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psnet.ahrq.gov/issue/escape-fire-lessons-future-health-care
July 05, 2008 - Book/Report
Classic
Escape Fire: Lessons for the Future of Health Care.
Citation Text:
Escape Fire: Lessons for the Future of Health Care. Berwick DM. Washington DC: Commonwealth Fund; 2002.
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psnet.ahrq.gov/issue/when-less-more-role-overdiagnosis-and-overtreatment-patient-safety
July 22, 2020 - Commentary
When less is more: the role of overdiagnosis and overtreatment in patient safety.
Citation Text:
Kamzan AD, Ng E. When less is more: the role of overdiagnosis and overtreatment in patient safety. Adv Pediatr. 2021;68:21-35. doi:10.1016/j.yapd.2021.05.013.
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psnet.ahrq.gov/issue/health-information-technologies-hazardous-dark-side
January 24, 2024 - Commentary
Health information technologies: from hazardous to the dark side.
Citation Text:
Saunders C, Rutkowski AF, Pluyter J, et al. Health information technologies: From hazardous to the dark side. J Assoc Inf Sci Technol. 2016;67(7). doi:10.1002/asi.23671.
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psnet.ahrq.gov/issue/measure-dx-implementing-pathways-discover-and-learn-diagnostic-errors
August 25, 2021 - Commentary
Measure Dx: implementing pathways to discover and learn from diagnostic errors.
Citation Text:
Bradford A, Shofer M, Singh H. Measure Dx: Implementing pathways to discover and learn from diagnostic errors. Int J Qual Health Care. 2022;34(3):mzac068. doi:10.1093/intqhc/mzac068.…
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psnet.ahrq.gov/issue/enhancing-communication-surgery-through-team-training-interventions-systematic-literature
August 11, 2021 - Review
Enhancing communication in surgery through team training interventions: a systematic literature review.
Citation Text:
Gillespie BM, Chaboyer W, Murray P. Enhancing communication in surgery through team training interventions: a systematic literature review. AORN J. 2010;92(6):6…
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psnet.ahrq.gov/issue/literature-review-do-rapid-response-systems-reduce-incidence-major-adverse-events
April 22, 2015 - Review
Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating ward patient?
Citation Text:
Massey D, Aitken LM, Chaboyer W. Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriora…
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psnet.ahrq.gov/issue/physicians-and-cognitive-decline-challenge-state-medical-boards
July 29, 2020 - Commentary
Physicians and cognitive decline: a challenge for state medical boards.
Citation Text:
Hoffman S. Physicians and cognitive decline: a challenge for state medical boards. J Med Regulation. 2022;108(2):19-28. doi:10.30770/2572-1852-108.2.19.
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psnet.ahrq.gov/issue/cognitive-versus-technical-debriefing-after-simulation-training
September 12, 2011 - Study
Cognitive versus technical debriefing after simulation training.
Citation Text:
Bond WF, Deitrick LM, Eberhardt M, et al. Cognitive versus technical debriefing after simulation training. Acad Emerg Med. 2006;13(3):276-283.
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psnet.ahrq.gov/issue/reclaiming-systems-approach-paediatric-safety
April 03, 2019 - Commentary
Reclaiming the systems approach to paediatric safety.
Citation Text:
Cheung R, Roland D, Lachman P. Reclaiming the systems approach to paediatric safety. Arch Dis Child. 2019;104(12):1130-1133. doi:10.1136/archdischild-2018-316401.
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psnet.ahrq.gov/issue/managing-unnecessary-variability-patient-demand-reduce-nursing-stress-and-improve-patient
August 04, 2021 - Study
Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety.
Citation Text:
Litvak E, Buerhaus P, Davidoff F, et al. Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety. Jt Comm J Qual Pat…
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psnet.ahrq.gov/issue/economics-diagnostic-safety
July 28, 2021 - Book/Report
The Economics of Diagnostic Safety.
Citation Text:
de Bienassis K, Slawomirski L, Kelly D, et al. The Economics Of Diagnostic Safety. Paris, France: OECD Publishing; 2023.
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psnet.ahrq.gov/issue/human-factors-surgery-three-mile-island-operating-room
July 12, 2019 - Review
Human factors in surgery: from Three Mile Island to the operating room.
Citation Text:
D'Addessi A, Bongiovanni L, Volpe A, et al. Human factors in surgery: from Three Mile Island to the operating room. Urol Int. 2009;83(3):249-57. doi:10.1159/000241662.
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psnet.ahrq.gov/issue/current-challenges-and-future-perspectives-patient-safety-surgery
December 21, 2014 - Commentary
Current challenges and future perspectives for patient safety in surgery.
Citation Text:
Stahel PF, Mauffrey C, Butler N. Current challenges and future perspectives for patient safety in surgery. Patient Saf Surg. 2014;8(1):9. doi:10.1186/1754-9493-8-9.
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psnet.ahrq.gov/issue/nurses-medication-day
September 24, 2016 - Study
The nurse's medication day.
Citation Text:
Jennings BM, Sandelowski M, Mark BA. The nurse's medication day. Qual Health Res. 2011;21(10):1441-51. doi:10.1177/1049732311411927.
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psnet.ahrq.gov/issue/countering-cognitive-biases-minimising-low-value-care
May 11, 2019 - Review
Countering cognitive biases in minimising low value care.
Citation Text:
Scott IA, Soon J, Elshaug AG, et al. Countering cognitive biases in minimising low value care. Med J Aust. 2017;206(9):407-411.
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psnet.ahrq.gov/issue/case-simulation-part-comprehensive-patient-safety-program
September 02, 2015 - Review
The case for simulation as part of a comprehensive patient safety program.
Citation Text:
Argani CH, Eichelberger M, Deering S, et al. The case for simulation as part of a comprehensive patient safety program. Am J Obstet Gynecol. 2012;206(6):451-5. doi:10.1016/j.ajog.2011.09.01…
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psnet.ahrq.gov/issue/effect-short-term-pretrial-practice-surgical-proficiency-simulated-environments-randomized
January 20, 2010 - Study
Effect of short-term pretrial practice on surgical proficiency in simulated environments: a randomized trial of the "preoperative warm-up" effect.
Citation Text:
Kahol K, Satava RM, Ferrara JJ, et al. Effect of Short-Term Pretrial Practice on Surgical Proficiency in Simulated Env…
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psnet.ahrq.gov/node/49491/psn-pdf
September 01, 2005 - Simulation offers a potential solution for resuscitation skill acquisition and retention. … shows objective improvements in ACLS proficiency, subjective
ratings of both confidence in one’s own skill … The five-stage model of adult skill acquisition. Bull Sci Technol Soc. 2004;24:177-181.
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psnet.ahrq.gov/issue/nurses-and-patients-appraisals-show-patient-safety-hospitals-remains-concern
October 16, 2012 - December 9, 2020
Nursing skill mix in European hospitals: cross-sectional study of the
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psnet.ahrq.gov/issue/safety-culture-and-complications-after-bariatric-surgery
August 02, 2015 - August 2, 2015
Surgical skill and complication rates after bariatric surgery.