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psnet.ahrq.gov/issue/human-factors-analysis-classification-system-hfacs-applied-health-care
November 16, 2022 - Study
The Human Factors Analysis Classification System (HFACS) applied to health care.
Citation Text:
Diller T, Helmrich G, Dunning S, et al. The Human Factors Analysis Classification System (HFACS) applied to health care. Am J Med Qual. 2014;29(3):181-190. doi:10.1177/1062860613491623. …
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psnet.ahrq.gov/issue/structural-racism-and-covid-19-experience-united-states
June 08, 2022 - Commentary
Structural racism and the COVID-19 experience in the United States.
Citation Text:
Dickinson KL, Roberts JD, Banacos N, et al. Structural racism and the COVID-19 experience in the United States. Health Secur. 2021;19(S1):s14-s26. doi:10.1089/hs.2021.0031.
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psnet.ahrq.gov/issue/identification-poor-performance-national-medical-workforce-over-11-years-observational-study
August 12, 2014 - Study
Identification of poor performance in a national medical workforce over 11 years: an observational study.
Citation Text:
Donaldson LJ, Panesar S, McAvoy PA, et al. Identification of poor performance in a national medical workforce over 11 years: an observational study. BMJ Qual Sa…
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psnet.ahrq.gov/issue/patient-safety-incidents-associated-airway-devices-critical-care-review-reports-uk-national
March 12, 2025 - Study
Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency.
Citation Text:
Thomas AN, McGrath BA. Patient safety incidents associated with airway devices in critical care: a review of reports to the UK Na…
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psnet.ahrq.gov/issue/seips-101-and-seven-simple-seips-tools
October 03, 2013 - Commentary
SEIPS 101 and seven simple SEIPS tools.
Citation Text:
Holden RJ, Carayon P. SEIPS 101 and seven simple SEIPS tools. BMJ Qual Saf. 2021;30(11):901-910. doi:10.1136/bmjqs-2020-012538.
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psnet.ahrq.gov/issue/declines-opioid-prescribing-after-private-insurer-policy-change-massachusetts-2011-2015
October 19, 2022 - Government Resource
Declines in opioid prescribing after a private insurer policy change—Massachusetts, 2011–2015.
Citation Text:
García MC, Dodek AB, Kowalski T, et al. Declines in Opioid Prescribing After a Private Insurer Policy Change - Massachusetts, 2011-2015. MMWR Morb Mortal Wkly…
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psnet.ahrq.gov/issue/diagnostic-errors-paediatric-cardiac-intensive-care
June 24, 2020 - Study
Diagnostic errors in paediatric cardiac intensive care.
Citation Text:
Bhat PN, Costello JM, Aiyagari R, et al. Diagnostic errors in paediatric cardiac intensive care. Cardiol Young. 2018;28(5):675-682. doi:10.1017/S1047951117002906.
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psnet.ahrq.gov/issue/developing-and-pilot-testing-practical-measures-preanalytic-surgical-specimen-identification
June 16, 2011 - Study
Developing and pilot testing practical measures of preanalytic surgical specimen identification defects.
Citation Text:
Bixenstine PJ, Zarbo RJ, Holzmueller CG, et al. Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. Am J M…
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psnet.ahrq.gov/issue/evaluation-nurse-led-safety-program-critical-care-unit
June 03, 2013 - Study
Evaluation of a nurse-led safety program in a critical care unit.
Citation Text:
Saladino L, Pickett LC, Frush K, et al. Evaluation of a nurse-led safety program in a critical care unit. J Nurs Care Qual. 2013;28(2):139-46. doi:10.1097/NCQ.0b013e31827464c3.
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psnet.ahrq.gov/issue/systematic-review-intraoperative-anesthesia-handoffs-and-handoff-tools
March 10, 2021 - Review
Systematic review of intraoperative anesthesia handoffs and handoff tools.
Citation Text:
Abraham J, Pfeifer E, Doering M, et al. Systematic review of intraoperative anesthesia handoffs and handoff tools. Anesth Analg. 2021;132(6):1563-1575. doi:10.1213/ane.0000000000005367.
