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psnet.ahrq.gov/issue/liability-reform-should-make-patients-safer-avoidable-classes-events-are-key-improvement
July 26, 2023 - Commentary
Liability reform should make patients safer: "Avoidable classes of events" are a key improvement.
Citation Text:
Bovbjerg RR, Tancredi LR. Liability reform should make patients safer: "avoidable classes of events" are a key improvement. J Law Med Ethics. 2005;33(3):478-500. …
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psnet.ahrq.gov/issue/direct-oral-anticoagulant-related-medication-incidents-and-pharmacists-interventions-hospital
January 12, 2022 - Study
Direct oral anticoagulant-related medication incidents and pharmacists' interventions in hospital in-patients: evaluation using Reason's accident causation theory.
Citation Text:
Haque H, Alrowily A, Jalal Z, et al. Direct oral anticoagulant-related medication incidents and pharmac…
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psnet.ahrq.gov/issue/effect-lawsuits-professional-well-being-and-medical-error-rates-among-orthopaedic-surgeons
May 18, 2022 - Study
Effect of lawsuits on professional well-being and medical error rates among orthopaedic surgeons.
Citation Text:
Adelani MA, Hong Z, Miller AN. Effect of lawsuits on professional well-being and medical error rates among orthopaedic surgeons. J Am Acad Orthop Surg. 2023;31(16):893-9…
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psnet.ahrq.gov/issue/applying-medications-transitions-and-clinical-handoffs-toolkit-rural-primary-care-clinic
August 04, 2021 - Study
Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural primary care clinic: implications for nursing, patients, and caregivers.
Citation Text:
Jarrett T, Cochran J, Baus A. Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural pr…
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psnet.ahrq.gov/issue/scoping-review-communication-tools-applicable-patients-and-their-primary-care-providers-after
December 15, 2021 - Review
A scoping review of communication tools applicable to patients and their primary care providers after discharge from hospital.
Citation Text:
Spencer RA, Singh Punia H. A scoping review of communication tools applicable to patients and their primary care providers after discharge …
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psnet.ahrq.gov/issue/health-professional-networks-vector-improving-healthcare-quality-and-safety-systematic-review
December 13, 2023 - Review
Health professional networks as a vector for improving healthcare quality and safety: a systematic review.
Citation Text:
Cunningham FC, Ranmuthugala G, Plumb J, et al. Health professional networks as a vector for improving healthcare quality and safety: a systematic review. BMJ…
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psnet.ahrq.gov/node/33796/psn-pdf
January 01, 2016 - The decision to request a second
report from the Institute of Medicine was definitely strategic, and … are requested by Congress and are funded through that mechanism, but they do some reports at the
request
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psnet.ahrq.gov/issue/decisions-about-critical-events-device-related-scenarios-function-expertise
January 02, 2017 - Study
Decisions about critical events in device-related scenarios as a function of expertise.
Citation Text:
Laxmisan A, Malhotra S, Keselman A, et al. Decisions about critical events in device-related scenarios as a function of expertise. J Biomed Inform. 2005;38(3):200-12.
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psnet.ahrq.gov/issue/remedies-sought-and-obtained-healthcare-complaints
April 13, 2011 - Study
Remedies sought and obtained in healthcare complaints.
Citation Text:
Bismark M, Spittal MJ, Gogos AJ, et al. Remedies sought and obtained in healthcare complaints. BMJ Qual Saf. 2011;20(9):806-810. doi:10.1136/bmjqs-2011-000109.
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DOI Google Sch…
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psnet.ahrq.gov/issue/reduction-opioid-prescribing-through-evidence-based-prescribing-guidelines
January 27, 2019 - Study
Reduction in opioid prescribing through evidence-based prescribing guidelines.
Citation Text:
Howard R, Waljee JF, Brummett CM, et al. Reduction in Opioid Prescribing Through Evidence-Based Prescribing Guidelines. JAMA Surg. 2018;153(3):285-287. doi:10.1001/jamasurg.2017.4436.
Co…
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psnet.ahrq.gov/issue/closing-loop-ambulatory-staff-safety-reports
April 22, 2016 - Study
Closing the loop with ambulatory staff on safety reports.
