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psnet.ahrq.gov/issue/advancing-future-patient-safety-oncology-implications-patient-safety-education-cancer-care
December 21, 2014 - Commentary
Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery.
Citation Text:
James TA, Goedde M, Bertsch T, et al. Advancing the Future of Patient Safety in Oncology: Implications of Patient Safety Education on Cancer Car…
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psnet.ahrq.gov/issue/making-move-using-simulation-identify-latent-safety-threats-care-injured-patients-new
December 30, 2014 - Commentary
Making a move: using simulation to identify latent safety threats before the care of injured patients in a new physical space.
Citation Text:
Kotagal M, Falcone RA, Daugherty M, et al. Making a move: Using simulation to identify latent safety threats before the care of injured…
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psnet.ahrq.gov/issue/impact-interactions-between-drugs-and-laboratory-test-results-diagnostic-test-interpretation
March 06, 2019 - Review
Impact of interactions between drugs and laboratory test results on diagnostic test interpretation—a systematic review.
Citation Text:
van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Impact of interactions between drugs and laboratory test results on diagnostic test …
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psnet.ahrq.gov/issue/impacts-medication-shortages-patient-outcomes-scoping-review
March 10, 2021 - Review
Emerging Classic
The impacts of medication shortages on patient outcomes: a scoping review.
Citation Text:
Phuong JM, Penm J, Chaar B, et al. The impacts of medication shortages on patient outcomes: A scoping review. PLoS One. 2019;14(5):e0215837. doi:10.…
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psnet.ahrq.gov/issue/pediatric-adhd-medication-errors-reported-united-states-poison-centers-2000-2021
October 30, 2024 - Study
Pediatric ADHD medication errors reported to United States poison centers, 2000 to 2021.
Citation Text:
DeCoster MM, Spiller HA, Badeti J, et al. Pediatric ADHD medication errors reported to United States poison centers, 2000 to 2021. Pediatrics. 2023;152(4):e2023061942. doi:10.154…
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psnet.ahrq.gov/issue/adapting-new-technologies-operating-room
January 16, 2017 - Study
Classic
Adapting to new technologies in the operating room.
Citation Text:
Cook RI, Woods DD. Adapting to New Technology in the Operating Room. Hum Factors. 2006;38(4):593-613. doi:10.1518/001872096778827224.
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psnet.ahrq.gov/issue/patients-perceptions-safety-if-interpersonal-continuity-care-were-be-disrupted
July 21, 2021 - Study
Patients' perceptions of safety if interpersonal continuity of care were to be disrupted.
Citation Text:
Pandhi N, Schumacher J, Flynn KE, et al. Patients' perceptions of safety if interpersonal continuity of care were to be disrupted. Health Expect. 2008;11(4):400-8. doi:10.…
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psnet.ahrq.gov/issue/out-hospital-medication-errors-6-year-analysis-national-poison-data-system
September 08, 2010 - Study
Out-of-hospital medication errors: a 6-year analysis of the national poison data system.
Citation Text:
Shah K, Barker KA. Out-of-hospital medication errors: a 6-year analysis of the national poison data system. Pharmacoepidemiol Drug Saf. 2009;18(11):1080-5. doi:10.1002/pds.1823…
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psnet.ahrq.gov/issue/use-administrative-data-find-substandard-care-validation-complications-screening-program
September 30, 2015 - Study
Classic
Use of administrative data to find substandard care: validation of the complications screening program.
Citation Text:
Weingart SN, Iezzoni LI, Davis RB, et al. Use of Administrative Data to Find Substandard Care. Med Care. 2003;38(8):796-806. do…
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psnet.ahrq.gov/issue/errors-and-discrepancies-administration-intravenous-infusions-mixed-methods-multihospital
July 10, 2019 - Study
Emerging Classic
Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study.
Citation Text:
Lyons I, Furniss D, Blandford A, et al. Errors and discrepancies in the administration of intravenou…
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psnet.ahrq.gov/issue/multi-level-analysis-national-nursing-students-disclosure-patient-safety-concerns
April 28, 2021 - Study
Multi-level analysis of national nursing students' disclosure of patient safety concerns.
