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psnet.ahrq.gov/issue/establishing-safe-container-learning-simulation-role-presimulation-briefing
September 16, 2015 - Commentary
Establishing a safe container for learning in simulation: the role of the presimulation briefing.
Citation Text:
Rudolph JW, Raemer D, Simon R. Establishing a safe container for learning in simulation: the role of the presimulation briefing. Simul Healthc. 2014;9(6):339-49. do…
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psnet.ahrq.gov/issue/development-pragmatic-measure-evaluating-and-optimizing-rapid-response-systems
August 20, 2014 - Study
Development of a pragmatic measure for evaluating and optimizing rapid response systems.
Citation Text:
Bonafide CP, Roberts KE, Priestley MA, et al. Development of a pragmatic measure for evaluating and optimizing rapid response systems. Pediatrics. 2012;129(4):e874-81. doi:10.1…
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psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and-deadlock-incident
November 15, 2023 - Study
Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident reporting systems.
Citation Text:
Tresfon J, van Winsen R, Brunsveld-Reinders AH, et al. Hospital ward incidents through the eyes of nurses - a thick description on the a…
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psnet.ahrq.gov/issue/impact-anti-infective-drug-shortages-hospitals-united-states-trends-and-causes
October 19, 2022 - Review
The impact of anti-infective drug shortages on hospitals in the United States: trends and causes.
Citation Text:
Griffith MM, Gross AE, Sutton SH, et al. The impact of anti-infective drug shortages on hospitals in the United States: trends and causes. Clin Infect Dis. 2012;54(5):6…
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psnet.ahrq.gov/issue/application-who-surgical-safety-checklist-outside-operating-theatre-medicine-can-learn
March 17, 2021 - Study
Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery.
Citation Text:
Braham DL, Richardson AL, Malik IS. Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. Clin …
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psnet.ahrq.gov/issue/unrecognized-cardiovascular-emergencies-among-medicare-patients
November 16, 2022 - Study
Unrecognized cardiovascular emergencies among Medicare patients.
Citation Text:
Waxman DA, Kanzaria HK, Schriger DL. Unrecognized Cardiovascular Emergencies Among Medicare Patients. JAMA Intern Med. 2018;178(4):477-484. doi:10.1001/jamainternmed.2017.8628.
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Forma…
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psnet.ahrq.gov/issue/who-makes-prescribing-decisions-hospital-inpatients-observational-study
January 30, 2013 - Study
Who makes prescribing decisions in hospital inpatients? An observational study.
Citation Text:
Ross S, Hamilton L, Ryan C, et al. Who makes prescribing decisions in hospital inpatients? An observational study. Postgrad Med J. 2012;88(1043):507-10. doi:10.1136/postgradmedj-2011-13…
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psnet.ahrq.gov/issue/just-culture-foundation-staff-safety-perioperative-environment
June 09, 2021 - Commentary
Just culture: the foundation of staff safety in the perioperative environment.
Citation Text:
Fencl JL, Willoughby C, Jackson K. Just culture: the foundation of staff safety in the perioperative environment. AORN J. 2021;113(4):329-336. doi:10.1002/aorn.13352.
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psnet.ahrq.gov/issue/americans-experiences-medical-errors-and-views-patient-safety
January 06, 2015 - Book/Report
Classic
Americans' Experiences With Medical Errors and Views on Patient Safety.
Citation Text:
Americans' Experiences With Medical Errors and Views on Patient Safety. Chicago, IL: NORC at the University of Chicago and IHI/NPSF Lucian Leape Institute;…
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psnet.ahrq.gov/issue/liquid-medication-errors-and-dosing-tools-randomized-controlled-experiment
December 21, 2017 - Study
Liquid medication errors and dosing tools: a randomized controlled experiment.
Citation Text:
Yin S, Parker RM, Sanders LM, et al. Liquid Medication Errors and Dosing Tools: A Randomized Controlled Experiment. Pediatrics. 2016;138(4):e20160357.
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Format:
G…
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psnet.ahrq.gov/issue/frequency-medication-administration-timing-error-hospitals-systematic-review
March 15, 2023 - Review
Frequency of medication administration timing error in hospitals: a systematic review.
Citation Text:
Pullam T, Russell CL, White-Lewis S. Frequency of medication administration timing error in hospitals: a systematic review. J Nurs Care Qual. 2023;38(2):126-133. doi:10.1097/ncq.0…
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psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety
December 27, 2019 - Mental health was actually a trailblazer for defining cultural competence and I wrote a bit on the subject
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psnet.ahrq.gov/curated-library/value-and-patient-safety
October 30, 2019 - such, the author asserts that future safety research, including patient safety, must begin by clearly defining
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psnet.ahrq.gov/node/49774/psn-pdf
November 01, 2016 - has been a good explanation as to why the type of delivery should affect the definition, and thus defining
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psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - Defining error in anatomic pathology.
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psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
November 30, 2023 - Creating a specialized diabetes team that is separate from the endocrinology consultation service, and defining
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psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
August 28, 2024 - Rather than defining safety as the absence of adverse events, where as few things as possible go wrong
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psnet.ahrq.gov/perspective/application-safety-ii-principles
August 28, 2024 - Rather than defining safety as the absence of adverse events, where as few things as possible go wrong
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psnet.ahrq.gov/node/865455/psn-pdf
March 27, 2024 - Communication During Transitions of Care
March 27, 2024
Gurses AP, Sousane Z, Mossburg S. Communication During Transitions of Care. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/communication-during-transitions-care
Introduction
Inaccurate or untimely communication and ineffective teamwork in healthca…
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psnet.ahrq.gov/node/33690/psn-pdf
December 01, 2009 - In Conversation with…Gerald B. Hickson, MD
December 1, 2009
In Conversation with…Gerald B. Hickson, MD . PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
Editor's note: Gerald B. Hickson, MD, is one of the world's leading experts on physician behavior and its
connecti…