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psnet.ahrq.gov/issue/risk-factors-iv-compounding-errors-when-using-automated-workflow-management-system
September 23, 2020 - Study
Risk factors for i.v. compounding errors when using an automated workflow management system.
Citation Text:
Deng Y, Lin AC, Hingl J, et al. Risk factors for i.v. compounding errors when using an automated workflow management system. Am J Health Syst Pharm. 2016;73(12):887-893. doi:…
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psnet.ahrq.gov/issue/there-evidence-july-effect-among-patients-undergoing-hysterectomy-surgery
April 24, 2018 - Study
Is there evidence of a July effect among patients undergoing hysterectomy surgery?
Citation Text:
Varma S, Mehta A, Hutfless S, et al. Is there evidence of a July effect among patients undergoing hysterectomy surgery? Am J Obstet Gynecol. 2018;219(2):176.e1-176.e9. doi:10.1016/j.aj…
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psnet.ahrq.gov/issue/reconcilable-differences-correcting-medication-errors-hospital-admission-and-discharge
February 13, 2019 - Study
Reconcilable differences: correcting medication errors at hospital admission and discharge.
Citation Text:
Vira T, Colquhoun M, Etchells E. Reconcilable differences: correcting medication errors at hospital admission and discharge. Qual Saf Health Care. 2006;15(2):122-6.
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psnet.ahrq.gov/issue/board-pharmacy-practices-related-medication-errors-and-their-potential-impact-patient-safety
December 20, 2017 - Study
Board of pharmacy practices related to medication errors and their potential impact on patient safety.
Citation Text:
Degnan DD, Hertig JB, Peters MJ, et al. Board of Pharmacy Practices Related to Medication Errors and Their Potential Impact on Patient Safety. J Pharm Pract. 2018;3…
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psnet.ahrq.gov/issue/safe-electronic-health-record-use-requires-comprehensive-monitoring-and-evaluation-framework
May 22, 2015 - Commentary
Safe electronic health record use requires a comprehensive monitoring and evaluation framework.
Citation Text:
Sittig DF, Classen D. Safe electronic health record use requires a comprehensive monitoring and evaluation framework. JAMA. 2010;303(5):450-451. doi:10.1001/jama.20…
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psnet.ahrq.gov/issue/fixed-dose-combination-antihypertensives-and-risk-medication-errors
September 28, 2016 - Study
Fixed-dose combination antihypertensives and risk of medication errors.
Citation Text:
Moriarty F, Bennett K, Fahey T. Fixed-dose combination antihypertensives and risk of medication errors. Heart. 2019;105(3):204-209. doi:10.1136/heartjnl-2018-313492.
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psnet.ahrq.gov/issue/does-surgeon-fatigue-influence-outcomes-after-anterior-resection-rectal-cancer
August 04, 2021 - Study
Does surgeon fatigue influence outcomes after anterior resection for rectal cancer?
Citation Text:
Schieman C, MacLean AR, Buie D, et al. Does surgeon fatigue influence outcomes after anterior resection for rectal cancer? Am J Surg. 2008;195(5):684-7; discussion 687-8. doi:10.101…
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psnet.ahrq.gov/issue/authentic-leadership-cleveland-clinic-psychological-safety-midst-crisis
October 19, 2022 - Study
Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis.
Citation Text:
Porter TH, Peck JA, Bolwell B, et al. Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. BMJ Lead. 2023;7(3):196-202. doi:10.1136/leader…
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psnet.ahrq.gov/issue/saving-patient-ryan-can-advanced-electronic-medical-records-make-patient-care-safer
February 11, 2014 - Study
Saving Patient Ryan- can advanced electronic medical records make patient care safer?
Citation Text:
Saving Patient Ryan- can advanced electronic medical records make patient care safer? Hydari MZ, Telang R, Marella WM. Manage Sci. 2019;65:2041-2059.
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psnet.ahrq.gov/issue/survey-medication-documentation-hospital-discharge-implications-patient-safety-and-continuity
March 02, 2011 - Study
Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care.
