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psnet.ahrq.gov/issue/development-and-validation-taxonomy-adverse-handover-events-hospital-settings
March 05, 2014 - Study
Development and validation of a taxonomy of adverse handover events in hospital settings.
Citation Text:
Andersen HB, Siemsen IMD, Petersen LF, et al. Development and validation of a taxonomy of adverse handover events in hospital settings. Cognition, Technology & Work. 2014;17(1).…
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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/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/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/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/relationship-between-perceived-practice-quality-and-quality-improvement-activities-and
December 21, 2014 - Study
The relationship between perceived practice quality and quality improvement activities and physician practice dissatisfaction, professional isolation, and work-life stress.
Citation Text:
Quinn MA, Wilcox A, Orav J, et al. The relationship between perceived practice quality and q…
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psnet.ahrq.gov/issue/error-or-act-god-study-patients-and-operating-room-team-members-perceptions-error-definition
August 10, 2011 - Study
Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure.
Citation Text:
Espin S, Levinson W, Regehr G, et al. Error or "act of God"? A study of patients' and operating room team members' perceptions o…
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psnet.ahrq.gov/issue/hospital-initiated-transitional-care-interventions-patient-safety-strategy-systematic-review
August 12, 2014 - Review
Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review.
Citation Text:
Rennke S, Nguyen OK, Shoeb MH, et al. Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. Ann Intern Med. 2013;15…
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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/identifying-potential-predictors-safe-attending-physician-workload-survey-hospitalists
December 21, 2014 - Study
Identifying potential predictors of a safe attending physician workload: a survey of hospitalists.
Citation Text:
Michtalik HJ, Pronovost P, Marsteller JA, et al. Identifying potential predictors of a safe attending physician workload: a survey of hospitalists. J Hosp Med. 2013;8…
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psnet.ahrq.gov/issue/resident-physicians-clinical-training-and-error-rate-roles-autonomy-consultation-and
July 13, 2010 - Study
Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarity with the literature.
Citation Text:
Naveh E, Katz-Navon T, Stern Z. Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarit…
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psnet.ahrq.gov/issue/creating-champions-health-care-quality-and-safety
August 04, 2021 - Study
Creating champions for health care quality and safety.
Citation Text:
Holland R, Meyers D, Hildebrand C, et al. Creating champions for health care quality and safety. Am J Med Qual. 2010;25(2):102-108. doi:10.1177/1062860609352108.
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psnet.ahrq.gov/issue/henry-ford-production-system-reduction-surgical-pathology-process-misidentification-defects
July 16, 2013 - Study
The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization.
Citation Text:
Zarbo RJ, Tuthill M, D'Angelo R, et al. The Henry Ford Production System: reduction of surgical pathology in-p…
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psnet.ahrq.gov/issue/effects-computerized-provider-order-entry-implementation-communication-intensive-care-units
March 15, 2017 - Study
The effects of computerized provider order entry implementation on communication in intensive care units.
Citation Text:
Hoonakker P, Carayon P, Walker JM, et al. The effects of Computerized Provider Order Entry implementation on communication in Intensive Care Units. Int J Med I…
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psnet.ahrq.gov/issue/availability-hospital-it-applications-associated-hospitals-risk-adjusted-incidence-rate
September 01, 2021 - Study
Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence rate for patient safety indicators: results from 66 Georgia hospitals.
Citation Text:
Culler SD, Hawley JN, Naylor V, et al. Is the availability of hospital IT applications associ…
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psnet.ahrq.gov/issue/clinical-oversight-conceptualizing-relationship-between-supervision-and-safety
June 23, 2010 - Study
Clinical oversight: conceptualizing the relationship between supervision and safety.
Citation Text:
Kennedy TJT, Lingard LA, Baker R, et al. Clinical oversight: conceptualizing the relationship between supervision and safety. J Gen Intern Med. 2007;22(8):1080-5.
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psnet.ahrq.gov/issue/role-radio-frequency-detection-system-embedded-surgical-sponges-preventing-retained-surgical
February 13, 2008 - Study
The role of radio frequency detection system embedded surgical sponges in preventing retained surgical sponges: a prospective evaluation in patients undergoing emergency surgery.
Citation Text:
Inaba K, Okoye O, Aksoy H, et al. The Role of Radio Frequency Detection System Embedded …
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psnet.ahrq.gov/issue/evaluating-patient-identification-practices-during-intrahospital-transfers-human-factors
August 18, 2021 - Study
Evaluating patient identification practices during intrahospital transfers: a human factors approach.
Citation Text:
Suclupe S, Kitchin J, Sivalingam R, et al. Evaluating patient identification practices during intrahospital transfers: a human factors approach. J Patient Saf. 2023;…
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psnet.ahrq.gov/issue/vital-signs-changes-opioid-prescribing-united-states-2006-2015
June 10, 2020 - Study
Vital signs: changes in opioid prescribing in the United States, 2006-2015.
Citation Text:
Guy GP, Zhang K, Bohm MK, et al. Vital Signs: Changes in Opioid Prescribing in the United States, 2006-2015. MMWR Morb Mortal Wkly Rep. 2017;66(26):697-704. doi:10.15585/mmwr.mm6626a4.
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psnet.ahrq.gov/issue/errors-medication-history-hospital-admission-prevalence-and-predicting-factors
October 14, 2020 - Study
Errors in medication history at hospital admission: prevalence and predicting factors.
Citation Text:
Hellström LM, Bondesson Å, Höglund P, et al. Errors in medication history at hospital admission: prevalence and predicting factors. BMC Clin Pharmacol. 2012;12(9):9. doi:10.1186/…