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psnet.ahrq.gov/issue/has-pendulum-swung-too-far-impact-missed-abdominal-injuries-era-nonoperative-management
August 04, 2021 - Study
Has the pendulum swung too far?; The impact of missed abdominal injuries in the era of nonoperative management.
Citation Text:
Fairfax LM, Christmas B, Deaugustinis M, et al. Has the pendulum swung too far? The impact of missed abdominal injuries in the era of nonoperative manage…
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psnet.ahrq.gov/issue/characteristics-and-trends-medical-diagnostic-errors-united-states
December 14, 2022 - Study
Characteristics and trends of medical diagnostic errors in the United States.
Citation Text:
Ao HS, Matthews T. Characteristics and trends of medical diagnostic errors in the United States. Patient Safety. 2024;6(1):123603. doi:10.33940/001c.123603.
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psnet.ahrq.gov/issue/radiologist-age-and-diagnostic-errors
March 02, 2022 - Study
Radiologist age and diagnostic errors.
Citation Text:
Lamoureux C, Hanna TN, Callaway E, et al. Radiologist age and diagnostic errors. Emerg Radiol. 2023;30(5):577-587. doi:10.1007/s10140-023-02158-1.
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DOI Google Scholar BibTeX EndNote X3 XML EndN…
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psnet.ahrq.gov/issue/epidemiology-diagnostic-errors-pediatric-emergency-departments-using-electronic-triggers
December 16, 2020 - Study
Epidemiology of diagnostic errors in pediatric emergency departments using electronic triggers.
Citation Text:
Mahajan P, White E, Shaw KN, et al. Epidemiology of diagnostic errors in pediatric emergency departments using electronic triggers. Acad Emerg Med. 2025;Epub Jan 15. doi:1…
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psnet.ahrq.gov/issue/use-simulation-measure-effects-just-time-information-prevent-nursing-medication-errors
August 04, 2021 - Study
Use of simulation to measure the effects of just-in-time information to prevent nursing medication errors: a randomized controlled study.
Citation Text:
Berg TA, Hebert SH, Chyka D, et al. Use of Simulation to Measure the Effects of Just-in-Time Information to Prevent Nursing Medi…
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psnet.ahrq.gov/node/49816/psn-pdf
January 01, 2018 - A Painful Medication Reconciliation Mishap
January 1, 2018
Chou R. A Painful Medication Reconciliation Mishap. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
Case Objectives
Recognize that substance use disorders are common in patients with acute pain.
Understand th…
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psnet.ahrq.gov/node/33663/psn-pdf
September 15, 2008 - Implementing a Patient Safety Program at a Large
National Health System
January 1, 2008
Hauck LD, Jacob J. Implementing a Patient Safety Program at a Large National Health System. PSNet
[internet]. 2008.
https://psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
Perspectiv…
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psnet.ahrq.gov/issue/what-makes-maternity-teams-effective-and-safe-lessons-series-research-teamwork-leadership-and
May 25, 2011 - Commentary
What makes maternity teams effective and safe? Lessons from a series of research on teamwork, leadership and team training.
Citation Text:
Siassakos D, Fox R, Bristowe K, et al. What makes maternity teams effective and safe? Lessons from a series of research on teamwork, lead…
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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/node/73103/psn-pdf
March 31, 2021 - Delayed Diagnosis in the Setting of Virtual Care:
Remembering the Physical Examination
March 31, 2021
Valdes W, Utter GH. Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical
Examination. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-…
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psnet.ahrq.gov/issue/modified-early-warning-system-improves-patient-safety-and-clinical-outcomes-academic
September 18, 2019 - Study
Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital.
Citation Text:
Mathukia C, Fan WQ, Vadyak K, et al. Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital. J Commun…
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psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-critique-postpartum-readmission-rate
September 22, 2021 - Commentary
Society for Maternal-Fetal Medicine Special Statement: a critique of postpartum readmission rate as a quality metric.
Citation Text:
Combs CA, Goffman D, Pettker CM. Society for Maternal-Fetal Medicine Special Statement: A critique of postpartum readmission rate as a quality m…
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psnet.ahrq.gov/issue/multi-professional-simulation-based-team-training-obstetric-emergencies-improving-patient
July 29, 2020 - Review
Emerging Classic
Multi-professional simulation-based team training in obstetric emergencies for improving patient outcomes and trainees' performance
Citation Text:
Fransen AF, van de Ven J, Banga FR, et al. Multi-professional simulation-based team trainin…
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psnet.ahrq.gov/issue/failure-rescue-following-emergency-surgery-fram-analysis-management-deteriorating-patient
May 19, 2021 - Study
Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient.
Citation Text:
Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating patient. Appl Ergon.…
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psnet.ahrq.gov/issue/racial-disparities-pain-management-children-appendicitis-emergency-departments
April 22, 2020 - Study
Racial disparities in pain management of children with appendicitis in emergency departments.
Citation Text:
Goyal MK, Kuppermann N, Cleary SD, et al. Racial disparities in pain management of children with appendicitis in emergency departments. JAMA Pediatr. 2015;169(11):996-1002. …
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psnet.ahrq.gov/issue/development-and-performance-evaluation-medicines-optimisation-assessment-tool-moat-prognostic
March 18, 2020 - Study
Development and performance evaluation of the Medicines Optimisation Assessment Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems.
Citation Text:
Geeson C, Wei L, Franklin BD. Development and performance evaluation of the M…
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psnet.ahrq.gov/issue/racialethnic-inequities-pregnancy-related-morbidity-and-mortality
August 10, 2022 - Commentary
Emerging Classic
Racial/ethnic inequities in pregnancy-related morbidity and mortality.
Citation Text:
Minehart RD, Bryant AS, Jackson J, et al. Racial/ethnic inequities in pregnancy-related morbidity and mortality. Obstet Gynecol Clin North Am. 2021;…
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psnet.ahrq.gov/issue/where-trust-flourishes-perceptions-clinicians-who-trust-their-organizations-and-are-trusted
March 15, 2023 - Study
Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients.
Citation Text:
Linzer M, Neprash HT, Brown RL, et al. Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients…
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psnet.ahrq.gov/issue/presafe-model-barriers-and-facilitators-patients-providing-feedback-experiences-safety
January 08, 2020 - Study
PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety.
Citation Text:
De Brún A, Heavey E, Waring J, et al. PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety. Health Expect. 2017;20(…
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psnet.ahrq.gov/issue/impact-fatigue-and-insufficient-sleep-physician-and-patient-outcomes-systematic-review
October 19, 2022 - Review
Emerging Classic
Impact of fatigue and insufficient sleep on physician and patient outcomes: a systematic review.
Citation Text:
Gates M, Wingert A, Featherstone R, et al. Impact of fatigue and insufficient sleep on physician and patient outcomes: a syste…