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psnet.ahrq.gov/issue/improved-outcomes-fewer-cesarean-deliveries-and-reduced-litigation-results-new-paradigm
November 14, 2012 - Commentary
Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety.
Citation Text:
Clark SL, Belfort MA, Byrum SL, et al. Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient s…
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psnet.ahrq.gov/issue/impact-duty-hour-restriction-resident-inpatient-teaching
March 07, 2007 - Study
Impact of duty-hour restriction on resident inpatient teaching.
Citation Text:
Mazotti LA, Vidyarthi AR, Wachter RM, et al. Impact of duty-hour restriction on resident inpatient teaching. J Hosp Med. 2009;4(8). doi:10.1002/jhm.448.
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psnet.ahrq.gov/issue/reflection-and-analysis-how-pharmacy-students-learn-communicate-about-medication-errors
July 14, 2010 - Study
Reflection and analysis of how pharmacy students learn to communicate about medication errors.
Citation Text:
Noland CM, Rickles NM. Reflection and analysis of how pharmacy students learn to communicate about medication errors. Health Commun. 2009;24(4):351-60. doi:10.1080/104102…
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psnet.ahrq.gov/issue/model-disruptive-surgeon-behavior-perioperative-environment
February 05, 2020 - Study
A model of disruptive surgeon behavior in the perioperative environment.
Citation Text:
Cochran A, Elder WB. A model of disruptive surgeon behavior in the perioperative environment. J Am Coll Surg. 2014;219(3):390-8. doi:10.1016/j.jamcollsurg.2014.05.011.
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psnet.ahrq.gov/issue/impact-duty-hours-resident-self-reports-errors
October 28, 2009 - Study
The impact of duty hours on resident self reports of errors.
Citation Text:
Vidyarthi A, Auerbach AD, Wachter R, et al. The impact of duty hours on resident self reports of errors. J Gen Intern Med. 2007;22(2):205-9.
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psnet.ahrq.gov/issue/educational-intervention-increase-speaking-behaviors-nurses-and-improve-patient-safety
May 08, 2013 - Study
An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety.
Citation Text:
Sayre MM, McNeese-Smith D, Leach LS, et al. An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety. J Nurs Care Qual.…
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psnet.ahrq.gov/issue/development-conceptual-map-negative-consequences-patients-overuse-medical-tests-and
November 01, 2017 - Commentary
Emerging Classic
Development of a conceptual map of negative consequences for patients of overuse of medical tests and treatments.
Citation Text:
Korenstein D, Chimonas S, Barrow B, et al. Development of a Conceptual Map of Negative Consequences for P…
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psnet.ahrq.gov/issue/using-agency-healthcare-research-and-quality-patient-safety-indicators-targeting-nursing
January 12, 2011 - Study
Using the Agency for Healthcare Research and Quality Patient Safety Indicators for targeting nursing quality improvement.
Citation Text:
Zrelak PA, Utter GH, Sadeghi B, et al. Using the Agency for Healthcare Research and Quality patient safety indicators for targeting nursing qua…
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psnet.ahrq.gov/issue/finding-dental-harm-patients-through-electronic-health-record-based-triggers
September 06, 2017 - Study
Finding dental harm to patients through electronic health record-based triggers.
Citation Text:
Walji MF, Yansane A, Hebballi NB, et al. Finding dental harm to patients through electronic health record-based triggers . JDR Clin Trans Res. 2020;5(3):271-277. doi:10.1177/238008441989…
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psnet.ahrq.gov/issue/iatrogenic-delirium-and-coma-near-miss
September 23, 2020 - Commentary
Iatrogenic delirium and coma: a "near miss."
Citation Text:
Dunn WF, Adams SC, Adams RW. Iatrogenic delirium and coma: a "near miss". Chest. 2008;133(5):1217-20. doi:10.1378/chest.08-0471.
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psnet.ahrq.gov/issue/adverse-drug-events-general-practice-patients-australia
September 28, 2016 - Study
Adverse drug events in general practice patients in Australia.
Citation Text:
Miller GC, Britth HC, Valenti L. Adverse drug events in general practice patients in Australia. Med J Aust. 2006;184(7):321-4.
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psnet.ahrq.gov/issue/leadership-oversight-patient-safety-programs-essential-element
August 03, 2016 - Commentary
Leadership oversight for patient safety programs: an essential element.
Citation Text:
Moffatt-Bruce SD, Clark S, DiMaio M, et al. Leadership Oversight for Patient Safety Programs: An Essential Element. Ann Thorac Surg. 2017;105(2):351-356. doi:10.1016/j.athoracsur.2017.11.021…
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psnet.ahrq.gov/issue/non-intercepted-dose-errors-prescribing-antineoplastic-treatment-prospective-comparative
March 20, 2013 - Study
Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study.
Citation Text:
Mattsson TO, Holm B, Michelsen H, et al. Non-intercepted dose errors in prescribing anti-neoplastic treatment: a prospective, comparative cohort study. Ann O…
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psnet.ahrq.gov/issue/decade-preventing-harm
February 07, 2007 - Commentary
A decade of preventing harm.
Citation Text:
Woeltje KF, Olenski LK, Donatelli M, et al. A Decade of Preventing Harm. Jt Comm J Qual Patient Saf. 2019;45(7):480-486. doi:10.1016/j.jcjq.2019.04.007.
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psnet.ahrq.gov/issue/effective-communication-primary-care-providers
October 02, 2019 - Commentary
Effective communication with primary care providers.
Citation Text:
Smith K. Effective communication with primary care providers. Pediatr Clin North Am. 2014;61(4):671-679. doi:10.1016/j.pcl.2014.04.004.
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psnet.ahrq.gov/issue/resident-duty-hours-surgery-ensuring-patient-safety-providing-optimum-resident-education-and
April 11, 2007 - Commentary
Resident duty hours in surgery for ensuring patient safety, providing optimum resident education and training, and promoting resident well-being: a response from the American College of Surgeons to the Report of the Institute of Medicine, "Resident Duty Hours: Enhancing Sleep, Supervision…
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psnet.ahrq.gov/issue/reducing-potentially-fatal-errors-associated-high-doses-insulin-successful-multifaceted
August 17, 2016 - Study
Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy.
Citation Text:
Dooley MJ, Wiseman M, McRae A, et al. Reducing potentially fatal errors associated with high doses of insulin: a successful mul…
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psnet.ahrq.gov/issue/mindful-workarounds-bar-code-medication-administration
July 20, 2022 - Commentary
Mindful workarounds in bar code medication administration.
Citation Text:
Lichtner V, Dowding D. Mindful workarounds in bar code medication administration. Stud Health Technol Inform. 2022;294:740-744. doi: 10.3233/shti220575
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psnet.ahrq.gov/issue/detection-missed-injuries-pediatric-trauma-center-addition-acute-care-pediatric-nurse
July 18, 2007 - 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/use-safety-attitudes-questionnaire-measure-patient-safety-improvement
August 18, 2010 - Study
Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement.
Citation Text:
Watts B, Percarpio KB, West P, et al. Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement. J Patient Saf. 2010;6(4):206-9.
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