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psnet.ahrq.gov/issue/need-cognition-and-curse-cognition
September 18, 2024 - Commentary
The need for cognition and the curse of cognition.
Citation Text:
Croskerry P. The need for cognition and the curse of cognition. Diagnosis (Berl). 2018;5(3):91-94. doi:10.1515/dx-2018-0072.
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psnet.ahrq.gov/issue/mindless-mindful-practice-cognitive-bias-and-clinical-decision-making
November 23, 2016 - Commentary
From mindless to mindful practice—cognitive bias and clinical decision making.
Citation Text:
Croskerry P. From mindless to mindful practice--cognitive bias and clinical decision making. N Engl J Med. 2013;368(26):2445-2448. doi:10.1056/NEJMp1303712.
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psnet.ahrq.gov/issue/transitioning-newborns-nicu-home-resource-toolkit
August 01, 2012 - Government Resource
Transitioning Newborns From NICU to Home: A Resource Toolkit.
Citation Text:
Transitioning Newborns From NICU to Home: A Resource Toolkit. Rockville, MD: Agency for Healthcare Research and Quality; December 2013. AHRQ Publication No. 12(14)-0054-EF.
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psnet.ahrq.gov/issue/nursing-management-medication-errors
November 02, 2022 - Study
Nursing management of medication errors.
Citation Text:
Luk LA, Ng WIM, Ko KKS, et al. Nursing management of medication errors. Nurs Ethics. 2008;15(1):28-39.
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psnet.ahrq.gov/issue/hospitals-slow-adopt-patient-apology-policies
April 22, 2016 - Newspaper/Magazine Article
Hospitals slow to adopt patient apology policies.
Citation Text:
Rice S. Hospitals slow to adopt patient apology policies. Modern healthcare. 2015;45(33):16, 29-30.
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psnet.ahrq.gov/issue/flaws-clinical-reasoning-common-cause-diagnostic-error
September 30, 2012 - Commentary
Flaws in clinical reasoning: a common cause of diagnostic error.
Citation Text:
Wellbery C. Flaws in clinical reasoning: a common cause of diagnostic error. Am Fam Physician. 2011;84(9):1042-8.
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psnet.ahrq.gov/issue/impact-successful-speaking-program-health-care-worker-hand-hygiene-behavior
February 11, 2015 - Commentary
Impact of a successful speaking up program on health-care worker hand hygiene behavior.
Citation Text:
Impact of a successful speaking up program on health-care worker hand hygiene behavior. Linam MW; Honeycutt MD; Gilliam CH; Wisdom CM; Deshpande JK.
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psnet.ahrq.gov/issue/assessing-residents-communication-skills-disclosure-adverse-event-standardized-patient
December 21, 2016 - Study
Assessing residents' communication skills: disclosure of an adverse event to a standardized patient.
Citation Text:
Posner G, Nakajima A. Assessing residents' communication skills: disclosure of an adverse event to a standardized patient. J Obstet Gynaecol Can. 2011;33(3):262-26…
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psnet.ahrq.gov/issue/death-handwriting
October 19, 2022 - Newspaper/Magazine Article
Death by handwriting.
Citation Text:
Glabman M. Death by handwriting. Trustee : the journal for hospital governing boards. 2005;58(9):29-32.
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psnet.ahrq.gov/issue/patient-concerns-about-medical-errors-emergency-departments
March 21, 2017 - Study
Patient concerns about medical errors in emergency departments.
Citation Text:
Burroughs TE, Waterman AD, Gallagher TH, et al. Patient concerns about medical errors in emergency departments. Acad Emerg Med. 2005;12(1):57-64.
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psnet.ahrq.gov/issue/theorizing-about-systems-ecological-task-patient-safety-research
August 20, 2008 - Commentary
Theorizing about systems: an ecological task for patient safety research.
Citation Text:
Marck PB. Theorizing About Systems. Clin Nurs Res. 2005;14(2). doi:10.1177/1054773804274255.
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psnet.ahrq.gov/issue/safety-strategies-academic-radiation-oncology-department-and-recommendations-action
January 16, 2013 - Commentary
Safety strategies in an academic radiation oncology department and recommendations for action.
Citation Text:
Terezakis SA, Pronovost P, Harris K, et al. Safety strategies in an academic radiation oncology department and recommendations for action. Jt Comm J Qual Patient Saf. …
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psnet.ahrq.gov/issue/nursing-home-error-and-level-staff-credentials
September 24, 2010 - Study
Nursing home error and level of staff credentials.
Citation Text:
Scott-Cawiezell J, Pepper GA, Madsen RW, et al. Nursing home error and level of staff credentials. Clin Nurs Res. 2007;16(1):72-8.
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psnet.ahrq.gov/issue/between-rock-and-hard-place-disclosing-medical-errors
October 19, 2022 - Commentary
Between a rock and a hard place: disclosing medical errors.
Citation Text:
Crone KG, Muraski MB, Skeel JD, et al. Between a rock and a hard place: disclosing medical errors. Clin Chem. 2006;52(9):1809-14.
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psnet.ahrq.gov/issue/preventable-errors-operating-room-retained-foreign-bodies-after-surgery-part-i
April 28, 2021 - Review
Preventable errors in the operating room: retained foreign bodies after surgery--part I.
Citation Text:
Gibbs VC, Coakley FD, Reines D. Preventable errors in the operating room: retained foreign bodies after surgery--Part I. Curr Probl Surg. 2007;44(5):281-337.
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psnet.ahrq.gov/issue/frustrating-case-incident-reporting-systems
June 22, 2022 - Commentary
The frustrating case of incident-reporting systems.
Citation Text:
Shojania KG. The frustrating case of incident-reporting systems. Qual Saf Health Care. 2008;17(6):400-2. doi:10.1136/qshc.2008.029496.
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psnet.ahrq.gov/issue/whistleblowing-and-patient-safety-patients-or-professions-interests-stake
June 10, 2020 - Commentary
Whistleblowing and patient safety: the patient's or the profession's interests at stake.
Citation Text:
Bolsin S, Pal R, Wilmshurst P, et al. Whistleblowing and patient safety: the patient's or the profession's interests at stake? J R Soc Med. 2011;104(7):278-82. doi:10.1258/…
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psnet.ahrq.gov/issue/basics-fmea-2nd-edition
October 23, 2013 - Book/Report
Classic
The Basics of FMEA. 2nd ed.
Citation Text:
The Basics of FMEA. 2nd ed. McDermott RE, Mikulak RJ, Beauregard MR. New York, NY: CRC Press; 2009. ISBN: 9781563273773.
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psnet.ahrq.gov/issue/trust-5-rights-second-victim
September 12, 2012 - Commentary
TRUST: the 5 rights of the second victim.
Citation Text:
Denham CR. TRUST. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000236917.02321.fd.
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psnet.ahrq.gov/issue/apologies-and-medical-error
November 16, 2022 - Commentary
Apologies and medical error.
Citation Text:
Robbennolt JK. Apologies and medical error. Clin Orthop Relat Res. 2009;467(2):376-82. doi:10.1007/s11999-008-0580-1.
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