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psnet.ahrq.gov/issue/using-nam-diagnostic-process-framework-teach-clinical-reasoning-computerized-case
December 07, 2022 - Study
Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students.
Citation Text:
Covin Y, Longo P, Wick N, et al. Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentatio…
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psnet.ahrq.gov/issue/department-medicine-infrastructure-patient-safety-and-clinical-quality-improvement
July 01, 2017 - Review
A Department of Medicine infrastructure for patient safety and clinical quality improvement.
Citation Text:
Mathews SC, Pronovost P, Biddison LD, et al. A Department of Medicine Infrastructure for Patient Safety and Clinical Quality Improvement. Am J Med Qual. 2018;33(4):413-419. …
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psnet.ahrq.gov/issue/clinical-pathway-adherence-and-missed-diagnostic-opportunities-among-children-musculoskeletal
November 08, 2023 - Study
Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections.
Citation Text:
Grubenhoff JA, Bakel LA, Dominguez F, et al. Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections. …
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psnet.ahrq.gov/issue/flow-accuracy-iv-smart-pumps-outside-patient-rooms-during-covid-19
October 12, 2022 - Commentary
Flow accuracy of IV smart pumps outside of patient rooms during COVID-19.
Citation Text:
Blake JWC, Giuliano KK. Flow accuracy of IV smart pumps outside of patient rooms during COVID-19. AACN Adv Crit Care. 2020;31(4):357-363. doi:10.4037/aacnacc2020241.
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psnet.ahrq.gov/issue/racial-disparities-child-abuse-medicine
June 15, 2022 - Commentary
Racial disparities in child abuse medicine.
Citation Text:
Rosenthal CM, Parker DM, Thompson LA. Racial disparities in child abuse medicine. JAMA Pediatr. 2022;176(2):119-120. doi:10.1001/jamapediatrics.2021.3601.
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psnet.ahrq.gov/issue/systematic-review-team-training-health-care-ten-questions
September 11, 2016 - Review
A systematic review of team training in health care: ten questions.
Citation Text:
Marlow SL, Hughes A, Sonesh SC, et al. A Systematic Review of Team Training in Health Care: Ten Questions. Jt Comm J Qual Patient Saf. 2017;43(4):197-204. doi:10.1016/j.jcjq.2016.12.004.
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psnet.ahrq.gov/issue/persistent-noncompliance-work-hour-regulation
February 08, 2023 - Study
Persistent noncompliance with the work-hour regulation.
Citation Text:
Tabrizian P, Rajhbeharrysingh U, Khaitov S, et al. Persistent noncompliance with the work-hour regulation. Arch Surg. 2011;146(2):175-8. doi:10.1001/archsurg.2010.337.
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psnet.ahrq.gov/issue/medication-error-reporting-nursing-homes-identifying-targets-patient-safety-improvement
March 24, 2011 - Study
Medication error reporting in nursing homes: identifying targets for patient safety improvement.
Citation Text:
Greene SB, Williams CE, Pierson S, et al. Medication error reporting in nursing homes: identifying targets for patient safety improvement. Qual Saf Health Care. 2010;19…
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psnet.ahrq.gov/issue/selected-medication-safety-risks-can-easily-fall-radar-screen-part-1-part-2-and-part-3
March 01, 2008 - Commentary
Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3.
Citation Text:
Grissinger M. Selected Medication Safety Risks That Can Easily Fall Off the Radar Screen. P T. 2018;43(11):645-666.
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psnet.ahrq.gov/issue/opioid-related-inpatient-stays-and-emergency-department-visits-state-2009-2014
May 11, 2016 - Book/Report
Opioid-Related Inpatient Stays and Emergency Department Visits by State, 2009–2014.
Citation Text:
Opioid-Related Inpatient Stays and Emergency Department Visits by State, 2009–2014. Weiss AJ, Elixhauser A, Barrett ML, Steiner CA, Bailey MK, O'Malley L. HCUP Statistical Brief…