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psnet.ahrq.gov/issue/process-changes-increase-compliance-universal-protocol-bedside-procedures
December 01, 2014 - Study
Process changes to increase compliance with the Universal Protocol for bedside procedures.
Citation Text:
Barsuk JH, Brake H, Caprio T, et al. Process changes to increase compliance with the universal protocol for bedside procedures. Arch Intern Med. 2011;171(10):947-9. doi:10.10…
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psnet.ahrq.gov/issue/challenging-authority-during-emergency-effect-teaching-intervention
December 13, 2017 - Study
Challenging authority during an emergency—the effect of a teaching intervention.
Citation Text:
Friedman Z, Perelman V, McLuckie D, et al. Challenging Authority During an Emergency-the Effect of a Teaching Intervention. Crit Care Med. 2017;45(8):e814-e820. doi:10.1097/CCM.000000000…
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psnet.ahrq.gov/issue/exploring-and-evaluating-patient-safety-culture-community-based-primary-care-setting
March 19, 2018 - Study
Exploring and evaluating patient safety culture in a community-based primary care setting.
Citation Text:
Desmedt M, Bergs J, Willaert B, et al. Exploring and Evaluating Patient Safety Culture in a Community-Based Primary Care Setting. J Patient Saf. 2021;17(8):e1216-e1222. doi:10.…
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psnet.ahrq.gov/issue/clinician-directed-performance-improvement-moving-beyond-externally-mandated-metrics
July 10, 2008 - Commentary
Clinician-directed performance improvement: moving beyond externally mandated metrics.
Citation Text:
Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics. Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505.
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psnet.ahrq.gov/issue/impact-type-manual-medication-cart-filling-method-frequency-medication-administration-errors
January 23, 2019 - Study
The impact of type of manual medication cart filling method on the frequency of medication administration errors: a prospective before and after study.
Citation Text:
Schimmel AM, Becker ML, van den Bout T, et al. The impact of type of manual medication cart filling method on the f…
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psnet.ahrq.gov/issue/medication-errors-injured-patients
April 03, 2019 - Study
Medication errors in injured patients.
Citation Text:
Dolejs SC, Janowak CF, Zarzaur BL. Medication Errors in Injured Patients. Am Surg. 2017;83(7):780-785.
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psnet.ahrq.gov/issue/health-information-technology-and-patient-safety-evidence-panel-data
February 23, 2011 - Study
Health information technology and patient safety: evidence from panel data.
Citation Text:
Parente ST, McCullough JS. Health information technology and patient safety: evidence from panel data. Health Aff (Millwood). 2009;28(2):357-360. doi:10.1377/hlthaff.28.2.357.
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psnet.ahrq.gov/issue/are-clinical-instructors-preventing-or-provoking-adverse-events-involving-students
November 15, 2023 - Commentary
Are clinical instructors preventing or provoking adverse events involving students: a contemporary issue.
Citation Text:
Christensen L. Are clinical instructors preventing or provoking adverse events involving students: A contemporary issue. Nurse Educ Today. 2018;70:121-123. …
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psnet.ahrq.gov/issue/surgical-team-training-northwestern-memorial-hospital-experience
March 03, 2011 - Study
Surgical team training: the Northwestern Memorial Hospital experience.
Citation Text:
Halverson AL, Andersson JL, Anderson K, et al. Surgical team training: the Northwestern Memorial Hospital experience. Arch Surg. 2009;144(2):107-12. doi:10.1001/archsurg.2008.545.
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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/clinical-nurse-specialist-intervention-facilitate-safe-transfer-icu
January 15, 2014 - Commentary
A clinical nurse specialist intervention to facilitate safe transfer from ICU.
Citation Text:
St-Louis L, Brault D. A clinical nurse specialist intervention to facilitate safe transfer from ICU. Clin Nurse Spec. 2011;25(6):321-6. doi:10.1097/NUR.0b013e318233eaab.
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psnet.ahrq.gov/issue/addressing-taboo-medical-error-through-igbos-i-got-burnt-once
October 31, 2014 - Study
Addressing the taboo of medical error through IGBOs: I got burnt once!
Citation Text:
Dumitrescu A, Ryan A. Addressing the taboo of medical error through IGBOs: I got burnt once!. Eur J Pediatr. 2014;173(4):503-8. doi:10.1007/s00431-013-2168-3.
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psnet.ahrq.gov/issue/examination-how-survey-can-spur-culture-changes-using-quality-improvement-approach-region
September 29, 2010 - Study
Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide approach to determining a patient safety culture.
Citation Text:
Pringle J, Weber RJ, Rice K, et al. Examination of how a survey can spur culture changes using a quality impro…
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psnet.ahrq.gov/issue/unintended-consequences-electronic-health-record-and-cognitive-load-emergency-department
June 22, 2011 - Study
Unintended consequences of the electronic health record and cognitive load in emergency department nurses.
Citation Text:
Harmon CS, Adams SA, Davis JE, et al. Unintended consequences of the electronic health record and cognitive load in emergency department nurses. Appl Nurs Res. …
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psnet.ahrq.gov/issue/diffusing-aviation-innovations-hospital-netherlands
August 12, 2020 - Study
Diffusing aviation innovations in a hospital in the Netherlands.
Citation Text:
de Korne DF, van Wijngaarden JDH, Hiddema F, et al. Diffusing aviation innovations in a hospital in The Netherlands. Jt Comm J Qual Patient Saf. 2010;36(8):339-47.
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psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-elderly-patients-2-outpatient-settings
November 18, 2009 - Study
Potentially inappropriate prescribing for elderly patients in 2 outpatient settings.
Citation Text:
Maio V, Hartmann CW, Poston S, et al. Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. Am J Med Qual. 2006;21(3):162-8.
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psnet.ahrq.gov/issue/applying-fault-tree-analysis-prevention-wrong-site-surgery
September 09, 2015 - Review
Applying fault tree analysis to the prevention of wrong-site surgery.
Citation Text:
Abecassis ZA, McElroy LM, Patel RM, et al. Applying fault tree analysis to the prevention of wrong-site surgery. J Surg Res. 2015;193(1):88-94. doi:10.1016/j.jss.2014.08.062.
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psnet.ahrq.gov/issue/inaccuracies-assignment-clinical-stage-localized-prostate-cancer
April 06, 2022 - Study
Inaccuracies in assignment of clinical stage for localized prostate cancer.
Citation Text:
Reese AC, Sadetsky N, Carroll PR, et al. Inaccuracies in assignment of clinical stage for localized prostate cancer. Cancer. 2011;117(2):283-9. doi:10.1002/cncr.25596.
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psnet.ahrq.gov/issue/every-patient-should-be-enabled-stop-line
September 30, 2020 - Commentary
Every patient should be enabled to stop the line.
Citation Text:
Bell SK, Martinez W. Every patient should be enabled to stop the line. BMJ Qual Saf. 2019;28(3):172-176. doi:10.1136/bmjqs-2018-008714.
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psnet.ahrq.gov/issue/avoidable-iatrogenic-complications-urethral-catheterization-and-inadequate-intern-training
March 02, 2011 - Study
Avoidable iatrogenic complications of urethral catheterization and inadequate intern training in a tertiary-care teaching hospital.
Citation Text:
Thomas AZ, Giri SK, Meagher D, et al. Avoidable iatrogenic complications of urethral catheterization and inadequate intern training i…