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psnet.ahrq.gov/issue/preventable-harm-because-outpatient-medication-errors-among-children-leukemia-and-lymphoma
January 15, 2020 - Study
Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: a multisite longitudinal assessment.
Citation Text:
Wong CI, Vannatta K, Gilleland Marchak J, et al. Preventable harm because of outpatient medication errors among children with leuk…
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psnet.ahrq.gov/issue/barriers-and-facilitators-bedside-nursing-handover-systematic-review-and-meta-synthesis
August 25, 2021 - Review
Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis.
Citation Text:
Clari M, Conti A, Chiarini D, et al. Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis. J Nurs Care Qual. 2021;36(4):e51-…
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psnet.ahrq.gov/issue/real-time-automated-paging-and-decision-support-critical-laboratory-abnormalities
April 30, 2014 - Study
Real-time automated paging and decision support for critical laboratory abnormalities.
Citation Text:
Etchells E, Adhikari NKJ, Wu RC, et al. Real-time automated paging and decision support for critical laboratory abnormalities. BMJ Qual Saf. 2011;20(11):924-30. doi:10.1136/bmjqs…
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psnet.ahrq.gov/issue/implementation-online-reporting-system-identify-unprofessional-behaviors-and-mistreatment
July 13, 2022 - Study
Implementation of an online reporting system to identify unprofessional behaviors and mistreatment directed at trainees at an academic medical center.
Citation Text:
Leitman IM, Muller D, Miller S, et al. Implementation of an online reporting system to identify unprofessional behav…
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psnet.ahrq.gov/issue/effects-skilled-nursing-facility-structure-and-process-factors-medication-errors-during
April 24, 2018 - Study
Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission.
Citation Text:
Lane SJ, Troyer JL, Dienemann JA, et al. Effects of skilled nursing facility structure and process factors on medication errors during nursing home a…
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psnet.ahrq.gov/issue/patient-outcomes-compared-between-admissions-coordinated-transfer-center-and-emergency
April 29, 2015 - Study
Patient outcomes compared between admissions coordinated by the transfer center and emergency department at a U.S. tertiary care hospital.
Citation Text:
Pagali SR, Ryu AJ, Fischer KM, et al. Patient outcomes compared between admissions coordinated by the transfer center and emerge…
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psnet.ahrq.gov/issue/medication-errors-intensive-care-units-umbrella-review-control-measures
February 09, 2022 - Review
Medication errors in intensive care units: an umbrella review of control measures.
Citation Text:
Dionisi S, Giannetta N, Liquori G, et al. Medication errors in intensive care units: an umbrella review of control measures. Healthcare (Basel). 2022;10(7):1221. doi:10.3390/healthcar…
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psnet.ahrq.gov/issue/racial-and-ethnic-bias-diagnosis-alcohol-use-disorder-veterans
September 23, 2020 - Study
Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans.
Citation Text:
Vickers-Smith R, Justice AC, Becker WC, et al. Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. Am J Psych. 2023;180(6):426-436. doi:10.1176/appi.ajp.21111097.
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psnet.ahrq.gov/issue/factors-influencing-family-member-perspectives-safety-intensive-care-unit-systematic-review
July 21, 2021 - Review
Factors influencing family member perspectives on safety in the intensive care unit: a systematic review.
Citation Text:
Coombs MA, Statton S, Endacott CV, et al. Factors influencing family member perspectives on safety in the intensive care unit: a systematic review. Int J Qual H…
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psnet.ahrq.gov/issue/associations-between-national-board-exam-performance-and-residency-program-emphasis-patient
January 12, 2022 - Study
Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork.
Citation Text:
Loftus TJ, Hall DJ, Malaty JZ, et al. Associations between national board exam performance and residency program emphasis on patient …
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psnet.ahrq.gov/issue/cognitive-bias-impact-management-postoperative-complications-medical-error-and-standard-care
March 09, 2022 - Study
Cognitive bias impact on management of postoperative complications, medical error, and standard of care.
Citation Text:
Antonacci AC, Dechario SP, Antonacci C, et al. Cognitive bias impact on management of postoperative complications, medical error, and standard of care. J Surg Res…
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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/improving-team-information-sharing-structured-call-out-anaesthetic-emergencies-randomized
November 17, 2014 - Study
Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial.
Citation Text:
Weller JM, Torrie J, Boyd M, et al. Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized control…
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www.ahrq.gov/es/tools/index.html?page=3
June 01, 2016 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More
The SHARE Approach Five-step process for clinicians and their patients More
EvidenceNOW Tools for Change Helping practices implement evidence More
Tools
The …
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psnet.ahrq.gov/issue/patient-safety-approach-setting-passfail-standards-basic-procedural-skills-checklists
July 28, 2010 - Commentary
A patient safety approach to setting pass/fail standards for basic procedural skills checklists.
Citation Text:
Yudkowsky R, Tumuluru S, Casey P, et al. A patient safety approach to setting pass/fail standards for basic procedural skills checklists. Simul Healthc. 2014;9(5):27…
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psnet.ahrq.gov/issue/challenging-authority-during-life-threatening-crisis-effect-operating-theatre-hierarchy
December 02, 2015 - Study
Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy.
Citation Text:
Sydor DT, Bould MD, Naik VN, et al. Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy. Br J Anaesth. 2013;110(3):463-7…
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psnet.ahrq.gov/issue/information-transfer-multidisciplinary-operating-room-teams-simulation-based-observational
November 17, 2014 - Study
Information transfer in multidisciplinary operating room teams: a simulation-based observational study.
Citation Text:
Cumin D, Skilton C, Weller J. Information transfer in multidisciplinary operating room teams: a simulation-based observational study. BMJ Qual Saf. 2017;26(3):209-…
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psnet.ahrq.gov/issue/medical-team-training-improves-team-performance-aoa-critical-issues
April 24, 2018 - Commentary
Medical team training improves team performance: AOA critical issues.
Citation Text:
Carpenter JE, Bagian JP, Snider RG, et al. Medical Team Training Improves Team Performance: AOA Critical Issues. J Bone Joint Surg Am. 2017;99(18):1604-1610. doi:10.2106/JBJS.16.01290.
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psnet.ahrq.gov/issue/prospective-evaluation-consultant-surgeon-sleep-deprivation-and-outcomes-more-4000
October 19, 2022 - Study
Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures.
Citation Text:
Chu MWA, Stitt LW, Fox SA, et al. Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 cons…
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psnet.ahrq.gov/issue/special-issue-progress-intersection-patient-safety-and-medical-liability
May 21, 2014 - Special or Theme Issue
Special Issue: Progress at the Intersection of Patient Safety and Medical Liability.
Citation Text:
Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. Ridgely MS, Greenberg MD, Clancy CM, eds. Health Serv Res. 2016;51(suppl 3):2395…