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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/rapid-learning-adverse-medical-event-disclosure-and-apology
November 04, 2014 - Study
Rapid learning of adverse medical event disclosure and apology.
Citation Text:
Raemer D, Locke S, Walzer TB, et al. Rapid Learning of Adverse Medical Event Disclosure and Apology. J Patient Saf. 2016;12(3):140-7. doi:10.1097/PTS.0000000000000080.
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psnet.ahrq.gov/issue/when-doing-wrong-feels-so-right-normalization-deviance
September 03, 2011 - Review
When doing wrong feels so right: normalization of deviance.
Citation Text:
Price MR, Williams TC. When Doing Wrong Feels So Right: Normalization of Deviance. J Patient Saf. 2018;14(1):1-2. doi:10.1097/PTS.0000000000000157.
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psnet.ahrq.gov/node/836794/psn-pdf
March 31, 2022 - thorough
https://psnet.ahrq.gov//#5
https://www.cmpa-acpm.ca/static-assets/pdf/education-and-events/resident-symposium … Katrina Pasao, MD
Resident Physician
Department of Neurology
UC Davis Health
kapasao@ucdavis.edu
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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - December 14, 2022
Impact of resident participation on morbidity and mortality in neurosurgical … July 28, 2023
Impact of resident participation in surgical operations on postoperative
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psnet.ahrq.gov/node/33698/psn-pdf
August 01, 2010 - To free residents' time,
we bring on a resident to help cover the service while they engage in patient
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psnet.ahrq.gov/node/50615/psn-pdf
October 30, 2019 - especially at the level of the most immediate caregivers (bedside nurses) and those placing
orders (resident
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psnet.ahrq.gov/node/49839/psn-pdf
August 01, 2018 - The resident used the codes on each pill to identify them and discovered that one
bottle labeled as
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.116_slideshow.ppt
February 01, 2006 - Organizing the transfer of patient care information: the development of a computerized resident sign-out
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psnet.ahrq.gov/node/867004/psn-pdf
October 30, 2024 - launch, the innovating organization introduced the innovation to the ED clinicians
at staff meetings, resident
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psnet.ahrq.gov/node/33565/psn-pdf
September 01, 2024 - living in long-term care facilities were hit especially
hard, with CMS reporting 172,753 nursing home resident
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psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn
November 01, 2023 - The resident physician asked the medical assistant for acetic acid and unknowingly received TCA.
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psnet.ahrq.gov/node/50697/psn-pdf
November 27, 2019 - Kulig, PharmD
PGY-2 Cardiology Pharmacy Resident
Department of Pharmacy Services
University of California
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psnet.ahrq.gov/issue/clinicians-perceptions-opioid-error-contributing-factors-inpatient-palliative-care-services
June 01, 2016 - Study
Clinicians' perceptions of opioid error–contributing factors in inpatient palliative care services: a qualitative study.
Citation Text:
Heneka N, Bhattarai P, Shaw T, et al. Clinicians' perceptions of opioid error-contributing factors in inpatient palliative care services: A qualit…
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psnet.ahrq.gov/issue/patient-safety-during-sedation-anesthesia-professionals-during-routine-upper-endoscopy-and
August 20, 2018 - Study
Patient safety during sedation by anesthesia professionals during routine upper endoscopy and colonoscopy: an analysis of 1.38 million procedures.
Citation Text:
Vargo JJ, Niklewski PJ, Williams L, et al. Patient safety during sedation by anesthesia professionals during routine upp…
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psnet.ahrq.gov/issue/finding-and-fixing-mistakes-do-checklists-work-clinicians-different-levels-experience
February 06, 2014 - Study
Finding and fixing mistakes: do checklists work for clinicians with different levels of experience?
Citation Text:
Sibbald M, de Bruin A, van Merrienboer JJG. Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? Adv Health Sci Educ T…
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psnet.ahrq.gov/issue/human-error-not-communication-and-systems-underlies-surgical-complications
November 18, 2020 - Study
Human error, not communication and systems, underlies surgical complications.
Citation Text:
Fabri PJ, Zayas-Castro JL. Human error, not communication and systems, underlies surgical complications. Surgery. 2008;144(4):557-63; discussion 563-5. doi:10.1016/j.surg.2008.06.011.
C…
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psnet.ahrq.gov/issue/simulation-hospital-pediatric-medical-emergencies-and-cardiopulmonary-arrests-highlighting
October 14, 2009 - Study
Simulation of in-hospital pediatric medical emergencies and cardiopulmonary arrests: highlighting the importance of the first 5 minutes.
Citation Text:
Hunt EA, Walker AR, Shaffner DH, et al. Simulation of in-hospital pediatric medical emergencies and cardiopulmonary arrests: hig…
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psnet.ahrq.gov/issue/debunking-myth-majority-medical-errors-are-attributed-communication
February 14, 2024 - Journal Article
Debunking the myth that the majority of medical errors are attributed to communication.
Citation Text:
Clapper TC, Ching K. Debunking the myth that the majority of medical errors are attributed to communication. Med Educ. 2020;54(1):74-81. doi:10.1111/medu.13821.
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psnet.ahrq.gov/issue/landscape-inappropriate-laboratory-testing-15-year-meta-analysis
February 12, 2020 - Study
The landscape of inappropriate laboratory testing: a 15-year meta-analysis.
Citation Text:
Zhi M, Ding EL, Theisen-Toupal J, et al. The landscape of inappropriate laboratory testing: a 15-year meta-analysis. PLoS One. 2013;8(11):e78962. doi:10.1371/journal.pone.0078962.
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