Citation Text:
Palese A, Gonella S, Grassetti L, et al. Multi-level analysis of national nursing students' disclosure of patient safety concerns. Med Educ. 2018;52(11):1156-1166. doi:10.1111/m…
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psnet.ahrq.gov/issue/simulation-study-rested-versus-sleep-deprived-anesthesiologists
September 13, 2017 - Study
Classic
Simulation study of rested versus sleep-deprived anesthesiologists.
Citation Text:
Howard SK, Gaba DM, Smith B, et al. Simulation study of rested versus sleep-deprived anesthesiologists. Anesthesiology. 2003;98(6):1345-1355. doi:10.1097/00000542-…
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psnet.ahrq.gov/issue/using-safety-culture-results-guide-merger-four-general-practices-uk
February 01, 2023 - Study
Using safety culture results to guide the merger of four general practices in the UK.
Citation Text:
Lockwood AM, Proulx J, Hill M, et al. Using safety culture results to guide the merger of four general practices in the UK. BMJ Open Qual. 2020;9(1):e000860. doi:10.1136/bmjoq-2019-…
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psnet.ahrq.gov/issue/preventable-morbidity-and-mortality-among-non-trauma-emergency-surgery-patients-role-personal
January 26, 2022 - Study
Preventable morbidity and mortality among non-trauma emergency surgery patients: the role of personal performance and system flaws in adverse events.
Citation Text:
Velmahos CS, Kokoroskos N, Tarabanis C, et al. Preventable morbidity and mortality among non-trauma emergency surgery…
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psnet.ahrq.gov/issue/introduction-sts-national-database-series-outcomes-analysis-quality-improvement-and-patient
August 04, 2021 - Commentary
Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety.
Citation Text:
Fernandez FG, Shahian DM, Kormos R, et al. The Society of Thoracic Surgeons National Database 2019 Annual Report. Ann Thorac Surg. 2019;108(6):1625-1632…
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psnet.ahrq.gov/issue/challenges-patient-safety-improvement-research-era-electronic-health-records
November 11, 2020 - Commentary
Challenges in patient safety improvement research in the era of electronic health records.
Citation Text:
Russo E, Sittig DF, Murphy DR, et al. Challenges in patient safety improvement research in the era of electronic health records. Healthc (Amst). 2016;4(4):285-290. doi:10.…
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psnet.ahrq.gov/issue/improving-our-understanding-multi-tasking-healthcare-drawing-together-cognitive-psychology
July 19, 2018 - Review
Improving our understanding of multi-tasking in healthcare: drawing together the cognitive psychology and healthcare literature.
Citation Text:
Douglas HE, Raban MZ, Walter SR, et al. Improving our understanding of multi-tasking in healthcare: Drawing together the cognitive psycho…
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psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and
December 29, 2014 - Study
Learning from patient safety incidents in incident review meetings: organisational factors and indicators of analytic process effectiveness.
Citation Text:
Anderson JE, Kodate N. Learning from patient safety incidents in incident review meetings: Organisational factors and indicato…
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psnet.ahrq.gov/issue/factor-structure-and-construct-validity-hospital-survey-patient-safety-culture-using
June 29, 2022 - Study
Factor structure and construct validity of a hospital survey on patient safety culture using exploratory factor analysis.
Citation Text:
Falcone ML, Tokac U, Fish AF, et al. Factor structure and construct validity of a hospital survey on patient safety culture using exploratory fac…
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psnet.ahrq.gov/issue/who-gets-benefit-doubt-performance-evaluations-medical-errors-and-production-gender
May 01, 2012 - Study
Who gets the benefit of the doubt? Performance evaluations, medical errors, and the production of gender inequality in emergency medical education.
Citation Text:
Brewer A, Osborne M, Mueller AS, et al. Who Gets the Benefit of the Doubt? Performance Evaluations, Medical Errors, an…