exploring how nursing schools handle student errors and near misses.
Citation Text:
Disch J, Barnsteiner J, Connor S, et al. CE: Original Research: Exploring How Nursing Schools Handle Student Errors and Near Misses. Am J Nurs. 2017;117(10):24-31. doi:10.1097/01.NAJ.0000525849.3553…
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psnet.ahrq.gov/issue/disclosing-clinical-adverse-events-patients-can-practice-inform-policy
September 29, 2017 - Study
Disclosing clinical adverse events to patients: can practice inform policy?
Citation Text:
Sorensen R, Iedema R, Piper D, et al. Disclosing clinical adverse events to patients: can practice inform policy? Health Expect. 2010;13(2):148-59. doi:10.1111/j.1369-7625.2009.00569.x.
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psnet.ahrq.gov/issue/quality-and-safety-orthopaedics-learning-and-teaching-same-time-aoa-critical-issues
July 16, 2015 - Review
Quality and safety in orthopaedics: learning and teaching at the same time: AOA critical issues.
Citation Text:
Black KP, Armstrong AD, Hutzler L, et al. Quality and Safety in Orthopaedics: Learning and Teaching at the Same Time: AOA Critical Issues. J Bone Joint Surg Am. 2015;97(…
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psnet.ahrq.gov/issue/insurers-care-transition-program-emphasizes-medication-reconciliation-reduces-readmissions
November 08, 2017 - Study
An insurer's care transition program emphasizes medication reconciliation, reduces readmissions and costs.
Citation Text:
Polinski JM, Moore JM, Kyrychenko P, et al. An Insurer's Care Transition Program Emphasizes Medication Reconciliation, Reduces Readmissions And Costs. Health Af…
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psnet.ahrq.gov/issue/how-long-does-it-take-train-surgeon
October 16, 2024 - Commentary
How long does it take to train a surgeon?
Citation Text:
Jackson GP, Tarpley JL. How long does it take to train a surgeon? BMJ. 2009;339:b4260. doi:10.1136/bmj.b4260.
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psnet.ahrq.gov/issue/pursuing-patient-safety-intersection-design-systems-engineering-and-health-care-delivery
June 25, 2018 - Commentary
Pursuing patient safety at the intersection of design, systems engineering, and health care delivery research: an ongoing assessment.
Citation Text:
Henriksen K, Rodrick D, Grace EN, et al. Pursuing Patient Safety at the Intersection of Design, Systems Engineering, and Health …
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psnet.ahrq.gov/issue/health-care-professionals-views-implementing-policy-open-disclosure-errors
September 29, 2017 - Study
Health care professionals' views of implementing a policy of open disclosure of errors.
Citation Text:
Sorensen R, Iedema R, Piper D, et al. Health care professionals' views of implementing a policy of open disclosure of errors. J Health Serv Res Policy. 2008;13(4):227-32. doi:10.1…
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psnet.ahrq.gov/issue/empirically-derived-taxonomy-factors-affecting-physicians-willingness-disclose-medical-errors
February 15, 2011 - Review
An empirically derived taxonomy of factors affecting physicians' willingness to disclose medical errors.
Citation Text:
Kaldjian LC, Jones EW, Rosenthal GE, et al. An empirically derived taxonomy of factors affecting physicians’ willingness to disclose medical errors. J Gen Inter…
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psnet.ahrq.gov/issue/call-safety-anticipating-and-mitigating-risk-across-obstetrics-and-gynecology-service-line
February 24, 2016 - Commentary
A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line.
Citation Text:
Combs A, Klein VR. A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. J Healthc Risk Manag. 2023;43(1):38-42.…