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psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
July 08, 2022 - He was seen in clinic one month after that discharge, without family present, and scheduled for outpatient … However, he continued to miss scheduled appointments.
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psnet.ahrq.gov/issue/vaccination-errors-reported-vaccine-adverse-event-reporting-system-vaers-united-states-2000
May 18, 2022 - Study
Vaccination errors reported to the Vaccine Adverse Event Reporting System (VAERS), United States, 2000–2013.
Citation Text:
Hibbs BF, Moro PL, Lewis P, et al. Vaccination errors reported to the Vaccine Adverse Event Reporting System, (VAERS) United States, 2000-2013. Vaccine. 2015;…
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psnet.ahrq.gov/node/49777/psn-pdf
December 01, 2016 - that she had cut her wrists and taken some pills, the staff
member treated the call as routine and scheduled … by asking patients to promise that they
won't self-harm and will follow up as planned at the next scheduled
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psnet.ahrq.gov/node/49810/psn-pdf
November 01, 2017 - On the night shift, the bedside nurse went to see the patient at 3:00 AM to administer the next scheduled … The nurse administered the scheduled dose of intravenous hydromorphone.
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psnet.ahrq.gov/issue/prevalence-and-characteristics-diagnostic-error-pediatric-critical-care-multicenter-study
December 11, 2024 - Study
Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study.
Citation Text:
Cifra CL, Custer JW, Smith CM, et al. Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study. Crit Care Med. 2023;51(11):14…
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psnet.ahrq.gov/issue/tenfold-medication-errors-5-years-experience-university-affiliated-pediatric-hospital
August 07, 2024 - Study
Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital.
Citation Text:
Doherty C, Donnell CM. Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital. Pediatrics. 2012;129(5):916-924. doi:10.1542/peds.2011-2…
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psnet.ahrq.gov/issue/accuracy-medical-dispatch-systematic-review
March 12, 2025 - Review
The accuracy of medical dispatch—a systematic review.
Citation Text:
Bohm K, Kurland L. The accuracy of medical dispatch - a systematic review. Scand J Trauma Resusc Emerg Med. 2018;26(1):94. doi:10.1186/s13049-018-0528-8.
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DOI Google Scholar Pub…
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psnet.ahrq.gov/issue/multiple-institution-comparison-resident-and-faculty-perceptions-burnout-and-depression
October 19, 2022 - Study
Emerging Classic
Multiple-institution comparison of resident and faculty perceptions of burnout and depression during surgical training.
Citation Text:
Williford ML, Scarlet S, Meyers MO, et al. Multiple-Institution Comparison of Resident and Faculty Perce…
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psnet.ahrq.gov/issue/computerized-physician-order-entry-injectable-antineoplastic-drugs-epidemiologic-study
October 19, 2022 - Study
Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors.
Citation Text:
Nerich V, Limat S, Demarchi M, et al. Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of pr…
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psnet.ahrq.gov/issue/responding-unprofessional-behavior-trainees-just-culture-framework
June 24, 2020 - Commentary
Responding to unprofessional behavior by trainees - a "just culture" framework.
Citation Text:
Wasserman JA, Redinger M, Gibb T. Responding to Unprofessional Behavior by Trainees — A “Just Culture” Framework. New England Journal of Medicine. 2020;382(8). doi:10.1056/nejmms191…
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psnet.ahrq.gov/issue/use-specific-indicators-detect-warfarin-related-adverse-events
October 19, 2022 - Study
Use of specific indicators to detect warfarin-related adverse events.
Citation Text:
Hartis CE, Gum MO, Lederer JW. Use of specific indicators to detect warfarin-related adverse events. American Journal of Health-System Pharmacy. 2005;62(16). doi:10.2146/ajhp040404.
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psnet.ahrq.gov/issue/morbidity-and-mortality-delays-my-patients-cancer-care
July 15, 2020 - Commentary
Morbidity and mortality: delays in my patient’s cancer care.
Citation Text:
Rahman AS. Morbidity and mortality: delays in my patient’s cancer care. Health Aff (Millwood). 2024;43(11):1605-1608. doi:10.1377/hlthaff.2024.00513.
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DOI Google Scho…
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psnet.ahrq.gov/issue/implementation-computerized-prescriber-order-entry-four-academic-medical-centers
May 18, 2022 - Commentary
Implementation of computerized prescriber order entry in four academic medical centers.
Citation Text:
Cooley TW, May D, Alwan M, et al. Implementation of computerized prescriber order entry in four academic medical centers. Am J Health Syst Pharm. 2012;69(24):2166-73. doi:1…
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psnet.ahrq.gov/issue/effect-blue-enriched-lighting-medical-error-rate-university-hospital-icu
March 10, 2021 - Study
The effect of blue-enriched lighting on medical error rate in a university hospital ICU.
Citation Text:
Chen Y, Broman AT, Priest G, et al. The Effect of Blue-Enriched Lighting on Medical Error Rate in a University Hospital ICU. Jt Comm J Qual Saf. 2021;47(3):165-175. doi:10.1016/j…
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psnet.ahrq.gov/issue/challenges-and-opportunities-agency-healthcare-research-and-quality-ahrq-research-summit
October 04, 2020 - Meeting/Conference Proceedings
Challenges and opportunities from the Agency for Healthcare Research and Quality (AHRQ) research summit on improving diagnosis: a proceedings review.
Citation Text:
Henriksen K, Dymek C, Harrison MI, et al. Challenges and opportunities from the Agency for H…
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psnet.ahrq.gov/node/866839/psn-pdf
September 25, 2024 - On a scheduled return visit the following day, the
wound was inspected and sutured again, but no x-rays … For
patients who are not hospitalized, this visit can often be scheduled with the patient’s primary … Third, wounds meeting high risk criteria (as defined above) should be left open and re-examined at a
scheduled
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psnet.ahrq.gov/issue/implementation-discharge-education-program-improve-transitions-care-patients-high-risk
January 12, 2022 - Study
Implementation of a discharge education program to improve transitions of care for patients at high risk of medication errors.
Citation Text:
Crannage AJ, Hennessey EK, Challen LM, et al. . Implementation of a discharge education program to improve transitions of care for patients …
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psnet.ahrq.gov/issue/neurobehavioral-performance-residents-after-heavy-night-call-vs-after-alcohol-ingestion
June 22, 2022 - Study
Neurobehavioral performance of residents after heavy night call vs after alcohol ingestion.
Citation Text:
Arnedt JT, Owens J, Crouch M, et al. Neurobehavioral Performance of Residents After Heavy Night Call vs After Alcohol Ingestion. JAMA. 2005;294(9). doi:10.1001/jama.294.9.10…
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psnet.ahrq.gov/issue/association-between-sleep-health-and-rates-self-reported-medical-errors-intern-physicians
February 07, 2024 - Study
Association between sleep health and rates of self-reported medical errors in intern physicians: an ancillary analysis of the Intern Health Study.
Citation Text:
Hassinger AB, Velez C, Wang J, et al. Association between sleep health and rates of self-reported medical errors in inte…
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psnet.ahrq.gov/issue/it-time-pull-plug-12-hour-shifts-part-3-harm-reduction-strategies-if-keeping-12-hour-shifts
February 01, 2012 - Commentary
Is it time to pull the plug on 12-hour shifts?: Part 3. Harm Reduction Strategies if Keeping 12-Hour Shifts.
Citation Text:
Geiger-Brown J, Trinkoff AM. Is it time to pull the plug on 12-hour shifts? Part 3. harm reduction strategies if keeping 12-hour shifts. J Nurs Adm. 201…