Citation Text:
Williams S, Fiumara K, Kachalia A, et al. Closing the Loop with Ambulatory Staff on Safety Reports. Jt Comm J Qual Saf. 2020;46(1):44-50. doi:10.1016/j.jcjq.2019.09.009.
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psnet.ahrq.gov/node/852807/psn-pdf
August 30, 2023 - Sleep Deprivation Leads to Medication Error During
Spinal Epidural Anesthesia
August 30, 2023
Bohringer C, Osborne R. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.
PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-…
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psnet.ahrq.gov/issue/patient-initiated-second-opinions-systematic-review-characteristics-and-impact-diagnosis
May 29, 2015 - Review
Patient-initiated second opinions: systematic review of characteristics and impact on diagnosis, treatment, and satisfaction.
Citation Text:
Payne VL, Singh H, Meyer AND, et al. Patient-Initiated Second Opinions: Systematic Review of Characteristics and Impact on Diagnosis, Treatm…
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psnet.ahrq.gov/issue/blink-or-think-can-further-reflection-improve-initial-diagnostic-impressions
November 28, 2012 - Study
Blink or think: can further reflection improve initial diagnostic impressions?
Citation Text:
Hess BJ, Lipner RS, Thompson V, et al. Blink or think: can further reflection improve initial diagnostic impressions? Acad Med. 2015;90(1):112-118. doi:10.1097/ACM.0000000000000550.
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psnet.ahrq.gov/issue/work-observation-study-nuclear-medicine-technologists-interruptions-resilience-and
May 25, 2011 - Study
A work observation study of nuclear medicine technologists: interruptions, resilience and implications for patient safety.
Citation Text:
Larcos G, Prgomet M, Georgiou A, et al. A work observation study of nuclear medicine technologists: interruptions, resilience and implications f…
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psnet.ahrq.gov/issue/clinical-outcomes-use-medication-report-when-elderly-patients-are-discharged-hospital
January 27, 2012 - Study
Clinical outcomes from the use of Medication Report when elderly patients are discharged from hospital.
Citation Text:
Midlöv P, Deierborg E, Holmdahl L, et al. Clinical outcomes from the use of Medication Report when elderly patients are discharged from hospital. Pharm World S…
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psnet.ahrq.gov/issue/development-and-validation-johns-hopkins-disruptive-clinician-behavior-survey
April 24, 2013 - Study
Development and validation of the Johns Hopkins Disruptive Clinician Behavior Survey.
Citation Text:
Dang D, Nyberg D, Walrath JM, et al. Development and Validation of the Johns Hopkins Disruptive Clinician Behavior Survey. Am J Med Qual. 2014;30(5):470-476. doi:10.1177/10628606145…
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psnet.ahrq.gov/issue/cognitive-errors-detected-anaesthesiology-literature-review-and-pilot-study
November 21, 2012 - Study
Cognitive errors detected in anaesthesiology: a literature review and pilot study.
Citation Text:
Stiegler MP, Neelankavil JP, Canales C, et al. Cognitive errors detected in anaesthesiology: a literature review and pilot study. Br J Anaesth. 2012;108(2):229-35. doi:10.1093/bja/ae…
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psnet.ahrq.gov/issue/anticoagulant-medication-errors-hospitals-and-primary-care-cross-sectional-study
August 18, 2010 - Study
Anticoagulant medication errors in hospitals and primary care: a cross-sectional study.
Citation Text:
Dreijer AR, Diepstraten J, Bukkems VE, et al. Anticoagulant medication errors in hospitals and primary care: a cross-sectional study. Int J Qual Health Care. 2019;31(5):346-352. d…
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psnet.ahrq.gov/issue/multidose-drug-dispensing-and-discrepancies-between-medication-records
November 06, 2013 - Study
Multidose drug dispensing and discrepancies between medication records.
Citation Text:
Wekre LJ, Spigset O, Sletvold O, et al. Multidose drug dispensing and discrepancies between medication records. Qual Saf Health Care. 2010;19(5):e42. doi:10.1136/qshc.2009.038745.
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