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psnet.ahrq.gov/issue/intraoperative-communications-between-pathologists-and-surgeons-do-we-understand-each-other
June 28, 2023 - Study
Intraoperative communications between pathologists and surgeons: do we understand each other?
Citation Text:
Wiggett A, Fischer G. Intraoperative communications between pathologists and surgeons: do we understand each other? Arch Pathol Lab Med. 2023;147(8):933-939. doi:10.5858/arp…
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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/patient-safety-womens-health-care-professional-colleges-can-make-difference-society
November 28, 2018 - Commentary
Patient safety in women's health-care: professional colleges can make a difference. The Society of Obstetricians and Gynaecologists of Canada MORE(OB) program.
Citation Text:
Milne JK, Lalonde AB. Patient safety in women's health-care: professional colleges can make a differ…
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psnet.ahrq.gov/issue/ebola-us-patient-zero-lessons-misdiagnosis-and-effective-use-electronic-health-records
June 21, 2023 - Commentary
Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records.
Citation Text:
Upadhyay DK, Sittig DF, Singh H. Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. Diagnosis (Berl). 2014;1(4):283-287. do…
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psnet.ahrq.gov/issue/mandatory-presuit-mediation-5-year-results-medical-malpractice-resolution-program
February 02, 2022 - Study
Mandatory presuit mediation: 5-year results of a medical malpractice resolution program.
Citation Text:
Jenkins RC, Smillov AE, Goodwin MA. Mandatory presuit mediation: 5-year results of a medical malpractice resolution program. J Healthc Risk Manag. 2014;33(4):15-22. doi:10.1002/j…
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psnet.ahrq.gov/issue/composite-measures-profiling-hospitals-bariatric-surgery-performance
January 31, 2013 - Study
Composite measures for profiling hospitals on bariatric surgery performance.
Citation Text:
Dimick JB, Birkmeyer NJ, Finks JF, et al. Composite measures for profiling hospitals on bariatric surgery performance. JAMA Surg. 2014;149(1):10-6. doi:10.1001/jamasurg.2013.4109.
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psnet.ahrq.gov/issue/s-teams-truly-multiprofessional-course-focusing-nontechnical-skills-improve-patient-safety
November 30, 2022 - Commentary
S-TEAMS: a truly multiprofessional course focusing on nontechnical skills to improve patient safety in the operating theater.
Citation Text:
Stewart-Parker E, Galloway R, Vig S. S-TEAMS: A Truly Multiprofessional Course Focusing on Nontechnical Skills to Improve Patient Safety…
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psnet.ahrq.gov/issue/safety-and-efficiency-considerations-introduction-electronic-ordering-blood-bank
March 25, 2015 - Study
Safety and efficiency considerations for the introduction of electronic ordering in a blood bank.
Citation Text:
Georgiou A, Greenfield T, Callen J, et al. Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. Arch Pathol Lab Med. 2009;1…
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psnet.ahrq.gov/issue/reducing-delay-diagnosis-multistage-recommendation-tracking
June 19, 2012 - Study
Reducing delay in diagnosis: multistage recommendation tracking.
Citation Text:
Wandtke B, Gallagher S. Reducing Delay in Diagnosis: Multistage Recommendation Tracking. AJR Am J Roentgenol. 2017;209(5):970-975. doi:10.2214/AJR.17.18332.
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psnet.ahrq.gov/issue/reducing-emergency-department-charting-and-ordering-errors-room-number-watermark-electronic
November 22, 2017 - Study
Reducing emergency department charting and ordering errors with a room number watermark on the electronic medical record display.
Citation Text:
Yamamoto LG. Reducing emergency department charting and ordering errors with a room number watermark on the electronic medical record dis…
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psnet.ahrq.gov/issue/video-registration-trauma-team-performance-emergency-department-results-2-year-analysis-level
November 16, 2022 - Study
Video registration of trauma team performance in the emergency department: the results of a 2-year analysis in a Level 1 trauma center.
Citation Text:
Lubbert PHW, Kaasschieter EG, Hoorntje LE, et al. Video registration of trauma team performance in the emergency department: the …
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psnet.ahrq.gov/issue/hospital-inpatient-nutrition-service-errors-and-patient-safety-interventions-scoping-review
January 01, 2000 - Review
Hospital inpatient nutrition service errors and patient safety interventions: a scoping review.
Citation Text:
Austria D, McConnell C, Pope C. Hospital inpatient nutrition service errors and patient safety interventions: a scoping review. J Patient Saf. 2024;20(4):272-278. doi:10.…
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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/reducing-retained-foreign-objects-operating-room-quality-improvement-initiative
April 19, 2023 - Study
Reducing retained foreign objects in the operating room: a quality improvement initiative.
Citation Text:
Keane OA, Chambers C, Brady CM, et al. Reducing retained foreign objects in the operating room: a quality improvement initiative. J Am Coll Surg. 2023;237(6):864-872. doi:10.10…
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psnet.ahrq.gov/issue/pain-neglected-patient-safety-concern-five-years
July 31, 2019 - Commentary
Pain as the neglected patient safety concern: five years on.
Citation Text:
Twycross A, Forgeron P, Chorne J, et al. Pain as the neglected patient safety concern: Five years on. J Child Health Care. 2016;20(4):537-541. doi:10.1177/1367493516643422.
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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/recognizing-and-responding-toxic-work-environment-worker-safety-patient-safety-and
July 02, 2019 - Study
Recognizing and responding to the "toxic" work environment: worker safety, patient safety, and abuse/neglect in nursing homes.
Citation Text:
Pickering CEZ, Nurenberg K, Schiamberg L. Recognizing and Responding to the "Toxic" Work Environment: Worker Safety, Patient Safety, and Abu…
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psnet.ahrq.gov/issue/certified-registered-nurse-anesthetist-perceptions-factors-impacting-patient-safety
May 18, 2022 - Study
Certified registered nurse anesthetist perceptions of factors impacting patient safety.
Citation Text:
McMullan SP, Thomas-Hawkins C, Shirey MR. Certified Registered Nurse Anesthetist Perceptions of Factors Impacting Patient Safety. Nurs Adm Q. 2017;41(1):56-69.
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psnet.ahrq.gov/issue/filling-gap-simulation-based-crisis-resource-management-training-emergency-medicine-residents
March 19, 2018 - Commentary
Filling the gap: simulation-based crisis resource management training for emergency medicine residents.
Citation Text:
Parsons JR, Crichlow A, Ponnuru S, et al. Filling the gap: simulation-based crisis resource management training for emergency medicine residents. West J Emerg…
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psnet.ahrq.gov/issue/sentinel-events-serious-reportable-events-and-root-cause-analysis
February 26, 2014 - Commentary
Sentinel events, serious reportable events, and root cause analysis.
Citation Text:
Chen TC, Schein OD, Miller JW. Sentinel events, serious reportable events, and root cause analysis. JAMA Ophthalmol. 2015;133(6):631-632. doi:10.1001/jamaophthalmol.2015.0672.
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