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psnet.ahrq.gov/issue/lost-mislabeled-and-mishandled-surgical-and-clinical-pathology-specimens-systematic-review
September 23, 2020 - Review
Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of published literature.
Citation Text:
Carmack HJ, Lazenby BS, Wilson KJ, et al. Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of publ…
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psnet.ahrq.gov/issue/post-event-debriefings-during-neonatal-care-why-are-we-not-doing-them-and-how-can-we-start
January 15, 2014 - Commentary
Post-event debriefings during neonatal care: why are we not doing them, and how can we start?
Citation Text:
Sawyer T, Loren D, Halamek LP. Post-event debriefings during neonatal care: why are we not doing them, and how can we start? J Perinatol. 2016;36(6):415-9. doi:10.1038/…
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psnet.ahrq.gov/issue/contribution-prescription-chart-design-and-familiarity-prescribing-error-prospective
March 20, 2024 - Study
The contribution of prescription chart design and familiarity to prescribing error: a prospective, randomised, cross-over study.
Citation Text:
Tallentire VR, Hale RL, Dewhurst NG, et al. The contribution of prescription chart design and familiarity to prescribing error: a prospe…
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psnet.ahrq.gov/issue/medical-error-disclosure-among-pediatricians-choosing-carefully-what-we-might-say-parents
July 10, 2008 - Study
Classic
Medical error disclosure among pediatricians: choosing carefully what we might say to parents.
Citation Text:
Loren DJ, Klein EJ, Garbutt J, et al. Medical Error Disclosure Among Pediatricians. Arch Pediatr Adolesc Med. 2008;162(10):922-927. doi:10…
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psnet.ahrq.gov/issue/do-safety-briefings-improve-patient-safety-acute-hospital-setting-systematic-review
August 14, 2024 - Review
Do safety briefings improve patient safety in the acute hospital setting? A systematic review.
Citation Text:
Ryan S, Ward M, Vaughan D, et al. Do safety briefings improve patient safety in the acute hospital setting? A systematic review. J Adv Nurs. 2019;75(10):2085-2098. doi:10.…
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psnet.ahrq.gov/issue/clinical-triggers-and-vital-signs-influencing-crisis-acknowledgment-and-calls-help
June 15, 2012 - Study
Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologists: a simulation-based observational study.
Citation Text:
Matern LH, Gardner R, Rudolph JW, et al. Clinical triggers and vital signs influencing crisis acknowledgment and calls…
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psnet.ahrq.gov/issue/guided-reflection-interventions-show-no-effect-diagnostic-accuracy-medical-students
September 20, 2016 - Study
Guided reflection interventions show no effect on diagnostic accuracy in medical students.
Citation Text:
Lambe KA, Hevey D, Kelly BD. Guided Reflection Interventions Show No Effect on Diagnostic Accuracy in Medical Students. Front Psychol. 2018;9:2297. doi:10.3389/fpsyg.2018.02297…
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psnet.ahrq.gov/issue/factors-underlying-suboptimal-diagnostic-performance-physicians-under-time-pressure
June 01, 2016 - Study
Factors underlying suboptimal diagnostic performance in physicians under time pressure.
Citation Text:
ALQahtani DA, Rotgans JI, Mamede S, et al. Factors underlying suboptimal diagnostic performance in physicians under time pressure. Med Educ. 2018;52(12):1288-1298. doi:10.1111/med…
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psnet.ahrq.gov/issue/patient-safety-superheroes-training-using-comic-book-teach-patient-safety-residents
May 11, 2022 - Study
Patient safety superheroes in training: using a comic book to teach patient safety to residents.
Citation Text:
Maatman TC, Prigmore H, Williams JS, et al. Patient safety superheroes in training: using a comic book to teach patient safety to residents. BMJ Qual Saf. 2019;28(11):934…
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psnet.ahrq.gov/issue/levels-reflective-thinking-and-patient-safety-investigation-mechanisms-impact-student
January 30, 2013 - Study
Levels of reflective thinking and patient safety: an investigation of the mechanisms that impact on student learning in a single cohort over a 5 year curriculum.
