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psnet.ahrq.gov/issue/fractures-fingers-missed-or-misdiagnosed-poorly-positioned-or-poorly-taken-radiographs
September 07, 2022 - Study
Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study.
Citation Text:
Tuncer S, Aksu N, Dilek H, et al. Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospect…
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psnet.ahrq.gov/issue/framing-family-conversation-after-early-diagnosis-iatrogenic-injury-and-incidental-findings
November 14, 2011 - Study
Framing family conversation after early diagnosis of iatrogenic injury and incidental findings.
Citation Text:
Barrios L, Tsuda S, Derevianko A, et al. Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. Surg Endosc. 2009;23(11):2535-42…
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psnet.ahrq.gov/issue/student-mistakes-and-teacher-reactions-bedside-teaching
January 18, 2012 - Study
Student mistakes and teacher reactions in bedside teaching.
Citation Text:
Rubisch HPK, Blaschke A-L, Berberat PO, et al. Student mistakes and teacher reactions in bedside teaching. Adv Health Sci Educ Theory Pract. 2023;28(5):1523-1556. doi:10.1007/s10459-023-10233-y.
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psnet.ahrq.gov/issue/critical-events-lives-interns
November 16, 2022 - Study
Critical events in the lives of interns.
Citation Text:
Ackerman A, Graham M, Schmidt H, et al. Critical events in the lives of interns. J Gen Intern Med. 2009;24(1):27-32. doi:10.1007/s11606-008-0769-8.
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psnet.ahrq.gov/issue/copy-paste-and-cloned-notes-electronic-health-records-prevalence-benefits-risks-and-best
October 19, 2022 - Review
Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations.
Citation Text:
Weis JM, Levy PC. Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. …
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psnet.ahrq.gov/issue/threat-within-mitigating-risk-medical-error
July 15, 2020 - Book/Report
The threat within: mitigating the risk of medical error.
Citation Text:
Bennett S. The Threat Within: Mitigating The Risk Of Medical Error. Springer International Publishing; 2020. doi:10.1007/978-3-030-23491-1_3.
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psnet.ahrq.gov/issue/medication-errors-neonatal-intensive-care-unit-influence-observation-error-rate
May 13, 2009 - Study
Medication errors in a neonatal intensive care unit. Influence of observation on the error rate.
Citation Text:
Campino A, Lopez-Herrera MC, Lopez-de-Heredia I, et al. Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. Acta Paediatr. …
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psnet.ahrq.gov/issue/sleep-deprivation-and-starvation-hospitalised-patients-how-medical-care-can-harm-patients
September 27, 2017 - Commentary
Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients.
Citation Text:
Xu T, Wick EC, Makary MA. Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. BMJ Qual Saf. 2016;25(5):311-314. doi:10.1136/…
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psnet.ahrq.gov/issue/timing-surgical-antimicrobial-prophylaxis
June 24, 2009 - Study
The timing of surgical antimicrobial prophylaxis.
Citation Text:
Weber WP, Marti WR, Zwahlen M, et al. The Timing of Surgical Antimicrobial Prophylaxis. Ann Surg. 2008;247(6). doi:10.1097/sla.0b013e31816c3fec.
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psnet.ahrq.gov/issue/unit-measurement-used-and-parent-medication-dosing-errors
June 04, 2014 - Study
Unit of measurement used and parent medication dosing errors.
Citation Text:
Yin S, Dreyer BP, Ugboaja DC, et al. Unit of measurement used and parent medication dosing errors. Pediatrics. 2014;134(2):e354-61. doi:10.1542/peds.2014-0395.
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psnet.ahrq.gov/issue/getting-teams-talk-development-and-pilot-implementation-checklist-promote-interprofessional
April 06, 2011 - Study
Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR.
Citation Text:
Lingard L, Espin S, Rubin B, et al. Getting teams to talk: development and pilot implementation of a checklist to promote interprofessio…
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psnet.ahrq.gov/issue/insufficient-communication-about-medication-use-interface-between-hospital-and-primary-care
February 03, 2021 - Study
Insufficient communication about medication use at the interface between hospital and primary care.
Citation Text:
Glintborg B, Andersen SE, Dalhoff K. Insufficient communication about medication use at the interface between hospital and primary care. Qual Saf Health Care. 2007;1…
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psnet.ahrq.gov/issue/comprehensive-analysis-medication-dosing-error-related-cpoe
June 01, 2005 - Commentary
Comprehensive analysis of a medication dosing error related to CPOE.
Citation Text:
Horsky J, Kuperman GJ, Patel VL. Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1. J Am Med Info Assoc. 2005;12(4). doi:10.1197/jamia.m1740.
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psnet.ahrq.gov/issue/healthcare-personnel-attire-non-operating-room-settings
January 04, 2019 - Commentary
Healthcare personnel attire in non–operating-room settings.
Citation Text:
Bearman G, Bryant K, Leekha S, et al. Healthcare personnel attire in non-operating-room settings. Infect Control Hosp Epidemiol. 2014;35(2):107-21. doi:10.1086/675066.
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psnet.ahrq.gov/issue/computerized-physician-order-entry-injectable-antineoplastic-drugs-epidemiologic-study
October 19, 2022 - Study
Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors.
Citation Text:
Nerich V, Limat S, Demarchi M, et al. Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of pr…
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psnet.ahrq.gov/issue/work-hour-rules-and-contributors-patient-care-mistakes-focus-group-study-internal-medicine
February 22, 2011 - Study
Work hour rules and contributors to patient care mistakes: a focus group study with internal medicine residents.
Citation Text:
Fletcher KE, Parekh V, Halasyamani L, et al. Work hour rules and contributors to patient care mistakes: a focus group study with internal medicine resid…
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psnet.ahrq.gov/issue/influence-resident-involvement-surgical-outcomes
October 11, 2017 - Study
The influence of resident involvement on surgical outcomes.
Citation Text:
Raval M, Wang X, Cohen ME, et al. The influence of resident involvement on surgical outcomes. J Am Coll Surg. 2011;212(5):889-98. doi:10.1016/j.jamcollsurg.2010.12.029.
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psnet.ahrq.gov/issue/potassium-and-phosphorus-repletion-hospitalized-patients-implications-clinical-practice-and
May 09, 2014 - Study
Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety.
Citation Text:
Hemstreet BA, Stolpman N, Badesch DB, et al. Potassium and phosphor…
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psnet.ahrq.gov/issue/assessment-simulated-case-based-measurement-physician-diagnostic-performance
May 20, 2019 - Study
Assessment of a simulated case-based measurement of physician diagnostic performance.
Citation Text:
Chatterjee S, Desai S, Manesh R, et al. Assessment of a Simulated Case-Based Measurement of Physician Diagnostic Performance. JAMA Netw Open. 2019;2(1):e187006. doi:10.1001/jamanetw…
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psnet.ahrq.gov/issue/evolution-anesthesia-patient-safety-movement-america-lessons-learned-and-considerations
September 14, 2022 - Commentary
The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further improvement in patient safety.
Citation Text:
Warner MA, Warner ME. The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and…