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psnet.ahrq.gov/issue/effect-anonymous-reporting-system-near-miss-and-harmful-medical-error-reporting-pediatric
September 28, 2010 - Study
Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit.
Citation Text:
Grant MJC, Larsen G. Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care …
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psnet.ahrq.gov/issue/implementation-pediatric-rapid-response-team-experience-hospital-sick-children-toronto
September 10, 2014 - Commentary
Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto.
Citation Text:
Kukreti V, Gaiteiro R, Mohseni-Bod H. Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto. Indian …
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psnet.ahrq.gov/issue/alarming-reality-medication-error-patient-case-and-review-pennsylvania-and-national-data
June 28, 2017 - Commentary
The alarming reality of medication error: a patient case and review of Pennsylvania and national data.
Citation Text:
da Silva BA, Krishnamurthy M. The alarming reality of medication error: a patient case and review of Pennsylvania and National data. J Community Hosp Intern Me…
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psnet.ahrq.gov/issue/threats-safety-during-sedation-outside-operating-room-and-death-michael-jackson
January 25, 2012 - Commentary
Threats to safety during sedation outside of the operating room and the death of Michael Jackson.
Citation Text:
Webster CS, Mason KP, Shafer SL. Threats to safety during sedation outside of the operating room and the death of Michael Jackson. Curr Opin Anaesthesiol. 2016;29 S…
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psnet.ahrq.gov/issue/litigation-related-drug-errors-anaesthesia-analysis-claims-against-nhs-england-1995-2007
November 12, 2014 - Study
Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995-2007.
Citation Text:
Cranshaw J, Gupta KJ, Cook TM. Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995-2007. Anaesthesia. 2…
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psnet.ahrq.gov/issue/patient-and-family-engagement-survey-us-hospital-practices
January 02, 2017 - Study
Patient and family engagement: a survey of US hospital practices.
Citation Text:
Herrin J, Harris KG, Kenward K, et al. Patient and family engagement: a survey of US hospital practices. BMJ Qual Saf. 2016;25(3):182-9. doi:10.1136/bmjqs-2015-004006.
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psnet.ahrq.gov/issue/impact-duty-hours-resident-self-reports-errors
October 28, 2009 - Study
The impact of duty hours on resident self reports of errors.
Citation Text:
Vidyarthi A, Auerbach AD, Wachter R, et al. The impact of duty hours on resident self reports of errors. J Gen Intern Med. 2007;22(2):205-9.
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psnet.ahrq.gov/issue/development-and-evaluation-1-day-interclerkship-program-medical-students-medical-errors-and
March 12, 2025 - Commentary
Development and evaluation of a 1-day interclerkship program for medical students on medical errors and patient safety.
Citation Text:
Moskowitz E, Veloski J, Fields SK, et al. Development and evaluation of a 1-day interclerkship program for medical students on medical error…
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psnet.ahrq.gov/issue/criminalisation-unintentional-error-healthcare-uk-perspective-new-zealand
June 14, 2023 - Commentary
Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand.
Citation Text:
Ameratunga R, Klonin H, Vaughan J, et al. Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand. BMJ. 2019;364:l706. doi:10.1…
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psnet.ahrq.gov/issue/teaching-good-ward-round
October 28, 2020 - Commentary
Teaching a 'good' ward round.
Citation Text:
Powell N, Bruce CG, Redfern O. Teaching a 'good' ward round. Clin Med (Lond). 2015;15(2):135-138. doi:10.7861/clinmedicine.15-2-135.
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psnet.ahrq.gov/issue/best-practices-safe-handling-products-containing-concentrated-potassium
April 22, 2011 - Study
Best practices for safe handling of products containing concentrated potassium.
Citation Text:
Tubman M, Majumdar SR, Lee D, et al. Best practices for safe handling of products containing concentrated potassium. BMJ. 2005;331(7511):274-7.
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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/ebola-us-patient-zero-lessons-misdiagnosis-and-effective-use-electronic-health-records
June 21, 2023 - Commentary
Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records.
Citation Text:
Upadhyay DK, Sittig DF, Singh H. Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. Diagnosis (Berl). 2014;1(4):283-287. do…
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psnet.ahrq.gov/issue/perceptions-standards-based-electronic-prescribing-systems-implemented-outpatient-primary
September 23, 2020 - Study
Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care: a physician survey.
Citation Text:
Wang J, Patel MH, Schueth AJ, et al. Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care…
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psnet.ahrq.gov/issue/patient-safety-womens-health-care-professional-colleges-can-make-difference-society
November 28, 2018 - Commentary
Patient safety in women's health-care: professional colleges can make a difference. The Society of Obstetricians and Gynaecologists of Canada MORE(OB) program.
Citation Text:
Milne JK, Lalonde AB. Patient safety in women's health-care: professional colleges can make a differ…
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psnet.ahrq.gov/issue/patient-safety-incidents-caused-poor-quality-surgical-instruments
April 06, 2022 - Study
Patient safety incidents caused by poor quality surgical instruments.
Citation Text:
Dominguez ED, Rocos B. Patient Safety Incidents Caused by Poor Quality Surgical Instruments. Cureus. 2019;11(6):e4877. doi:10.7759/cureus.4877.
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psnet.ahrq.gov/node/49669/psn-pdf
November 01, 2012 - guidelines on red blood cell transfusions in 2012.(6) In stable,
hospitalized patients, these guidelines recommend … Due
to a lack of evidence, the AABB could not recommend for or against a liberal or restrictive transfusion … We recommend using the AABB guidelines, which integrate the latest and best-quality evidence.
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psnet.ahrq.gov/issue/between-surveillance-and-subjectification-professionals-and-governance-quality-and-patient
April 21, 2015 - qualitative study of concerns that influence the willingness of English National Health Service staff to recommend
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psnet.ahrq.gov/issue/safety-measurement-and-monitoring-healthcare-framework-guide-clinical-teams-and-healthcare
September 24, 2018 - qualitative study of concerns that influence the willingness of English National Health Service staff to recommend
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psnet.ahrq.gov/issue/giving-voice-quality-and-safety-matters-board-level-qualitative-study-experiences-executive
August 12, 2014 - qualitative study of concerns that influence the willingness of English National Health Service staff to recommend