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psnet.ahrq.gov/issue/little-help-my-friends-positive-contribution-teamwork-safety-behaviour-public-hospitals
July 22, 2020 - Study
With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospitals.
Citation Text:
Trinchero E, Kominis G, Dudau A, et al. With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospital…
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psnet.ahrq.gov/issue/checking-it-twice-evaluation-checklists-detecting-medication-errors-bedside-using
September 26, 2016 - Study
Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model.
Citation Text:
White RE, Trbovich PL, Easty AC, et al. Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a c…
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psnet.ahrq.gov/issue/impact-date-stamping-patient-safety-measurement-patients-undergoing-cabg-experience-ahrq
December 21, 2014 - Study
Impact of date stamping on patient safety measurement in patients undergoing CABG: experience with the AHRQ Patient Safety Indicators.
Citation Text:
Glance LG, Li Y, Osler T, et al. Impact of date stamping on patient safety measurement in patients undergoing CABG: experience wit…
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psnet.ahrq.gov/issue/focus-society-cardiovascular-anesthesiologists-initiative-improve-quality-and-safety
January 03, 2017 - Commentary
FOCUS: The Society of Cardiovascular Anesthesiologists' initiative to improve quality and safety in the cardiovascular operating room.
Citation Text:
Barbeito A, Lau WT, Weitzel N, et al. FOCUS: the Society of Cardiovascular Anesthesiologists' initiative to improve quality and…
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psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-trainees
October 08, 2016 - Study
Improving incident reporting among physician trainees.
Citation Text:
Krouss M, Alshaikh J, Croft LD, et al. Improving Incident Reporting Among Physician Trainees. J Patient Saf. 2019;15(4):308-310. doi:10.1097/PTS.0000000000000325.
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psnet.ahrq.gov/issue/patient-safety-teams-recognised-bmj-awards
October 19, 2022 - Press Release/Announcement
Patient safety teams recognised at BMJ awards.
Citation Text:
Gulland A. Berwick Patient Safety Team: making the NHS a safer place. BMJ. 2014;348(mar28 1). doi:10.1136/bmj.g2404.
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psnet.ahrq.gov/issue/every-error-treasure-improving-medication-use-nonpunitive-reporting-system
August 17, 2016 - Study
Every error a treasure: improving medication use with a nonpunitive reporting system.
Citation Text:
Lehmann DF, Page N, Kirschman K, et al. Every Error a Treasure: Improving Medication Use with a Nonpunitive Reporting System. Jt Comm J Qual Patient Saf. 2016;33(7):401-407. doi:10.…
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psnet.ahrq.gov/issue/inappropriate-opioid-dosing-and-prescribing-children-unintended-consequence-clinical-pain
October 14, 2020 - Commentary
Inappropriate opioid dosing and prescribing for children: an unintended consequence of the clinical pain score?
Citation Text:
Voepel-Lewis T, Malviya S, Tait AR. Inappropriate Opioid Dosing and Prescribing for Children: An Unintended Consequence of the Clinical Pain Score? JA…
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psnet.ahrq.gov/issue/increase-us-medication-error-deaths-between-1983-and-1993
March 14, 2022 - Study
Classic
Increase in US medication-error deaths between 1983 and 1993.
Citation Text:
Phillips DP, Christenfeld N, Glynn LM. Increase in US medication-error deaths between 1983 and 1993. Lancet. 1998;351(9103):643-4.
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psnet.ahrq.gov/issue/wrong-site-nerve-blocks-systematic-literature-review-guide-principles-prevention
July 22, 2020 - Review
Wrong-site nerve blocks: a systematic literature review to guide principles for prevention.
Citation Text:
Deutsch ES, Yonash RA, Martin DE, et al. Wrong-site nerve blocks: A systematic literature review to guide principles for prevention. J Clin Anesth. 2018;46:101-111. doi:10.10…
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psnet.ahrq.gov/issue/hospital-readmission-after-noncardiac-surgery-role-major-complications
July 20, 2016 - Study
Hospital readmission after noncardiac surgery: the role of major complications.
Citation Text:
Glance LG, Kellermann AL, Osler T, et al. Hospital readmission after noncardiac surgery: the role of major complications. JAMA Surg. 2014;149(5):439-45.
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psnet.ahrq.gov/issue/integrating-quality-and-safety-content-clinical-teaching-acute-care-setting
September 05, 2018 - Commentary
Integrating quality and safety content into clinical teaching in the acute care setting.
Citation Text:
Day L, Smith EL. Integrating quality and safety content into clinical teaching in the acute care setting. Nurs Outlook. 2007;55(3). doi:10.1016/j.outlook.2007.03.002.
Co…
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psnet.ahrq.gov/issue/patient-assessments-hypothetical-medical-error-effects-health-outcome-disclosure-and-staff
February 24, 2011 - Study
Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff responsiveness.
Citation Text:
Cleopas A, Villaveces A, Charvet A, et al. Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff re…
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psnet.ahrq.gov/issue/adverse-respiratory-events-anesthesia-closed-claims-analysis
February 10, 2011 - Study
Classic
Adverse respiratory events in anesthesia: a closed claims analysis.
Citation Text:
Caplan RA, Posner KL, Ward RJ, et al. Adverse respiratory events in anesthesia: a closed claims analysis. Anesthesiology. 1990;72(5):828-33.
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psnet.ahrq.gov/issue/violations-behavioral-practices-revealed-closed-claims-reviews
August 26, 2011 - Study
Violations of behavioral practices revealed in closed claims reviews.
Citation Text:
Griffen FD, Stephens LS, Alexander JB, et al. Violations of behavioral practices revealed in closed claims reviews. Ann Surg. 2008;248(3):468-474. doi:10.1097/sla.0b013e318185e196.
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psnet.ahrq.gov/issue/effect-outcome-physician-judgments-appropriateness-care
June 23, 2015 - Review
Classic
Effect of outcome on physician judgments of appropriateness of care.
Citation Text:
Caplan RA, Posner KL, Cheney FW. Effect of outcome on physician judgments of appropriateness of care. JAMA. 1991;265(15):1957-60.
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psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence-documentation-errors
April 12, 2019 - Study
Intraoperative handoffs among anesthesia providers increase the incidence of documentation errors for controlled drugs.
Citation Text:
Epstein RH, Dexter F, Gratch DM, et al. Intraoperative Handoffs Among Anesthesia Providers Increase the Incidence of Documentation Errors for Contr…
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psnet.ahrq.gov/issue/defining-excellence-next-steps-practicing-clinicians-seeking-prevent-diagnostic-error
March 14, 2022 - Commentary
Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error.
Citation Text:
Foster PN, Klein JR. Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. J Community Hosp Intern Med Perspect. 2016;6(4):319…
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psnet.ahrq.gov/issue/defining-patient-safety-events-inpatient-psychiatry
January 30, 2019 - Study
Defining patient safety events in inpatient psychiatry.
Citation Text:
Marcus SC, Hermann R, Cullen SW. Defining Patient Safety Events in Inpatient Psychiatry. J Patient Saf. 2018;17(8):e1452-e1457. doi:10.1097/PTS.0000000000000520.
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psnet.ahrq.gov/issue/leadership-strategies-medical-school-deans-promote-quality-and-safety
August 10, 2022 - Commentary
Leadership strategies of medical school deans to promote quality and safety.
Citation Text:
Griner PF. Leadership strategies of medical school deans to promote quality and safety. Jt Comm J Qual Patient Saf. 2007;33(2):63-72.
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