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psnet.ahrq.gov/perspective/conversation-withdavid-marx-jd
October 01, 2007 - Consider this scenario. … The error in this scenario is administering the medication to the wrong patient. … Now consider another scenario. In hospital "B," a patient checks in. … Now, let's say a nurse does exactly the same thing as the nurse in the first scenario.
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psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
November 27, 2023 - It could involve providing feedback on those competencies that were the focus of that particular scenario … Similarly, simulation allows students to apply skills in a realistic scenario and, importantly, learn
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psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
November 27, 2023 - Similarly, simulation allows students to apply skills in a realistic scenario and, importantly, learn … It could involve providing feedback on those competencies that were the focus of that particular scenario
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psnet.ahrq.gov/node/73698/psn-pdf
September 15, 2021 - Effect of a mobile app on prehospital medication errors
during simulated pediatric resuscitation: a randomized
clinical trial.
September 15, 2021
Siebert JN, Bloudeau L, Combescure C, et al. Effect of a mobile app on prehospital medication errors
during simulated pediatric resuscitation: a randomized clinical tria…
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psnet.ahrq.gov/node/60523/psn-pdf
May 27, 2020 - "We're not ready, but I don't think you're ever ready."
Clinician perspectives on implementation of crisis
standards of care.
May 27, 2020
Chuang E, Cuartas PA, Powell T, et al. "We're not ready, but I don't think you're ever ready." Clinician
perspectives on implementation of crisis standards of care. AJOB Empir …
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psnet.ahrq.gov/node/863747/psn-pdf
March 06, 2024 - "Good care is slow enough to be able to pay attention":
primary care time scarcity and patient safety.
March 6, 2024
Satterwhite S, Nguyen M-LT, Honcharov V, et al. "Good care is slow enough to be able to pay attention":
primary care time scarcity and patient safety. J Gen Intern Med. 2024;39(9):1575-1582.
doi:10.…
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psnet.ahrq.gov/node/866953/psn-pdf
October 16, 2024 - Why didn't you call me? Factors junior learners consider
when deciding whether to call their supervisor.
October 16, 2024
Alibhai KM, Zabolotniuk TR, Raîche I, et al. Why didn't you call me? Factors junior learners consider when
deciding whether to call their supervisor. J Surg Educ. 2024;81(11):1637-1644.
doi:10.…
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psnet.ahrq.gov/node/858171/psn-pdf
December 13, 2023 - Uncovering the risks of anticancer therapy through
incident report analysis using a newly developed medical
oncology incident taxonomy.
December 13, 2023
Jacobson JO, Zerillo JA, Doolin J, et al. Uncovering the risks of anticancer therapy through incident report
analysis using a newly developed medical oncology in…
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psnet.ahrq.gov/issue/use-electronic-clinical-decision-support-system-primary-care-assess-inappropriate
October 21, 2020 - of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based
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psnet.ahrq.gov/innovation/clinician-collaboration-improve-clinical-decision-support-clickbusters-initiative
October 21, 2020 - of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based
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psnet.ahrq.gov/node/33864/psn-pdf
January 01, 2019 - patients in pediatric residency training in palliative care: anatomy of
a standardized patient case scenario
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psnet.ahrq.gov/node/853961/psn-pdf
September 27, 2023 - Making a move: using simulation to identify latent safety
threats before the care of injured patients in a new
physical space.
September 27, 2023
Kotagal M, Falcone RA, Daugherty M, et al. Making a move: Using simulation to identify latent safety
threats before the care of injured patients in a new physical space.…
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psnet.ahrq.gov/node/42696/psn-pdf
March 21, 2017 - Evaluation of a problem-specific SBAR tool to improve
after-hours nurse-physician phone communication: a
randomized trial.
March 21, 2017
Joffe E, Turley JP, Hwang KO, et al. Evaluation of a problem-specific SBAR tool to improve after-hours
nurse-physician phone communication: a randomized trial. Jt Comm J Qual Pa…
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psnet.ahrq.gov/node/43775/psn-pdf
November 29, 2017 - The effects of hospital safety scores, total price, out-of-
pocket cost, and household income on consumers' self-
reported choice of hospitals.
November 29, 2017
Duke CC, Smith B, Lynch W, et al. The Effects of Hospital Safety Scores, Total Price, Out-of-Pocket Cost,
and Household Income on Consumers' Self-reporte…
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psnet.ahrq.gov/node/35813/psn-pdf
April 06, 2011 - Simulation based teamwork training for emergency
department staff: does it improve clinical team
performance when added to an existing didactic
teamwork curriculum?
April 6, 2011
Shapiro MJ, Morey JC, Small SD, et al. Simulation based teamwork training for emergency department
staff: does it improve clinical team…
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psnet.ahrq.gov/node/45417/psn-pdf
July 01, 2017 - A literature review of the training offered to qualified
prescribers to use electronic prescribing systems: why is
it so important?
July 1, 2017
Brown CL, Reygate K, Slee A, et al. A literature review of the training offered to qualified prescribers to use
electronic prescribing systems: why is it so important? In…
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psnet.ahrq.gov/node/42796/psn-pdf
December 13, 2013 - Telemedicine consultations and medication errors in rural
emergency departments.
December 13, 2013
Dharmar M, Kuppermann N, Romano PS, et al. Telemedicine consultations and medication errors in rural
emergency departments. Pediatrics. 2013;132(6):1090-7. doi:10.1542/peds.2013-1374.
https://psnet.ahrq.gov/issue/tel…
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psnet.ahrq.gov/periodic-issue/periodic-issue-458
August 28, 2024 - anesthesia providers with two case scenarios—one which stated the diagnosis at the beginning of the scenario
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psnet.ahrq.gov/node/867379/psn-pdf
January 01, 2025 - Implementation of electronic triggers to identify
diagnostic errors in emergency departments.
December 18, 2024
Vaghani V, Gupta A, Mir U, et al. Implementation of electronic triggers to identify diagnostic errors in
emergency departments. JAMA Intern Med. 2025;185(2):143-151. doi:10.1001/jamainternmed.2024.6214.
…
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psnet.ahrq.gov/issue/does-patient-centered-design-guarantee-patient-safety-using-human-factors-engineering-find
November 23, 2016 - 11, 2014
Enhancing electronic health record usability in pediatric patient care: a scenario-based