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psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
October 12, 2018 - The SbCST simulation scenario represented a patient with hypotensive shock, progressive respiratory failure
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psnet.ahrq.gov/node/36006/psn-pdf
November 15, 2011 - Disclosure of medical errors: what factors influence how
patients respond?
November 15, 2011
Mazor KM, Reed G, Yood RA, et al. Disclosure of medical errors: what factors influence how patients
respond? J Gen Intern Med. 2006;21(7):704-10.
https://psnet.ahrq.gov/issue/disclosure-medical-errors-what-factors-influenc…
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psnet.ahrq.gov/node/41993/psn-pdf
April 21, 2015 - Simulation-based trial of surgical-crisis checklists.
April 21, 2015
Arriaga AF, Bader AM, Wong JM, et al. Simulation-based trial of surgical-crisis checklists. N Engl J Med.
2013;368(3):246-53. doi:10.1056/NEJMsa1204720.
https://psnet.ahrq.gov/issue/simulation-based-trial-surgical-crisis-checklists
Surgical check…
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psnet.ahrq.gov/node/39729/psn-pdf
September 20, 2011 - Contextual errors and failures in individualizing patient
care: a multicenter study.
September 20, 2011
Weiner SJ, Schwartz A, Weaver FM, et al. Contextual errors and failures in individualizing patient care: a
multicenter study. Ann Intern Med. 2010;153(2):69-75. doi:10.7326/0003-4819-153-2-201007200-00002.
https…
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psnet.ahrq.gov/node/46283/psn-pdf
April 24, 2018 - Decreasing prescribing errors during pediatric
emergencies: a randomized simulation trial.
April 24, 2018
Larose G, Levy A, Bailey B, et al. Decreasing Prescribing Errors During Pediatric Emergencies: A
Randomized Simulation Trial. Pediatrics. 2017;139(3). doi:10.1542/peds.2016-3200.
https://psnet.ahrq.gov/issue/d…
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psnet.ahrq.gov/node/39315/psn-pdf
March 21, 2017 - Risk managers, physicians, and disclosure of harmful
medical errors.
March 21, 2017
Loren DJ, Garbutt J, Dunagan C, et al. Risk managers, physicians, and disclosure of harmful medical
errors. Jt Comm J Qual Patient Saf. 2010;36(3):101-8.
https://psnet.ahrq.gov/issue/risk-managers-physicians-and-disclosure-harmful-…
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psnet.ahrq.gov/node/38142/psn-pdf
April 30, 2014 - Medical error disclosure among pediatricians: choosing
carefully what we might say to parents.
April 30, 2014
Loren DJ, Klein EJ, Garbutt J, et al. Medical Error Disclosure Among Pediatricians. Arch Pediatr Adolesc
Med. 2008;162(10):922-927. doi:10.1001/archpedi.162.10.922.
https://psnet.ahrq.gov/issue/medical-err…
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psnet.ahrq.gov/node/35611/psn-pdf
June 23, 2010 - Error or "act of God"? A study of patients' and operating
room team members' perceptions of error definition,
reporting, and disclosure.
June 23, 2010
Espin S, Levinson W, Regehr G, et al. Error or "act of God"? A study of patients' and operating room team
members' perceptions of error definition, reporting, and d…
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psnet.ahrq.gov/node/44266/psn-pdf
May 19, 2019 - Exploring health care professionals' perceptions of
incidents and incident reporting in rehabilitation settings.
May 19, 2019
Espin S, Carter C, Janes N, et al. Exploring Health Care Professionals' Perceptions of Incidents and
Incident Reporting in Rehabilitation Settings. J Patient Saf. 2019;15(2):154-160.
doi:10…
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psnet.ahrq.gov/node/60825/psn-pdf
August 19, 2020 - Effect of delays in the 2-week-wait cancer referral
pathway during the COVID-19 pandemic on cancer
survival in the UK: a modelling study.
August 19, 2020
Sud A, Torr B, Jones ME, et al. Effect of delays in the 2-week-wait cancer referral pathway during the
COVID-19 pandemic on cancer survival in the UK: a modellin…
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psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
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/node/862983/psn-pdf
February 28, 2024 - Airway obstruction in a patient who is already intubated is an uncommon but very dangerous clinical
scenario … malfunction, severe bronchospasm, and tension pneumothorax
are other potential causes of for this clinical scenario … previous WebM&M commentary, using a video-
laryngoscope is the intubation technique of choice in this scenario
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psnet.ahrq.gov/innovation/esimpler-dynamic-electronic-health-record-integrated-checklist-clinical-decision-support
June 16, 2021 - 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/44081/psn-pdf
April 22, 2015 - Accuracy of harm scores entered into an event reporting
system.
April 22, 2015
Abbasi T, Adornetto-Garcia D, Johnston PA, et al. Accuracy of harm scores entered into an event reporting
system. J Nurs Adm. 2015;45(4):218-225. doi:10.1097/NNA.0000000000000188.
https://psnet.ahrq.gov/issue/accuracy-harm-scores-entere…
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psnet.ahrq.gov/node/49589/psn-pdf
August 01, 2009 - A second scenario might be a patient who suffers from an extensive
or painful outbreak but is unable … A third and more
troubling scenario is when the diagnosis is missed by health care providers—as in the
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psnet.ahrq.gov/node/33630/psn-pdf
March 01, 2006 - For instance, students may enact a scenario that teaches them to use appropriate,
closed-loop communication
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psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
August 01, 2018 - a surprising number of times people do things that you didn't expect even after you've run the same scenario … happening to both maintain realism of the simulator's response as well as to be able to debrief the scenario … patients in pediatric residency training in palliative care: anatomy of a standardized patient case scenario
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psnet.ahrq.gov/node/44823/psn-pdf
February 15, 2017 - US poison control center calls for infants 6 months of age
and younger.
February 15, 2017
Kang M, Brooks DE. US Poison Control Center Calls for Infants 6 Months of Age and Younger. Pediatrics.
2016;137(2):e20151865. doi:10.1542/peds.2015-1865.
https://psnet.ahrq.gov/issue/us-poison-control-center-calls-infants-6-m…
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psnet.ahrq.gov/node/46112/psn-pdf
December 21, 2017 - Analysis of variations in the display of drug names in
computerized prescriber-order-entry systems.
December 21, 2017
Quist AJL, Hickman T-TT, Amato MG, et al. Analysis of variations in the display of drug names in
computerized prescriber-order-entry systems. American Journal of Health-System Pharmacy. 2017;74(7).
…
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psnet.ahrq.gov/node/49497/psn-pdf
December 01, 2005 - during playback of the video during a constructive debriefing held
immediately at the close of the scenario