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psnet.ahrq.gov/issue/information-distortion-physicians-diagnostic-judgments
April 07, 2021 - Study
Information distortion in physicians' diagnostic judgments.
Citation Text:
Kostopoulou O, Russo E, Keenan G, et al. Information distortion in physicians' diagnostic judgments. Med Decis Making. 2012;32(6):831-9. doi:10.1177/0272989X12447241.
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psnet.ahrq.gov/issue/fallacy-single-diagnosis
October 05, 2022 - Study
The fallacy of a single diagnosis.
Citation Text:
Redelmeier DA, Shafir E. The fallacy of a single diagnosis. Med Decis Making. 2023;43(2):183-190. doi:10.1177/0272989x221121343.
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psnet.ahrq.gov/issue/simulation-ward-processes-surgical-care
June 17, 2015 - Commentary
Simulation for ward processes of surgical care.
Citation Text:
Pucher PH, Darzi A, Aggarwal R. Simulation for ward processes of surgical care. Am J Surg. 2013;206(1):96-102. doi:10.1016/j.amjsurg.2012.08.013.
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psnet.ahrq.gov/issue/implementing-systematic-response-medication-errors
August 27, 2009 - Commentary
Implementing a systematic response to medication errors.
Citation Text:
Larsen D, Cole R, Higton P. Implementing a systematic response to medication errors. Nurs Stand. 2007;21(48):35-40.
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psnet.ahrq.gov/issue/using-simulation-training-improve-perioperative-patient-safety
August 20, 2018 - Study
Using simulation training to improve perioperative patient safety.
Citation Text:
Mullen L, Byrd D. Using simulation training to improve perioperative patient safety. AORN J. 2013;97(4):419-27. doi:10.1016/j.aorn.2013.02.001.
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psnet.ahrq.gov/issue/preventing-communication-errors-telephone-medicine
December 01, 2004 - Commentary
Preventing communication errors in telephone medicine.
Citation Text:
Reisman AB, Brown KE. Preventing communication errors in telephone medicine. J Gen Intern Med. 2005;20(10):959-63.
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psnet.ahrq.gov/issue/examples-medical-device-misconnections
March 04, 2015 - Multi-use Website
Examples of Medical Device Misconnections.
Citation Text:
Examples of Medical Device Misconnections. Food and Drug Administration. February 23. 2023.
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psnet.ahrq.gov/issue/how-experiencing-preventable-medical-problems-changed-patients-interactions-primary-health
December 13, 2023 - Study
How experiencing preventable medical problems changed patients' interactions with primary health care.
Citation Text:
Elder NC, Jacobson J, Zink T, et al. How experiencing preventable medical problems changed patients' interactions with primary health care. Ann Fam Med. 2005;3(6)…
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psnet.ahrq.gov/perspective/what-makes-good-checklist
October 01, 2010 - area where technology can assist by providing fast ways to search the checklist for the appropriate scenario
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
October 01, 2010 - area where technology can assist by providing fast ways to search the checklist for the appropriate scenario
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psnet.ahrq.gov/periodic-issue/periodic-issue-410
September 27, 2023 - In this study, 60 anesthesiologists participating in a simulated perioperative anaphylaxis crisis scenario
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psnet.ahrq.gov/node/72614/psn-pdf
March 01, 2021 - teams with 10 participants each rotated through
five stations, each covering a different emergency scenario
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psnet.ahrq.gov/issue/effects-rounding-patient-satisfaction-and-patient-safety-medical-surgical-unit
February 22, 2023 - Study
Effects of rounding on patient satisfaction and patient safety on a medical–surgical unit.
Citation Text:
WOODARD JENNIFERL. Effects of Rounding on Patient Satisfaction and Patient Safety on a Medical-Surgical Unit. Clin Nurs Specialist. 2009;23(4):200-206. doi:10.1097/nur.0b013e…
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psnet.ahrq.gov/issue/new-solutions-reduce-wrong-route-medication-errors
March 20, 2019 - Review
New solutions to reduce wrong route medication errors.
Citation Text:
Litman RS, Smith VI, Mainland P. New solutions to reduce wrong route medication errors. Paediatr Anaesth. 2018;28(1):8-12. doi:10.1111/pan.13279.
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psnet.ahrq.gov/issue/reevaluating-recovery-perceived-violations-and-preemptive-interventions-emergency-psychiatry
September 17, 2008 - Study
Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds.
Citation Text:
Cohen T, Blatter B, Almeida C, et al. Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds. J Am Med Inform A…
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psnet.ahrq.gov/issue/safety-and-quality-perioperative-anesthesia-care
June 15, 2011 - Special or Theme Issue
Safety and Quality in Perioperative Anesthesia Care.
Citation Text:
Safety and Quality in Perioperative Anesthesia Care. Preckel B, ed. Best Pract Res Clin Anaesthesiol. 2021;35(1):1-154.
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psnet.ahrq.gov/issue/there-no-such-thing-nonjudgmental-debriefing-theory-and-method-debriefing-good-judgment
December 19, 2014 - Commentary
There is no such thing as a "nonjudgmental" debriefing: a theory and method for debriefing with good judgment.
Citation Text:
Rudolph JW, Simon R, Dufresne RL, et al. There's no such thing as "nonjudgmental" debriefing: a theory and method for debriefing with good judgment. Si…
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psnet.ahrq.gov/issue/new-perspectives-error-critical-care
March 10, 2011 - Review
New perspectives on error in critical care.
Citation Text:
Patel VL, Cohen T. New perspectives on error in critical care. Curr Opin Crit Care. 2008;14(4):456-9. doi:10.1097/MCC.0b013e32830634ae.
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psnet.ahrq.gov/issue/failure-rescue-neonatal-care
July 06, 2011 - Commentary
Failure to rescue in neonatal care.
Citation Text:
Gephart SM, McGrath JM, Effken JA. Failure to rescue in neonatal care. J Perinat Neonatal Nurs. 2011;25(3):275-282. doi:10.1097/JPN.0b013e318227cc03.
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psnet.ahrq.gov/issue/which-clinical-errors-lead-referral-uk-paediatricians-national-clinical-assessment-service
January 22, 2014 - Study
Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service?
Citation Text:
Raine J, Scarrott D. Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service? Eur J Pediatr. 2012;171(10…