Citation Text:
Ambrose LJ, Ker J. Levels of reflective thinking and patient safety: an investigation of the mechanisms t…
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psnet.ahrq.gov/issue/surgical-adverse-outcomes-and-patients-evaluation-quality-care-inherent-risk-or-reduced
March 22, 2011 - Study
Surgical adverse outcomes and patients’ evaluation of quality of care: inherent risk or reduced quality of care?
Citation Text:
van de Mheen PJM-, van Duijn-Bakker N, Kievit J. Surgical adverse outcomes and patients' evaluation of quality of care: inherent risk or reduced quality…
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psnet.ahrq.gov/issue/errors-prevented-and-associated-bar-code-medication-administration-systems
October 16, 2019 - Study
Errors prevented by and associated with bar-code medication administration systems.
Citation Text:
Cochran GL, Jones KJ, Brockman J, et al. Errors prevented by and associated with bar-code medication administration systems. Jt Comm J Qual Patient Saf. 2007;33(5):293-301, 245.
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psnet.ahrq.gov/issue/patient-safety-objective-structured-clinical-examination
October 06, 2011 - Study
A patient safety objective structured clinical examination.
Citation Text:
Singh R, Singh A, Fish R, et al. A patient safety objective structured clinical examination. J Patient Saf. 2009;5(2):55-60. doi:10.1097/PTS.0b013e31819d65c2.
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psnet.ahrq.gov/issue/developing-appreciation-patient-safety-analysis-interprofessional-student-experiences-health
July 24, 2024 - Study
Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors.
Citation Text:
Langlois S. Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors. Perspect Med Educ. 20…
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psnet.ahrq.gov/issue/addressing-racial-and-ethnic-bias-pulse-oximeters-wicked-problem
April 18, 2019 - Commentary
Addressing racial and ethnic bias in pulse oximeters—a wicked problem.
Citation Text:
Shachar C, Drabo EF, Iwashyna TJ, et al. Addressing racial and ethnic bias in pulse oximeters—a wicked problem. JAMA. 2025;333(7):563-564. doi:10.1001/jama.2024.25443.
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psnet.ahrq.gov/issue/understanding-factors-influencing-safety-and-team-functionality-operative-vaginal-birth
September 01, 2016 - Study
Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study.
Citation Text:
Skinner SM, Kippen E, Rolnik DL, et al. Understanding factors influencing safety and team functionality at operat…
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psnet.ahrq.gov/issue/safety-concerns-hospital-based-new-practice-registered-nurses-and-their-preceptors
September 24, 2016 - Study
Safety concerns of hospital-based new-to-practice registered nurses and their preceptors.
Citation Text:
Myers S, Reidy P, French B, et al. Safety concerns of hospital-based new-to-practice registered nurses and their preceptors. J Contin Educ Nurs. 2010;41(4):163-71. doi:10.3928…
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psnet.ahrq.gov/issue/learning-latent-safety-threats-identified-during-simulation-improve-patient-safety
June 10, 2020 - Study
Learning from latent safety threats identified during simulation to improve patient safety.
Citation Text:
Congenie K, Bartjen L, Gutierrez D, et al. Learning from latent safety threats identified during simulation to improve patient safety. Jt Comm J Qual Patient Saf. 2023;49(12):…
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psnet.ahrq.gov/issue/improving-maternal-safety-scale-mentor-model-collaborative-improvement
March 31, 2021 - Study
Improving maternal safety at scale with the mentor model of collaborative improvement.
Citation Text:
Main EK, Dhurjati R, Cape V, et al. Improving Maternal Safety at Scale with the Mentor Model of Collaborative Improvement. Jt Comm J Qual Patient Saf. 2018;44(5):250-259. doi:10.10…
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psnet.ahrq.gov/issue/patient-perceptions-misdiagnosis-endometriosis-results-online-national-survey
February 05, 2020 - Study
Patient perceptions of misdiagnosis of endometriosis: results from an online national survey.
Citation Text:
Bontempo AC, Mikesell L. Patient perceptions of misdiagnosis of endometriosis: results from an online national survey. Diagnosis (Berl). 2020;7(2):97-106. doi:10.1515/dx-201…