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psnet.ahrq.gov/issue/systematic-review-identify-factors-affect-failure-rescue-and-escalation-care-surgery
September 09, 2015 - Review
A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery.
Citation Text:
Johnston MJ, Arora S, King D, et al. A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. Surgery. 20…
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psnet.ahrq.gov/issue/validation-and-use-second-victim-experience-and-support-tool-questionnaire-scoping-review
July 09, 2008 - Review
Validation and use of the Second Victim Experience and Support Tool questionnaire: a scoping review.
Citation Text:
Dato Md Yusof YJ, Ng QX, Teoh SE, et al. Validation and use of the Second Victim Experience and Support Tool questionnaire: a scoping review. Public Health. 2023;223…
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psnet.ahrq.gov/web-mm/cognitive-overload-icu
June 01, 2005 - SPOTLIGHT CASE
Cognitive Overload in the ICU
Citation Text:
Patel VL, Buchman TG. Cognitive Overload in the ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
May 01, 2005 - Delayed Breast Cancer Diagnosis: A False Sense of Security.
Citation Text:
Weingart SN, James TA, Schiff G. Delayed Breast Cancer Diagnosis: A False Sense of Security.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/web-mm/cups-error
January 12, 2011 - Cups of Error
Citation Text:
Blegen MA, Pepper GA. Cups of Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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psnet.ahrq.gov/web-mm/pca-overdose
April 01, 2017 - PCA Overdose
Citation Text:
Doyle JD. PCA Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Dow…
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psnet.ahrq.gov/issue/surveillance-medical-device-related-hazards-and-adverse-events-hospitalized-patients
March 11, 2011 - Study
Classic
Surveillance of medical device-related hazards and adverse events in hospitalized patients.
Citation Text:
Samore MH, Evans S, Lassen A, et al. Surveillance of medical device-related hazards and adverse events in hospitalized patients. JAMA. 2004;2…
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psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2016-user-comparative-database-report
November 30, 2016 - Book/Report
Hospital Survey on Patient Safety Culture: 2016 User Comparative Database Report.
Citation Text:
Hospital Survey on Patient Safety Culture: 2016 User Comparative Database Report. Famolaro T, Yount ND, Burns W, Flashner E, Liu H, Sorra J. Rockville, MD: Agency for Healthcare …
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psnet.ahrq.gov/issue/do-hospitals-support-second-victims-collective-insights-patient-safety-leaders-maryland
May 11, 2016 - Study
Do hospitals support second victims? Collective insights from patient safety leaders in Maryland.
Citation Text:
Edrees HH, Morlock L, Wu AW. Do Hospitals Support Second Victims? Collective Insights From Patient Safety Leaders in Maryland. Jt Comm J Qual Saf. 2017;43(9):471-483. do…
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psnet.ahrq.gov/issue/adherence-black-box-warnings-prescription-medications-outpatients
September 29, 2017 - Study
Adherence to black box warnings for prescription medications in outpatients.
Citation Text:
Lasser KE, Seger DL, Yu T, et al. Adherence to black box warnings for prescription medications in outpatients. Arch Intern Med. 2006;166(3):338-44.
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psnet.ahrq.gov/issue/information-transfer-hospital-discharge-systematic-review
February 21, 2015 - Review
Classic
Information transfer at hospital discharge: a systematic review.
Citation Text:
Kattel S, Manning DM, Erwin PJ, et al. Information transfer at hospital discharge: a systematic review. J Patient Saf. 2020;16(1):e25-e33. doi:10.1097/pts.000000000000…
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psnet.ahrq.gov/issue/good-catch-kiddo-enhancing-patient-safety-pediatric-emergency-department-through-simulation
January 03, 2017 - Study
"Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation.
Citation Text:
Shaikh U, Natale JAE, Till DA, et al. "Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation. Pediatr Emerg Care. 2…
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psnet.ahrq.gov/issue/educational-levels-hospital-nurses-and-surgical-patient-mortality
February 09, 2011 - Study
Classic
Educational levels of hospital nurses and surgical patient mortality.
Citation Text:
Aiken LH, Clarke S, Cheung RB, et al. Educational levels of hospital nurses and surgical patient mortality. JAMA. 2003;290(12):1617-1623.
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psnet.ahrq.gov/issue/saving-lives-meta-analysis-team-training-healthcare
October 31, 2017 - Review
Saving lives: a meta-analysis of team training in healthcare.
Citation Text:
Hughes A, Gregory ME, Joseph DL, et al. Saving lives: A meta-analysis of team training in healthcare. J Appl Psychol. 2016;101(9):1266-304. doi:10.1037/apl0000120.
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psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making
March 03, 2011 - Study
Fatal flaws in clinical decision making.
Citation Text:
Davis SS, Babidge WJ, McCulloch GAJ, et al. Fatal flaws in clinical decision making. ANZ J Surg. 2019;89(6):764-768. doi:10.1111/ans.14955.
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psnet.ahrq.gov/issue/use-medical-emergency-teams-medical-and-surgical-patients-impact-patient-nurse-and
November 09, 2011 - Study
The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational characteristics.
Citation Text:
Schmid-Mazzoccoli A, Hoffman LA, Wolf GA, et al. The use of medical emergency teams in medical and surgical patients: impact of patient,…
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psnet.ahrq.gov/issue/ct-suspected-appendicitis-children-analysis-diagnostic-errors
August 20, 2018 - Study
CT for suspected appendicitis in children: an analysis of diagnostic errors.
Citation Text:
Taylor GA, Callahan MJ, Rodriguez D, et al. CT for suspected appendicitis in children: an analysis of diagnostic errors. Pediatr Radiol. 2006;36(4):331-7.
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psnet.ahrq.gov/issue/cost-benefit-analysis-support-program-nursing-staff
October 26, 2016 - Study
Classic
Cost–benefit analysis of a support program for nursing staff.
Citation Text:
Moran D, Wu AW, Connors C, et al. Cost-Benefit Analysis of a Support Program for Nursing Staff. J Patient Saf. 2020;16(4):e250-e254. doi:10.1097/pts.0000000000000376.
Co…
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psnet.ahrq.gov/issue/toward-safer-health-care-system-critical-need-improve-measurement
November 03, 2015 - Commentary
Classic
Toward a safer health care system: the critical need to improve measurement.
Citation Text:
Jha AK, Pronovost P. Toward a Safer Health Care System: The Critical Need to Improve Measurement. JAMA. 2016;315(17):1831-2. doi:10.1001/jama.2016.3448…
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psnet.ahrq.gov/issue/targeted-implementation-comprehensive-unit-based-safety-program-through-assessment-safety
November 20, 2015 - Study
Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections.
Citation Text:
Richter J, McAlearney AS. Targeted implementation of the Comprehensive Unit-Based Safety Program…