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psnet.ahrq.gov/node/49508/psn-pdf
January 01, 2007 - Language Barrier
April 1, 2006
Flores G. Language Barrier. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/language-barrier
The Case
A previously healthy 10-month-old girl was taken to a pediatrician's office by her monolingual Spanish-
speaking parents when they noted that their daughter had generalized we…
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psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
April 12, 2023 - He called a colleague at the receiving hospital to make the request for transfer. … Such streamlining often involves simplifying and standardizing both the transfer request process for
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psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
January 29, 2021 - Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia
Citation Text:
Bohringer C, Osborne R. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human…
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psnet.ahrq.gov/issue/how-house-officers-cope-their-mistakes
June 26, 2015 - Study
Classic
How house officers cope with their mistakes.
Citation Text:
Wu AW, Folkman S, McPhee SJ, et al. How house officers cope with their mistakes. West J Med. 1993;159(5):565-569.
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psnet.ahrq.gov/issue/anybody-list-youre-more-worried-about-qualitative-analysis-exploring-functions-questions
January 22, 2016 - Study
"Anybody on this list that you're more worried about?" Qualitative analysis exploring the functions of questions during end of shift handoffs.
Citation Text:
O'Brien CM, Flanagan ME, Bergman AA, et al. "Anybody on this list that you're more worried about?" Qualitative analysis expl…
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psnet.ahrq.gov/issue/situ-simulation-based-team-training-and-its-significance-transfer-learning-clinical-practice
June 14, 2023 - Study
In situ simulation-based team training and its significance for transfer of learning to clinical practice--a qualitative focus group interview study of anaesthesia personnel.
Citation Text:
Finstad AS, Aase I, Bjørshol CA, et al. In situ simulation-based team training and its signi…
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psnet.ahrq.gov/issue/identifying-and-encouraging-high-quality-healthcare-analysis-content-and-aims-patient-letters
September 14, 2022 - Study
Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of compliment.
Citation Text:
Gillespie A, Reader TW. Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of complimen…
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psnet.ahrq.gov/issue/electronic-medication-reconciliation-tools-aimed-healthcare-professionals-support-medication
December 02, 2020 - Review
Electronic medication reconciliation tools aimed at healthcare professionals to support medication reconciliation: a systematic review.
Citation Text:
Ciudad-Gutiérrez P, del Valle-Moreno P, Lora-Escobar SJ, et al. Electronic medication reconciliation tools aimed at healthcare pro…
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psnet.ahrq.gov/issue/handling-polypharmacy-qualitative-study-using-focus-group-interviews-older-patients-their
August 03, 2022 - Study
Handling polypharmacy--a qualitative study using focus group interviews with older patients, their relatives, and healthcare professionals.
Citation Text:
Mikkelsen TH, Søndergaard J, Kjaer NK, et al. Handling polypharmacy –a qualitative study using focus group interviews with olde…
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psnet.ahrq.gov/node/49852/psn-pdf
February 01, 2019 - He called a colleague at the receiving
hospital to make the request for transfer. … Such
streamlining often involves simplifying and standardizing both the transfer request process for
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psnet.ahrq.gov/issue/using-staff-perceptions-patient-safety-tool-improving-safety-culture-pediatric-hospital
October 04, 2011 - Study
Using staff perceptions on patient safety as a tool for improving safety culture in a pediatric hospital system.
Citation Text:
Edwards PJ, Scott T, Richardson P, et al. Using Staff Perceptions on Patient Safety as a Tool for Improving Safety Culture in a Pediatric Hospital Syste…
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psnet.ahrq.gov/issue/understanding-middle-managers-influence-implementing-patient-safety-culture
March 24, 2012 - Commentary
Understanding middle managers' influence in implementing patient safety culture.
Citation Text:
Gutberg J, Berta W. Understanding middle managers' influence in implementing patient safety culture. BMC Health Serv Res. 2017;17(1):582. doi:10.1186/s12913-017-2533-4.
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psnet.ahrq.gov/issue/role-talking-and-keeping-silent-physician-coping-medical-error-qualitative-study
February 16, 2011 - Study
The role of talking (and keeping silent) in physician coping with medical error: a qualitative study.
Citation Text:
May NB, Plews-Ogan M. The role of talking (and keeping silent) in physician coping with medical error: a qualitative study. Patient Educ Couns. 2012;88(3):449-54. …
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psnet.ahrq.gov/issue/delays-and-errors-cardiopulmonary-resuscitation-and-defibrillation-pediatric-residents-during
January 02, 2017 - Study
Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests.
Citation Text:
Hunt EA, Vera K, Diener-West M, et al. Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents…
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psnet.ahrq.gov/issue/identification-inpatient-dnr-status-safety-hazard-begging-standardization
January 19, 2012 - Study
Identification of inpatient DNR status: a safety hazard begging for standardization.
Citation Text:
Sehgal NL, Wachter RM. Identification of inpatient DNR status: A safety hazard begging for standardization. J Hosp Med. 2007;2(6):366-371. doi:10.1002/jhm.283.
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psnet.ahrq.gov/issue/evaluation-12-strategies-obtaining-second-opinions-improve-interpretation-breast
November 03, 2015 - Study
Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study.
Citation Text:
Elmore JG, Tosteson AN, Pepe MS, et al. Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histo…
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psnet.ahrq.gov/issue/approaches-improving-continuity-care-medication-management-systematic-review
April 13, 2022 - Review
Approaches for improving continuity of care in medication management: a systematic review.
Citation Text:
Spinewine A, Claeys C, Foulon V, et al. Approaches for improving continuity of care in medication management: a systematic review. Int J Qual Health Care. 2013;25(4):403-17. d…
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psnet.ahrq.gov/issue/medication-administration-errors-older-people-long-term-residential-care
June 26, 2019 - Study
Medication administration errors for older people in long-term residential care.
Citation Text:
Szczepura A, Wild D, Nelson S. Medication administration errors for older people in long-term residential care. BMC Geriatr. 2011;11:82. doi:10.1186/1471-2318-11-82.
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…
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psnet.ahrq.gov/issue/errors-medication-history-hospital-admission-prevalence-and-predicting-factors
October 14, 2020 - Study
Errors in medication history at hospital admission: prevalence and predicting factors.
Citation Text:
Hellström LM, Bondesson Å, Höglund P, et al. Errors in medication history at hospital admission: prevalence and predicting factors. BMC Clin Pharmacol. 2012;12(9):9. doi:10.1186/…
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psnet.ahrq.gov/issue/ask-me-routine-measurement-patient-experience-patient-safety-ambulatory-care-mixed-mode
April 14, 2021 - Study
ASK ME!-Routine measurement of patient experience with patient safety in ambulatory care: a mixed-mode survey
Citation Text:
Stahl K, Groene O. ASK ME!—Routine measurement of patient experience with patient safety in ambulatory care: A mixed-mode survey. PLoS ONE. 2021;16(12):e0259…