Citation Text:
Grimes T, Delaney T, Duggan C, et al. Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care.…
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psnet.ahrq.gov/issue/patient-safety-climate-study-southern-california-healthcare-organizations
June 26, 2019 - Study
Patient safety climate: a study of Southern California healthcare organizations.
Citation Text:
Avramchuk AS, McGuire SJJ. Patient Safety Climate: A Study of Southern California Healthcare Organizations. J Healthc Manag. 2018;63(3):175-192. doi:10.1097/JHM-D-16-00004.
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psnet.ahrq.gov/issue/working-fixed-operating-room-team-consecutive-similar-cases-and-effect-case-duration-and
January 07, 2015 - Study
Working with a fixed operating room team on consecutive similar cases and the effect on case duration and turnover time.
Citation Text:
Stepaniak PS, Vrijland WW, de Quelerij M, et al. Working with a fixed operating room team on consecutive similar cases and the effect on case dura…
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psnet.ahrq.gov/issue/measuring-improve-medication-reconciliation-large-subspecialty-outpatient-practice
February 02, 2011 - Study
Measuring to improve medication reconciliation in a large subspecialty outpatient practice.
Citation Text:
Kern E, Dingae MB, Langmack EL, et al. Measuring to Improve Medication Reconciliation in a Large Subspecialty Outpatient Practice. Jt Comm J Qual Patient Saf. 2017;43(5):212-2…
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psnet.ahrq.gov/issue/biopsy-site-selfies-quality-improvement-pilot-study-assist-correct-surgical-site
August 02, 2015 - Study
Biopsy site selfies—a quality improvement pilot study to assist with correct surgical site identification.
Citation Text:
Nijhawan RI, Lee EH, Nehal KS. Biopsy site selfies--a quality improvement pilot study to assist with correct surgical site identification. Dermatol Surg. 2015;4…
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psnet.ahrq.gov/issue/critical-care-transition-programs-and-risk-readmission-or-death-after-discharge-icu
October 13, 2018 - Review
Critical care transition programs and the risk of readmission or death after discharge from an ICU: a systematic review and meta-analysis.
Citation Text:
Niven DJ, Bastos JF, Stelfox HT. Critical care transition programs and the risk of readmission or death after discharge from …
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psnet.ahrq.gov/issue/weaving-quality-improvement-and-patient-safety-skills-all-levels-medical-training-annotated
August 09, 2023 - Review
Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography.
Citation Text:
Mochan E, Nash DB. Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography. Am J Med Qu…
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psnet.ahrq.gov/issue/errors-medication-process-frequency-type-and-potential-clinical-consequences
July 21, 2021 - Study
Errors in the medication process: frequency, type, and potential clinical consequences.
Citation Text:
Lisby M, Nielsen LP, Mainz J. Errors in the medication process: frequency, type, and potential clinical consequences. Int J Qual Health Care. 2005;17(1):15-22.
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psnet.ahrq.gov/issue/are-med-school-grads-prepared-practice-medicine
April 04, 2012 - Newspaper/Magazine Article
Are med school grads prepared to practice medicine?
Citation Text:
Angus S, Vu R, Halvorsen AJ, et al. What skills should new internal medicine interns have in july? A national survey of internal medicine residency program directors. Academic medicine : journal…
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psnet.ahrq.gov/issue/changes-intern-attitudes-toward-medical-error-and-disclosure
November 10, 2021 - Study
Changes in intern attitudes toward medical error and disclosure.
Citation Text:
Varjavand N, Bachegowda LS, Gracely E, et al. Changes in intern attitudes toward medical error and disclosure. Med Educ. 2012;46(7):668-77. doi:10.1111/j.1365-2923.2012.04269.x.
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psnet.ahrq.gov/issue/people-are-more-error-prone-after-committing-error
June 29, 2011 - Study
People are more error-prone after committing an error.
Citation Text:
Adkins TJ, Zhang H, Lee TG. People are more error-prone after committing an error. Nat Commun. 2024;15(1):6422. doi:10.1038/s41467-024-50547-y.
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