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psnet.ahrq.gov/node/49430/psn-pdf
January 01, 2004 - Triage Time Bomb
January 1, 2004
Washington DL. Triage Time Bomb. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/triage-time-bomb
The Case
A parent presented with a child to the emergency department (ED) triage area (located around the corner
and down the hall from the actual ED). The child was febrile, an…
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psnet.ahrq.gov/node/41177/psn-pdf
February 29, 2012 - A study of innovative patient safety education.
February 29, 2012
Smith SD, Henn P, Gaffney R, et al. A study of innovative patient safety education. Clin Teach.
2012;9(1):37-40. doi:10.1111/j.1743-498X.2011.00484.x.
https://psnet.ahrq.gov/issue/study-innovative-patient-safety-education
This educational interventi…
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psnet.ahrq.gov/node/50615/psn-pdf
October 30, 2019 - Misidentifying the Unidentified – John Doe and the EHR
October 30, 2019
Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet].
2019.
https://psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
The Case
Two male patients of similar age arrived at the same …
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psnet.ahrq.gov/node/36147/psn-pdf
January 13, 2012 - An experimental study in nurse-physician relationships.
January 13, 2012
Hofling CK, Brotzman E, Dalrymple S, et al. An experimental study in nurse-physician relationships. J Nerv
Ment Dis. 1966;143(2):171-80.
https://psnet.ahrq.gov/issue/experimental-study-nurse-physician-relationships
The investigators arranged …
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psnet.ahrq.gov/node/41978/psn-pdf
January 16, 2013 - Surgical complications: disclosing adverse events and
medical errors.
January 16, 2013
Wang AS, Eisen DB. Surgical complications: disclosing adverse events and medical errors. J Am Acad
Dermatol. 2013;68(1):144-6. doi:10.1016/j.jaad.2012.09.008.
https://psnet.ahrq.gov/issue/surgical-complications-disclosing-advers…
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psnet.ahrq.gov/node/40583/psn-pdf
August 01, 2011 - Effective physician–nurse communication: a patient
safety essential for labor and delivery.
August 1, 2011
Lyndon A, Zlatnik MG, Wachter R. Effective physician-nurse communication: a patient safety essential for
labor and delivery. Am J Obstet Gynecol. 2011;205(2):91-6. doi:10.1016/j.ajog.2011.04.021.
https://psne…
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psnet.ahrq.gov/node/35196/psn-pdf
March 01, 2011 - A method for measuring system safety and latent errors
associated with pediatric procedural sedation.
March 1, 2011
Blike G, Christoffersen K, Cravero JP, et al. A method for measuring system safety and latent errors
associated with pediatric procedural sedation. Anesth Analg. 2005;101(1):48-58, table of contents.
…
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psnet.ahrq.gov/node/60575/psn-pdf
June 10, 2020 - Applying principles from aviation safety investigations to
root cause analysis of a critical incident during a
simulated emergency.
June 10, 2020
Imach S, Eppich W, Zech A, et al. Applying principles from aviation safety investigations to root cause
analysis of a critical incident during a simulated emergency. Sim…
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psnet.ahrq.gov/node/33566/psn-pdf
September 15, 2024 - Teamwork training may be purely
classroom-based or accompanied by simulations of specific scenarios
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psnet.ahrq.gov/node/853970/psn-pdf
September 27, 2023 - Clinical triggers and vital signs influencing crisis
acknowledgment and calls for help by anesthesiologists:
a simulation-based observational study.
September 27, 2023
Matern LH, Gardner R, Rudolph JW, et al. Clinical triggers and vital signs influencing crisis
acknowledgment and calls for help by anesthesiologist…
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psnet.ahrq.gov/node/73164/psn-pdf
April 21, 2021 - Effectiveness of communication interventions in
obstetrics--a systematic review.
April 21, 2021
Lippke S, Derksen C, Keller FM, et al. Effectiveness of communication interventions in obstetrics--a
systematic review. Int J Environ Res Public Health. 2021;18(5):2616. doi:10.3390/ijerph18052616.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/46457/psn-pdf
December 20, 2017 - Simulation and the diagnostic process: a pilot study of
trauma and rapid response teams.
December 20, 2017
Juriga LL, Murray DJ, Boulet JR, et al. Simulation and the diagnostic process: a pilot study of trauma and
rapid response teams. Diagnosis (Berl). 2017;4(4):241-249. doi:10.1515/dx-2017-0010.
https://psnet.ah…
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psnet.ahrq.gov/node/854247/psn-pdf
October 04, 2023 - Cognitive biases regarding utilization of Emergency
Severity Index among emergency nurses.
October 4, 2023
Essa CD, Victor G, Khan SF, et al. Cognitive biases regarding utilization of emergency severity index
among emergency nurses. Am J Emerg Med. 2023;73:63-68. doi:10.1016/j.ajem.2023.08.021.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/72749/psn-pdf
February 17, 2021 - Multi-professional simulation-based team training in
obstetric emergencies for improving patient outcomes
and trainees' performance
February 17, 2021
Fransen AF, van de Ven J, Banga FR, et al. Multi-professional simulation-based team training in obstetric
emergencies for improving patient outcomes and trainees' pe…
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psnet.ahrq.gov/node/46269/psn-pdf
January 30, 2018 - A randomized controlled trial on the effect of a double
check on the detection of medication errors.
January 30, 2018
Douglass AM, Elder J, Watson R, et al. A Randomized Controlled Trial on the Effect of a Double Check on
the Detection of Medication Errors. Ann Emerg Med. 2018;71(1):74-82.e1.
doi:10.1016/j.annemer…
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psnet.ahrq.gov/node/49538/psn-pdf
June 01, 2007 - around researchers' obligation to offer individual clinical results.(5-7) One
can imagine potential scenarios
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psnet.ahrq.gov/web-mm/hiding-plain-sight
April 24, 2019 - Diagnostic Errors with Zoster There are several clinical scenarios when the diagnosis of HZ is missed
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psnet.ahrq.gov/node/35104/psn-pdf
April 06, 2011 - Crisis management during anaesthesia: the development
of an anaesthetic crisis management manual.
April 6, 2011
Runciman WB, Kluger MT, Morris RW, et al. Crisis management during anaesthesia: the development of
an anaesthetic crisis management manual. Qual Saf Health Care. 2005;14(3):e1.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/35575/psn-pdf
April 11, 2011 - Parental preferences for error disclosure, reporting, and
legal action after medical error in the care of their
children.
April 11, 2011
Hobgood C, Tamayo-Sarver JH, Elms A, et al. Parental preferences for error disclosure, reporting, and
legal action after medical error in the care of their children. Pediatrics. …
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psnet.ahrq.gov/node/43065/psn-pdf
April 09, 2014 - Multiprofessional team simulation training, based on an
obstetric model, can improve teamwork in other areas of
health care.
April 9, 2014
van der Nelson HA, Siassakos D, Bennett J, et al. Multiprofessional team simulation training, based on an
obstetric model, can improve teamwork in other areas of health care. A…