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psnet.ahrq.gov/issue/flight-deck-operating-room-initial-pilot-study-feasibility-and-potential-impact-true
February 25, 2009 - Study
From the flight deck to the operating room: an initial pilot study of the feasibility and potential impact of true interdisciplinary team training using high-fidelity simulation.
Citation Text:
Paige JT, Kozmenko V, Morgan B, et al. From the Flight Deck to the Operating Room: A…
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psnet.ahrq.gov/issue/detection-missed-injuries-pediatric-trauma-center-addition-acute-care-pediatric-nurse
March 10, 2011 - Study
Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse practitioners.
Citation Text:
Resler J, Hackworth J, Mayo E, et al. Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse pr…
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psnet.ahrq.gov/issue/human-centered-design-workshops-meta-solution-diagnostic-disparities
July 31, 2024 - Study
Human centered design workshops as a meta-solution to diagnostic disparities.
Citation Text:
Wiegand AA, Dukhanin V, Sheikh T, et al. Human centered design workshops as a meta-solution to diagnostic disparities. Diagnosis (Berl). 2022;9(4):458-467. doi:10.1515/dx-2022-0025.
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psnet.ahrq.gov/issue/standardising-classification-harm-associated-medication-errors-harm-associated-medication
August 28, 2024 - Commentary
Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC).
Citation Text:
Gates PJ, Baysari M, Mumford V, et al. Standardising the Classification of Harm Associated with Medication Errors: The H…
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psnet.ahrq.gov/issue/underlying-risk-factors-prescribing-errors-long-term-aged-care-qualitative-study
August 26, 2020 - Study
Underlying risk factors for prescribing errors in long-term aged care: a qualitative study.
Citation Text:
Tariq A, Georgiou A, Raban MZ, et al. Underlying risk factors for prescribing errors in long-term aged care: a qualitative study. BMJ Qual Saf. 2016;25(9):704-15. doi:10.1136/…
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psnet.ahrq.gov/issue/unit-based-clinical-pharmacists-prevention-serious-medication-errors-pediatric-inpatients
March 04, 2015 - Study
Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients.
Citation Text:
Kaushal R, Bates DW, Abramson EL, et al. Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. Am J Health-Syst Pharm. 2008;…
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psnet.ahrq.gov/issue/measuring-experiences-and-outcomes-patient-safety-primary-care-systematic-review-available
April 25, 2018 - Review
Measuring experiences and outcomes of patient safety in primary care: a systematic review of available instruments.
Citation Text:
Ricci-Cabello I, Gonçalves DC, Rojas-García A, et al. Measuring experiences and outcomes of patient safety in primary care: a systematic review of ava…
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psnet.ahrq.gov/issue/social-disparities-patient-safety-primary-care-systematic-review
January 08, 2025 - Review
Emerging Classic
Social disparities in patient safety in primary care: a systematic review.
Citation Text:
Piccardi C, Detollenaere J, Bussche PV, et al. Social disparities in patient safety in primary care: a systematic review. Int J Equity Health. 2018;…
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psnet.ahrq.gov/issue/racial-bias-cesarean-decision-making
June 02, 2019 - Study
Racial bias in cesarean decision-making.
Citation Text:
Edwards SE, Class QA, Ford CE, et al. Racial bias in cesarean decision-making. Am J Obstet Gynecol MFM. 2023;5(5):100927. doi:10.1016/j.ajogmf.2023.100927.
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psnet.ahrq.gov/issue/medicares-decision-withhold-payment-hospital-errors-devil-details
March 13, 2013 - Commentary
Classic
Medicare's decision to withhold payment for hospital errors: the devil is in the details.
Citation Text:
Wachter R, Foster NE, Dudley A. Medicare's decision to withhold payment for hospital errors: the devil is in the det. Jt Comm J Qual Patie…
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psnet.ahrq.gov/issue/why-and-how-approach-user-experience-safety-critical-domains-example-health-care
May 05, 2021 - Commentary
Why and how to approach user experience in safety-critical domains: the example of health care.
Citation Text:
Grundgeiger T, Hurtienne J, Happel O. Why and how to approach user experience in safety-critical domains: the example of health care. Hum Factors. 2020;63(5):821-832.…
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psnet.ahrq.gov/issue/hospital-computerized-provider-order-entry-adoption-and-quality-examination-united-states
May 20, 2020 - Study
Hospital computerized provider order entry adoption and quality: an examination of the United States.
Citation Text:
Kazley AS, Diana ML. Hospital computerized provider order entry adoption and quality: an examination of the United States. Health Care Manage Rev. 2011;36(1):86-94…
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psnet.ahrq.gov/issue/what-do-patients-and-families-observe-about-pediatric-safety-thematic-analysis-real-time
March 02, 2022 - Study
What do patients and families observe about pediatric safety?: A thematic analysis of real-time narratives.
Citation Text:
Studenmund C, Lyndon A, Stotts JR, et al. What do patients and families observe about pediatric safety?: A thematic analysis of real‐time narratives. J Hosp Me…
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psnet.ahrq.gov/issue/benefits-and-harms-open-notes-mental-health-delphi-survey-international-experts
July 07, 2021 - Study
The benefits and harms of open notes in mental health: a Delphi survey of international experts.
Citation Text:
Blease CR, Kharko A, Hägglund M, et al. The benefits and harms of open notes in mental health: a Delphi survey of international experts. PLoS ONE. 2021;16(10):e0258056. d…
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psnet.ahrq.gov/issue/structured-interdisciplinary-rounds-medical-teaching-unit-improving-patient-safety
November 26, 2014 - Study
Classic
Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.
Citation Text:
O'Leary KJ, Buck R, Fligiel HM, et al. Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. Arch Intern Me…
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psnet.ahrq.gov/issue/patient-safety-leadership-walkroundstm-partners-healthcare-learning-implementation
January 04, 2017 - Study
Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation.
Citation Text:
Frankel A, Grillo SP, Baker EG, et al. Patient Safety Leadership WalkRounds at Partners Healthcare: learning from implementation. Jt Comm J Qual Patient Saf. 2005;31(8):423-37…
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psnet.ahrq.gov/issue/speaking-extension-socio-cultural-dynamics-hospital-settings-study-staff-experiences-speaking
May 19, 2021 - Study
Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of speaking up across seven hospitals.
Citation Text:
Pavithra A, Mannion R, Sunderland N, et al. Speaking up as an extension of socio-cultural dynamics in hospital settings: a…
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psnet.ahrq.gov/issue/identification-barriers-and-enablers-receiving-speaking-message-content-analysis-approach
March 29, 2023 - Study
Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach.
Citation Text:
Barlow M, Morse KJ, Watson B, et al. Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach. Adv Simul …
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psnet.ahrq.gov/issue/association-safety-culture-surgical-site-infection-outcomes
October 23, 2024 - Study
Classic
Association of safety culture with surgical site infection outcomes.
Citation Text:
Fan CJ, Pawlik TM, Daniels T, et al. Association of safety culture with surgical site infection outcomes. J Am Coll Surg. 2016;222(2):122-128. doi:10.1016/j.jamcoll…
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psnet.ahrq.gov/issue/exploring-physician-perspectives-residency-holdover-handoffs-qualitative-study-understand
April 27, 2015 - Study
Exploring physician perspectives of residency holdover handoffs: a qualitative study to understand an increasingly important type of handoff.
Citation Text:
Duong JA, Jensen TP, Morduchowicz S, et al. Exploring Physician Perspectives of Residency Holdover Handoffs: A Qualitative St…