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psnet.ahrq.gov/issue/proactive-patient-safety-focusing-what-goes-right-perioperative-environment
April 26, 2023 - Study
Proactive patient safety: focusing on what goes right in the perioperative environment.
Citation Text:
Duffy C, Menon N, Horak D, et al. Proactive patient safety: focusing on what goes right in the perioperative environment. J Patient Saf. 2023;19(4):281-286. doi:10.1097/pts.000000…
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psnet.ahrq.gov/issue/incorrect-surgical-counts-qualitative-analysis
September 12, 2012 - Study
Incorrect surgical counts: a qualitative analysis.
Citation Text:
Rowlands A, Steeves R. Incorrect surgical counts: a qualitative analysis. AORN J. 2010;92(4):410-9. doi:10.1016/j.aorn.2010.01.019.
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psnet.ahrq.gov/issue/responding-medical-errors-implementing-modern-ethical-paradigm
August 18, 2021 - Commentary
Responding to medical errors — implementing the modern ethical paradigm.
Citation Text:
Gallagher TH, Kachalia A. Responding to medical errors — implementing the modern ethical paradigm. New Engl J Med. 2024;390(3):193-197. doi:10.1056/nejmp2309554.
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psnet.ahrq.gov/issue/5-year-analysis-rapid-response-system-activation-hospital-haemodialysis-unit
March 24, 2011 - Study
A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit.
Citation Text:
Galhotra S, Devita MA, Dew MA, et al. A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit. Qual Saf Health Care. 2010;19(6):e38. doi:1…
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psnet.ahrq.gov/issue/use-anatomical-side-markers-general-radiology-systematic-review-current-literature
October 21, 2020 - Review
The use of anatomical side markers in general radiology: a systematic review of the current literature.
Citation Text:
Chung L, Kumar S, Oldfield J, et al. The use of anatomical side markers in general radiology: a systematic review of the current literature. J Patient Saf. 2022;1…
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psnet.ahrq.gov/issue/errors-abo-labeling-deceased-donor-kidneys-case-reports-and-approach-ensuring-patient-safety
June 09, 2021 - Study
Errors in ABO labeling of deceased donor kidneys: case reports and approach to ensuring patient safety.
Citation Text:
Friedman AL, Lee KC, Lee GD. Errors in ABO Labeling of Deceased Donor Kidneys: Case Reports and Approach to Ensuring Patient Safety. American Journal of Transpla…
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psnet.ahrq.gov/issue/developing-medical-emergency-team-running-sheet-improve-clinical-handoff-and-documentation
June 26, 2024 - Study
Developing a medical emergency team running sheet to improve clinical handoff and documentation.
Citation Text:
Mardegan K, Heland M, Whitelock T, et al. Developing a medical emergency team running sheet to improve clinical handoff and documentation. Jt Comm J Qual Patient Saf. 2…
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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/deficiencies-after-new-electronic-health-record-go-live-mann-grandstaff-va-medical-center
March 16, 2022 - Book/Report
Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA.
Citation Text:
Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. Washington, DC: VA Office o…
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psnet.ahrq.gov/issue/surgeons-disclosures-clinical-adverse-events
August 18, 2021 - Study
Surgeons' disclosures of clinical adverse events.
Citation Text:
Elwy R, Itani KMF, Bokhour BG, et al. Surgeons' Disclosures of Clinical Adverse Events. JAMA Surg. 2016;151(11):1015-1021. doi:10.1001/jamasurg.2016.1787.
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psnet.ahrq.gov/issue/opioid-abuse-chronic-pain-misconceptions-and-mitigation-strategies
November 18, 2016 - Review
Opioid abuse in chronic pain—misconceptions and mitigation strategies.
Citation Text:
Volkow ND, McLellan T. Opioid Abuse in Chronic Pain--Misconceptions and Mitigation Strategies. New Engl J Med. 2016;374(13):1253-1263. doi:10.1056/NEJMra1507771.
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psnet.ahrq.gov/issue/pursuing-excellence-collaborative-engaging-first-year-residents-and-fellows-patient-safety
September 15, 2011 - Commentary
The Pursuing Excellence Collaborative: engaging first-year residents and fellows in patient safety event investigations.
Citation Text:
Paull DE, Newton RC, Tess AV, et al. The Pursuing Excellence Collaborative: engaging first-year residents and fellows in patient safety event…
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psnet.ahrq.gov/issue/point-care-cognitive-support-technology-emergency-departments-scoping-review-technology
August 03, 2022 - Review
Point-of-care cognitive support technology in emergency departments: a scoping review of technology acceptance by clinicians.
Citation Text:
Jun S, Plint AC, Campbell SM, et al. Point-of-care Cognitive Support Technology in Emergency Departments: A Scoping Review of Technology Acc…
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psnet.ahrq.gov/issue/pediatric-weight-errors-and-resultant-medication-dosing-errors-emergency-department
August 04, 2021 - Study
Pediatric weight errors and resultant medication dosing errors in the emergency department.
Citation Text:
Hirata KM, Kang AH, Ramirez G, et al. Pediatric Weight Errors and Resultant Medication Dosing Errors in the Emergency Department. Pediatr Emerg Care. 2019;35(9):637-642. doi:1…
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psnet.ahrq.gov/issue/patients-and-family-members-experiences-open-disclosure-following-adverse-events
September 29, 2017 - Study
Patients' and family members' experiences of open disclosure following adverse events.
Citation Text:
Iedema R, Sorensen R, Manias E, et al. Patients' and family members' experiences of open disclosure following adverse events. Int J Qual Health Care. 2008;20(6):421-32. doi:10.1093…
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psnet.ahrq.gov/issue/crises-clinical-care-approach-management
March 23, 2011 - Commentary
Crises in clinical care: an approach to management.
Citation Text:
Runciman WB. Crises in clinical care: an approach to management. Quality and Safety in Health Care. 2005;14(3). doi:10.1136/qshc.2004.012856.
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psnet.ahrq.gov/issue/overcoming-barriers-adopting-and-implementing-computerized-physician-order-entry-systems-us
July 10, 2008 - Study
Classic
Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals.
Citation Text:
Poon EG, Blumenthal D, Jaggi T, et al. Overcoming barriers to adopting and implementing computerized physician order ent…
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psnet.ahrq.gov/issue/survey-shows-least-some-physicians-are-not-always-open-or-honest-patients
February 10, 2015 - Study
Survey shows that at least some physicians are not always open or honest with patients.
Citation Text:
Iezzoni LI, Rao SR, DesRoches CM, et al. Survey Shows That At Least Some Physicians Are Not Always Open Or Honest With Patients. Health Aff (Millwood). 2012;31(2):383-391. doi:10.…
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psnet.ahrq.gov/issue/use-electronic-health-records-us-hospitals
February 17, 2011 - Meeting/Conference Proceedings
Use of electronic health records in US hospitals.
Citation Text:
Jha AK, DesRoches CM, Campbell EG, et al. Use of electronic health records in U.S. hospitals. doi:10.1056/NEJMsa0900592.
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psnet.ahrq.gov/issue/assessment-physician-sleep-and-wellness-burnout-and-clinically-significant-medical-errors
January 27, 2021 - Study
Classic
Assessment of physician sleep and wellness, burnout, and clinically significant medical errors.
Citation Text:
Trockel MT, Menon NK, Rowe SG, et al. Assessment of Physician Sleep and Wellness, Burnout, and Clinically Significant Medical Errors. JAM…