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psnet.ahrq.gov/issue/junior-medics-bullied-lie-about-hours-doctors-ordered-work-without-proper-training
April 27, 2016 - Newspaper/Magazine Article
Junior medics bullied to lie about hours: doctors ordered to work without proper training.
Citation Text:
Revill J.
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psnet.ahrq.gov/periodic-issue/periodic-issue-337
April 27, 2022 - He was seen in clinic one month after that discharge, without family present, and scheduled for outpatient … ’s son and daughter were contacted at various points to re-establish care, but he continued to miss scheduled
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psnet.ahrq.gov/periodic-issue/periodic-issue-377
February 01, 2023 - multiple locations (i.e., outpatient and emergency department) with different referral types (i.e., scheduled … Revised Safer Dx instrument, researchers identified significantly more diagnostic errors in patients with scheduled
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psnet.ahrq.gov/sites/default/files/2020-03/final_spotlight_case_delays_in_the_ed_powerpoint_for_cme_review_03.09.2020.pdf
January 01, 2020 - patient and agreed to take the patient to
the operating room (OR)
7
Case Details
• Surgery was scheduled … initial sense of urgency was lost after diagnosis was made
– > 60 minutes elapsed after the OR case was scheduled
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psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
January 29, 2021 - If an interpreter had been scheduled to be present in the preoperative area for this elective operation … Interpreting services should be scheduled prior to admission in order to prevent delays in the operating
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psnet.ahrq.gov/issue/evolving-story-overlapping-surgery
April 19, 2016 - Commentary
The evolving story of overlapping surgery.
Citation Text:
Mello MM, Livingston EH. The Evolving Story of Overlapping Surgery. JAMA. 2017;318(3):233-234. doi:10.1001/jama.2017.8061.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…
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psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
April 24, 2018 - A lumpectomy procedure with lymphoscintigraphy and sentinel lymph node biopsy (SLNB) was scheduled. … Subsequent investigation uncovered that the patient was properly scheduled on the nuclear medicine calendar
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psnet.ahrq.gov/node/49630/psn-pdf
July 01, 2011 - For the case patient, who was chronically taking
warfarin, the medical team could have scheduled an … warfarin dose, had new medications
started, or experienced medical issues that might affect the INR be scheduled
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psnet.ahrq.gov/web-mm/chemotherapy-extravasation
September 24, 2010 - Scheduled chemotherapy treatment often must be delayed, which may set back treatment and lead to psychological … necrosis (overall efficacy 98.2%), and the majority of the patients were able to continue chemotherapy as scheduled
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psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training
October 01, 2004 - control, are heavily instrumented for recording and replay of simulation scenarios, and allow guaranteed scheduled … practice by the team through a shared review of what transpired in the simulation scenario; and
Provides scheduled
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psnet.ahrq.gov/issue/bridging-communication-gap-operating-room-medical-team-training
March 05, 2025 - Study
Bridging the communication gap in the operating room with medical team training.
Citation Text:
Awad SS, Fagan SP, Bellows C, et al. Bridging the communication gap in the operating room with medical team training. Am J Surg. 2005;190(5):770-4.
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psnet.ahrq.gov/issue/iom-shorten-residents-work-shifts-reduce-fatigue-improve-patient-safety
January 31, 2024 - Journal Article
IOM: shorten residents' work shifts to reduce fatigue, improve patient safety.
Citation Text:
Kuehn BM. IOM: Shorten residents' work shifts to reduce fatigue, improve patient safety. JAMA. 2009;301(3):259-61. doi:10.1001/jama.2008.940.
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psnet.ahrq.gov/issue/agreement-between-patient-reported-symptoms-and-their-documentation-medical-record
November 09, 2022 - Study
Agreement between patient-reported symptoms and their documentation in the medical record.
Citation Text:
Pakhomov S, Jacobsen SJ, Chute CG, et al. Agreement between patient-reported symptoms and their documentation in the medical record. Am J Manag Care. 2008;14(8):530-539.
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psnet.ahrq.gov/issue/twenty-fourseven-mixed-method-systematic-review-shift-literature
March 10, 2021 - Review
Twenty-four/seven: a mixed-method systematic review of the off-shift literature.
Citation Text:
de Cordova PB, Phibbs CS, Bartel AP, et al. Twenty-four/seven: a mixed-method systematic review of the off-shift literature. J Adv Nurs. 2012;68(7):1454-68.
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psnet.ahrq.gov/issue/medication-errors-pediatrics-octopus-evading-defeat
March 14, 2022 - Review
Medication errors in pediatrics—the octopus evading defeat.
Citation Text:
Sullivan JE, Buchino JJ. Medication errors in pediatrics--the octopus evading defeat. J Surg Oncol. 2004;88(3):182-8.
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psnet.ahrq.gov/issue/regulatory-and-policy-barriers-effective-clinical-data-exchange-lessons-learned-medsinfo-ed
October 19, 2022 - Commentary
Regulatory and policy barriers to effective clinical data exchange: lessons learned from MedsInfo-ED.
Citation Text:
Gottlieb LK, Stone EM, Stone D, et al. Regulatory And Policy Barriers To Effective Clinical Data Exchange: Lessons Learned From MedsInfo-ED. Health Aff. 2005;…
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psnet.ahrq.gov/issue/assessment-dod-wounded-warrior-matters-managing-risks-multiple-medications
March 16, 2022 - Government Resource
Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications.
Citation Text:
Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications. Alexandria, VA: Department of Defense, Office of the Inspector General; February 21…
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psnet.ahrq.gov/issue/first-year-nursing-students-viewpoints-about-compromised-clinical-safety
July 15, 2020 - Study
First year nursing students' viewpoints about compromised clinical safety.
Citation Text:
Killam LA, Mossey S, Montgomery P, et al. First year nursing students' viewpoints about compromised clinical safety. Nurse Educ Today. 2013;33(5):475-80. doi:10.1016/j.nedt.2012.05.010.
Co…
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psnet.ahrq.gov/issue/telehealth
January 27, 2019 - Commentary
Telehealth.
Citation Text:
Tuckson R, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med. 2017;377(16):1585-1592. doi:10.1056/NEJMsr1503323.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/practice-based-learning-and-improvement-two-year-experience-reporting-morbidity-and-mortality
August 04, 2021 - Study
Practice-based learning and improvement: a two-year experience with the reporting of morbidity and mortality cases by general surgery residents.
Citation Text:
Falcone JL, Lee KKW, Billiar TR, et al. Practice-based learning and improvement: a two-year experience with the reporting…